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<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">JCNR</journal-id><journal-title-group><journal-title>Journal of Clinical and Nursing Research</journal-title></journal-title-group><issn>2208-3685</issn><eissn>2208-3693</eissn><publisher><publisher-name>Bio-Byword Scientific Publishing Pty. Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.26689/jcnr.v10i2.14155</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>Exploratory Practice of Online Group Psychological Counseling with Narrative Painting Therapy</title><url>https://artdesignp.com/journal/JCNR/10/2/10.26689/jcnr.v10i2.14155</url><author>HePai,YueLiang,GuoWenxin,XuSiyao,WuXinling</author><pub-date pub-type="publication-year"><year>2026</year></pub-date><volume>10</volume><issue>2</issue><history><date date-type="pub"><published-time>2026-03-11</published-time></date></history><abstract>To explore effective paths for improving college students’ mental health, this study integrates narrative therapy and painting therapy to design a 7-week online group psychological counseling program. A total of 121 volunteer college students participated as subjects, and themed painting counseling was conducted via Tencent Meeting. Five scales, including the General Self-Efficacy Scale, Self-Esteem Scale, and Self-Rating Depression Scale, were used for pre-test and post-test comparisons. The results show that after the intervention, students’ self-efficacy (t = -5.528, p = 0.000) and self-esteem level (t = -2.153, p = 0.033) significantly improved statistically, and depression and anxiety showed a positive improvement trend. The research indicates that online narrative painting therapy can effectively release students’ psychological pressure, promote in-depth self-cognition and interpersonal connection construction, providing an operable innovative paradigm for college mental health education. 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