SELF-BOOK ART THERAPY SEBAGAI INTERVENSI PSIKOSOSIAL UNTUK MENGURANGI KECEMASAN PADA LANSIA PALIATIF DENGAN PENYAKIT KRONIS DI PANTI WERDA BUDI MULIA 2 CENGKARENG
Abstract
Introduction & Aim: Elderly individuals with chronic illnesses in palliative care often experience anxiety and limited understanding of emotional regulation. This community service program aimed to improve knowledge about anxiety management and reduce anxiety levels among elderly residents at Panti Werda Budi Mulia 2, Cengkareng, through Self-Book Art Therapy as a psychosocial intervention. Method of Activity: The program consisted of pre-test and post-test assessments, education on anxiety and mental health, and two sessions of Self-Book Art Therapy involving 30 elderly participants with chronic diseases. Knowledge levels were measured using a structured questionnaire, while anxiety levels were assessed using the Geriatric Anxiety Inventory (GAI). Results: Prior to the intervention, 40% of participants were in the low knowledge category, 50% moderate, and 10% good. After the program, 40% reached the good category and 43% achieved the very good category. The mean GAI score decreased from 14.2 (moderate anxiety) to 7.6 (low anxiety), showing a substantial reduction in anxiety levels. Discussion: Self-Book Art Therapy enhanced participants’ understanding of emotional regulation and promoted relaxation, emotional expression, and social connection. The program also empowered caregivers to continue the activity sustainably. Conclusion: Self-Book Art Therapy is an effective, low-cost psychosocial intervention that improves knowledge about anxiety management and reduces anxiety levels among elderly individuals in palliative care.
References
Dinas Sosial Provinsi DKI Jakarta. (2023). Laporan Kinerja Instansi Pemerintah (LKIP) Tahun 2023. https://id.scribd.com/document/851480784/LKIP-DINAS-SOSIAL-PROVINSI-DKI-JAKARTA-TA-2023
Hu, J., Zhang, J., & Hu, L. (2021). Art therapy: A complementary treatment for mental disorders. Frontiers in Psychology, 12, 686005. https://doi.org/10.3389/fpsyg.2021.686005
Joschko, R., Klatte, C., Grabowska, W., Roll, S., & Berghöfer, A. (2023). Active Visual Art Therapy and Health Outcomes: A Systematic Review and Meta-Analysis. JAMA Network Open, 7(9), e2331847. https://doi.org/10.1001/jamanetworkopen.2023.31847
Kaimal, G., Ray, K., & Muniz, J. (2016). Reduction of cortisol levels and participants’ responses following art making. Art Therapy: Journal of the American Art Therapy Association, 33(2), 74–80. https://doi.org/10.1080/07421656.2016.1166832
Kementerian Kesehatan Republik Indonesia. (2018). Laporan Riset Kesehatan Dasar (Riskesdas) 2018. https://www.litbang.kemkes.go.id/laporan-rkd-2018/
Kementerian Kesehatan Republik Indonesia. (2019). Modul Pelatihan Kesehatan Jiwa Lansia di Fasilitas Pelayanan Kesehatan. Kemenkes RI.
Lin, W. C., Chen, C. H., & Wang, H. H. (2016). Reliability and validity of the Chinese version of the Geriatric Anxiety Inventory in community-dwelling elderly persons. International Psychogeriatrics, 28(6), 1007–1015. https://doi.org/10.1017/S1041610215002413
Mahendran, R., Gandhi, M., Moorakonda, R. B., Wong, J., Kanchi, M., Fam, J., Rawtaer, I., & Kua, E. H. (2018). Art therapy is associated with sustained improvement in cognitive function in the elderly with mild neurocognitive disorder: Findings from a pilot randomized controlled trial for art therapy and music reminiscence activity versus usual care. Trials, 19, 615. https://doi.org/10.1186/s13063-018-2988-6
Malchiodi, C. A. (2020). Trauma and Expressive Arts Therapy: Brain, Body, and Imagination in the Healing Process. Guilford Press.
Nugroho, W. (2018). Keperawatan gerontik dan geriatrik. EGC.
Pachana, N. A., Byrne, G. J., Siddle, H., Koloski, N., Harley, E., & Arnold, E. (2007). Development and validation of the Geriatric Anxiety Inventory. International Psychogeriatrics, 19(1), 103–114. https://doi.org/10.1017/S1041610206003504
Quinn, E. A., Millard, E., & Jones, J. M. (2025). Group arts interventions for depression and anxiety among older adults: A systematic review and meta-analysis. Nature Mental Health, 3, 374–386. https://doi.org/10.1038/s44220-024-00368-1
World Health Organization. (2020). Palliative Care: Key Facts. https://www.who.int/news-room/fact-sheets/detail/palliative-care
Keywords
Elderly, Anxiety, Self-Book Art Therapy, Palliative Care

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