{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:34:54Z","timestamp":1787758494149,"version":"build-2784847793"},"reference-count":26,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Blood &amp; Cancer"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Paediatric patients undergoing treatment for acute lymphoblastic leukaemia (ALL) frequently experience significant pain and emotional distress related to procedures. While pharmacological management remains central, integrative non\u2010pharmacological approaches such as art\u2010based therapy (ABT) have shown promise in enhancing psychological well\u2010being. The objective of the study is to assess the levels of self\u2010reported procedural pain and distress among paediatric patients with ALL during the consolidation phase of treatment and to evaluate the effectiveness of a structured ABT intervention in reducing these symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>In an intervention study, a single group pre\u2010post quasi\u2010experimental design was carried out involving 21 children between the ages of 7 and 16 who had been diagnosed with ALL. The participants underwent 10 individual ABT sessions over 4 weeks. Pain and distress were measured using the Faces Pain Scale\u2013Revised (FPS\u2010R) and paediatric distress thermometer (PDT), respectively. Descriptive statistics and the Wilcoxon signed\u2010rank test were employed to analyse the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Preintervention scores indicated mild procedural pain and moderate distress levels. Postintervention, significant reductions were observed in both procedural pain (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001,\n                      <jats:italic>z<\/jats:italic>\n                      \u00a0=\u00a04.11,\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a00.90) and distress (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001,\n                      <jats:italic>z<\/jats:italic>\n                      \u00a0=\u00a04.03,\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a00.88) scores. Qualitative observations suggested improved emotional expression and relaxation through creative engagement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ABT is a feasible, low\u2010cost and culturally adaptable intervention that significantly reduces pain and distress among paediatric patients with ALL. These findings support the integration of ABT into paediatric oncology supportive care programs, especially in resource\u2010limited settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/1545-5017.70456","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T02:41:47Z","timestamp":1785379307000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Art\u2010Based Therapy in Paediatric Oncology: Alleviating Procedural Pain and Distress in Paediatric Patients With Acute Lymphoblastic Leukaemia\u2014A Pilot Study"],"prefix":"10.1002","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-3100-0343","authenticated-orcid":false,"given":"Kavitha","family":"Dhanaraj","sequence":"first","affiliation":[{"name":"Department of Applied Psychology and Behavioural Research JBAS College for Women  Chennai India"},{"name":"Department of Psycho\u2010Oncology and RCTC Cancer Institute (WIA)  Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Surendran","family":"Veeraiah","sequence":"additional","affiliation":[{"name":"Department of Psycho\u2010Oncology and RCTC Cancer Institute (WIA)  Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8268-3383","authenticated-orcid":false,"given":"Vidhya","family":"Gopalakrishnan","sequence":"additional","affiliation":[{"name":"Department of Psycho\u2010Oncology and RCTC Cancer Institute (WIA)  Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7557-5816","authenticated-orcid":false,"given":"Venkatraman","family":"Radhakrishnan","sequence":"additional","affiliation":[{"name":"Department of Medical and Pediatric Oncology Cancer Institute (WIA), Adyar  Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,29]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"World Health Organization.Childhood Cancer(2020) https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/cancer\u2010in\u2010children."},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/0971\u20105851.171552"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijc.IJC_787_20"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470\u20102045(18)30761\u20107"},{"key":"e_1_2_10_6_1","volume-title":"Consolidated Report of Hospital\u2010Based Cancer Registries 2021","author":"Indian Council of Medical Research\u2013National Center for Disease Informatics and Research (ICMR\u2010NCDIR)","year":"2021"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/0019\u2010509X.55546"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.31557\/APJCP.2020.21.3.569"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/08880018.2025.2496365"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.31500"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/088800100276389"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0000000000000272"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12906\u2010025\u201004866\u20102"},{"key":"e_1_2_10_14_1","volume-title":"The Art Therapy Sourcebook","author":"Malchiodi C. 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