Internet Interventions-The Application of Information Technology in Mental and Behavioural Health最新文献

{"title":"Internet-based cognitive behavioral therapy for anxiety and depressive symptoms in Brazilian emerging adults: A pilot randomized controlled trial","authors":"Juliana Maltoni ,&nbsp;Carmem Beatriz Neufeld ,&nbsp;Victoria Aminoff ,&nbsp;Gerhard Andersson","doi":"10.1016/j.invent.2025.100854","DOIUrl":"10.1016/j.invent.2025.100854","url":null,"abstract":"<div><h3>Background</h3><div>Anxiety and depressive disorders are highly prevalent in Brazil, with higher vulnerability among young adults. Despite the high prevalence, Brazil faces significant challenges in its mental health care system, with only a minority receiving treatment. Tailored internet-delivered cognitive behavioral therapy (ICBT) offers a promising strategy to address this treatment versus demand gap. This study examines the efficacy of individually tailored ICBT intervention with on-demand support for reducing anxiety and depressive symptoms in young adults.</div></div><div><h3>Methods</h3><div>This two-arm randomized controlled trial involved Brazilian young adults (aged 18–24 years) who were randomly assigned to either a treatment group (<em>n</em> = 46) or a waitlist control group (<em>n</em> = 46). The 8-week treatment included individually tailored ICBT with therapist support on-demand via chat, conducted on an online platform. Primary outcomes were symptoms of anxiety and depression. Secondary measures included stress, insomnia, smartphone and social media use, perfectionism, and quality of life. A six-month follow-up was conducted.</div></div><div><h3>Results</h3><div>Multiple regression analysis indicated that the treatment group, in comparison to the control group, showed significant reductions in anxiety, depression, stress, and insomnia, as well as improvements in quality of life, with moderate to large effects sizes.</div></div><div><h3>Conclusion</h3><div>ICBT is a viable intervention for young Brazilians experiencing common mental health symptoms. Further research is needed to explore implementation and impact on other populations.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100854"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility trial of an unguided ultra-brief online psychological intervention within an online mental health clinic: The “things you do” intervention","authors":"Ram P. Sapkota ,&nbsp;Alayna Gretton ,&nbsp;Andrew Wilhelms ,&nbsp;Madelyne A. Bisby ,&nbsp;Blake Dear ,&nbsp;Nick Titov ,&nbsp;Heather D. Hadjistavropoulos","doi":"10.1016/j.invent.2025.100852","DOIUrl":"10.1016/j.invent.2025.100852","url":null,"abstract":"<div><div>This feasibility study evaluated the acceptability and effectiveness of the <em>Things You Do</em> (TYD) intervention within a routine online therapy clinic. The TYD intervention is an ultra-brief unguided online intervention targeting symptoms of depression and anxiety by promoting engagement in empirically supported thoughts and behaviors (actions). It is comprised of one lesson, two worksheets and automated daily email reminders for one month. In total, 73 out of 112 help-seeking individuals completed the TYD intervention after being enrolled, and of these 48 completed one or more assessments at 2-, 4- or 16-weeks follow-up. weeks. High rates of participant satisfaction were observed among 30 participants who completed the satisfaction questionnaire. Qualitative comments suggested participants valued the daily email reminders, practical techniques and accessible content but some participants found the intervention too short or generic. Linear mixed-effects models examining within-group changes found significant reductions in depression (<em>d</em> = 0.80) and anxiety (<em>d</em> = 0.65) from pre- to post-intervention, with effects maintained at follow-up. Participation in the intervention was significantly associated with increased engagement in adaptive behaviors (<em>d</em> = 0.61), which, in turn, was linked to greater symptom improvement. Preliminary findings support the feasibility, acceptability and potential effectiveness of the TYD intervention as an accessible, ultra-brief unguided online intervention for anxiety and depression that may be valuable for some individuals seeking services from an online mental health clinic. Future research should explore its efficacy compared to control conditions among diverse populations and tailoring of content to participants.