Effect Of Mandala Painting On Cognitive Function Of Patients With Paranoid Schizophrenia

Objectives Explore the improvement of the cognitive function of patients with paranoid schizophrenia after the intervention of mandala painting and the characteristics of mandala painting in patients with paranoid schizophrenia.Methods A total of 66 patients in Kailuan Mental Health Center,Tangshan City were randomly divided into two groups:clinical intervention group and clinical control group.The intervention group and the control group received general conventional psychiatric drug treatment and conventional nursing,respectively,and the intervention group added mandala painting intervention therapy on this basis.Positive and Negative Symptoms Scale（PANSS）,the reduction rate of PANSS scale,Montreal Cognitive Scale（Mo CA）,and Mandala drawing chart were used to evaluate the therapeutic effect.SPSS20.0 software toolkit was used for statistical analysis and processing of the data.0.05 was the main difference value and had statistical significance.Results After the intervention of mandala painting therapy,the intervention group was compared with the control group:1 the difference in the reduction rate of PANSS was statistically significant（χ²=49.14,P<0.05）;G score after 4 weeks of intervention and N score and PANSS total score after 8 weeks of intervention were significantly reduced,and the differences were statistically significant(between groups:F_{N score}=49.34,P_{N score}=0.0001,FG score=25.32,PG score=0.0001,F total score=35.53,P total score=0.0001).After 12weeks of intervention,the scores of N score,G score,reactive absence symptom score,depressive symptom score,and PANSS total score decreased significantly with significant differences（P<0.05）.2 After 4 weeks of intervention,the total score of Mo CA increased significantly,and the difference was statistically significant(between groups:F _{total score}=14.56,P _{total score}=0.0001).After 12 weeks of intervention,the scores of visuospatial and executive function,attention score,delayed memory score,orientation score,and total score were significantly increased with significant differences（P<0.05）.3 Paranoid schizophrenia patients with the first painting time of 11 to 20 minutes in 23 cases（50.00%）,the painting type of 1 to 3 in 23 cases（50.00%）,29 cases（63.04%）without feeling after painting,24 cases（52.17%）incomplete picture,24 cases（52.18%）disorder sense,28 cases（60.87%）no sense of hierarchy,7 cases（15.22%）sense of security,27 cases（58.70%）symmetrical picture.4 After intervention,the reduction rate of PANSS was 59%,and the total score of Mo CA was 24.The picture of mandala was protective,cohesive,integrated,directional,sacred,creative.Conclusions Mandala painting therapy can improve the negative symptoms and general pathological symptoms of paranoid schizophrenia patients,and increase the PANSS reduction rate;There was no obvious effect on the positive symptoms and the group of thinking disorder symptoms.Patients showed some improvement in cognitive functions such as visuospatial and executive function,attention,delayed memory,and orientation.The first painting of paranoid schizophrenia patients has the characteristics of short painting time,fewer color types,no obvious feelings after painting,incomplete picture,no sense of order,no sense of hierarchy,insecurity,and so on.Mandala painting case intervention can improve the negative symptoms,general psychopathological symptoms,lack of response and depressive symptoms of patients with paranoid schizophrenia,improve the level of cognitive function,disease insight,emotional performance and stimulate creativity in thinking.Figure24;Table16;Reference 92...