Clownselling: an in-depth narrative review on the therapeutic influence of clowning therapy in paediatric and adult cancer treatment and palliative care

Authors

  • Ramya S. Department of Psycho-Social, Solis Health, Bangalore, Karnataka, India https://orcid.org/0000-0001-8881-6597
  • Anantha Krishna B. S. Department of Yoga and Wellness, Solis Health, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20243327

Keywords:

Clowning therapy, Clownselling, Cancer care, Paediatric and adult patients, Treatment adherence, Quality of life, Palliative care

Abstract

Cancer and its treatments impose substantial physical and psychological burdens on patients, underscoring the need for innovative and holistic interventions. This narrative review explores the evolving role of clownselling in paediatric and adult cancer care, tracing its historical progression from entertainment to a therapeutic modality. Recognizing the potential of clowning therapy to address emotional, psychological, and existential challenges, the review systematically assesses its impact on treatment adherence, quality of life, and contributions in palliative care settings. By elucidating the therapeutic process, principles, and goals, it provides a comprehensive understanding of the foundations of clowning therapy. Given its positive influence on well-being, the integration of clowning therapy into interdisciplinary care teams and institutional policies is advocated.  Future directions include diversified research, technology integration, standardized protocols and awareness campaigns, ensuring the sustained evolution of clowning therapy in fostering holistic well-being within the intricate tapestry of cancer care.

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References

View of Psychological impact among cancer patients undergoing chemotherapy in Bundelkhand region, Central India. Available at: https://www.msjonline.org/index.php/ijrms/article/view/9370/6343. Accessed on 25 August 2024

Nikkhah-Beydokhti A, Ghaljaei F, Sadeghi NK, Najafi F. Effects of Hospital Clowning on Anxiety and Fatigue in Children with Cancer undergoing Chemotherapy. Evidence Based Care. 2021;10(4):25-31.

Dionigi A, Canestrari C. Clowning in Health Care Settings: The Point of View of Adults. Eur J Psychol. 2016;12(3):473.

Carp CE. Clown Therapy: The Creation of A Clown Character As A Treatment Intervention. Arts Psychotherapy. 1998;25(4):245-55.

Dionigi A, Flangini R, Gremigni P. Humor and Health Promotion: Clowns in hospitals. Nova Science Publishers, Inc. 2012.

Lalantika V, Yuvaraj S. Being a therapeutic clown-an exploration of their lived experiences and well-being. Curr Psychol. 2022;41(2):1131-8.

Stephson AJ. Benefits of Medical Clowning: A Summary of the Research I. Executive summary. 2017;1-8.

Gordon J, Shenar Y, Pendzik S. Clown therapy: A drama therapy approach to addiction and beyond. Arts Psychother. 2018;57:88-94.

Chang C, Tsai G, Hsieh CJ. Psychological, immunological and physiological effects of a Laughing Qigong Program (LQP) on adolescents. Complement Ther Med. 2013;21:660-68.

Morreall J. Philosophy of Humor. State University of New York Press. 1986.

Gomberg J, Raviv A, Fenig E, Meiri N. Saving Costs for Hospitals Through Medical Clowning: A Study of Hospital Staff Perspectives on the Impact of the Medical Clown. 2020;14:117955652090937.

Play: Theories, Types and Educative Value| Psychology. Available at: https://www.psychologydiscussion.net/child-psychology/play-theories-types-and-educative-value-psychology/2489. Accessed on 25 August 2024.

Martino J, Pegg J, Frates EP. The Connection Prescription: Using the Power of Social Interactions and the Deep Desire for Connectedness to Empower Health and Wellness. Am J Lifestyle Med. 2017;11(6):466.

Haynes GC, Francis B. Designing an elective course on gelotology. Capella University. 2016.

Gelotology: Most Up-to-Date Encyclopedia, News and Reviews. Available at: https://academic-accelerator.com/encyclopedia/gelotology. Accessed on 25 August 2024.

Farifteh S, Mohammadi-Aria A, Kiamanesh A, Mofid B. The Impact of Laughter Yoga on the Stress of Cancer Patients before Chemotherapy. Iran J Cancer Prev. 2014;7(4):179.

Story Pattillo CG, Italo G. Laughter is the Best Medicine And it’s a great adjunct in the treatment of patients with cancer. Oncology Nursing Update. 2001;40-4.

Savage BM, Lujan HL, Thipparthi RR, Dicarlo SE. Staying Current Humor, laughter, learning, and health! A brief review. Adv Physiol Educ. 2017;41:341-7.

