4.0 Article

Perceived changes in psychological and physical symptoms after hospital clown performances in a cancer setting

Journal

ARTS & HEALTH
Volume 13, Issue 2, Pages 189-203

Publisher

ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/17533015.2020.1744172

Keywords

Cancer; clowning; hospital clown; healthcare; psycho-oncology

Funding

  1. Fundacio Nous Cims
  2. Instituto de Salud Carlos III [FIS PI15/01278]
  3. European Regional Development Fund. ERDF, a way to build Europe)//FONDOS FEDER una manera de hacer Europa
  4. Asociacion Espanola Contra el Cancer [Spanish Association Against Cancer] (AECC)-Cataluna [.2017SGR00735]
  5. Pallapupas

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Research has shown that clown performances have a positive impact on the psychological functioning of cancer patients, companions, and health professionals, especially bringing significant improvements in companions' psychological symptoms.
Background: The therapeutic role of humor and hospital clowns has become a focus of interest in recent decades. Most of the research in the area has focused on children; here, we explore the influence of clown performances on adult cancer patients, their companions, and health-care staff. Methods: Ninety-nine cancer patients and 113 companions were assessed pre- and post-interventions performed by professional clowns; 31 health professionals were asked about the possible influence of the presence of clowns in hospital on their work. Results: Patients felt that clowning performances helped to reduce their level of psychological symptoms, but not their physical symptoms. Companions reported improvements in all the psychological symptoms explored. Health professionals reported that the presence of clowns in the workplace improved their well-being. Conclusions: Clowning performances helped to improve psychological functioning in all the populations studied, especially in companions. Adult hospitals should consider promoting clowning interventions to improve general well-being.

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