TY - JOUR T1 - The effectiveness of art therapy in reducing depression, anxiety, and stress in an adolescent with sexual trauma: A case-based exploration AU - Sari, Winda AU - Rahmawati, Hetti PY - 2025 DA - October Y2 - 2025 JF - Journal for the Interdisciplinary Art and Education JO - JIAE PB - Genç Bilge Yayıncılık WT - DergiPark SN - 2717-8870 SP - 321 EP - 333 VL - 6 IS - 4 LA - en AB - Art therapy is one of the psychotherapeutic intervention approaches that uses visual art media as a means of nonverbal exploration of emotions. This research is essential to do as one of the advanced innovations in addressing psychological issues experienced by individuals with trauma. The Study aims to determine the effectiveness of art therapy in reducing symptoms of depression, anxiety, and stress in adolescents who have experienced trauma due to sexual violence. The research design used is a pre-experimental research design with a single design or one-shot case study approach. The research subject is a single participant, an adolescent girl who indicated experiencing psychological disorders related to sexual violence trauma. The instrument used to measure outcomes was the DASS-21 (Depression, Anxiety, and Stress Scale). The art therapy intervention model was developed from Ganim (2013), consisting of four Stages: (1) expressing your emotion through imagery, (2) healing the mind, (3) healing the Body, (4) transformation of the spirit. The implementation time is carried out in a single series of interventions, with details provided over a one-week period. The series consists of four sessions, each lasting between 90 and 120 minutes. Each session includes a pre-test and post-test, using the DAS-21 to evaluate the effectiveness of changes in psychological symptoms. The results of the Study prove that art therapy shows progress in improving mental health through changes in emotions and behavior, moving in a more positive direction with every session conducted. In conclusion, art therapy demonstrates promising effectiveness in reducing symptoms of depression, anxiety, and stress in adolescents who have experienced trauma due to sexual violence. In the future, this research can be used as a reference for researchers and practitioners seeking evidence-based, creative approaches to mental health treatment. KW - Art Therapy KW - Depression KW - Anxiety KW - Stress KW - Sexual Trauma KW - Adolescent mental health KW - Psychological healing CR - AATA. (2018). Definition of Art Therapy. American Art Therapy Association. American Art Therapy Association. https://arttherapy.org/about-art-therapy/ CR - Ali, S., Pasha, S. A., Cox, A., & Youssef, E. (2024). Examining the short and long-term impacts of child sexual abuse: a review study. SN Social Sciences, 4(2). https://doi.org/10.1007/s43545-024-00852-6 CR - APA. (2013). Diagnostic and Statistical Manual of Mental Disorders, V. American Psychological Association. https://psycnet.apa.org/record/2013-14907-000 CR - Bentivegna, F., & Patalay, P. (2022). The impact of sexual violence in mid-adolescence on mental health: a UK population-based longitudinal study. The Lancet. Psychiatry, 9(11), 874–883. https://doi.org/10.1016/S2215- 0366(22)00271-1 CR - Cell Stress. (2021). Lu, S., Wei, F., & Li, G. The evolution of the concept of stress and the framework of the stress system. Cell Stress, 5(6), 76–85. https://doi.org/10.15698/cst2021.06.250 CR - Delei, S., Nayak, G., & Pradhan, R. (2020). Effect of art therapy and play therapy on anxiety among hospitalized preschool children. Journal of Biomedical Sciences, 7, 71–76. https://doi.org/10.3126/jbs.v7i2.34006 Deshmukh, SR, H. J., & Cardno, A. (2018). Art therapy for people with dementia. Cochrane Database of Systematic Reviews, 9. https://doi.org/10.1002/14651858.CD011073.pub2 CR - Enck, P., & Zipfel, S. (2019). Placebo effects in psychotherapy: A framework. Frontiers in Psychiatry, 10, 456. https://doi.org/10.3389/fpsyt.2019.00456 CR - Ganim, B. (2013). Art and Healing: Using Expressive Art to Heal Your Body, Mind, and Spirit. Three Rivers Press. CR - Hair, J., Black, W., Babin, B., & Anderson, R. (2010). Multivariate Data Analysis: A Global Perspective. CR - Haeyen, S. (2024). A theoretical exploration of polyvagal theory in creative arts and psychomotor therapies for emotion regulation in stress and trauma. Frontiers in Psychology, 15, Article 1382007. https://doi.org/10.3389/fpsyg.2024.1382007 CR - Hakim, M. A., & Aristawati, N. V. (2023). Measuring depression, anxiety, and stress in Indonesian early adults: Testing the validity and reliability of the DASS-21 construct. Jurnal Psikologi Ulayat, 10(2), 232–250. https://doi.org/10.24854/jpu553 CR - Hlavek, E. H., & Feldwisch, R. P. (2022). Humanistic approaches to art therapy: Existentialism, person-centered, and gestalt (pp. 235–257). In Foundations of Art Therapy. Elsevier. https://doi.org/10.1016/b978-0-12-824308- 4.00005-3 CR - Hu, J., Zhang, J., Hu, L., Yu, H., & Xu, J. (2021). Art Therapy: A Complementary Treatment for Mental Disorders. Frontiers in Psychology, 12(August), 1–9. https://doi.org/10.3389/fpsyg.2021.686005 CR - Huneke, N., Impey, B., & Baldwin, D. (2023). Anxiety Disorders. In M.-E. Lynall, P. B. Jones, & S. M. Stahl (Eds.), Cambridge Textbook of Neuroscience for Psychiatrists (pp. 410–415). Cambridge University Press. https://doi.org/DOI: 10.1017/9781911623137.059 CR - I-NAMHS. (2023). The Indonesia - National Adolescent Mental Health Survey (I-NAMHS), Research Report. https://qcmhr.org/outputs/reports/12-i-namhs-report-bahasa-indonesia CR - Irmayanti, N., Kusnadi, S., Putri, F., & Derman, Y. (2022). Art Therapy As A Tool In Emotional Release (Catarism) Of Children At Sungai School In Surabaya. Prosiding Konferensi Nasional Pengabdian Kepada Masyarakat Dan Corporate Social Responsibility (PKM-CSR), 5, 1–10. https://doi.org/10.37695/pkmcsr.v5i0.1680 CR - Kemendikdasmen. (2023). Definisi dan Bentuk-Bentuk Kekerasan. Kementerian Pendidikan Dan Kebudayaan, Riset, Dan Teknologi. https://merdekadarikekerasan.kemendikdasmen.go.id/definisi-dan-bentuk-kekerasan/ CR - KEMENPPPA. (2024). DATA SIMFONI PPA KEMENPPPA. Ministry of Women Empowerment and Child Protection of the Republic of Indonesia. http://kekerasan.kemenpppa.go.id CR - Kong, R. (2024). Childhood Trauma and Adolescent Anxiety Disorders: A Comprehensive Study from Root Causes to Intervention. Lecture Notes in Education Psychology and Public Media, 43, 67–74. https://doi.org/10.54254/2753-7048/43/20240655 CR - Lev-Wiesel, R., Limor, G., & and Daphna-Tekoah, S. (2022). Introduction to the Special Issue: The Use of Creative Art Therapies in the Prevention, Screening, and Treatment of Child Sexual Abuse. Journal of Child Sexual Abuse, 31(1), 3–8. https://doi.org/10.1080/10538712.2022.2032895 CR - Lizunova, G., & Taskina, I. (2022). Art Therapy In Working With Younger Adolescents Who Have Experienced Abuse. Vestnik Altaiskogo Gosudarstvennogo Pedagogiceskogo Universiteta, 69–75. https://doi.org/10.37386/2413-4481-2022-2-69-75 CR - Lombardi, R. (2013). Art Therapy (pp. 41–66). https://doi.org/10.1002/9781394259373.ch3 CR - Lu, S., Wei, F., & Li, G. (2021). The evolution of the concept of stress and the framework of the stress system. Cell Stress, 5(6), 76–85. https://doi.org/10.15698/cst2021.06.250 CR - Manana, G. (2023). Finding a voice: Art therapy as a path to disclosure – a South African perspective. South African Journal of Arts Therapies, 1, 72–88. https://doi.org/10.36615/sajat.v1i1.2491 CR - Michael, J. A., & Morris, J. M. (1986). A sequel: Selected European influences on the theory and philosophy of Viktor Lowenfeld. The Arts in Psychotherapy, 27(3), 131. https://doi.org/10.2307/1320477 CR - Moghaddam, K. (2022). Pediatric Panic Disorder, Review of Art Therapy as Supportive and Palliative Intervention (R. W. Motta (ed.)). IntechOpen. https://doi.org/10.5772/intechopen.107007 CR - Murtadho, Ali., Hilmawan, Taufik, M. (2022). Journal Ilmu Dakwah: sexual violence in adolescents. 