ÌÇÐÄÔ­´´

HomeInternational Journal of Multidisciplinary: Applied Business and Education Researchvol. 6 no. 6 (2025)

Effect of Expressive Arts Therapy on Aggression and Trauma among Women Deprived of Liberty

Venise T. Buenaflor | Abigaile Rose Mary R. Capay

Discipline: Education

 

Abstract:

This study investigated the effect of an Expressive Arts Therapy-based intervention program on trauma and aggression symptoms of women deprived of liberty (WDL). Using a multiple-group pretest-posttest design, 45 WDL (Mean age = 37.3) were matched based on age, nature of incarceration, and months of facility detention, then randomly assigned to a performing arts experimental group (n=15), a visual arts experimental group (n=15), or a waitlist control group (n=15). Data were analyzed using paired samples t-tests, one-way ANOVA, Tukey’s post-hoc test, and Cohen’s d for effect sizes. Results showed that the EAT-based intervention significantly reduced aggression symptoms in both the visual arts group (t (14) = 2.24, p = .042, d = .579), as well as the performing arts group (t (14)=2.39, p=0.032, d=.616), both with medium effect sizes. However, one-way ANOVA comparing posttest scores across groups did not reveal statistically significant differences (p > .05), suggesting that while EAT-based interventions may be effective at an individual level, no single modality was significantly more beneficial than another. Future research should explore long-term effects, moderating variables, and therapy intensity to better understand the impact of expressive arts interventions for incarcerated women.



References:

