网络单次治疗对大学生考试焦虑的干预效果及机制：一项随机对照试验

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Pub Date : 2025-06-12 DOI:10.1016/j.invent.2025.100839

Liying Chen , Jiani Yan , Low Teck Keong , Ya Zhang

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引用次数: 0

摘要

目的采用随机对照试验的方法，建立在线单次治疗（SST）对大学生考试焦虑的干预方案，探讨该方案对大学生考试焦虑的干预效果及其机制。方法通过网络平台招募心理咨询师16名、考试焦虑大学生57名。学生参与者被随机分配到在线SST干预组或对照组。两组均于干预前一天、干预当天及干预后第4、7、10天完成量表评估。结果在线SST有效缓解了大学生的考试焦虑。此外，SST还提高了学生的自我同情水平，自我同情在SST与考试焦虑的关系中起中介作用；同时，咨询风格偏好匹配显著提高了学生的自我同情水平，但对考试焦虑水平没有显著影响。结论针对考试焦虑的在线SST干预能有效提高大学生的自我同情，减轻考试焦虑。然而，需要进一步的研究来比较SST与传统咨询方案的优势，并探索咨询风格偏好匹配的机制。

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Intervention effects and mechanisms of online single session therapy on test anxiety in university students: A randomized controlled trial

Objective

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.

Methods

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.

Results

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.

Conclusion

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.

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来源期刊

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Medicine-Health Informatics

CiteScore

6.50

自引率

9.30%

发文量

审稿时长

6 weeks

期刊介绍： Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions