Art Therapy to Promote Wellbeing and Self-care in Resident Physicians. (ATMIR)

This study evaluates if an art therapy intervention could lower resident physician's work-related stress and if it could promote their self-care.

The objective of this study is to determine if an art therapy intervention could promote the well-being of resident physicians of an university tertiary hospital, as specialized physicians trainees exposed to the risk of burnout. Using a cycle of 6 bimonthly sessions of group art therapy, the intervention stimulates the creative activity of the participants through various art materials and techniques. Next, they are invited to share their reflexions about the artworks produced, with the group and in presence of the art therapist. The study mainly evaluates the work-related stress and the self-care grade of the participants, before the intervention, just after it and after a follow-up period.

Participant's creativity is stimulated by visual arts materials and various art therapy techniques, in relation to 6 topics: self-care, stress management, flourishing caregiving, challenging caregiving, loss and grief, and sense of professional meaning. The strategy consists of stimulating an observant and symbolic gaze, facilitating visual expression, promoting communication about what it has been expressed, and gather learning from the multidimensional impact of the creative art process (sensations, emotions, cognitions and spiritual experiences).

Score calculations from the validated Spanish version of the Maslach Burnout Inventory Test (MBI-GS). Minimum-maximum values of Exhaustion subscale: 0-54, lower scores mean better outcome; Minimum-maximum values of Cynicism subscale: 0-30, lower scores mean better outcome; Minimum-maximum values of Professional efficacy subscale: 0-48, lower scores mean worse outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion.

Score calculations from the validated Spanish version of the Maslach Burnout Inventory Test (MBI-GS). Minimum-maximum values of Exhaustion subscale: 0-54, lower scores mean better outcome; Minimum-maximum values of Cynicism subscale: 0-30, lower scores mean better outcome; Minimum-maximum values of Professional efficacy subscale: 0-48, lower scores mean worse outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion.

Score calculations from the validated Spanish version of the Maslach Burnout Inventory Test (MBI-GS). Minimum-maximum values of Exhaustion subscale: 0-54, lower scores mean better outcome; Minimum-maximum values of Cynicism subscale: 0-30, lower scores mean better outcome; Minimum-maximum values of Professional efficacy subscale: 0-48, lower scores mean worse outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion.

Score calculations from the validated Spanish version of the Perceived Stress Scale (PFS 14). Minimum-maximum values: 0-56; lower scores mean better outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion.

Score calculations from the validated Spanish version of the Perceived Stress Scale (PFS 14). Minimum-maximum values: 0-56; lower scores mean better outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion.

Score calculations from the validated Spanish version of the Perceived Stress Scale (PFS 14). Minimum-maximum values: 0-56; lower scores mean better outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion.

Score calculations from the validated Spanish version of the Five Facet Mindfulness Questionnaire (FFMQ). Minimum-maximum values: 15-75; higher scores mean better outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion.

Score calculations from the validated Spanish version of the Five Facet Mindfulness Questionnaire (FFMQ). Minimum-maximum values: 15-75; higher scores mean better outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion.

Score calculations from the validated Spanish version of the Five Facet Mindfulness Questionnaire (FFMQ). Minimum-maximum values: 15-75; higher scores mean better outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion.

Score calculations from the validated Spanish version of the Interpersonal Reactivity Index (IRI). Minimum-maximum values: 28-140, higher scores mean better outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion.

Score calculations from the validated Spanish version of the Interpersonal Reactivity Index (IRI). Minimum-maximum values: 28-140, higher scores mean better outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion.

Score calculations from the validated Spanish version of the Interpersonal Reactivity Index (IRI). Minimum-maximum values: 28-140, higher scores mean better outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion.

Score calculations from the validated Spanish version of the Compassion and Satisfaction Fatigue Test (ProQoL version IV). Minimum-maximum values in each subscale: 10-50; Compassion satisfaction subscale: higher scores mean better outcome; Burnout subscale: higher scores mean a worse outcome; Secondary traumatic stress subscale: higher scores mean a worse outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion.

Score calculations from the validated Spanish version of the Compassion and Satisfaction Fatigue Test (ProQoL version IV). Minimum-maximum values in each subscale: 10-50; Compassion satisfaction subscale: higher scores mean better outcome; Burnout subscale: higher scores mean a worse outcome; Secondary traumatic stress subscale: higher scores mean a worse outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion.

Score calculations from the validated Spanish version of the Compassion and Satisfaction Fatigue Test (ProQoL version IV). Minimum-maximum values in each subscale: 10-50; Compassion satisfaction subscale: higher scores mean better outcome; Burnout subscale: higher scores mean a worse outcome; Secondary traumatic stress subscale: higher scores mean a worse outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion.

Score calculations from the validated Spanish version of the Professional Quality of Life Scale. Minimum-maximum values: 9-45; lower scores mean better outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion.

Score calculations from the validated Spanish version of the Professional Quality of Life Scale. Minimum-maximum values: 9-45; lower scores mean better outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion.

Score calculations from the validated Spanish version of the Professional Quality of Life Scale. Minimum-maximum values: 9-45; lower scores mean better outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion.

Score calculations from the validated original Spanish version of Self-care Scale. Minimum-maximum values: 9-45; higher scores mean better outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion.

Score calculations from the validated original Spanish version of Self-care Scale. Minimum-maximum values: 9-45; higher scores mean better outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion.

Score calculations from the validated original Spanish version of Self-care Scale. Minimum-maximum values: 9-45; higher scores mean better outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion.

Score calculations from the validated Spanish version of the Collett-Lester Fear of Death Scale. Minimum-maximum values in each subscale: 7-35; higher scores mean worse outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion.

Score calculations from the validated Spanish version of the Collett-Lester Fear of Death Scale. Minimum-maximum values in each subscale: 7-35; higher scores mean worse outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion.

Score calculations from the validated Spanish version of the Collett-Lester Fear of Death Scale. Minimum-maximum values in each subscale: 7-35; higher scores mean worse outcome.

From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion.

Information gathered through a semi-structured questionnaire produced by the research team, about perceived helpfulness, emotions and sensations, preferences and drawbacks, learnings, expectation of a professional and/or personal impact.

Information gathered through a semi-structured questionnaire produced by the research team, about perceived helpfulness, emotions and sensations, preferences and drawbacks, learnings, expectation of a professional and/or personal impact.

Information gathered through a semi-structured questionnaire produced by the research team, about perceived helpfulness, emotions and sensations, preferences and drawbacks, learnings, expectation of a professional and/or personal impact.

Audio recording interview and verbatim transcription to explore a possible experience of a change process.

Audio recording interview and verbatim transcription to explore a possible experience of a change process.

Audio recording interview and verbatim transcription to explore a possible experience of a change process.

Inclusion Criteria: belonging to the resident physicians collective of the Santa Creu i Sant Pau Hospital. Exclusion Criteria: being with a diagnostic of major depression receiving psychotherapy o similar