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100852"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of co-design with young people for digital mental health support development: A systematic review","authors":"Órla McGovern,&nbsp;Shauna Glennon,&nbsp;Isobel Walsh,&nbsp;Pamela Gallagher,&nbsp;Darragh McCashin","doi":"10.1016/j.invent.2025.100835","DOIUrl":"10.1016/j.invent.2025.100835","url":null,"abstract":"<div><div>Co-design methods offer an opportunity to meaningfully involve young people in research to ensure that designed supports are useable and responsive to their needs. However, how co-design is currently being applied with young people in the digital mental health field is unclear. This review aimed to critically synthesise the use of co-design with young people to design or modify digital mental health interventions and supports. Six databases were searched for empirical papers published in English from 2012 onwards. Papers were included if they reported on young people aged up to 25 years of age who were involved in the co-design of an online mental health intervention or support. A narrative synthesis of 30 papers meeting these specific criteria was completed. The results highlighted an interchangeable and inconsistent terminology used to described co-design and related approaches across papers. The level of inclusion of young people varied and there was a lack of consideration for power dynamics. Future research should aim to establish a clear and consistent definition and terminology for co-design along with a rigorous gold-standard framework for reporting co-design in order to ensure the process is being carried out in line with its original purpose. Implications for research and practice in the youth co-design field are discussed.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100835"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144185244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A culturally adapted mobile cognitive behavioral therapy for individuals with Hepatitis B on depression, anxiety and stress: A pilot randomized controlled trial","authors":"Chao Kei Lao ,&nbsp;Xi Wang ,&nbsp;Xinyi Li ,&nbsp;Zhongqing Wang ,&nbsp;Guangyu Zhou","doi":"10.1016/j.invent.2025.100862","DOIUrl":"10.1016/j.invent.2025.100862","url":null,"abstract":"<div><div>Hepatitis B Virus (HBV) is a major global public health concern, with chronic infection affecting physical, psychological, social and work functioning, often leading to depression, anxiety, and stress. However, tailored online psychological interventions remain limited. This pilot randomized controlled trial aimed to evaluate the feasibility, acceptability and efficacy of a culturally-adapted four-week mobile cognitive-behavioral intervention for reducing depression, anxiety, and stress levels among individuals with HBV in China. Thirty-seven HBV-positive participants (age 18–65) with moderate to severe depression, anxiety or stress were recruited through an online platform. Participants were randomly assigned to an intervention group (<em>n</em> = 19) or waitlist control (<em>n</em> = 18). The intervention included animated psychoeducation, interactive exercises, and weekly feedback from trained clinical psychology graduates. Primary outcomes—depression, anxiety, and stress—were assessed weekly (T0–T4), while secondary outcomes—fatigue, cognitive flexibility, and post-traumatic stress—were measured at baseline (T0) and post-intervention (T4). Results showed that the intervention was feasible, with no serious adverse events reported. Participants in the intervention group completed an average of 43.2 % of the program and reported high satisfaction with it. Intention-to-treat repeated-measures ANOVA indicated significant improvements in depression and anxiety for both groups but found no significant differences between groups in primary or secondary psychological outcomes. This pilot study underscores the need to refine intervention content and delivery methods. Larger trials are needed to evaluate the efficacy of online psychological interventions for individuals with HBV and to explore strategies for enhancing engagement and adherence.