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<p>A parallel-group, randomized controlled design was implemented in this study to examine the effectiveness of therapeutic art activities for adolescents with type 1 diabetes. The study was conducted at Ankara Bilkent City Hospital between November 2023 and August 2024 with 72 adolescents aged 9–18 (36 intervention, 36 control). The intervention group participated in 6&#xa0;weeks of therapeutic art activities, while the control group received standard care. Therapeutic artistic activities included Zentangle, mandala painting, third-person drawing techniques, and the awareness of four-leaf clover. Sessions were held one-on-one via WhatsApp. The State Anxiety Inventory and Psychological Well-Being Scale were administered at the beginning and end of the study. After the therapeutic program, the mean state anxiety score of adolescents in the intervention group (32.19 ± 2.75) was significantly lower than in the control group (45.13 ± 4.84). Additionally, at the end of the program, the mean psychological well-being score of adolescents in the intervention group (48.52 ± 5.30) was significantly higher than that of the control group (33.41 ± 9.83) (<i>p</i> &lt; 0.05).</p><p><i>Conclusion</i>: It was concluded that therapeutic art activities were effective in reducing anxiety and improving psychological well-being in adolescents with diabetes. It is recommended that therapeutic art activities be integrated into the care programs for children with diabetes.</p><p><i>Trial registration</i>: ClinicalTrials.gov Identifier: NCT06595173. Registered on September 11, 2024.<Table Float="No" ID="Taba"> <tgroup cols="1"> <colspec align="left" colname="c1" colnum="1" /> <tbody> <row> <entry align="left" colname="c1"> <p><b>What is Known:</b></p> <p>• <i>Diabetes diagnosis affects well-being and anxiety levels of adolescents.</i></p> <p>• <i>Therapeutic programs are needed for adolescents with diabetes.</i></p> </entry> </row> <row> <entry align="left" colname="c1"> <p><b>What is New:</b></p> <p>• <i>Therapeutic artistic activities should be planned by considering adolescents’ developmental characteristics.</i></p> <p>• <i>The combination of therapeutic cognitive and artistic activities is a program with a high impact size that holistically affects the concept of well-being of adolescents with diabetes.</i></p> </entry> </row> </tbody> </tgroup> </Table></p>

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The effect of therapeutic artistic activities on anxiety and psychological well-being in adolescents with type 1 diabetes: a randomized controlled study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年6月3日

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  • Ozden Gocen,
  • Cigdem Sari Ozturk

摘要

A parallel-group, randomized controlled design was implemented in this study to examine the effectiveness of therapeutic art activities for adolescents with type 1 diabetes. The study was conducted at Ankara Bilkent City Hospital between November 2023 and August 2024 with 72 adolescents aged 9–18 (36 intervention, 36 control). The intervention group participated in 6 weeks of therapeutic art activities, while the control group received standard care. Therapeutic artistic activities included Zentangle, mandala painting, third-person drawing techniques, and the awareness of four-leaf clover. Sessions were held one-on-one via WhatsApp. The State Anxiety Inventory and Psychological Well-Being Scale were administered at the beginning and end of the study. After the therapeutic program, the mean state anxiety score of adolescents in the intervention group (32.19 ± 2.75) was significantly lower than in the control group (45.13 ± 4.84). Additionally, at the end of the program, the mean psychological well-being score of adolescents in the intervention group (48.52 ± 5.30) was significantly higher than that of the control group (33.41 ± 9.83) (p < 0.05).

Conclusion: It was concluded that therapeutic art activities were effective in reducing anxiety and improving psychological well-being in adolescents with diabetes. It is recommended that therapeutic art activities be integrated into the care programs for children with diabetes.

Trial registration: ClinicalTrials.gov Identifier: NCT06595173. Registered on September 11, 2024.

What is Known:

• Diabetes diagnosis affects well-being and anxiety levels of adolescents.

• Therapeutic programs are needed for adolescents with diabetes.

What is New:

• Therapeutic artistic activities should be planned by considering adolescents’ developmental characteristics.

• The combination of therapeutic cognitive and artistic activities is a program with a high impact size that holistically affects the concept of well-being of adolescents with diabetes.