MPNFS-based integrative psychological intervention for adolescents with anxiety disorders: effects on anxiety, self-concept, parenting style, family intimacy, and social support

Objective: This 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. Methods: A 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). Results: < 0.001). Conclusion: The MPNFS-based integrative intervention effectively alleviates anxiety and depression, enhances self-concept, optimizes family functioning, strengthens social support, and improves quality of life in adolescents with anxiety disorders. These findings highlight the clinical potential of a structured multi-component approach and provide evidence supporting its adoption in routine outpatient care, while future longitudinal and randomized studies are needed to confirm the sustainability of these effects.