Background: Anxiety and depression are common among university students, and university counseling centers are under pressure to develop effective, novel, and sustainable interventions that engage and retain students. Group interventions delivered via the internet could be a novel and effective way to promote student mental health. Objective: We conducted a pragmatic open trial to investigate the uptake, retention, treatment response, and level of satisfaction with a remote group cognitive behavioral therapy intervention designed to reduce symptoms of anxiety and depression delivered on the web to university students during the COVID-19 pandemic. Methods: Preintervention and postintervention self-reported data on anxiety and depression were collected using the Generalized Anxiety Disorder-7 and Patient Health Questionnaire-9. Satisfaction was assessed postintervention using the Client Satisfaction with Treatment Questionnaire. Results: A total of 175 students were enrolled, 158 (90.3%) of whom initiated treatment. Among those initiating treatment, 86.1% (135/158) identified as female, and the mean age was 22.4 (SD 4.9) years. The mean number of sessions attended was 6.4 (SD 2.8) out of 10. Among participants with clinically significant symptoms at baseline, mean symptom scores decreased significantly for anxiety (t₅₆=11.6; P<.001), depression (t₆₁=7.8; P<.001), and composite anxiety and depression (t₆₀=10.7; P<.001), with large effect sizes (d=1-1.5). Remission rates among participants with clinically significant baseline symptoms were 67.7%-78.9% and were not associated with baseline symptom severity. High overall levels of satisfaction with treatment were reported. Conclusions: The results of this study serve as a proof of concept for the use of web-based group cognitive behavioral therapy to promote the mental health of university students.

中文翻译：

---

基于网络的大学生焦虑和抑郁症状的集体认知行为疗法干预：开放标签，语用试验

背景：焦虑和抑郁在大学生中很普遍，大学咨询中心正面临着开发有效，新颖和可持续的干预措施以吸引和留住学生的压力。通过互联网进行的集体干预可能是促进学生心理健康的一种新颖而有效的方法。目的：我们进行了一项务实的开放试验，以调查远程集体认知行为治疗干预措施的吸收，保留，治疗反应和满意度，该干预措施旨在减少在COVID-19期间通过网络传递给大学生的焦虑和抑郁症状大流行病。方法：干预前和干预后关于焦虑和抑郁的自我报告数据是使用广义焦虑症7和患者健康问卷9收集的。干预后的满意度通过使用患者对治疗问卷的满意度进行评估。结果：总共招募了175名学生，其中158名（90.3％）开始了治疗。在开始治疗的患者中，86.1％（135/158）被确定为女性，平均年龄为22.4（SD 4.9）岁。参加会议的平均次数为6.4（SD 2.8），共10场。在基线时具有临床显着症状的参与者中，焦虑的平均症状评分显着降低（t ₅₆ = 11.6; P <.001），抑郁（t ₆₁ = 7.8） ；P<0.001），以及复合性焦虑和抑郁（t ₆₀ = 10.7；P <.001），且影响大小大（d = 1-1.5）。具有临床显着基线症状的参与者的缓解率是67.7％-78.9％，并且与基线症状的严重程度无关。据报告对治疗的总体满意度很高。结论：这项研究的结果可作为基于网络的团体认知行为疗法促进大学生心理健康的概念证明。