Research Article

The effectiveness of art therapy in reducing depression, anxiety, and stress in an adolescent with sexual trauma: A case-based exploration

Volume: 6 Number: 4 December 30, 2025
EN

The effectiveness of art therapy in reducing depression, anxiety, and stress in an adolescent with sexual trauma: A case-based exploration

Abstract

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.

Keywords

Supporting Institution

UPT PPA PPA ( Unit Pelaksana Teknis Perlindungan Perempuan dan Anak / Technical Implementation Unit for the Protection of Women and Children) Situbondo Regency, East Java, Indonesia.

Project Number

non applicable

Ethical Statement

This study has received permission from the Faculty of Psychology, State University of Malang, and partnered with UPT PPA Situbondo Regency, East Java, Indonesia. as well as obtaining participants provided informed consent.

Thanks

We would like to express our sincere gratitude to the participant who was willing to participate in the art therapy sessions until completion, and UPT PPA (Unit Pelaksana Teknis Perlindungan Perempuan dan Anak / Technical Implementation Unit for the Protection of Women and Children) as a partner who accommodates us in recommending the criteria for subjects expected in this study.

References

  1. AATA. (2018). Definition of Art Therapy. American Art Therapy Association. American Art Therapy Association. https://arttherapy.org/about-art-therapy/
  2. 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
  3. APA. (2013). Diagnostic and Statistical Manual of Mental Disorders, V. American Psychological Association. https://psycnet.apa.org/record/2013-14907-000
  4. 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
  5. 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
  6. 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
  7. Enck, P., & Zipfel, S. (2019). Placebo effects in psychotherapy: A framework. Frontiers in Psychiatry, 10, 456. https://doi.org/10.3389/fpsyt.2019.00456
  8. Ganim, B. (2013). Art and Healing: Using Expressive Art to Heal Your Body, Mind, and Spirit. Three Rivers Press.

Details

Primary Language

English

Subjects

Visual Arts (Other)

Journal Section

Research Article

Early Pub Date

October 21, 2025

Publication Date

December 30, 2025

Submission Date

June 1, 2025

Acceptance Date

October 21, 2025

Published in Issue

Year 2025 Volume: 6 Number: 4

APA
Sari, W., & Rahmawati, H. (2025). The effectiveness of art therapy in reducing depression, anxiety, and stress in an adolescent with sexual trauma: A case-based exploration. Journal for the Interdisciplinary Art and Education, 6(4), 321-333. https://doi.org/10.5281/zenodo.18016452
AMA
1.Sari W, Rahmawati H. The effectiveness of art therapy in reducing depression, anxiety, and stress in an adolescent with sexual trauma: A case-based exploration. JIAE. 2025;6(4):321-333. doi:10.5281/zenodo.18016452
Chicago
Sari, Winda, and Hetti Rahmawati. 2025. “The Effectiveness of Art Therapy in Reducing Depression, Anxiety, and Stress in an Adolescent With Sexual Trauma: A Case-Based Exploration”. Journal for the Interdisciplinary Art and Education 6 (4): 321-33. https://doi.org/10.5281/zenodo.18016452.
EndNote
Sari W, Rahmawati H (December 1, 2025) The effectiveness of art therapy in reducing depression, anxiety, and stress in an adolescent with sexual trauma: A case-based exploration. Journal for the Interdisciplinary Art and Education 6 4 321–333.
IEEE
[1]W. Sari and H. Rahmawati, “The effectiveness of art therapy in reducing depression, anxiety, and stress in an adolescent with sexual trauma: A case-based exploration”, JIAE, vol. 6, no. 4, pp. 321–333, Dec. 2025, doi: 10.5281/zenodo.18016452.
ISNAD
Sari, Winda - Rahmawati, Hetti. “The Effectiveness of Art Therapy in Reducing Depression, Anxiety, and Stress in an Adolescent With Sexual Trauma: A Case-Based Exploration”. Journal for the Interdisciplinary Art and Education 6/4 (December 1, 2025): 321-333. https://doi.org/10.5281/zenodo.18016452.
JAMA
1.Sari W, Rahmawati H. The effectiveness of art therapy in reducing depression, anxiety, and stress in an adolescent with sexual trauma: A case-based exploration. JIAE. 2025;6:321–333.
MLA
Sari, Winda, and Hetti Rahmawati. “The Effectiveness of Art Therapy in Reducing Depression, Anxiety, and Stress in an Adolescent With Sexual Trauma: A Case-Based Exploration”. Journal for the Interdisciplinary Art and Education, vol. 6, no. 4, Dec. 2025, pp. 321-33, doi:10.5281/zenodo.18016452.
Vancouver
1.Winda Sari, Hetti Rahmawati. The effectiveness of art therapy in reducing depression, anxiety, and stress in an adolescent with sexual trauma: A case-based exploration. JIAE. 2025 Dec. 1;6(4):321-33. doi:10.5281/zenodo.18016452
Authors are required to respond to editorial emails within 3 days to avoid any disruption to the editorial process.