Internet interventions · 2026
The efficacy of a culturally adapted iCBT program on depression among Chinese emerging adults: A randomized controlled trial.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Li Wanjun, Huang Jingjing, Song Chao, Jing Danying, Fu Zhongfang, Wang Jianping
Аннотация
BACKGROUND: Depression is a prevalent mental health problem among young adults, with wide-ranging negative consequences. Digital psychological interventions can help address the mental health service gap; however, culturally adapted programs remain scarce. This study evaluated the efficacy of an internet-based cognitive behavioral therapy (iCBT) program, adapted to the Chinese university context, in alleviating depression and anxiety among college students.
METHODS: A three-arm randomized controlled trial was conducted with 504 university students with mild to moderate depression, who were randomly assigned to an intervention group, an active control group, or a waitlist control group. Depression and anxiety symptoms were assessed using the Beck Depression Inventory-II (BDI-II) and the Generalized Anxiety Disorder-7 (GAD-7).
RESULTS: Compared with the waitlist control, the intervention group demonstrated greater reductions in depression (Cohen's d = 0.42) and anxiety (Cohen's d = 0.34) at post-treatment. These effects were maintained at the one-month follow-up (Cohen's d = 0.60). At follow-up, the active control group also showed greater improvements than the waitlist control (depression, Cohen's d = 0.48; anxiety, Cohen's d = 0.55). Positive attitudes toward iCBT were associated with better outcomes, indicating a moderating effect.
CONCLUSIONS: The culturally adapted iCBT program demonstrated significant efficacy in reducing depression and anxiety among Chinese university students and offered a cost-effective alternative to local mental health resources. Alongside the active control condition, both approaches showed promising potential to support students in coping with depression.Trial Registration: ChiCTR2500104856.
METHODS: A three-arm randomized controlled trial was conducted with 504 university students with mild to moderate depression, who were randomly assigned to an intervention group, an active control group, or a waitlist control group. Depression and anxiety symptoms were assessed using the Beck Depression Inventory-II (BDI-II) and the Generalized Anxiety Disorder-7 (GAD-7).
RESULTS: Compared with the waitlist control, the intervention group demonstrated greater reductions in depression (Cohen's d = 0.42) and anxiety (Cohen's d = 0.34) at post-treatment. These effects were maintained at the one-month follow-up (Cohen's d = 0.60). At follow-up, the active control group also showed greater improvements than the waitlist control (depression, Cohen's d = 0.48; anxiety, Cohen's d = 0.55). Positive attitudes toward iCBT were associated with better outcomes, indicating a moderating effect.
CONCLUSIONS: The culturally adapted iCBT program demonstrated significant efficacy in reducing depression and anxiety among Chinese university students and offered a cost-effective alternative to local mental health resources. Alongside the active control condition, both approaches showed promising potential to support students in coping with depression.Trial Registration: ChiCTR2500104856.