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Internet-Based Cognitive-Behavior Interventions for University Students: a Systematic Review

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Abstract

Entering university and adapting to the academic universe can be challenging, potentially causing psychological distress and worsening emotional symptoms. Face-to-face interventions with university students are evidenced to improve mental health, but there might be a literature gap about online interventions. The objective of the current systematic review is to describe and analyze studies, conducted with university students, on internet-based cognitive-behavioral therapy (iCBT) in terms of their characteristics and their effects on the mental health of this population. This review was planned and carried out using the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) protocol registered on Open Science Framework (OSF) on February 18, 2022. The databases used were BVSalud, PsycNet, and PubMed. Only empirical scientific articles, published between the years 2017 and 2022, written in Portuguese or English, and conducted only with undergraduate university students were considered for this review. After evaluation, 24 studies were included. This review identifies that iCBT interventions with university students demonstrate efficacy in decreasing depression, anxiety, and stress, as well as in increasing cognitive flexibility in such a population, but adhesion to the programs may vary. Regarding the protocols’ characteristics, most studies’ detail levels (n = 14, 58.33%) were suboptimal, hindering the understanding of the interventions’ effects. Future research will need to investigate not only the differences between synchronous and asynchronous interventions but also what would be the divergence of effects between face to face compared to online programs.

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  1. Psychology Postgraduate Program, University of Rio Dos Sinos Valley (Unisinos), 950, Unisinos Avenue, Cristo Rei, São Leopoldo City, RS, 93020-000, Brazil

    Bianca Ledur, Marina Schmitt, Isadora Rossa & Ilana Andretta

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Ledur, B., Schmitt, M., Rossa, I. et al. Internet-Based Cognitive-Behavior Interventions for University Students: a Systematic Review. Trends in Psychol. (2023). https://doi.org/10.1007/s43076-023-00310-x

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