Combined HRT-WB and mandala art therapy in university groups: a mixed-methods study.

First-year university students often experience increased psychological distress during adaptation. Guided by the Dual-Factor Model, this study evaluated a combined intervention of mandala art therapy and Hypnotic Relaxation Therapy for Well-Being (HRT-WB) in reducing negative symptoms and enhancing well-being. Twenty-eight students with low mental health scores were randomly assigned to an experimental group (8-week intervention) or a control group (routine counseling). Outcomes were measured using the Satisfaction with Life Scale (SWLS), Depression Anxiety Stress Scales (DASS-21), and post-intervention interviews. The experimental group showed significant increases in life satisfaction and reductions in depression, anxiety, and stress, The experimental group showed significant increases in life satisfaction and reductions in depression, anxiety, and stress. These effects were confirmed by mixed-design ANOVA and ANCOVA. Thematic analysis of interviews indicated enhanced self-awareness, emotional expression, and relaxation. These findings support the integration of mandala art therapy and HRT-WB in university counseling to address student mental health needs.