Alberto D. Healthcare Clowning: Use of Specific Complementary and Alternative Medicine for Hospitalized Children. OBM Integrative and Complementary Med. 2018;3(0093):1-22.

Tse Y, Maxwell H, Watson AR, Levtchenko E, Christian M. G442(P) Therapeutic clowning-history, medicine and evidence. Arch Dis Child. 2018;103:A180.

Jester in India: Truth or Mystery. Available at: https://www.researchgate.net/publication/348734608_Jester_in_India_Truth_or_Mystery. Accessed on 25 August 2024.

Clown Therapy in India-Dr. Varsha Daryanani - Crown Corner. Available at: https://crowncorner.in/2015/01/16/clown-therapy-in-india-dr-varsha-daryanani/. Accessed on 25 August 2024.

Healthcare Clowning. Snehadhara Foundation. Available at: https://snehadharafoundation.org/healthcare-clowning-sf/. Accessed on 25 August 2024.

CanKids KidsCan - CanKids KidsCan. Available at: https://www.cankidsindia.org/. Accessed on 25 August 2024.

CanSupport-Leaders in Home Based Palliative Care. Available at: https://cansupport.org/. Accessed on 25 August 2024.

Casellas-Grau A, Ochoa C, Lleras De Frutos M, Flix-Valle A, Rosales A, Gil F. Perceived changes in psychological and physical symptoms after hospital clown performances in a cancer setting. Arts Health. 2021;13(2):189-203.

Lopes-Júnior LC, Emiliana B, Karin O, Eliane TN, Denise Sayuri CS, Michelle DRN, et al. Effectiveness of hospital clowns for symptom management in paediatrics: systematic review of randomised and non-randomised controlled trials. The BM. 2020;371:m4290.

Koller D, Gryski C. The Life Threatened Child and the Life Enhancing Clown: Towards a Model of Therapeutic Clowning. Evid Based Complement Alternat Med. 2008;5(1):17.

Shimshi-Barash M, Ido O, Tali J, Gali K, Lara R, Etay RN, et al. Medical clowns improve sleep and shorten hospitalization duration in hospitalized children. Sci Rep. 2024;14(1):2357.

Kurudirek F, Arıkan D. Effects of Therapeutic Clowning on Pain and Anxiety During Intrathecal Chemotherapy in Turkey. J Pediatr Nurs. 2020;53:e6-13.

Simões M, Albertina O, Rosário P, Manuela V, Diana A, Isabel P, et al. Well-being biomarkers and psychological functioning of adult patients during chemotherapy treatment: the effects of hospital clowns and hosting conditions. MedRxiv. 2023;1-33.

Arriaga P, Melo A, Caires S. The Efects of Hospital Clowning on Physical and Emotional States of Pediatric Patients During Chemotherapy Treatment. Child Youth Care Forum. 2019;49:365-81.

Farlane VVM. Integration of Healthcare Clowns into Pediatric Palliative Care: A Bridge Between Life and Death. Int J Integr Care. 2022;22(4):10.

Santarpia A, Romani-Cesaro M, Simonds C. Hospital Clown Narratives in Pediatric Palliative Care. J Humanist Psychol. 2019;1-21.

Dos Santos FR, Sandra P, Juliana DRP, Bruna ML, Lucimeire AS, Maristela RM. Effects of clown activities on patients eligible for palliative care in primary health care. Rev Bras Enferm. 2021;74(5):e20200431.

Gilboa-Negari Z, Abu-Kaf S, Huss E, Hain G, Moser A. A cross-cultural perspective of medical clowning: comparison of its effectiveness in reducing pain and anxiety among hospitalized Bedouin and Jewish Israeli children. J Pain Res. 2017;10:1545-52.

Rousseau J, Cuervo-Lombard CV. Ethical issues of clowning with elderly people living at home. Journées d'Etude du Vieillissement. 2023;1:hal-04168733.

Tan AKJ, Hannula L, Metsälä E. Benefits and barriers of clown care: A qualitative phenomenographical study of parents with children in clown care services. Eur J Humour Res. 2014;2(2):1-10.

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Published

2024-10-29

How to Cite

S., R., & S., A. K. B. (2024). Clownselling: an in-depth narrative review on the therapeutic influence of clowning therapy in paediatric and adult cancer treatment and palliative care. International Journal Of Community Medicine And Public Health, 11(11), 4584–4591. https://doi.org/10.18203/2394-6040.ijcmph20243327

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Section

Review Articles