  1. Alfred, S. (2018). Expressive Arts Group Thera-py with Children and Adolescents who have Experienced Trauma. Expressive Therapies Capstone Theses, 40. Lesley University. 
  2. Arnibal, J. P. (2018). Jail management and practices in Iloilo City and their implica-tions 
  3. to penology and rehabilitation laws/legislations (Unpublished Postgrad-uate thesis). Central Philippine Universi-ty, Jaro, Iloilo City.
  4. Asma, & Waqar. (2020). Cronbach’s Alpha reli-ability of Buss and Perry Aggression Ques-tionnaire and its subscales. Retrieved from  Aggression-Questionnaire-and-its-sub_tbl1_344097756
  5. Beck, J. G., Grant, D. M., Read, J. P., Clapp, J. D., Coffey, S. F., Miller, L. M., & Palyo, S. A. (2008). The impact of event scale-revised: psychometric properties in a
  6. sample of motor vehicle accident survi-vors. Journal of anxiety disorders, 22(2), 187–198. 
  7. Buss, A.H., & Perry, M. (1992). The Aggression Questionnaire. Journal of Personality and Social Psychology, 63, 452-459.
  8. Cherian, R., & Ny, A. (2023). Body, visual arts and healing: a study of the effectiveness of facilitative visual arts interventions with women survivors of intimate
  9. partner violence in Kerala. Critical and Radical Social Work, 1–16. 
  10. Corey, G. (2017). Case approach to counseling and psychotherapy (8th ed.). Cengage Learning.
  11. Creamer, M., Bell, R., & Failla, S. (2003). Psy-chometric properties of the Impact of Event Scale-Revised. Behaviour Research and Therapy, 41(12), 1489–1496.
  12. Fancourt, D., Garnett, C., Spiro, N., West, R., & Müllensiefen, D. (2019). How do artistic creative activities regulate our emotions? Validation of the Emotion Regulation Strategies for Artistic Creative Activities Scale (ERS-ACA). PloS one, 14(2), e0211362. 
  13. Grattan, R. E., Lara, N., Botello, R. M., Tryon, V. L., Maguire, A. M., Carter, C. S., & Nien-dam, T. A. (2019). A History of Trauma is Associated with Aggression, Depression, Non Suicidal Self-Injury Behavior, and Su-icide Ideation in First-Episode Psychosis. Journal of Clinical Medicine, 8(7), 1082. 
  14. Haire, C. (2020). How Expressive ArtsTherapy is being used to treat children eat chil-dren with developmental trauma and its implications for treating community and systemic causes of developmental trauma [Capstone thesis, Lesley University] 
  15. Isern, T. H., Torres, M. G. J., & Pastor, L. C. D. (2025). Benefits of art therapy among the prison Population: A Systematic re-view. Justice Evaluation Journal, 1–21. . Benefits of Art Therapy Among the Prison Population: A System-atic Review. Justice Evaluation Journal, 1–21.
  16. Kajstura, A., & Sawyer, W. (2023). Women’s Mass Incarceration: The Whole Pie 2023.
  17. Malchiodi, C. A. (2020). Trauma and Expres-sive Arts Therapy: Brain, Body, and Imag-ination in the Healing Process. New York: Guilford Publications.
  18. Melvin, E., Onyeaso, O., Giacco, D., & Hackett, S. (2025). Arts psychotherapies for Ado-lescents with mental health difficulties: A systematic review and logic model of mechanisms of action and outcomes. The Arts in Psychotherapy, 92, 102258. 
  19. Native Hope. (2018, August 10). The science behind the healing power of storytelling. Native Hope. 
  20. Patwari, P., & Vajpayee, A. (2023). Harmoniz-ing Mind, Body, and Earth: Exploring the Therapeutic Synergy of Dance Movement Therapy and Ecopsychology. Journal of Humanities,Music and Dance. 
  21. Potash, Jordan & Kalmanowitz, Debra & Fung, Ivy & Anand, Susan & Miller, Gretchen. (2020). Art Therapy in Pandemics: Les-sons for COVID-19. Art Therapy. 37. 105-107. Journal of the American Art Therapy Association DOI:10.1080/07421656.2020.1754047
  22. Santos, M., Alves V., Pereira A., Rodrigues D., Marchiori G., Guerra J. (2017). Protecting factors of the mental health of incarcer-ated women: a descriptive-exploratory study. Online Brazilian Journal of Nursing, 16 (4), 471-479. 
  23. Tee, M., Wang, C., Tee, C., Pan, R., Reyes, P. W., Wan, X., Anlacan, J., Tan, Y., Xu, L., Hari-janto, C., Kuruchittham, V., Ho, C., & Ho, R. (2020). Impact of the COVID-19 pan-demic on physical and mental health in lower and upper middle-income Asian countries: A comparison between the Philippines and China. Frontiers Media. 
  24. United Nations Office on Drugs and Crime. (2023). The Philippines addresses jails and Prison overcrowding 
  25. Van Lith, T., & Ettenberger, M. (2023). Arts-based therapies, practices, and interven-tions in health. BMC Complementary Med-icine and Therapies, 23(1), 351. 
  26. Veloso, D. M. (2023). The experiences of cur-rently and formerly incarcerated women in a time of pandemic: Implications for life-giving communities. Acta Theologica Supplementum, 35, 97-122. 
  27. Wamser-Nanney, R., Walker, H. E., & Nanney, J. T. (2019). Trauma Exposure, Posttrau-matic Stress Disorder, and Aggression Among Civilian Females. Journal of Inter-personal Violence, 36(17-18), NP9649-NP9669 (Original work published 2021)
  28. Weiss, D. S. (2004). The Impact of Event Scale-Revised. In J. P. Wilson, & T. M. Keane (Eds.), Assessing psychological trauma and PTSD: A practitioner’s handbook (2nd ed., pp. 168-189). New York: Guil-ford Press.
  29. Yazdani, M., Hafezi, F., & Ehteshamzadeh, P. (2022). The effectiveness of drama thera-py on aggression and adjustment in ado-lescent female students. 3(2), 468–477. 
  30. Ye, P., Huang, Z., Zhou, H., & Tang, Q. (2021). Music-based intervention to reduce ag-gressive behavior in children and adoles-cents: A meta-analysis. Medicine, 100(4), e23894. 
  31. Zerrudo, M.R (2016) Theater of Disaster, Folk Stories as Vehicles for Healing and Sur-vival. Teaching Artist Journal, Volume 14, Issue 3, Pages 161-170. DOI:10.1080/15411796.2016.1209073