The Effectiveness of Art-based Psychoeducation Module in Improving Psychological Functioning Among Children with Dyslexia

Main Article Content

Azizah Othman
Nurul Shafira Adi
Kuay Hue San
Qarem Mohamed Mustafa

Abstract

Children with dyslexia are susceptible to emotional distress such as anxiety, due to delayed or limited overall academic achievement. This study aims to examine the effectiveness of art-based psychoeducation module in improving psychological functioning among children with dyslexia. Materials and methods: Children with dyslexia aged 7 to 12 years old were assigned into intervention (n=33) and control group (n=31). The former group was subjected to a newly validated art-based psychoeducation module which consists of psychoeducation, relaxation techniques, and art therapy activities. PedsQL Present Functioning Visual Analogue Scale (PedsQL-VAS) and State Trait Anxiety Inventory (STAI-C) were used to measure childrens’ psychological functioning at pre and post intervention. Results: The main effect comparing the intervention and control group over pre- and post- intervention was significant, suggesting the art-based psychoeducation intervention was effective in improving psychological functioning, [F (1,62) = 5.59, p<0.02]. There was a substantial major effect for time in the intervention group, [Wilks’ Lambda = 0.42, F (1,62) = 83.2, p<0.001] with a significant decrease in score post intervention. Conclusion: The effectiveness of art-based psychoeducation module found in the current study provides empirical support for it to be used as an intervention for children with dyslexia. Future studies can focus on a longitudinal approach to examine its long-term effectiveness.

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How to Cite
Othman, A., Adi, N. S., San, K. H., & Mustafa, Q. M. (2025). The Effectiveness of Art-based Psychoeducation Module in Improving Psychological Functioning Among Children with Dyslexia. Malaysian Journal of Medicine and Health Sciences, 21(4), 256–266. https://doi.org/10.47836/mjmhs.21.4.32
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Original Articles

References

Westby C. What Is Dyslexia? Word of Mouth. 2015 Nov;27(2):7-9. doi.org/10.1177/1048395015607466.

Kalenjuk E, Wilson S, Subban P, Laletas S. Art-based research to explore children's lived experiences of dysgraphia. Children & Society. 2024 Mar;38(2):381-403. doi.org/10.1111/chso.12709.

Baccaglini-Frank A, Di Martino P. Mathematical learning difficulties and dyscalculia. Encyclopedia of Mathematics Education. 2020:543-548. doi.org/10.1007/978-3-030-15789-0_100018.

Zhou Q. How Does Dyslexia Influence Academic Achievement?. In 2022 2nd International Conference on Modern Educational Technology and Social Sciences. Atlantis Press. (861-868). Doi.org/ 10.2991/978-2-494069-45-9_104.

Aro T, Eklund K, Eloranta AK, Ahonen T, Rescorla L. Learning disabilities elevate children’s risk for behavioral-emotional problems: Differences between LD types, genders, and contexts. Journal of learning disabilities. 2022 Nov;55(6):465-481. doi.org/10.1177/00222194211056.

Ajimoti KO. Effect of Steam-Based Learning on Preschool Children’s Literacy Skill Acquisition in Ilorin West Local Government Area of Kwara State. 2022. Kwara State University, MA dissertation. ProQuest Dissertations & Theses, https://www.proquest.com/openview/528e7c56b038ae135705f0e78f3e14bc/1?pq-origsite=gscholar&cbl=2026366&diss=y

Wah LL. The Davis model of dyslexia intervention: Lessons from one child. Pertankia J. Soc. Sci. & Hum. 2010 Mar 1;18(1):133-139.

Cruz-Rodrigues C, Barbosa T, Toledo-Piza CM, Miranda MC, Bueno OF. Neuropsychological characteristics of dyslexic children. Psicologia: Reflexão e Crítica. 2014;27:539-546. doi.org/10.1590/1678-7153.201427315

Yuzaidey NAM, Din NC, Ahmad M, Ibrahim N, Razak RA, Harun D. Interventions for children with dyslexia: A review on current intervention methods. Med J Malaysia. 2018;73(5):311-320.

Ihbour S, Anarghou H, Boulhana A, Najimi M, Chigr F. Mental health among students with neurodevelopment disorders: case of dyslexic children and adolescents. Dementia & Neuropsychologia. 2021;15:533-540. doi.org/10.1590/1980-57642021dn15-040014.

Zaree M, Mohebbi M, Rostami R. An ensemble-based machine learning technique for dyslexia detection during a visual continuous performance task. Biomedical Signal Processing and Control. 2023;86:105224. doi.org/10.106/j.bspc.2023.105224.

