Oliveira Cláudia, Pacheco Mara, Borges Janete, Meira Liliana, Santos Anita
University of Maia, Av. Carlos Oliveira Campos, 4475-690 Maia, Portugal.
Center for Psychology at University of Porto, 4200-135 Porto, Portugal.
Internet Interv. 2023 Feb 22;31:100609. doi: 10.1016/j.invent.2023.100609. eCollection 2023 Mar.
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 ( = 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 . The results indicated that ICBT had a significant and positive effect on university students with anxiety compared to controls at post-test ( = -0.48; 95 % CI: -0.63, -0.27; < .001, = 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.
大学时光充满了多种压力源。因此，大学生经常报告有焦虑症状或焦虑症，但大多数人仍未得到治疗。互联网认知行为疗法（ICBT）已被提议作为一种替代方法，以解决已知的寻求帮助的障碍，这些障碍在新冠疫情期间更加严重。这项荟萃分析旨在评估ICBT对焦虑大学生的疗效。我们对三个数据库EBSCOhost、PubMed和Web of Science进行了系统检索，并进行了手工检索。共确定了15项研究，包括1619名参与者。七项研究评估了ICBT对焦虑和抑郁的治疗效果，三项评估了对社交焦虑的治疗效果，两项评估了对广泛性焦虑的治疗效果，而其余三项（n = 3）仅针对焦虑、考试焦虑以及焦虑与失眠的共病情况。使用R语言中的metafor软件包基于随机效应模型进行分析。结果表明，与对照组相比，ICBT在测试后对焦虑大学生有显著的积极影响（g = -0.48；95% CI：-0.63，-0.27；p <.001，I² = 67.30%）。然而，还需要更多的研究来确定与治疗改变更相关的干预成分、产生更好效果需要多少指导以及如何提高患者的参与度。
