Impact of Internet-Based Cognitive Behavioral Therapy on University Students’ Mental Health and Loneliness During COVID-19 Self-Isolation
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Abstract
Background: This study examined the effectiveness of an internet-based cognitive behavior therapy (iCBT) in alleviating loneliness and mental health issues in university students during the COVID-19 pandemic. Methods: An iCBT program was developed and implemented with 186 students from August 2020 to February 2021. It included a 30-minute psychoeducation video created on YouTube and the column method to assess cognitive restructuring. The participants completed five columns over seven days using the university’s academic information system. The evaluation tools included PHQ-9, GAD-7, and UCLA Loneliness Scale for depression, anxiety, and loneliness, respectively, and IES-R scales measuring decreases in academic and class motivation. The participants were randomly assigned to the intervention group and the control groups. Re-sults: The intervention group showed significantly lower scores than the control group in "Intrusion symptoms," "Avoidance symptoms," "Hyper-arousal," "PTSD," "depression," "anxiety," and "loneliness." Additionally, significant improvements were observed in the intervention group's "depression," "loneliness," and "decreased learning motivation," including "decline in class motivation" and "total decline in learning motivation" after the intervention. Conclusion: These results demonstrated that the iCBT intervention effectively reduced loneliness, PTSD symptoms, depression, and anxiety, and also enhanced learning motivation. Thus, iCBT may effectively alleviate loneliness and mental health issues associated with self-isolation during pandemics.
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World Health Organization. Coronavirus disease (COVID-19) pandemic [Internet]. 2020. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, Zheng J. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020;287:112934. doi: 10.1016/j.psychres.2020.112934.
Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J En-viron Res Public Health. 2020;17(5):1729. doi: 10.3390/ijerph17051729.
Son C, Hegde S, Smith A, Wang X, Sasangohar F. Effects of COVID-19 on college students' mental health in the United States: Interview survey study. J Med Internet Res. 2020;22(9):e21279.
Elmer T, Mepham K, Stadtfeld C. Students under lockdown: Comparisons of students' social networks and mental health before and during the COVID-19 crisis in Switzerland. PLoS One. 2020;15(7):e0236337.
Takahashi A, Kitagawa S, Sasaki T, et al. The impact of the COVID-19 pandemic on the mental health of university students. Ment Health Nurs. 2021;29(2):85–92.
Oe M. Loneliness and learning motivation in university students during the COVID-19 pandemic. Jpn J Educ Psychol. 2024;72(1):1-10.
Masuda Y, Takahashi T, Hiraoka R, et al. A study on stress and psychological health of nursing students during the COVID-19 pandemic. J Jpn Nurs Univ. 2021;44(1):37–45.
Ochiai Y. The structure of loneliness in adolescence. Tokyo: Kazama Shobo; 1989.
Masi CM, Chen HY, Hawkley LC, Cacioppo JT. A meta-analysis of interventions to reduce loneliness. Pers Soc Psychol Rev. 2011;15(3):219-66.
Seewer N, Skoko A, Käll A, Andersson G, Berger T, Krieger T. Predictors and moderators of outcome of ICBT for lone-liness with guidance or automated messages - A secondary analysis of a randomized controlled trial. Internet Interv. 2023;35:100701. doi: 10.1016/j.invent.2023.100701.
Zhou T, Li X, Pei Y, Gao J, Kong J. Internet-based cognitive behavioral therapy for subthreshold depression: A systematic review and meta-analysis. BMC Psychiatry. 2016;16(1):356. doi: 10.1186/s12888-016-1061-9.
Kobayashi K, Yamada T, Fujii Y. Prospects of cognitive behavioral therapy using computers and the Internet. Bull Meisei Univ Psychol. 2019; 37:25–32.
Burns DD. How to find a wonderful partner using cognitive behavioral therapy: Overcoming loneliness, shyness, and sexual anxiety – Learning from Dr. Burns. Hayashi T, translator. Tokyo: Seiwa Shoten; 2016.
Noguchi R, Sekizawa Y, Mune M, Yamaguchi S, Shimizu E. Do five-minute online cognitive behavioral therapy and mindfulness exercises for accepting emotions alleviate depressive symptoms? Verification by a randomized controlled trial. RIETI Discussion Paper Series. 2016;16-J-013. Available from: https://www.rieti.go.jp/jp/publications/dp/16j013.pdf.
Russell D, Peplau LA, Ferguson ML. Developing a measure of loneliness. J Pers Assess. 1978;42(3):290–294. doi: 10.1207/s15327752jpa4203_11.
Shimoyama H. A study on the enervation of male university students. Jpn J Educ Psychol. 1995;43:145–155.
Tokyo Metropolitan Institute of Medical Science. PTSD symptom evaluation scale [Internet]. 2014. Available from: https://mentalhealth-unit.jp/research/ptsd.
Ohue T. Impact of self-restraint by COVID-19 pandemic on mental health in university students-COVID-19 cross-sectional survey during the second wave in Japan. Hyogo Univ J. 2024; 30:157–166.
Ohue T. Impact of COVID-19 Pandemic Self-restraint on College Students' Mental Health: A Longitudinal Survey of the Second and Third Waves. Int J Nurs Educ. 2024;16(4):56-63.
Adachi Y, Yoshikawa H, Fujiwara T, Fujiwara H. The impact of the COVID-19 pandemic on university students: Realities and changes as seen from health survey questionnaires. Campus Health. 2021;58(2):190–196.
Worsley JD, Pennington A, Corcoran R. Supporting mental health and wellbeing of university and college students: A systematic review of review-level evidence of interventions. PLoS One. 2022;17(7):e0266725. doi: 10.1371/journal.pone.0266725.
Valeri L, Amsalem D, Jankowski S, Susser E, Dixon L. Effectiveness of a video-based intervention on reducing percep-tions of fear, loneliness, and public stigma related to COVID-19: A randomized controlled trial. Int J Public Health. 2021;66:1604164. doi: 10.3389/ijph.2021.1604164.