Abstract
Background: The prevalence of anxiety among college students is a growing global concern, with a median prevalence of 32%. This study addresses the need for effective interventions within an educational policy framework to alleviate anxiety and promote mental health among college students. Objective: The study aims to evaluate the impact of breathing relaxation exercises and tactile art therapy on college students’ self-understanding and psychological well-being, providing reference information for policies and practices in mental health education. Methods: We enrolled 10 college students from X University in South Korea, dividing them into an experimental group and a control group. The experimental group underwent 10 sessions of breathing exercises and tactile art therapy, while the control group received standard psychological counseling. Pre- and post-tests assessed breathing function, self-understanding, and psychological well-being. Results: The experimental group demonstrated significant improvements in breathing function, particularly in forced vital capacity (FVC), and in psychological well-being, as measured by the Psychological Well-Being Scale (PWBS). Sub-factors such as safety, goal orientation, and self-acceptance within self-understanding, self-acceptance, positive relationships, purpose in life, and environmental mastery within psychological well-being, showed notable enhancements. In contrast, the control group did not show significant effects in terms of FVC and FEV1（p > 0.05）, and there were no statistically significant differences in the various sub-factors of self-understanding and psychological well-being. Conclusion: The study demonstrates that integrating breathing relaxation exercises and tactile art therapy into educational policy can significantly reduce anxiety and enhance the psychological well-being of college students. These findings suggest that such interventions can be effective components of a comprehensive educational policy aimed at improving student mental health.
References
Appelbaum, L. G., Shenasa, M. A., Stolz, L., et al. (2023). Synaptic plasticity and mental health: Methods, challenges and opportunities. Neuropsychopharmacology, 48(1), 113–120. https://doi.org/10.1038/S41386-022-01370-W
Buss, D. M., & Scheier, M. F. (1976). Self-consciousness, self-awareness, and self-attribution. Journal of Research in Personality, 10(4), 463–468. https://doi.org/10.1016/0092-6566(76)90060-X
Choi, A. (2017). The impact of integrated art therapy on college students' self-understanding and interpersonal relationships. Art Psychotherapy Research, 13(4), 215–229.
Choi, A. N. (2017). The effect of integrated art therapy on self-understanding and interpersonal relationships of college students. Art Psychotherapy Research (Korean), 13(4), 215–229.
Choi, J. I., & Eun-kyung, P. (2021). The effect of group art therapy using Korean painting media on college students' self-efficacy and job anxiety. Art Therapy Research, 28(2), 489–516.
Hong, M., Dyakov, D. G., & Zheng, J. (2022). Risk factors and methods of reconstruction of self-identity: A scoping review. The Open Psychology Journal, 15, 1–9. https://doi.org/10.2174/18743501-v15-e2201060
Hyseni Duraku, Z., Davis, H., & Hamiti, E. (2023). Mental health, study skills, social support, and barriers to seeking psychological help among university students: A call for mental health support in higher education. Frontiers in Public Health, 11, 1220614. https://doi.org/10.3389/FPUBH.2023.1220614
Kim, H. (2020). Effects of a picture book creation program as art therapy education on the self-understanding and self-efficacy of university students [MSc thesis], CHA University Art Therapy Graduate School.
Kim, M. S., Kim, H. W., & Cha, K. H. (2001). Construct analysis of psychological well-being: Targeting Korean adult men and women. Korean Journal of Psychology: Society and Personality (Korean), 15(2), 19–39.
Klussman, K., Curtin, N., Langer, J., et al. (2022). The importance of awareness, acceptance, and alignment with the self: A framework for understanding self-connection. Europe's Journal of Psychology, 18(1), 120–131. https://doi.org/10.5964/EJOP.3707
Kyriakides, L., Creemers, B. P. M., Antoniou, P., et al. (2015). The impact of school policy and stakeholders' actions on student learning: A longitudinal study. Learning and Instruction, 36, 113–124. https://doi.org/10.1016/J.LEARNINSTRUC.2015.01.004
Lai, K. S. P., Watt, C., Ionson, E., et al. (2020). Breath regulation and yogic exercise an online therapy for calm and happiness (BREATH) for frontline hospital and long-term care home staff managing the COVID-19 pandemic: A structured summary of a study protocol for a feasibility study for a randomised controlled trial. Trials, 21(1), 648. https://doi.org/10.1186/S13063-020-04583-W
Lee, E. (2020). Interpretation of the necessity and meaning of convergence art therapy. Art and Humans, 6, 63–64.
Lee, J., Baek, H., Oh, E., et al. (2024). Development and validation of the self-consciousness type scale. Frontiers in Psychology, 15, 1362324. https://doi.org/10.3389/FPSYG.2024.1362324
Lee, J. E. (2020). The relationship between college students' pursuit of meaning in life, meaning finding, and psychological well-being: The moderated mediating effect of social interest [MSc thesis], Pusan National University.
Lim, S. A. (2015). Differential association of motives and goal contents with psychological well-being: Regression mixture modeling approach [MSc thesis], Kyungpook National University.
Liu, X. Q., Guo, Y. X., & Xu, Y. (2023). Risk factors and digital interventions for anxiety disorders in college students: Stakeholder perspectives. World Journal of Clinical Cases, 11(7), 1442–1457. https://doi.org/10.12998/WJCC.V11.I7.1442
Maurer, M. M., Maurer, J., Hoff, E., et al. (2023). What is the process of personal growth? Introducing the personal growth process model. New Ideas in Psychology, 70, 101024. https://doi.org/10.1016/J.NEWIDEAPSYCH.2023.101024
Mofatteh, M. (2021). Risk factors associated with stress, anxiety, and depression among university undergraduate students. AIMS Public Health, 8(1), 36–65. https://doi.org/10.3934/PUBLICHEALTH.2021004
Nanjing University. (2024). Zhu Jingning's research group reveals the neural circuit mechanism of exercise improving anxiety. Available online: https://www.nju.edu.cn/info/1067/355761.htm (accessed on 24 December 2024).
Ryff, C. D., & Singer, B. (1998). The contours of positive human health. Psychological Inquiry, 9(1), 1–28. https://doi.org/10.1207/S15327965PLI0901_1
Sakız, H., & Jencius, M. (2024). Inclusive mental health support for international students: Unveiling delivery components in higher education. Cambridge Prisms: Global Mental Health, 11, e8. https://doi.org/10.1017/GMH.2024.1
Tavoian, D., & Craighead, D. H. (2023). Deep breathing exercise at work: Potential applications and impact. Frontiers in Physiology, 14, 1040091. https://doi.org/10.3389/FPHYS.2023.1040091
Wang, C., Yan, S., Jiang, H., et al. (2022). Socio-demographic characteristics, lifestyles, social support quality and mental health in college students: A cross-sectional study. BMC Public Health, 22(1), 1583. https://doi.org/10.1186/S12889-022-14002-1
Zhao, J. L., Jiang, W. T., Wang, X., et al. (2020). Exercise, brain plasticity, and depression. CNS Neuroscience and Therapeutics, 26(9), 885–895. https://doi.org/10.1111/CNS.13385
