Study On The Effect Of Individual Wechat Magnanimous Therapy Combined With Supportive Psychotherapy On Depression And Anxiety And Other Mental Health Conditions Of Young College Students

Objective: Explore the effect of individual Wechat Magnanimous Therapy combined with supportive psychotherapy on depression and anxiety and other mental health conditions of young college students,and evaluate the intervention effect from psychological,social and clinical symptoms.It provides effective psychological intervention methods and empirical evidence for the application of Individual Wechat Magnanimous Therapy combined with supportive psychotherapy in the treatment of negative emotions such as depression and anxiety,promoting the clinical relief of depression and anxiety and preventing depression and anxiety from further aggravating and developing into serious depression and anxiety disordersMethods: In this study,150 college students with mild and moderate depressive and anxiety symptoms were screened from the freshmen of 2020 and 2021 in Guangdong Pharmaceutical University.According to the principle of randomization,they were divided into Individual We Chat Magnanimous Therapy combined with supportive psychotherapy intervention group,supportive psychotherapy group and blank control group(in the following full text,the three groups were respectively referred to as intervention group,support group and control group),with 50 people in each group.In the intervention group,subjects were given Individual We Chat Magnanimous Therapy and supportive psychotherapy(about 30 minutes each time,twice a week,8 times in total)using wechat mini-program for a period of 1 month(about 20-30 minutes each time,twice a week,8 times in total).The support group only gave the supportive psychotherapy for 1 month(about 30 minutes each time,twice a week,a total of 8 times);The control group received no psychological intervention.The Beck Depression Inventory,Beck Anxiety Inventory,Connor-Davidson Rsilience Scale,Social Support Rating Scale,Symptom Checklist90 and Enterprising and Magnanimous Questionnaire,were used to evaluate the three groups before and after intervention.Observe and compare the changes of psychological,social and clinical symptoms of the three groups before and after intervention,and evaluate the efficacy.Results:1.Outcome of psychological and social function indicators(1)Beck Depression Inventory(BDI):Compared between groups,there was no significant difference in the total score of Beck Depression Inventory between the intervention group,the support group and the control group before treatment(P >0.05).The BDI scores of the three groups were significantly different after treatment(P< 0.05).In pairwise comparison,BDI scores of the intervention group were significantly different from those of the support group and the control group(P <0.05).There was no very difference in BDI scores between the support group and the control group(P > 0.05).Compared within groups,BDI scores of the intervention group were significantly different before and after treatment(P < 0.05).There was no significant difference in BDI scores between the support group and the control group before and after treatment(P > 0.05).(2)Beck Anxiety Inventory(BAI):Compared between groups,there was no significant difference in the total score of Beck Anxiety Inventory between the intervention group,the support group and the control group before treatment(P >0.05).BAI scores of the three groups were significantly different after treatment(P <0.05).In pairwise comparison,BAI scores of the intervention group were significantly different from those of the support group and the control group(P < 0.05).There was no significant difference in BAI score between the support group and the control group(P > 0.05).Compared within groups,BDI scores of the intervention group before and after treatment were significantly different(P < 0.05).There was no significant difference in BAI scores before and after treatment between the support group and the control group(P > 0.05).(3)Connor-Davidson Rsilience Scale(CD-RISC):Compared between groups,there was no very difference in the "total mean score" and the mean score of "tenacity","strength" and "optimism" of the Connor-Davidson Rsilience Scale between the intervention group,the support group and the control group before treatment(P >0.05).After treatment,there were statistically significant differences in "total mean score","tenacity" and "optimism" among the three groups(P < 0.05).There was no statistical significance in the "power" dimension(P > 0.05).In pairwise comparison,there were statistically significant differences in "total mean score","tenacity" and "optimism" between the intervention group and the support group and the control group(P < 0.05).There was no significant difference between the support group and the control group in "total mean score","tenacity" and "optimism"(P > 0.05).Compared within groups,there were statistically significant differences in the "total mean score","tenacity" and "optimism" before and after treatment in the intervention group(P < 0.05),but no statistically significant differences in the "strength" dimension(P > 0.05).There were no statistically significant differences in "total mean score","tenacity","optimism" and "strength" before and after treatment between the support group and the control group(P > 0.05).(4)Social Support Rating Scale(SSRS):Compared between groups,there was no significant difference in the "total mean score","objective support","subjective support" and "utilization of support" of the Social Support Rating Scale in the intervention group,the support group and the control group before treatment(P >0.05).After treatment,there was no markedly difference between the three groups in the mean score of "total mean score","objective support","subjective support" and "utilization of support" in the scale(P > 0.05).Compared within groups,there was no statistical significance in the "total mean score","tenacity","optimism" and "strength" of the three groups before and after treatment(P > 0.05).