40 STUDY ON THE INTERVENTION EFFECT OF ARTISTIC WORKS CREATION COMBINED WITH DRUGS ON STUDENTS WITH MENTAL ANXIETY

IF 4.8 1区 医学 Q1 PSYCHIATRY Schizophrenia Bulletin Pub Date : 2025-02-18 DOI:10.1093/schbul/sbaf007.040
Yuan Gao, Kaiqi Yang, Dalong Du*
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Abstract

Background Schizophrenia is a serious mental disorder, often accompanied by varying degrees of anxiety symptoms, the incidence of between 30% and 60%. At present, the treatment for this anxiety symptom mainly includes medication and psychotherapy. Artistic art creation therapy, as a means of psychological treatment, is a conscious intervention by professionals using art forms and creative processes to patients. Past studies have noted that the effects of different art therapies are comparable, but the impact on emotional symptoms in patients with schizophrenia has been less studied. The aim of this study was to explore the effect of combining artistic art creation activities with paroxetine therapy on relieving anxiety symptoms in stable schizophrenic anxiety students. Methods From October 2022 to March 2023, 600 long-stay schizophrenic patients in a hospital were selected as study subjects. A total of 60 student patients with Self-rating anxiety scale (SAS) scores ranging from 50 to 69 were selected and randomly assigned to the control group and intervention group, with 30 students in each group. The control group participated in the routine rehabilitation activities organized by the hospital, and took paroxetine regularly according to the doctor’s advice, the treatment cycle was 6 weeks. In addition to the control group, the intervention group received art therapy, that is, art creation therapy. The treatment was performed twice a week for an hour each time for a total of six weeks. During the painting process, patients are encouraged to freely express their inner feelings, including emotions such as worry, happiness or hope. Results Table 1 shows how the SAS scores of the two groups compare. At the beginning of treatment, the mean SAS score in the intervention group was 63.21±2.85; The average score in the control group was 63.52±2.87. Statistical analysis showed no significant difference in SAS scores between the two groups before treatment (t=0.914, P=0.187). By the third week of treatment, SAS scores in the intervention group had decreased to 54.72±2.90, compared to 59.97±3.52 in the control group. At this point in time, there was a significant difference in scores between the two groups (t=7.693, P=0.000). At the sixth week of treatment, SAS scores in the intervention group were further reduced to 39.87±4.87, and the difference was also statistically significant (t=6.403, P=0.000). Discussion The results of this study show that the creation of artistic works has a significant effect on improving the anxiety symptoms of schizophrenia patients in a stable period. This kind of artistic creation, as a cognitive behavioral training, can improve patients’ self-confidence and self-efficacy, reduce their negative evaluation of their own abilities, and effectively reduce anxiety levels. However, there is still a lack of standardized and standardized operation procedures for the treatment of artistic works, which may have a certain impact on the research results. Future research can further explore and improve these aspects on the basis of the existing ones.
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40 .艺术作品创作结合药物对学生心理焦虑的干预效果研究
精神分裂症是一种严重的精神障碍,常伴有不同程度的焦虑症状,发病率在30% ~ 60%之间。目前,对这种焦虑症状的治疗主要包括药物治疗和心理治疗。艺术创作治疗作为一种心理治疗手段,是专业人员利用艺术形式和创作过程对患者进行有意识的干预。过去的研究指出,不同艺术疗法的效果是相似的,但对精神分裂症患者情绪症状的影响研究较少。本研究旨在探讨艺术创作活动结合帕罗西汀治疗对缓解稳定型精神分裂症焦虑学生焦虑症状的效果。方法选择2022年10月~ 2023年3月某医院住院的长期精神分裂症患者600例作为研究对象。选取焦虑自评量表(SAS)得分50 ~ 69分的学生患者60例,随机分为对照组和干预组,每组30人。对照组参加医院组织的常规康复活动,并按医嘱定期服用帕罗西汀,治疗周期为6周。干预组除对照组外,接受艺术治疗,即艺术创作治疗。治疗每周进行两次,每次一小时,共六周。在绘画过程中,鼓励患者自由地表达自己的内心感受,包括担心、快乐或希望等情绪。结果两组SAS评分比较如表1所示。治疗开始时,干预组SAS平均得分为63.21±2.85;对照组平均得分为63.52±2.87分。统计学分析显示,两组患者治疗前SAS评分差异无统计学意义(t=0.914, P=0.187)。治疗第3周时,干预组SAS评分为54.72±2.90,对照组为59.97±3.52。此时,两组评分差异有统计学意义(t=7.693, P=0.000)。治疗第6周时,干预组SAS评分进一步降低至39.87±4.87,差异也有统计学意义(t=6.403, P=0.000)。本研究结果表明,艺术作品创作对改善稳定期精神分裂症患者焦虑症状有显著效果。这种艺术创作作为一种认知行为训练,可以提高患者的自信心和自我效能感,减少患者对自身能力的负面评价,有效降低患者的焦虑水平。但是,对于艺术作品的处理,目前还缺乏规范化、规范化的操作程序,这可能会对研究结果产生一定的影响。未来的研究可以在现有的基础上进一步探索和完善这些方面。
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来源期刊
Schizophrenia Bulletin
Schizophrenia Bulletin 医学-精神病学
CiteScore
11.40
自引率
6.10%
发文量
163
审稿时长
4-8 weeks
期刊介绍: Schizophrenia Bulletin seeks to review recent developments and empirically based hypotheses regarding the etiology and treatment of schizophrenia. We view the field as broad and deep, and will publish new knowledge ranging from the molecular basis to social and cultural factors. We will give new emphasis to translational reports which simultaneously highlight basic neurobiological mechanisms and clinical manifestations. Some of the Bulletin content is invited as special features or manuscripts organized as a theme by special guest editors. Most pages of the Bulletin are devoted to unsolicited manuscripts of high quality that report original data or where we can provide a special venue for a major study or workshop report. Supplement issues are sometimes provided for manuscripts reporting from a recent conference.
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