Objective: To explore the effectiveness of integrated poetry therapy in treating patients with mixed anxiety-depressive disorder in the Department of Psychology of a general hospital.
Methods: Eight patients with mixed anxiety-depressive disorder were recruited from the outpatient Department of Psychology of a general hospital and participated in a 3-week integrated poetry therapy group therapy. Assessments of anxiety, depression, self-consistency and congruence, self-esteem, and sense of personal meaning were conducted before and after the treatment. Quantitative data were analyzed by the Wilcoxon signed-rank test. After the intervention, a focus group interview was used to conduct qualitative research, and Colaizzi's seven-step analysis was used to analyze the interview data.
Results: There was no significant difference in the scores of anxiety, depression, self-consistency and congruence, self-esteem, and sense of personal meaning before and after the integrated poetry therapy. However, the qualitative study found that the effects of integrated poetry therapy in patients with mixed anxiety-depressive disorder included the following three primary themes: activation of feelings, cognitive changes, and symptom improvement. The potential therapeutic factors contributing to the efficacy of integrated poetry therapy included the following four first-level themes: the content of the poems themselves, the words and deeds of the group leaders, group members' connection, and the practice of therapeutic skills within the group.
Conclusion: Although there was no significant difference in the measured data among group members in the quantitative assessment of each dimension after integrated poetry therapy, qualitative findings indicated the potential utility of integrated poetry therapy in patients with mixed anxiety-depressive disorder.
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