42(1). CR - Musicaro, R., & Silverman, W. (2022). What Is Anxiety? https://doi.org/10.1016/B978-0-12-818872-9.00086-8 CR - Nurpratiwi, G. (2023). Mandala Art Therapy for Adults with Generalized Anxiety Disorder. Psikoborneo: Jurnal Ilmiah Psikologi, 11(4), 502. https://doi.org/10.30872/psikoborneo.v11i4.12523 CR - Orsolini, L., Latini, R., Pompili, M., Serafini, G., Volpe, U., Vellante, F., Fornaro, M., Valchera, A., Tomasetti, C., Fraticelli, S., Alessandrini, M., La Rovere, R., Trotta, S., Martinotti, G., Di Giannantonio, M., & De Berardis, D. (2020). Understanding the Complex of Suicide in Depression: from Research to Clinics. Psychiatry Investigation, 17(3), 207–221. https://doi.org/10.30773/pi.2019.0171 CR - Psychoanalytic and Jungian approaches to art therapy. (2022). In Foundations of Art Therapy (pp. 211–234). Elsevier eBooks. https://doi.org/10.1016/b978-0-12-824308-4.00004-1 CR - Purwanti, H. (2023). Recognizing the Importance of Mental Health. https://www.djkn.kemenkeu.go.id/kanwil- jakarta/baca-artikel/16227/Mengenal-Pentingnya-Kesehatan-Mental.html CR - Sadeghi, K., Goodarzi, G., & Foroughi, A. (2023). Recovering from Posttraumatic Stress Disorder symptoms: A study on the combination of art and mindfulness. Shenakht Journal of Psychology and Psychiatry, 9. https://doi.org/10.32598/shenakht.9.6.131 CR - Samuel, K. J. (2024). Art as a form of communication for trauma survivors. https://doi.org/10.59298/rijre/2024/42611 CR - Saradhadevi, S., & Hemavathy, V. (2022). Anxiety Disorders. CARDIOMETRY, 1010–1012. https://doi.org/10.18137/cardiometry.2022.24.10101012 CR - Schouten, K. A., van Hooren, S. A. H., Knipscheer, J. W., Kleber, R. J., & Hutschemaekers, G. (2019). Trauma- focused art therapy in the treatment of posttraumatic stress disorder: A pilot study. Journal of Trauma & Dissociation, 20(1), 114–130. https://doi.org/10.1080/15299732.2018.1502712 CR - Shkembi, A., Skenderi, E., Imeraj, F., Kuneshka, N., Xhelili, G., & Durma, A. (2023). A case of sexual abuse and art therapy. World Journal of Advanced Research and Reviews. https://api.semanticscholar.org/CorpusID:258075643 CR - Tucker, S. A., & Luetz, J. M. (2023). Art therapy in Australian prisons: A research agenda. International Journal of Offender Therapy and Comparative Criminology. https://doi.org/10.1177/0306624X231165350  CR - Uttley, L., Scope, A., Stevenson, M., Rawdin, A., Taylor Buck, E., Sutton, A., Stevens, J., Kaltenthaler, E., Dent Brown, K., & Wood, C. (2015). Systematic review and economic modelling of the clinical effectiveness and cost- effectiveness of art therapy among people with non psychotic mental health disorders. Health Technology Assessment, 19(18), 1–120. https://doi.org/10.3310/HTA19180 CR - Velayutham, V., & Kannuswamy, R. (2023). Emotion in Art Therapy as Creative Thinking in the Psychological Aspect. Praxis International Journal of Social Science and Literature, 6, 16–25. https://doi.org/10.51879/PIJSSL/060803 CR - Webb, A. J. (2023). The Therapeutic Power of Art: Exploring the Mechanisms Behind Art Therapy’s Efficacy. https://doi.org/10.22541/au.169531401.17663927/v1 CR - Wen, F. (2023). Core values and Cognitive Behavioral Art Therapy in psychological health education for students with anxiety. CNS Spectrums, 28(S2), S29–S29. https://doi.org/DOI: 10.1017/S109285292300322X CR - Yuniati, E. (2023). Application of Art Therapy in Reducing Psychosocial Problems in Children during the COVID-19 Pandemic in Bungo Regency. Malahayati Nursing Journal, 5(6), 1893–1915. https://doi.org/10.33024/mnj.v5i6.9129 CR - Zhang, B., Wang, J., & Abdullah, A. B. (2024). The effects of art therapy interventions on anxiety in children and adolescents: A meta-analysis. Clinics (Sao Paulo, Brazil), 79, 100404. https://doi.org/10.1016/j.clinsp.2024.100404 UR - https://dergipark.org.tr/en/pub/jiae/issue//1711396 L1 - https://dergipark.org.tr/en/download/article-file/4924235 ER -