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Self-help cognitive behavioral therapy application for COVID-19-related mental health problems: A longitudinal trial.
Song, Jiaqi; Jiang, Ronghuan; Chen, Nan; Qu, Wei; Liu, Dan; Zhang, Meng; Fan, Hongzhen; Zhao, Yanli; Tan, Shuping.
  • Song J; Peking University HuiLongGuan Clinical Medical School, Beijing HuiLongGuan Hospital, Beijing, 100096, China.
  • Jiang R; The First Medical Center of Chinese People's Liberation Army General Hospital, No.100 West Fourth Ring Road, Fengtai District, Beijing, 100853, China. Electronic address: jiangrh55@126.com.
  • Chen N; Peking University HuiLongGuan Clinical Medical School, Beijing HuiLongGuan Hospital, Beijing, 100096, China.
  • Qu W; Peking University HuiLongGuan Clinical Medical School, Beijing HuiLongGuan Hospital, Beijing, 100096, China.
  • Liu D; Peking University HuiLongGuan Clinical Medical School, Beijing HuiLongGuan Hospital, Beijing, 100096, China.
  • Zhang M; Peking University HuiLongGuan Clinical Medical School, Beijing HuiLongGuan Hospital, Beijing, 100096, China.
  • Fan H; Peking University HuiLongGuan Clinical Medical School, Beijing HuiLongGuan Hospital, Beijing, 100096, China.
  • Zhao Y; Peking University HuiLongGuan Clinical Medical School, Beijing HuiLongGuan Hospital, Beijing, 100096, China.
  • Tan S; Peking University HuiLongGuan Clinical Medical School, Beijing HuiLongGuan Hospital, Beijing, 100096, China. Electronic address: shupingtan@126.com.
Asian J Psychiatr ; 60: 102656, 2021 Jun.
Article in English | MEDLINE | ID: covidwho-1184783
ABSTRACT
BACKGROUND AND

AIM:

Recently, the availability and usefulness of mobile self-help mental health applications have increased, but few applications deal with COVID-19-related psychological problems. This study explored the intervention efficacy of a mobile application on addressing psychological problems related to COVID-19.

METHODS:

A longitudinal control trial involving 129 Chinese participants with depression symptoms was conducted through the mobile application "Care for Your Mental Health and Sleep during COVID-19" (CMSC) based on WeChat. Participants were divided into two groups mobile internet cognitive behavioral therapy (MiCBT) and wait-list. The primary outcome was improvement in depression symptoms. Secondary outcomes included improvement in anxiety and insomnia. The MiCBT group received three self-help CBT intervention sessions in one week via CMSC.

RESULTS:

The MiCBT group showed significant improvement in depression and insomnia (allP < 0.05) compared with the wait-list group. Although both groups showed significant improvement in anxiety at the intervention's end, compared with the wait-list group, the MiCBT group had no significant advantage. Correlation analysis showed that improvement in depression and anxiety had a significant positive association with education level. Changes in insomnia were significantly negatively correlated with anxiety of COVID-19 at the baseline. CMSC was considered helpful (n=68, 81.9 %) and enjoyable (n=54, 65.9 %) in relieving depression and insomnia during the COVID-19 outbreak.

CONCLUSIONS:

CMSC is verified to be effective and convenient for improving COVID-19-related depression and insomnia symptoms. A large study with sufficient evidence is required to determine its continuous effect on reducing mental health problems during the pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Cognitive Behavioral Therapy / Depression / COVID-19 / Sleep Initiation and Maintenance Disorders Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Female / Humans / Male Language: English Journal: Asian J Psychiatr Year: 2021 Document Type: Article Affiliation country: J.ajp.2021.102656

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Cognitive Behavioral Therapy / Depression / COVID-19 / Sleep Initiation and Maintenance Disorders Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Female / Humans / Male Language: English Journal: Asian J Psychiatr Year: 2021 Document Type: Article Affiliation country: J.ajp.2021.102656