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This randomized controlled trial [RCT] evaluated the efficacy of a recently developed mHealth programme based on cognitive-behavioral therapy [CBT] principles in improving worry and anxiety. We also examined psychological mindedness [PM] as a mediator by which app engagement is thought to improve outcomes. The Intervention group completed a 2-week \u201cAnxiety and Worry\u201d programme with daily CBT-informed activities, while the active waitlist-control completed a matched 2-week mHealth programme on procrastination. Participants filled out the Generalized Anxiety Disorder [GAD-7], Patient Health Questionnaire [PHQ-9], and Psychological Mindedness Scale [PMS] at baseline, post-intervention, and 2-week follow-up. App engagement was measured at post-intervention only. Contrary to prediction, the Intervention group did not perform better than the Active Control group; both groups showed significant improvements on anxiety and depressive symptoms from baseline to follow-up. From post-intervention to follow-up, only the Intervention group showed further improvements for anxiety symptoms. Higher engagement with the mHealth app predicted lower anxiety and depressive symptoms at follow-up, and this relationship was fully mediated by psychological mindedness. This study provides evidence that [a] engaging in a CBT mHealth programme can reduce anxiety and worry, and [b] Psychological mindedness is a potential pathway by which engaging with a mHealth app improves anxiety and depressive symptoms. While overall effect sizes were small, at the population level, these can make significant contributions to public mental health.<\/jats:p>","DOI":"10.1371\/journal.pdig.0000095","type":"journal-article","created":{"date-parts":[[2023,5,24]],"date-time":"2023-05-24T17:25:52Z","timestamp":1684949152000},"page":"e0000095","update-policy":"https:\/\/doi.org\/10.1371\/journal.pdig.corrections_policy","source":"Crossref","is-referenced-by-count":16,"title":["Efficacy of Intellect\u2019s self-guided anxiety and worry mobile health programme: A randomized controlled trial with an active control and a 2-week follow-up"],"prefix":"10.1371","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9314-5828","authenticated-orcid":true,"given":"Feodora Roxanne","family":"Kosasih","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa Tan Sing","family":"Yee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean Han Yang","family":"Toh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2583-6990","authenticated-orcid":true,"given":"Oliver","family":"S\u00fcndermann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2023,5,24]]},"reference":[{"issue":"2","key":"pdig.0000095.ref001","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/0005-7967(90)90027-G","article-title":"The nature of worry in generalized anxiety disorder: A predominance of thought activity.","volume":"28","author":"TD Borkovec","year":"1990","journal-title":"Behav Res Ther"},{"issue":"1","key":"pdig.0000095.ref002","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.appsy.2011.03.001","article-title":"Worry and the anxiety disorders: A meta-analytic synthesis of specificity to GAD","volume":"14","author":"BO Olatunji","year":"2010","journal-title":"Appl Prev Psychol."},{"key":"pdig.0000095.ref003","unstructured":"Anxiety (Internet). https:\/\/www.apa.org. 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Emot."},{"issue":"3","key":"pdig.0000095.ref007","first-page":"71","article-title":"Anxiety and Depression: Optimizing Treatments","volume":"2","author":"JC Ballenger","year":"2000","journal-title":"Prim Care Companion J Clin Psychiatry"},{"key":"pdig.0000095.ref008","first-page":"141","author":"GM Kapalka","year":"2010"},{"issue":"22","key":"pdig.0000095.ref009","doi-asserted-by":"crossref","first-page":"12022","DOI":"10.3390\/ijerph182212022","article-title":"Anxiety, Depression and Quality of Life\u2014A Systematic Review of Evidence from Longitudinal Observational Studies.","volume":"18","author":"JK Hohls","year":"2021","journal-title":"Int J Environ Res Public Health"},{"issue":"3","key":"pdig.0000095.ref010","doi-asserted-by":"crossref","first-page":"1813","DOI":"10.3390\/ijerph19031813","article-title":"Effectiveness of Physical Activity in Primary Prevention of Anxiety: Systematic Review and Meta-Analysis of Randomized Controlled Trials.","volume":"19","author":"P Moreno-Peral","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"pdig.0000095.ref011","article-title":"The gap in life expectancy from preventable physical illness in psychiatric patients in Western Australia: retrospective analysis of population based registers |","journal-title":"The BMJ (Internet"},{"key":"pdig.0000095.ref012","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.invent.2016.10.003","article-title":"Effectiveness of an internet-delivered intervention for generalized anxiety disorder in routine care: A randomised controlled trial in a student population","volume":"6","author":"D Richards","year":"2016","journal-title":"Internet Interv"},{"issue":"0","key":"pdig.0000095.ref013","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/07448481.2021.1960849","article-title":"Anxiety, depression, and