Internet-delivered cognitive behavioral therapy for anxiety among university students: A systematic review and meta-analysis
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.24/2203 |
Resumo: | University years are marked by multiple stressors. Consequently, university students often report anxiety symptoms or disorders, but most remain untreated. Internet-delivered cognitive behavioral therapy (ICBT) has been proposed as an alternative to address known help-seeking barriers, which were aggravated during the COVID-19 pandemic. This meta-analysis aims to evaluate the efficacy of ICBT for university students with anxiety. A systematic search on three databases, EBSCOhost, PubMed, and Web of Science, and a manual search were performed. Fifteen studies were identified, including a total of 1619 participants. Seven studies evaluated ICBT treatment for both anxiety and depression, three for social anxiety, two for generalized anxiety, while the remaining (k = 3) only targeted anxiety, test anxiety, and comorbidity between anxiety and insomnia. Analyses were performed based on a random-effects model using the metafor package in R. The results indicated that ICBT had a significant and positive effect on university students with anxiety compared to controls at post-test (g = 0.48; 95 % CI: 0.63, 0.27; p < .001, I2 = 67.30 %). Nevertheless, more research is required to determine the intervention components that are more relevant for therapeutic change, how much guidance is required to produce better outcomes, and how patient engagement can be improved. |
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Internet-delivered cognitive behavioral therapy for anxiety among university students: A systematic review and meta-analysisInternet-delivered cognitive behavioral therapyICBTInternet interventionsAnxietyUniversity studentsUniversity years are marked by multiple stressors. Consequently, university students often report anxiety symptoms or disorders, but most remain untreated. Internet-delivered cognitive behavioral therapy (ICBT) has been proposed as an alternative to address known help-seeking barriers, which were aggravated during the COVID-19 pandemic. This meta-analysis aims to evaluate the efficacy of ICBT for university students with anxiety. A systematic search on three databases, EBSCOhost, PubMed, and Web of Science, and a manual search were performed. Fifteen studies were identified, including a total of 1619 participants. Seven studies evaluated ICBT treatment for both anxiety and depression, three for social anxiety, two for generalized anxiety, while the remaining (k = 3) only targeted anxiety, test anxiety, and comorbidity between anxiety and insomnia. Analyses were performed based on a random-effects model using the metafor package in R. The results indicated that ICBT had a significant and positive effect on university students with anxiety compared to controls at post-test (g = 0.48; 95 % CI: 0.63, 0.27; p < .001, I2 = 67.30 %). Nevertheless, more research is required to determine the intervention components that are more relevant for therapeutic change, how much guidance is required to produce better outcomes, and how patient engagement can be improved.Repositório Científico da UMAIAOliveira, CláudiaPacheco, MaraBorges, JaneteMeira, LilianaSantos, Anita2023-09-20T10:08:59Z20232023-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.24/2203eng10.1016/j.invent.2023.100609info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-09-23T07:14:02Zoai:repositorio.umaia.pt:10400.24/2203Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:30:48.400898Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Internet-delivered cognitive behavioral therapy for anxiety among university students: A systematic review and meta-analysis |
title |
Internet-delivered cognitive behavioral therapy for anxiety among university students: A systematic review and meta-analysis |
spellingShingle |
Internet-delivered cognitive behavioral therapy for anxiety among university students: A systematic review and meta-analysis Oliveira, Cláudia Internet-delivered cognitive behavioral therapy ICBT Internet interventions Anxiety University students |
title_short |
Internet-delivered cognitive behavioral therapy for anxiety among university students: A systematic review and meta-analysis |
title_full |
Internet-delivered cognitive behavioral therapy for anxiety among university students: A systematic review and meta-analysis |
title_fullStr |
Internet-delivered cognitive behavioral therapy for anxiety among university students: A systematic review and meta-analysis |
title_full_unstemmed |
Internet-delivered cognitive behavioral therapy for anxiety among university students: A systematic review and meta-analysis |
title_sort |
Internet-delivered cognitive behavioral therapy for anxiety among university students: A systematic review and meta-analysis |
author |
Oliveira, Cláudia |
author_facet |
Oliveira, Cláudia Pacheco, Mara Borges, Janete Meira, Liliana Santos, Anita |
author_role |
author |
author2 |
Pacheco, Mara Borges, Janete Meira, Liliana Santos, Anita |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Repositório Científico da UMAIA |
dc.contributor.author.fl_str_mv |
Oliveira, Cláudia Pacheco, Mara Borges, Janete Meira, Liliana Santos, Anita |
dc.subject.por.fl_str_mv |
Internet-delivered cognitive behavioral therapy ICBT Internet interventions Anxiety University students |
topic |
Internet-delivered cognitive behavioral therapy ICBT Internet interventions Anxiety University students |
description |
University years are marked by multiple stressors. Consequently, university students often report anxiety symptoms or disorders, but most remain untreated. Internet-delivered cognitive behavioral therapy (ICBT) has been proposed as an alternative to address known help-seeking barriers, which were aggravated during the COVID-19 pandemic. This meta-analysis aims to evaluate the efficacy of ICBT for university students with anxiety. A systematic search on three databases, EBSCOhost, PubMed, and Web of Science, and a manual search were performed. Fifteen studies were identified, including a total of 1619 participants. Seven studies evaluated ICBT treatment for both anxiety and depression, three for social anxiety, two for generalized anxiety, while the remaining (k = 3) only targeted anxiety, test anxiety, and comorbidity between anxiety and insomnia. Analyses were performed based on a random-effects model using the metafor package in R. The results indicated that ICBT had a significant and positive effect on university students with anxiety compared to controls at post-test (g = 0.48; 95 % CI: 0.63, 0.27; p < .001, I2 = 67.30 %). Nevertheless, more research is required to determine the intervention components that are more relevant for therapeutic change, how much guidance is required to produce better outcomes, and how patient engagement can be improved. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-09-20T10:08:59Z 2023 2023-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.24/2203 |
url |
http://hdl.handle.net/10400.24/2203 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.invent.2023.100609 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799133576736800768 |