Theodoridou D, Christodoulides P, Zakopoulou V, Syrrou M. Developmental dyslexia: Environment matters. Brain Sciences. 2021;11(6):782. doi.org/10.3390/brainsci11060782.

Baker LR, McNulty JK. When low self-esteem encourages behaviors that risk rejection to increase interdependence: The role of relational self-construal. Journal of Personality and Social Psychology. 2013;104(6):995. doi.org/10.1037/a0032137.

Sako, E. The emotional and social effects of dyslexia. European Journal of Interdisciplinary Studies. 2016;2(2):175-183. doi.org/10.26417/ejis.v2i2.p233-241

Alexander-Passe N. The dyslexia experience: Difference, disclosure, labelling, discrimination and stigma. Asia Pacific Journal of Developmental Differences. 2015;2(2):202-233. doi.org/10.3850/s2345734115000290.

Sahoo MK, Biswas H, Padhy SK. Psychological co-morbidity in children with specific learning disorders. Journal of family medicine and primary care. 2015;4(1):21. doi: 10.4103/2249-4863.152243.

Stathopoulou A, Karathanasi A. Students with learning disabilities’ mental health Enhancement: The relationship of learning disabilities and emotional difficulties, and the role of ICTs. GSC Advanced Research and Reviews. 2023;16(1):129-138. doi.org/10.30574/gscarr.2023.16.1.0308.

Li H. Study on the influence of psychological intervention on mood state and coping styles for high-level athletes: A case study for wushu sport in China. SAGE Open. 2020;10(3):2158244020932519. doi.org/10.1177/2158244020932519.

Azizi A, Drikvand FM, Sepahvandi MA. Effect of cognitive-behavioral play therapy on working memory, short-term memory and sustained attention among school-aged children with specific learning disorder: a preliminary randomized controlled clinical trial. Current Psychology. 2020;39:2306-2313. doi.org/10.1007/s12144-018-9914-7.

Narimani M, Abolghasemi A, Ghalenei RI. Effect of Art Therapy (Painting) on Executive Functions and Visual Motor Coordination in Dyslexic Children. Middle Eastern Journal of Disability. 2016;8:50-58.

Nukari JM, Laasonen MR, Arkkila EP, Haapanen ML, Lipsanen JO, Poutiainen ET. Neuropsychological intervention of dyslexia has a positive effect on aspects of psychological well-being in young adults–a randomized controlled study. Dyslexia. 2022;28(2):166-184. doi.org/10.1002/dys.1697.

Tarrasch R, Berman Z, Friedmann N. Mindful reading: Mindfulness meditation helps keep readers with dyslexia and ADHD on the lexical track. Frontiers in psychology. 2016;7:578. doi.org/10.3389/fpsyg.2016.00578.

Mariam A, Joshi A. Exploring Expressions: Therapists’ Use of the Creative Arts in Therapy. Counselling in India: Reflections on the Process. 2016:137-162. doi.org/10.1007/978-981-10-0584-8_8.

Sherman SA, Eisen S, Burwinkle TM, Varni JW. The PedsQL™ present functioning visual analogue scales: preliminary reliability and validity. Health and Quality of Life Outcomes. 2006;4:1-10. doi.org/10.1186/1477-7525-4-75.

Othman A, Buang MJ, Taib MNA, Mohamad N, Nasir A. Guided imagery and relaxation audio for children with cancer: Development and evaluation. Open Journal of Medical Psychology. 2013;2(3):101-106. DOI:10.4236/ojmp.2013.23016

Spielberger CD, Jacobs G, Russell S, Crane RS. Assessment of anger: The state-trait anger scale. Advances in personality assessment. 1983;2:161- 189. ISBN: 9781315825656

Hashim E, Hasyila WW, Ang Y, Helmy AA, Husyairi H. Psychometric properties of the Malay translated Spielberger State-Trait anxiety inventory in exploring parental anxiety. Med Health. 2018;13:106-116. doi.org/10.17576/MH.2018.130.11.

Carroll JM, Iles JE. An assessment of anxiety levels in dyslexic students in higher education. British Journal of Educational Psychology. 2006;76(3):651–662. doi.org/10.1348/000709905X66233.

Wilmot A, Hasking P, Leitão S, Hill E, Boyes M. Understanding Mental Health in Developmental Dyslexia: A Scoping Review. International Journal of Environmental Research and Public Health. 2023;20(2):1653. doi.org/10.3390/ijerph20021653.

Petermann F, Wiedebusch S. Emotionale Kompetenzen bei Kindern. Volume 3 Germany: Hogrefe Göttingen; 2016. doi.org/10.1026/02710-000

Casas F, González M, Navarro D. Social psychology and child wellbeing. Handbook of child well-being. 2014;1:513-554. doi.org/10.1007/978-90-481-9063-8_187

LoBue V, Ogren M. How the Emotional Environment Shapes the Emotional Life of the Child. Policy insights from the behavioral and brain sciences. 2022;9(1):137-144. doi.org/10.1177/23727322211067.

Thümmler R, Engel EM, Bartz J. Strengthening Emotional Development and Emotion Regulation in Childhood—As a Key Task in Early Childhood Education. International Journal of Environmental Research and Public Health. 2022;19(7):3978. doi.org/10.3390/ijerph19073978.

Alzahrani M, Alharbi M, Alodwani A. The Effect of Social-Emotional Competence on Children Academic Achievement and Behavioral Development. International Education Studies. 2019;12(12):141-149. doi.org/10.5539/ies.v12n12p141

Malik F, Marwaha R. Developmental stages of social emotional development in children. StatPearls Publishing; 2018. PMID: 30521240

Ainsworth SE, Scheiter K. Learning by drawing visual representations: Potential, purposes, and practical implications. Current Directions in Psychological Science. 2021;30(1):61-67. doi.org/10.1177/09637214209795.

Curry NA, Kasser T. Can coloring mandalas reduce anxiety?. Art Therapy. 2005;22(2):81-85. doi.org/10.1080/07421656.2005.10129441.

Kim H, Kim S, Choe K, Kim JS. Effects of mandala art therapy on subjective well-being, resilience, and hope in psychiatric inpatients. Archives of psychiatric nursing. 2018;32(2):167-173.doi.org/10.1016/j.apnu.2017.08.008.

Ashlock LE, Miller-Perrin C, Krumrei-Mancuso E. The effectiveness of structured coloring activities for anxiety reduction. Art Therapy. 2018;35(4):195-201. doi.org/10.1080/07421656.2018.1540823.

Babouchkina A, Robbins SJ. Reducing negative mood through mandala creation: A randomized controlled trial. Art Therapy. 2015;32(1):34-39. doi.org/10.1080/07421656.2015.994428

Kurth L, Engelniederhammer A, Sasse H, Papastefanou G. Effects of a short mindful-breathing intervention on the psychophysiological stress reactions of German elementary school children. School Psychology International. 2020;41(3):218-238. doi.org/10.1177/0143034320903480.

Toussaint L, Nguyen QA, Roettger C, Dixon K, Offenbächer M, Kohls N, et al. Effectiveness of progressive muscle relaxation, deep breathing, and guided imagery in promoting psychological and physiological states of relaxation. Evidence-Based Complementary and Alternative Medicine. 2021;1-6. doi.org/10.1155/2021/5924040

McWhirter, K., Steel, A., & Adams, J. (2022). The association between learning disorders, motor function, and primitive reflexes in pre-school children: A systematic review. Journal of Child Health Care. 2021; 1-27. doi.org/10.1177/13674935221114.

Jarraya S, Jarraya M, Engel FA. Kindergarten-Based Progressive Muscle Relaxation Training Enhances Attention and Executive Functioning: A Randomized Controlled Trial. Perceptual and Motor Skills. 2022;129(3):644-669. doi.org/10.1177/00315125221080.

Roux RN. Progressive muscle relaxation as part of the home programmes for children with learning disabilities and anxiety. 2020. University of the Witwatersrand, MA Dissertation. ProQuest Dissertations & Theses, https://www.proquest.com/openview/70291310f485d318a342ebf5cb61d4ea/1?pq-origsite=gscholar&cbl=2026366&diss=y

Spohn BH, Egeler A. Effects of a simple relaxation technique on the well-being, the learning behavior and the social skills of students with learning disabilities. Insights on Learning Disabilities: From Prevailing Theories to Validated Practices. 2014;11(2):183-190. Gale Academic OneFile, link.gale.com/apps/doc/A417896256/AONE?u=anon~ 9e26d975&sid= googleScholar& xid=7576b187.

Dormoy M. Guided imagery work with kids: Essential practices to help them manage stress, reduce anxiety & build self-esteem. WW Norton & Company; 2016.

Apóstolo JLA, Kolcaba K. The effects of guided imagery on comfort, depression, anxiety, and stress of psychiatric inpatients with depressive disorders. Archives of psychiatric nursing. 2009;23(6):403-411. doi.org/10.1016/j.apnu.2008.12.003

Harpazi S, Regev D, Snir S, Raubach-Kaspy R. Perceptions of art therapy in adolescent clients treated within the school system. Frontiers in psychology. 2020;11:518304. doi.org/10.3389/fpsyg.2020.518304.