stress prevalence among college students during the COVID-19 pandemic: A systematic review and meta-analysis","volume":"0","author":"C Wang","year":"2021","journal-title":"J Am Coll Health"},{"issue":"1","key":"pdig.0000095.ref014","doi-asserted-by":"crossref","first-page":"62","DOI":"10.3390\/ijerph19010062","article-title":"Prevalence of Anxiety in University Students during the COVID-19 Pandemic: A Systematic Review.","volume":"19","author":"S Liyanage","year":"2021","journal-title":"Int J Environ Res Public Health"},{"issue":"1","key":"pdig.0000095.ref015","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.jadohealth.2009.08.008","article-title":"Mental Health Problems and Help-Seeking Behavior Among College Students.","volume":"46","author":"J Hunt","year":"2010","journal-title":"J Adolesc Health"},{"key":"pdig.0000095.ref016","doi-asserted-by":"crossref","first-page":"17","DOI":"10.7812\/TPP\/17-024","article-title":"Urgent Need for Improved Mental Health Care and a More Collaborative Model of Care","volume":"21","author":"J Lake","year":"2017","journal-title":"Perm J"},{"issue":"2","key":"pdig.0000095.ref017","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1177\/070674370004500207","article-title":"Differentiating DSM-IV Anxiety and Depressive Disorders in the General Population: Comorbidity and Treatment Consequences","volume":"45","author":"MM Ohayon","year":"2000","journal-title":"Can J Psychiatry"},{"issue":"1","key":"pdig.0000095.ref018","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.pec.2008.05.006","article-title":"Young adults face major barriers to seeking help from mental health services","volume":"73","author":"K Vanheusden","year":"2008","journal-title":"Patient Educ Couns"},{"issue":"5","key":"pdig.0000095.ref019","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1016\/j.cpr.2004.06.001","article-title":"Gaps in accessing treatment for anxiety and depression: Challenges for the delivery of care","volume":"24","author":"KA Collins","year":"2004","journal-title":"Clin Psychol 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Literature.","volume":"15","author":"M Lee","year":"2018","journal-title":"Int J Environ Res Public Health"},{"issue":"1","key":"pdig.0000095.ref025","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1007\/s10902-014-9589-1","article-title":"Putting the \u2018app\u2019 in Happiness: A Randomised Controlled Trial of a Smartphone-Based Mindfulness Intervention to Enhance Wellbeing","volume":"17","author":"A Howells","year":"2016","journal-title":"J Happiness Stud"},{"issue":"1","key":"pdig.0000095.ref026","first-page":"e8324","article-title":"Evaluation of an mHealth App (DeStressify) on University Students\u2019 Mental Health: Pilot Trial","volume":"5","author":"RA Lee","year":"2018","journal-title":"JMIR Ment Health"},{"key":"pdig.0000095.ref027","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1016\/j.jad.2019.06.035","article-title":"A systematic review of prevention programs targeting depression, anxiety, and stress in university students","volume":"257","author":"LR Rith-Najarian","year":"2019","journal-title":"J Affect Disord"},{"issue":"7","key":"pdig.0000095.ref028","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/j.brat.2013.03.003","article-title":"Internet-based guided self-help for university students with anxiety, depression and stress: A randomized controlled clinical trial.","volume":"51","author":"V Day","year":"2013","journal-title":"Behav Res Ther"},{"issue":"1","key":"pdig.0000095.ref029","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1186\/1471-244X-13-312","article-title":"Impact of a mobile phone and web program on symptom and functional outcomes for people with mild-to-moderate depression, anxiety and stress: a randomised controlled trial","volume":"13","author":"J Proudfoot","year":"2013","journal-title":"BMC Psychiatry"},{"issue":"3","key":"pdig.0000095.ref030","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1002\/wps.20673","article-title":"The efficacy 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Med"},{"key":"pdig.0000095.ref036","doi-asserted-by":"crossref","first-page":"103498","DOI":"10.1016\/j.brat.2019.103498","article-title":"A review of popular smartphone apps for depression and anxiety: Assessing the inclusion of evidence-based content","volume":"123","author":"AR Wasil","year":"2019","journal-title":"Behav Res Ther"},{"key":"pdig.0000095.ref037","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1016\/j.jad.2017.11.016","article-title":"Engagement in mobile phone app for self-monitoring of emotional wellbeing predicts changes in mental health: MoodPrism","volume":"227","author":"D Bakker","year":"2018","journal-title":"J Affect Disord"},{"issue":"4","key":"pdig.0000095.ref038","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1111\/ap.12383","article-title":"Engagement with a cognitive behavioural therapy mobile phone app predicts changes in mental health and wellbeing: MoodMission","volume":"54","author":"D Bakker","year":"2019","journal-title":"Aust Psychol."