A parallel-group, randomized controlled design was implemented in this study to examine the effectiveness of therapeutic art activities for adolescents with type 1 diabetes. The study was conducted at Ankara Bilkent City Hospital between November 2023 and August 2024 with 72 adolescents aged 9-18 (36 intervention, 36 control). The intervention group participated in 6 weeks of therapeutic art activities, while the control group received standard care. Therapeutic artistic activities included Zentangle, mandala painting, third-person drawing techniques, and the awareness of four-leaf clover. Sessions were held one-on-one via WhatsApp. The State Anxiety Inventory and Psychological Well-Being Scale were administered at the beginning and end of the study. After the therapeutic program, the mean state anxiety score of adolescents in the intervention group (32.19 ± 2.75) was significantly lower than in the control group (45.13 ± 4.84). Additionally, at the end of the program, the mean psychological well-being score of adolescents in the intervention group (48.52 ± 5.30) was significantly higher than that of the control group (33.41 ± 9.83) (p < 0.05).

Conclusion: It was concluded that therapeutic art activities were effective in reducing anxiety and improving psychological well-being in adolescents with diabetes. It is recommended that therapeutic art activities be integrated into the care programs for children with diabetes.

Trial registration: ClinicalTrials.gov Identifier: NCT06595173. Registered on September 11, 2024.

What is known: • Diabetes diagnosis affects well-being and anxiety levels of adolescents. • Therapeutic programs are needed for adolescents with diabetes.

What is new: • Therapeutic artistic activities should be planned by considering adolescents' developmental characteristics. • The combination of therapeutic cognitive and artistic activities is a program with a high impact size that holistically affects the concept of well-being of adolescents with diabetes.

Keywords: Adolescent; Anxiety; Art; Diabetes; Therapeutic; Well-being.

© 2025. The Author(s).

本研究采用平行组随机对照设计，评估了针对1型糖尿病青少年的治疗性艺术活动的有效性。该研究于2023年11月至2024年8月在安卡拉比尔肯特城市医院进行，共有72名9至18岁的青少年参与（干预组36人，对照组36人）。干预组参加了为期6周的治疗性艺术活动，而对照组则接受标准护理。治疗性艺术活动包括Zentangle、曼陀罗绘画、第三人称绘画技术和四叶草意识等项目。这些会话通过WhatsApp一对一进行。研究开始和结束时使用状态焦虑量表和心理幸福感量表对参与者进行了评估。在完成治疗计划后，干预组青少年的状态焦虑评分（32.19 ± 2.75）显著低于对照组（45.13 ± 4.84）。此外，在项目结束后，干预组青少年的心理幸福感评分（48.52 ± 5.30）也显著高于对照组（33.41 ± 9.83），p

结论： 结果表明治疗性艺术活动有助于减轻糖尿病青少年的焦虑并改善其心理幸福感。建议将治疗性艺术活动纳入糖尿病儿童护理计划中。

临床试验注册号： ClinicalTrials.gov 编号： NCT06595173。注册日期为2024年9月11日。

已知事项：

• 糖尿病诊断会影响青少年的幸福感和焦虑水平。
• 需要为患有糖尿病的青少年制定治疗计划。

新发现：

• 应根据青少年的发展特点规划治疗性艺术活动。
• 结合认知与艺术疗法的项目对整体提升糖尿病青少年幸福感的概念具有高影响力。

关键词： 青少年；焦虑；艺术；糖尿病；治疗性；幸福感。

© 2025. The Author(s).