Intervention Of Mandatura Painting Therapy On Self-Esteem And Rumination In Adolescents With Depression

Objective:This study preliminarily explored the influence of Datura painting therapy on self-esteem level,rumination thinking and anxiety of adolescents with depression by developing an intervention scheme suitable for adolescents with depression and applying it to adolescents with depression inpatients.Method:1.By reading domestic and foreign literature and related books,initially developed the intervention program of mandatura painting therapy suitable for adolescent patients with depression,and invited 7 experts engaged in the field of mental psychology to demonstrate the feasibility and suitability of the preliminary program through expert argumentation.Adjust and modify the initial intervention plan according to the expert opinion and the discussion of the project team members.From April 1,2022 to May 31,2022,adolescent depression patients who met the inclusion criteria and volunteered to participate in the preliminary experiment were selected in the clinical psychology Department of a provincial Hospital of Traditional Chinese Medicine,and the final scheme was determined according to the results of the preliminary experiment and patient feedback.2.A randomized controlled study was carried out.From June 1,2022 to December 31,2022,52 cases of adolescent depression inpatients who met the inclusion criteria and volunteered to participate in the clinical psychology department of a provincial Hospital of Traditional Chinese Medicine were selected as research objects,and were randomly divided into 26 patients in the control group and 26 patients in the experimental group by computer randomized method.The control group used conventional psychological nursing（health education,psychological support,emotional counseling,establish self-confidence）,and the experimental group added mandala painting therapy intervention on the basis of conventional psychological nursing in the psychiatric department.The intervention of mandala painting therapy was performed twice a week for 4 weeks（offline face-to-face intervention for 2weeks in hospital and online intervention via Tencent conference/wechat video for 2 weeks after discharge）,a total of 8 times.The Rosenberg Self-esteem Scale（RSES）,Rumination Thinking Scale（RSS）,Self-rating Depression Scale（SDS）and Self-rating Anxiety Scale（SAS）were used to evaluate the self-esteem,rumination thinking,anxiety and depression of the two groups of patients before,after and one month after the intervention.The collected data were collated,analyzed and analyzed using SPSS26.0.Results:1.The first draft of the intervention scheme of Datura painting therapy was developed by searching literature and referring to relevant books,and then the final intervention scheme of Datura painting therapy was formed through expert argumentation and preliminary experiment.In expert argument,expert authority coefficient Cr=0.91;In the pre-experiment,the completion rate of all the intervention subjects was 90%.After the end of the pre-experiment,the self-esteem level of the intervention subjects increased（t=-2.53,P=0.035）,and the rumination thinking decreased（t=4.068,P=0.004）.Finally,the intervention plan of Mandatura painting therapy was determined to be one-to-one（individual）intervention,twice a week,for 4 weeks（in-patient intervention for 2 weeks,online intervention by Tencent conference/wechat video for 2 weeks after discharge）,a total of 8 times,and each intervention lasted 45-50min.2.The effects of Datura therapy on self-esteem,rumination,anxiety and depression of adolescent patients with depression are as follows:（1）Independent sample T-test results showed that after intervention,there were significant differences between the experimental group and the control group in self-esteem（t=3.253,P=0.002）,rumination（t=-2.981,P=0.005）,anxiety（t=-2.744,P=0.009）,depression（t=-3.817,P<0.001）.（2）Repeated measures analysis of variance showed that the interaction effect of self-esteem level in the group（experimental group,control group）*time（T1,T2,T3）was significant(F_time*group=6.937,P=0.002);Depression in the group（experimental group,control group）*time（T1,T2,T3）interaction effect was significant(F_time*group=7.359,P=0.001);The interaction between rumination and anxiety was not significant in group*time.（3）Simple effect analysis showed that there was a significant difference in self-esteem between the experimental group and the control group after intervention(F_T2=10.584,P=0.002).The experimental group（25.13±5.48 after intervention）was significantly higher than the control group（19.87±5.49 after intervention）.There were significant differences between the experimental group and the control group in depression after intervention(F_T2=14.57,P<0.001)and one month after intervention(F_T3=13.917,P=0.001).The experimental group（49.57±9.85 after intervention,54±12.58 after1 month）was significantly lower than the control group（63.26±14.11 after intervention,67.61±12.15 after 1 month）.（4）One month after the intervention of Datura painting,the results showed that rumination（t=-3.12,P=0.003）,anxiety（t=-3.262,P=0.002）,depression（t=-3.731,P=0.001）in the experimental group were significantly different from those before the intervention.Conclusion:In this study,for the group of adolescent patients with depression,the relevant literature was consulted and the characteristics of the disease were targeted to develop a suitable intervention program of Datura painting therapy.Through expert demonstration and preliminary experimental verification,it was determined that the program was scientific,feasible,suitable and effective,and easy to be accepted by the patients.The program was applied to adolescent patients with depression through randomized controlled experiment,and the results showed that it can improve their self-esteem,reduce rumination,anxiety and depression,and the effect can last until 1 month after the intervention.