208. The combined intervention of aesthetic education and psychological counseling for college students with severe anxiety

Abstract Background The rising incidence of severe anxiety among college students calls for the development of more effective and integrated intervention strategies. While traditional psychological counseling remains a fundamental treatment, its limitations in addressing non-verbal emotional processing and fostering positive psychological resources are increasingly recognized. Aesthetic education, involving structured artistic engagement, offers a unique pathway for emotional expression, self-exploration, and stress reduction. This study proposes that a synergistic model combining evidence-based counseling with systematic aesthetic education can produce superior outcomes by concurrently targeting cognitive restructuring and emotional-somatic regulation. This study aims to empirically evaluate the effect and sustainability of aesthetic education and psychological counseling on the alleviation of anxiety symptoms, comorbid depression symptoms and psychological resilience in college students with severe anxiety. Methods The study enrolled 96 undergraduate students who met the criteria for severe anxiety (Generalized Anxiety Disorder 7-item scale [GAD-7] score ≥ 15) and were randomly assigned to either the experimental group (n = 48) or the active control group (n = 48). The experimental group received an 8-week combined intervention, including weekly individual cognitive behavioral therapy (CBT) and a structured group aesthetic education course (covering visual arts, music, and expressive writing). The control group received weekly individual CBT alone. The primary outcome measure (anxiety) was assessed using the GAD-7. Secondary outcome measures included depressive symptoms (Self-rating Depression Scale [SDS]) and psychological resilience (Connor-Davidson Resilience Scale [CD-RISC]). Data were analyzed using independent samples t-tests. Results The comparison of symptom index between the two groups is shown in Table 1. As shown in Table 1, no significant differences existed between the two groups at baseline (p>.05). After the intervention, the experimental group (combined intervention) showed significantly lower anxiety (GAD-7: t = 4.52, p