国际中文开源期刊平台

绘画疗法对中学生心理健康的干预效果：一项基于RCT的Meta分析

Effect of Painting Therapy on Mental Health of Middle School Students: A Meta-analysis of Randomized Controlled Trials

心理咨询理论与实践 / 2023,5(3)：162-184 / 2023-04-25 190 152

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• 作者： 蒙丹妮      李金德     
• 单位：

  广西民族大学教育科学学院，南宁
  

• 关键词： 绘画疗法；中学生；RCT；Meta 分析
• Painting therapy; Middle school student; RCT; Meta analysis
• 摘要： 目的：以随机对照实验（RCT）为分析对象，探讨绘画疗法对中学生心理健康干预的效应量及其影响因素。方法：检索中国知网、万方、维普、Web of Science、Pubmed、Scoups、Medline、APA psyclnfo等10多个国内外数据库，获得原始文献735篇，经过筛选纳入文献28篇，最后采用Stata17.0对提取的182条数据进行分析。结果：（1）因效应量间异质性大（Q =1967.81， p<0.001，I2=90.80），采用随机效应模型合并效应量，结果显示绘画疗法的效应 量为积极的大效应（g=0.90），敏感性分析说明合并效应量较为稳健；（2）绘画疗法对情绪（ g=1.61）、认知（g=0.78）、行为（g=0.65）和自我（g=0.88）四类指标干预都有积极效果，四者间存在显著性差异（Q=20.38，p<0.001）；对自尊（g=0.76）、焦虑（g=1.18）、抑郁（ g=1.29）与攻击（g=0.69）的干预也都有积极效果，但四者间没有差异（Q=3.476，p =0.324）；（3）绘画疗法对一般（g=0.67）、有心理问题（g=1.13）和有心理疾病（g=0.59）三类被试的干预都有积极效果，且三者效应存在显著差异（Q=14.556，p=0.001）；（4）国内（g=1.14）和国外（g=0.70）研究绘画疗法都有积极效果，前者大于后者（Q=15.60，p <0.001）；（5）干预时间不能显著的预测干预效果（B=0.003， t=0.37，p=0.713）。结论：绘画疗法在中学生心理健康领域的干预有积极效果，未来研究可着重关注绘画疗法对一般中学生积极心理品质的促进作用。
• Objective: To explore the effect of painting therapy on middle school students’ mental health and its influencing factors by taking the randomized controlled trials (RCT) as the analysis object. Methods: More than 10 domestic and foreign databases, such as CNKI, Wanfang, VIP, Web of Science, PubMed, Scoupes, MEDLINE, APA psyclnfo, were searched, and 735 original literatures were obtained. After screening, 28 literatures were included. Finally, 182 extracted data were analyzed by stata17.0. Results: (1) Due to the large heterogeneity (Q=1967.81, p<0.001, I2=90.80), the random effect model was used to combine the effect sizes. The results showed that the effect sizes of painting therapy was a positive large effect (g=0.90). Sensitivity analysis showed that the pooled estimate was relatively robust. (2) Painting therapy had a positive effect on four kinds of outcomes: emotion (g=1.61) , cognition (g=0.78) , behavior (g=0.65) and self (g=0.88) , and there was a significant difference among them (Q=20.38, p<0.001); The intervention on self-esteem (g=0.76) , anxiety (g=1.18) , depression (g=1.29) and aggression (g=0.69) also had positive effects, but there was no difference among the four (Q=3.476, p=0.324). (3) Painting therapy has a positive effect on the Ordinary participants (g=0.67) , subjects with psychological problems (g=1.13) and physiological diseases (g=0.59) , and there was a significant difference among the three effects (Q=14.556, p=0.001). (4) Both domestic (g=1.14) and foreign research (g=0.70) on painting therapy have positive effects, and the former is greater than the latter (Q=15.60, p<0.001). (5) The time could not significantly predict the intervention effect (B=0.003, t=0.37, p=0.713). Conclusion: The painting therapy has a positive effect on middle school students’ mental health. Future research can focus on the promoting effect of painting therapy on the positive mental quality of middle school students.
• DOI： https://doi.org/10.35534/tppc.0503016
• 引用： 蒙丹妮，李金德．绘画疗法对中学生心理健康的干预效果：一项基于RCT的Meta分析［J］．心理咨询理论与实践，2023，5（3）：162-184．