(5)Symptom Checklist 90(SCL-90):Compared between groups,intervention group,the support group and control group before treatment in Symptom Checklist 90 "total score" and "somatization","obsessive-compulsive symptoms","interpersonal sensitivity","depression","anxiety","hostility","terror","paranoia" and "psychotic" nine factors points difference compared with no statistical significance(P > 0.05).After treatment,there were statistically significant differences in "total score" and "somatization","obsessive-compulsive symptoms","interpersonal sensitivity","depression","anxiety" and "hostility" among the three groups(P < 0.05).There was no significant difference in the scores of "terror","paranoia" and "psychosis"(P > 0.05).In pairwise comparison,there were statistically significant differences between the intervention group,the support group and the control group in "total score" and the above 6 factor scores(P < 0.05).There was no significant difference between the support group and the control group in the "total score" and the above 6 factors(P >0.05).Compared within groups,there were statistically significant differences in the "total score" and the above 6 factor scores of the intervention group(P < 0.05).There was no significant difference in the scores of "terror","paranoia" and "psychosis"(P >0.05).There was no significant difference between the support group and the control group in "total score" and 9 factor scores(P > 0.05).(6)Enterprising and Magnanimous Questionnaire,(EMQ):Compared between groups,there was no statistical significance in the "total mean score" and the mean score of " positive progress" and " magnanimous tolerance " of the EMQ between the intervention group,support group and control group before treatment(P > 0.05).After treatment,there were statistically significant differences in "total mean score","positive progress " and " magnanimous tolerance " among the three groups(P <0.05).In pairwise comparison,there were markedly differences between the intervention group,the support group and the control group in the "total mean score" and the " positive progress " and " magnanimous tolerance " mean score of the two dimensions(P < 0.05).There was no significant difference between the support group and the control group in the mean score of "total score","positive progress " and "magnanimous tolerance "(P > 0.05).In intra-group comparison,there were statistically significant differences in the "total mean score" and "positive progress " and "magnanimous tolerance " mean score of the intervention group(P < 0.05).There was no significant difference between the support group and the control group in the mean score of "total score","positive progress " and " magnanimous tolerance "(P > 0.05).2.Clinical Qualitative Evaluation(1)Evaluation of the subjects: After treatment in the intervention group,the subjects felt uncomfortable and unaccustomed when they first received online psychotherapy.However,with the end of each story,the therapists explained and analyzed the patients’ questions and perplexities,communicated with each other and discussed their experiences.With the progress of treatment,they begin to increase their interest in treatment,degree of cooperation,and treatment confidence.Compliance also began to increase gradually.Most of the subjects found the treatment process convenient,flexible,interesting and self-directed.The magnanimous short stories are easy to understand but philosophical.The subjects also had more frequent and in-depth online communication with the therapist in the later part of the treatment cycle,without the previous stiff,shy,disarmed and resistant psychology.Positive emotions and correct cognition begin to increase;At the same time,the gradual inspirational,magnanimous and zen-rich short stories helped to promote the subjects’ self-confidence,positive heart,enterprising spirit,and optimistic and magnanimous attitude.Part of the subjects in the support group believed that after 1 month’s treatment by the therapist,they could have a certain understanding of the occurrence of depression and anxiety,and also knew the cause of their own depression and anxiety,and could accept the fact to a certain extent.Trying to improve negative emotions with the therapist’s explanation,encouragement and support can be effective,but it takes time to settle down.Part of the support group believed that they understood and understood the purpose of the therapist’s explanation,encouragement and support,but were not confident to improve their negative emotions in a short time.(2)Psychotherapist’s comments: In the intervention group,negative emotions such as "depression","anxiety","compulsion","interpersonal sensitivity" and "hostility" were significantly improved after treatment,and psychological resilience was increased.Most of the intervention group were depression anxiety symptoms,began to gain experience and learn when to treat multi-angle,multi-dimensional thinking way and method,to analyze yourself,even the real problems and psychological doubts their friends to meet in the past,and enhanced their ability to solve real problems and negative emotions.It was helpful for young college students to adjust their good physical and mental health state,help them to shape a good healthy and harmonious personality,and gradually cultivate magnanimous,relaxed and positive attitude towards life.More conducive to achieve the ultimate goal of preventing depression and anxiety from developing into depression and anxiety disorders.The depression and anxiety of subjects in the support group were slightly improved,but not significantly.Conclusion:1.Individual Wechat Magnanimous Therapy combined with supportive psychotherapy in the use of depression and anxiety of young college students,could help them relieve depression and anxiety,improve their "anxiety","depression","compulsion","interpersonal sensitivity","hostility","somatization" and other mental health conditions and physical discomfort symptoms,and increase the psychological resilience,stress resistance and adaptability in the face of negative emotions and setbacks.2.Individual Wechat Magnanimous Therapy combined with supportive psychotherapy could cultivate them to form a " enterprising-magnanimous " cognitive psychological behavior model,adjust to relax,peaceful,cheerful,generous personality psychological characteristics.Sequentially,young college students could better deal with negative emotions,negative thinking and negative life events,and solve practical problems in real life,learning and personal feelings and thoughts.3.Individual Wechat Magnanimous Therapy combined with supportive psychotherapy could promote the clinical improvement of depression and anxiety symptoms,improve the clinical efficacy,and be conducive to achieve the ultimate goal of preventing depression and anxiety from developing into depression and anxiety disorders.