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MPNFS-based psychological intervention linked to reduced anxiety in adolescents with anxiety disorders

MPNFS-based psychological intervention linked to reduced anxiety in adolescents with anxiety disorde…
Photo by Vitaly Gariev / Unsplash
Key Takeaway
Consider MPNFS-based intervention for adolescent anxiety cautiously; evidence is from a retrospective, non-randomized study.

A retrospective cohort study evaluated a 6-week MPNFS-based integrative psychological intervention for adolescents with anxiety disorders at Xiangxi Tujia and Miao Autonomous Prefecture People's Hospital. The study included 196 adolescents aged 10-18 years, comparing those receiving the intervention as part of routine clinical care to those receiving routine outpatient care alone. Primary outcomes were not reported, but secondary outcomes included multiple psychological and quality-of-life measures.

After 6 weeks, the intervention group showed significantly greater improvement in anxiety scores on the Self-Rating Anxiety Scale compared to the control group, with an estimated effect size of -7.5 points (95% CI -8.6 to -6.4, P < 0.001). Absolute numbers for score changes were not reported. Other secondary outcomes included depression, self-concept, parenting styles, family functioning, social support, and health-related quality of life, though specific results for these measures were not detailed in the provided data.

Safety and tolerability data were not reported, including adverse events, serious adverse events, or discontinuation rates. The study's key limitation is its retrospective, non-randomized design, which introduces potential confounding and selection bias. Funding sources and conflicts of interest were not reported. The findings represent an association rather than causation and should be interpreted cautiously. The single-center setting limits generalizability, and long-term effects beyond the 6-week follow-up are unknown. While the results suggest potential benefit for this specific integrative approach, they require confirmation in prospective, randomized trials before clinical implementation can be recommended.

Study Details

Study typeCohort
EvidenceLevel 3
PublishedApr 2026
View Original Abstract ↓
ObjectiveThis study aimed to evaluate the efficacy of an MPNFS-based integrative psychological intervention for adolescents with anxiety disorders, focusing on anxiety symptoms, Self-Concept, Parenting Style, Family Intimacy, and Social Support.MethodsA retrospective study was conducted on 196 adolescents (10–18 years) with anxiety disorders treated at Xiangxi Tujia and Miao Autonomous Prefecture People’s Hospital from January 2024 to October 2025. Among them, 89 received routine outpatient care and 107 received a 6-week MPNFS-based integrative program as part of routine clinical care. Clinical outcomes included the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Piers-Harris Children’s Self-Concept Scale (PHCSS), Egna Minnen av Barndoms Uppfostran (EMBU), Family Adaptability and Cohesion Scale II Chinese Version (FACESII-CV), Perceived Social Support Scale (PSSS), and Short Form 36 Health Survey (SF-36).ResultsBaseline characteristics were comparable between groups. After 6 weeks, the observation group demonstrated significantly greater improvements than the control group in anxiety (SAS: estimate = −7.5, 95% CI −8.6 to −6.4, P 
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