Archives of psychiatric nursing · 2026
The effect of psychoeducation program coping with social phobia on social phobia and general self-efficacy in university students.
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Durar Erkan, Kaya Soylu Fadime
Аннотация
BACKGROUND: Social phobia is a significant mental health concern among university students, particularly those enrolled in health vocational programs, where proficiency in communication skills is crucial. There is a pressing need for scalable and accessible interventions to mitigate social anxiety and enhance students' self-efficacy. Aim This study assessed the efficacy of an online cognitive-behavioral psychoeducation program, Coping with Social Phobia (CSP), in addressing social phobia symptoms and enhancing general self-efficacy among university students.
DESIGN: An experimental pretest-posttest follow-up control group design was employed.
METHOD: We screened 158 sophomore students enrolled in the Elderly Care and Patient Care at Home programs at a state university in eastern Türkiye during the 2020-2021 academic year. A total of 56 students completed the study (experimental group, n = 28; control group, n = 28). The experimental group participated in a 12-week online SPC program consisting of 90-min sessions per week, whereas the control group did not receive any intervention. Nonparametric tests were used for data analysis, with a significance level of p < .05.
RESULTS: The experimental group showed a statistically significant reduction in total social phobia, fear, and avoidance scores across all measurement points, with follow-up scores lower than pretest and posttest scores (p < .05). Conversely, the control group exhibited no significant change in total social phobia scores, and fear and avoidance increased at follow-up (p < .05). Although changes in self-efficacy within groups were not statistically significant, the follow-up General Self-Efficacy Scale (GSES) scores were higher in the experimental group than in the control group (p < .05).
CONCLUSION: The online cognitive-behavioral CSP program was effective in reducing social phobia symptoms and showed potential for enhancing self-efficacy among vocational health students.
DESIGN: An experimental pretest-posttest follow-up control group design was employed.
METHOD: We screened 158 sophomore students enrolled in the Elderly Care and Patient Care at Home programs at a state university in eastern Türkiye during the 2020-2021 academic year. A total of 56 students completed the study (experimental group, n = 28; control group, n = 28). The experimental group participated in a 12-week online SPC program consisting of 90-min sessions per week, whereas the control group did not receive any intervention. Nonparametric tests were used for data analysis, with a significance level of p < .05.
RESULTS: The experimental group showed a statistically significant reduction in total social phobia, fear, and avoidance scores across all measurement points, with follow-up scores lower than pretest and posttest scores (p < .05). Conversely, the control group exhibited no significant change in total social phobia scores, and fear and avoidance increased at follow-up (p < .05). Although changes in self-efficacy within groups were not statistically significant, the follow-up General Self-Efficacy Scale (GSES) scores were higher in the experimental group than in the control group (p < .05).
CONCLUSION: The online cognitive-behavioral CSP program was effective in reducing social phobia symptoms and showed potential for enhancing self-efficacy among vocational health students.