Impact of Internet-Based Cognitive Behavioral Therapy on University Students' Mental Health and Loneliness During COVID-19 Self-Isolation.

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 t...

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Publicado en:International Journal of Nursing Education Vol. 17; no. 3; pp. 58 - 67
Autor principal: Ohue, Takashi
Formato: clinical trial research tables/charts Journal Article
Publicado: Institute of Medico-legal publications Pvt Ltd Jul-Sep2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul-Sep2025
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        atl: Impact of Internet-Based Cognitive Behavioral Therapy on University Students' Mental Health and Loneliness During COVID-19 Self-Isolation.
      aug:
        au: Ohue, Takashi
        affil: Graduate School of Health Sciences and Faculty of Health Sciences, Okayama university, Japan
      sug:
        subj:
          Cognitive Therapy Methods
          Internet-Based Intervention
          Students, College Psychosocial Factors
          Mental Health Evaluation
          Loneliness Prevention and Control
          COVID-19 Pandemic
          Social Isolation
          Treatment Outcomes Evaluation
          Program Development
          Mental Disorders Prevention and Control
          Human
          Male
          Female
          Adolescence
          Young Adult
          Psychoeducation
          Audiovisual Production
          Psychological Tests
          Depression
          Anxiety
          Clinical Trials
          Random Assignment
          Behavioral Symptoms
          Pretest-Posttest Design
          Questionnaires
          Student Attitudes
          T-Tests
          Analysis of Covariance
          Post Hoc Analysis
          Comparative Studies
          Descriptive Statistics
          Learning
          Motivation
          Funding Source
          Scales
          Adolescent: 13-18 years
          Male
          Female
      ab: 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. Results: 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.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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