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100862"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144606122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptability and efficacy of a smartphone application intervention for mental health care based on interpersonal psychotherapy for improving depression symptoms in prenatal women: Protocol for a randomized controlled trial","authors":"Yuko Toshishige ,&nbsp;Natsumi Chatani ,&nbsp;Shiori Kawasaki ,&nbsp;Shinobu Goto ,&nbsp;Yuki Yoshida ,&nbsp;Yusaku Takahashi ,&nbsp;Misaki Shimasaki ,&nbsp;Takuya Okami ,&nbsp;Gaku Sakaguchi ,&nbsp;Toshiaki A. Furukawa ,&nbsp;Hiroko Mizushima ,&nbsp;Tatsuo Akechi","doi":"10.1016/j.invent.2025.100838","DOIUrl":"10.1016/j.invent.2025.100838","url":null,"abstract":"<div><h3>Background</h3><div>Perinatal depression is a predominant and serious condition that adversely affects prenatal and postpartum women and their children. Prenatal depression is a notable predictor of postpartum depression, highlighting the need for mental health care during pregnancy. Therefore, we developed an innovative smartphone application based on interpersonal psychotherapy (IPT) to improve depressive symptoms in women in the perinatal period (i.e., from pregnancy through the first year postpartum). Here, we present a randomized controlled trial (RCT) protocol to investigate the potential of this intervention for prenatal women.</div></div><div><h3>Methods</h3><div>This study is an 8-week, open-label, parallel-group, stratified block RCT. In total, 350 primiparous women were randomly assigned to the intervention group—combining the smartphone application for mental health care based on IPT and care as usual—and the control group, with only care as usual. The women assigned to the intervention were encouraged to use the application for approximately 5–10 min daily. The primary outcomes included the proportion of participants with moderate-to-high satisfaction (scoring ≥17 on the 8-item Client Satisfaction Questionnaire) and changes in depressive symptoms measured by the Patient Health Questionnaire-9 from baseline to the end of the 8-week intervention.</div></div><div><h3>Discussion</h3><div>To our knowledge, this RCT is the first to investigate the acceptability and efficacy of an IPT-based smartphone application for reducing depressive symptoms in prenatal women. If successful, the findings will contribute to the growing evidence supporting digital mental health interventions during pregnancy, offering a scalable and accessible solution for prenatal mental health care.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100838"},"PeriodicalIF":4.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144892900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sine of the times: Can sinusoidal waves model changes in the therapeutic alliance over time?","authors":"Jonathan G. Shalom ,&nbsp;Maya Korem ,&nbsp;Asher Y. Strauss ,&nbsp;Jonathan D. Huppert ,&nbsp;Gerhard Andersson ,&nbsp;Idan M. Aderka","doi":"10.1016/j.invent.2025.100845","DOIUrl":"10.1016/j.invent.2025.100845","url":null,"abstract":"<div><div>The present study examined the association between the therapeutic alliance and social anxiety symptoms during internet-delivered cognitive behavior therapy (ICBT) for social anxiety disorder (SAD). We examined 162 individuals diagnosed with SAD who underwent therapist-assisted ICBT and completed measures of the therapeutic alliance weekly during a randomized controlled trial. We used a novel modeling strategy and modeled changes in the therapeutic alliance over time using sinusoidal models. We found that a model that incorporated both a linear component and a sinusoidal component (<em>r</em>² = 0.72), explained significantly more variance than models using only linear (<em>r</em>² = 0.42) or only sinusoidal (<em>r</em>² = 0.41) components. We also found that higher average levels of the alliance as well as greater increases in the therapeutic alliance during treatment were associated with greater reductions in social anxiety during treatment. Finally, we found that greater fluctuations around the slope of alliance were associated with greater reductions in social anxiety during treatment (above and beyond average alliance and increases in alliance). Considering fluctuations around a linear slope may be a useful model for the ups and downs experienced in the therapeutic alliance over the course of therapy. Fluctuations in alliance may not be a sign of negative processes, but could potentially indicate a healthy ebb and flow of the alliance that is predictive of better outcomes.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100845"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of digital interventions for eight mental disorders: A meta-analytic synthesis","authors":"Mathias Harrer ,&nbsp;Clara Miguel ,&nbsp;Lingyao Tong ,&nbsp;Paula Kuper ,&nbsp;Antonia A. Sprenger ,&nbsp;Yuki Furukawa ,&nbsp;Yingying Wang ,&nbsp;Wouter van Ballegooijen ,&nbsp;Marketa Ciharova ,&nbsp;Olga M. Panagiotopoulou ,&nbsp;Ioana Cristea ,&nbsp;Jessica L. Hamblen ,&nbsp;Paula P. Schnurr ,&nbsp;Heleen Riper ,&nbsp;Marit Sijbrandij ,&nbsp;Eirini Karyotaki ,&nbsp;Annemieke van Straten ,&nbsp;Toshi A. Furukawa ,&nbsp;Davide Papola ,&nbsp;Stefan Leucht ,&nbsp;Pim Cuijpers","doi":"10.1016/j.invent.2025.100860","DOIUrl":"10.1016/j.invent.2025.100860","url":null,"abstract":"<div><h3>Objectives</h3><div>In this unified series of meta-analyses, we integrate the effects of digital interventions in adults with mental disorders compared to inactive controls. We cover eight indications: depressive disorder, insomnia, specific phobias, generalized anxiety, panic, social anxiety, obsessive-compulsive, and posttraumatic stress disorder.