Impact of Group Cognitive Behavioral Therapy Combined with Mandala Drawing Intervention on Coping Modes and Self-injurious Behavior in Adolescents Patients with Depression
Objective:To investigate the impact of group cognitive behavioral therapy(G-CBT)combined with Mandala drawing intervention on coping modes and self-injurious behavior in adolescents patients with depression.Method:A total of 80 adolescent patients with depression who were diagnosed and treated in Shangrao Third People's Hospital from March 2020 to March 2022 were selected,and randomly divided into a control group(40 cases receiving G-CBT intervention)and an observation group(40 cases receiving G-CBT combined with Mandala drawing intervention).Depression degree,coping modes,self-injurious behavior and quality of life of the two groups were evaluated.Result:After 8 weeks of intervention,the Hamilton depression scale(HAMD)scores of both groups were decreased,and the score of the observation group(11.16±3.12)points,which was significantly lower than(14.48±3.97)points of the control group,the differences were statistically significant(P<0.05).During 8 weeks of intervention,the frequency of self injuries in both groups were decreased,and the frequency in the observation group[(8.16±2.53)times],which was significantly less than(11.48±3.47)times in the control group,the differences were statistically significant(P<0.05).Intervention within 8 weeks,there were statistically significant differences in the types of self injuries between the two groups(P<0.05).After 8 weeks of intervention,positive coping mode scores of both groups were increased and negative coping mode scores were decreased,compared with(25.76±3.84)and(15.58±3.38)points in the control group,positive coping mode score(28.04±3.67)points in the observation group was significantly higher,and negative coping mode score(12.39±3.35)points was significantly lower,the differences were statistically significant(P<0.05).After 8 weeks of intervention,the physiological,psychological,social communication and environmental scores of both groups were increased,compared with(11.78±2.24),(12.72±2.71),(13.72±2.18)and(12.47±1.94)points in the control group,(13.82±2.11),(14.32±2.52),(15.91±2.29)and(14.43±2.01)points in the observation group were higher,the differences were statistically significant(P<0.05).Conclusion:G-CBT combined with Mandala drawing intervention can alleviate depression,regulate emotions,reduce self-injurious behavior,and improve coping modes and quality of life of adolescents with depression.
Group cognitive behavioral therapyMandala drawing interventionAdolescentDepression
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