</div></div><div><h3>Methods</h3><div>Digital intervention trials in patients with a diagnosed mental disorder (confirmed by clinical interviews) were extracted from the Metapsy living databases for psychological treatments. Standardized meta-analyses were conducted to pool effects for each disorder, as well as separately for guided and unguided treatments. We also examined study dropout rates, conducted meta-regression analyses stratified by disorder, and identified treatments that have since become available as prescribable digital therapeutics in routine care.</div></div><div><h3>Results</h3><div>In total, 168 studies (22,144 patients) were included. Moderate effect sizes were observed for PTSD (<em>g</em> = 0.57), depression (<em>g</em> = 0.62), and obsessive-compulsive disorder (<em>g</em> = 0.68). Large effects emerged for generalized anxiety (<em>g</em> = 0.80), social anxiety (<em>g</em> = 0.84), insomnia (<em>g</em> = 0.94), panic disorder (<em>g</em> = 1.05), and specific phobias (<em>g</em> = 1.18). Pooled study dropout rates were generally moderate (≤20 %), but higher in intervention arms (<em>RR</em> = 1.13–2.66). Trials with low risk of bias and care-as-usual comparisons were limited across indications. We found 16 trials evaluating a prescribable digital therapeutic (<em>g</em> = 0.33–1.60).</div></div><div><h3>Conclusions</h3><div>Digital interventions can be effective across a wide range of diagnosed mental disorders. For some indications, more high-quality trials and comparisons against care-as-usual are needed to confirm the robustness of the effect, particularly for unguided treatments. Digital interventions are increasingly commercialized as prescribable digital therapeutics. Rising industry involvement may present both opportunities and new challenges for the field.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100860"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Internet-based cognitive behavioral therapy for reducing perfectionistic strivings in the Republic of Korea: A randomized controlled trial","authors":"Sanghoon Oh ,&nbsp;Jeong hee Cha ,&nbsp;Jungwon Joo ,&nbsp;Ji Hyung Lee ,&nbsp;Yunna Lee ,&nbsp;Hyung Jun Lee ,&nbsp;Dong Uk Yoon ,&nbsp;Jeonghwan Lee","doi":"10.1016/j.invent.2025.100851","DOIUrl":"10.1016/j.invent.2025.100851","url":null,"abstract":"<div><h3>Background</h3><div>Perfectionistic strivings characterized by excessively high standards, fears of mistakes, and critical self-evaluations can lead to avoidance, worry, procrastination, and self-criticism, negatively impacting mental health. Since individuals with perfectionism are less likely to seek face-to-face therapy, internet-based cognitive behavioral therapy (ICBT) may improve accessibility.</div></div><div><h3>Objectives</h3><div>This study evaluated the effectiveness of an ICBT program specifically designed to reduce perfectionistic strivings.</div></div><div><h3>Methods</h3><div>A total of 101 participants with significant perfectionism were randomly assigned to a 5-week unguided ICBT program or a waiting list control group. Online assessments were conducted at baseline and post-intervention using the Frost Multidimensional Perfectionism Scale (FMPS), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), Perceived Stress Scale (PSS), and Satisfaction with Life Scale (SWLS). Intention-to-treat and completer analyses were performed.</div></div><div><h3>Results</h3><div>Of 101 participants, 62 (61.4 %) completed both assessments. The ICBT group completed an average of 3.71 out of 5 modules, with 58.8 % completing all. Compared to the control group, the ICBT group showed significant reductions in perfectionistic strivings (FMPS Concern over Mistakes: <em>d</em> = −0.65, 95 % CI [−1.05, −0.25]), anxiety (GAD-7: <em>d</em> = −0.42, 95 % CI [−0.83, −0.01]), and increased life satisfaction (SWLS: <em>d</em> = 0.62, 95 % CI [0.20, 1.03]).</div></div><div><h3>Conclusions</h3><div>The ICBT program effectively reduced perfectionistic strivings and related symptoms, highlighting its potential as a scalable and accessible intervention. Further studies are warranted to directly compare ICBT with traditional face-to-face CBT and assess the durability of treatment effects.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100851"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial intelligence vs. human expert: Licensed mental health clinicians' blinded evaluation of AI-generated and expert psychological advice on quality, empathy, and perceived authorship","authors":"Ludwig Franke Föyen ,&nbsp;Emma Zapel ,&nbsp;Mats Lekander ,&nbsp;Erik Hedman-Lagerlöf ,&nbsp;Elin Lindsäter","doi":"10.1016/j.invent.2025.100841","DOIUrl":"10.1016/j.invent.2025.100841","url":null,"abstract":"<div><h3>Background</h3><div>The use of artificial intelligence for psychological advice shows promise for enhancing accessibility and reducing costs, but it remains unclear whether AI-generated advice can match the quality and empathy of experts.</div></div><div><h3>Method</h3><div>In a blinded, comparative cross-sectional design, licensed psychologists and psychotherapists assessed the quality, empathy, and authorship of psychological advice, which was either AI-generated or authored by experts.</div></div><div><h3>Results</h3><div>AI-generated responses were rated significantly more favorable for emotional (OR = 1.79, 95 % CI [1.1, 2.93], <em>p</em> = .02) and motivational empathy (OR = 1.84, 95 % CI [1.12, 3.04], <em>p</em> = .02). Ratings for scientific quality (<em>p</em> = .10) and cognitive empathy (<em>p</em> = .08) were comparable to expert advice. Participants could not distinguish between AI- and expert-authored advice (<em>p</em> = .27), but <em>perceived</em> expert authorship was associated with more favorable ratings across these measures (ORs for perceived AI vs. perceived expert ranging from 0.03 to 0.15, all <em>p</em> &lt; .001). For overall preference, AI-authored advice was favored when assessed blindly based on its actual source (<em>β</em> = 6.96, <em>p</em> = .002). Nevertheless, advice <em>perceived</em> as expert-authored was also strongly preferred (<em>β</em> = 6.26, <em>p</em> = .001), with 93.55 % of participants preferring the advice they believed came from an expert, irrespective of its true origin.</div></div><div><h3>Conclusions</h3><div>AI demonstrates potential to match expert performance in asynchronous written psychological advice, but biases favoring perceived expert authorship may hinder its broader acceptance. Mitigating these biases and evaluating AI's trustworthiness and empathy are important next steps for safe and effective integration of AI in clinical practice.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100841"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144204873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intervention effects and mechanisms of online single session therapy on test anxiety in university students: A randomized controlled trial","authors":"Liying Chen ,&nbsp;Jiani Yan ,&nbsp;Low Teck Keong ,&nbsp;Ya Zhang","doi":"10.1016/j.invent.2025.100839","DOIUrl":"10.1016/j.invent.2025.100839","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to develop an online Single-Session Therapy (SST) intervention program for test anxiety and explore the intervention effects and mechanisms underlying the effectiveness of this SST program for university students experiencing test anxiety, utilizing a randomized controlled trial.</div></div><div><h3>Methods</h3><div>Sixteen psychological counselors and 57 university students with test anxiety were recruited through online platforms. The student participants were randomly assigned to either the online SST intervention group or the control group. Both groups completed scale assessments on the day before the intervention, the day of the intervention, and on days 4, 7, and 10 after the intervention.</div></div><div><h3>Results</h3><div>Online SST effectively alleviated college students' test anxiety. In addition, SST also increased students' self-compassion levels, and self-compassion mediated the relationship between SST and test anxiety; meanwhile, counseling style preference matching significantly increased students' self-compassion levels, but did not positively affect their test anxiety levels.</div></div><div><h3>Conclusion</h3><div>The online SST intervention targeting test anxiety effectively improves self-compassion and reduces test anxiety among university students. However, further research is needed to compare the advantages of SST with conventional counseling programs and to explore the mechanisms underlying counseling style preference matching.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100839"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144262875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}