},{"key":"pdig.0000095.ref039","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.genhosppsych.2021.09.004","article-title":"A mindfulness meditation mobile app improves depression and anxiety in adults with sleep disturbance: Analysis from a randomized controlled trial","volume":"73","author":"J Huberty","year":"2021","journal-title":"Gen Hosp Psychiatry"},{"key":"pdig.0000095.ref040","doi-asserted-by":"crossref","first-page":"102054","DOI":"10.1016\/j.ijinfomgt.2019.102054","article-title":"Patients\u2019 emotional bonding with MHealth apps: An attachment perspective on patients\u2019 use of MHealth applications","volume":"51","author":"J Li","year":"2020","journal-title":"Int J Inf Manag"},{"key":"pdig.0000095.ref041","first-page":"185","volume-title":"Emotional expression and health: Advances in theory, assessment and clinical applications","author":"J Denollet","year":"2004"},{"issue":"5","key":"pdig.0000095.ref042","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1001\/archpsyc.1974.01760110036003","article-title":"Psychological-Mindedness and Benefit From Insight-Oriented Group Therapy.","volume":"30","author":"SI Abramowitz","year":"1974","journal-title":"Arch Gen Psychiatry"},{"issue":"6","key":"pdig.0000095.ref043","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1002\/jclp.20095","article-title":"Psychological mindedness and awareness of self and others","volume":"61","author":"M Beitel","year":"2005","journal-title":"J Clin Psychol"},{"issue":"5","key":"pdig.0000095.ref044","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1016\/0010-440X(90)90027-P","article-title":"Psychological Mindedness as a predictor of psychotherapy outcome: A preliminary report.","volume":"31","author":"HR Conte","year":"1990","journal-title":"Compr Psychiatry"},{"key":"pdig.0000095.ref045","doi-asserted-by":"crossref","first-page":"821","DOI":"10.2224\/sbp.2002.30.8.821","article-title":"The Self-Reflection and Insight Scale: A New Measure of Private Self-Consciousness.","volume":"30","author":"A Grant","year":"2002","journal-title":"Soc Behav Personal Int J"},{"issue":"3","key":"pdig.0000095.ref046","first-page":"649","article-title":"Psychological mindedness as a mediator in the relationship between dysfunctional coping styles and depressive symptoms in caregivers of children with autism spectrum disorder","volume":"56","author":"NTP Pang","year":"2020","journal-title":"Perspect Psychiatr Care"},{"issue":"3","key":"pdig.0000095.ref047","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1080\/00207284.1994.11490755","article-title":"Psychological mindedness, work, and outcome in day treatment.","volume":"44","author":"WE Piper","year":"1994","journal-title":"Int J Group Psychother"},{"key":"pdig.0000095.ref048","first-page":"360","author":"WE Piper","year":"1996"},{"issue":"4","key":"pdig.0000095.ref049","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1521\/ijgp.51.4.525.51307","article-title":"Patient personality and time-limited group psychotherapy for complicated grief","volume":"51","author":"WE Piper","year":"2001","journal-title":"Int J Group Psychother"},{"issue":"3","key":"pdig.0000095.ref050","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1080\/00207284.1997.11490831","article-title":"Predicting patient benefit from a group-oriented, evening treatment program","volume":"47","author":"M McCallum","year":"1997","journal-title":"Int J Group Psychother"},{"issue":"2","key":"pdig.0000095.ref051","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1348\/147608303765951177","article-title":"Relationships among psychological mindedness, alexithymia and outcome in four forms of short-term psychotherapy","volume":"76","author":"M McCallum","year":"2003","journal-title":"Psychol Psychother Theory Res Pract"},{"issue":"3","key":"pdig.0000095.ref052","first-page":"250","article-title":"The Psychological Mindedness Scale","volume":"5","author":"HR Conte","year":"1996","journal-title":"J Psychother Pract Res"},{"key":"pdig.0000095.ref053","first-page":"132","author":"MB Boylan","journal-title":"PSYCHOLOGICAL MINDEDNESS AS A PREDICTOR OF TREATMENT."},{"issue":"5","key":"pdig.0000095.ref054","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1016\/j.comppsych.2010.02.004","article-title":"Psychological mindedness and symptom reduction after psychotherapy in a heterogeneous psychiatric sample","volume":"51","author":"I Nykl\u00ed\u010dek","year":"2010","journal-title":"Compr Psychiatry"},{"issue":"11","key":"pdig.0000095.ref055","doi-asserted-by":"crossref","first-page":"e19836","DOI":"10.2196\/19836","article-title":"Standalone Smartphone Cognitive Behavioral Therapy\u2013Based Ecological Momentary Interventions to Increase Mental Health: Narrative Review","volume":"8","author":"MA Marciniak","year":"2020","journal-title":"JMIR MHealth UHealth"},{"issue":"1","key":"pdig.0000095.ref056","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1375\/bech.18.1.8","article-title":"Rethinking Psychological Mindedness: Metacognition, Self-reflection, and Insight.","volume":"18","author":"AM Grant","year":"2001","journal-title":"Behav Change"},{"issue":"3","key":"pdig.0000095.ref057","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1017\/S1352465810000020","article-title":"Assessing Therapy-Relevant Cognitive Capacities in Young People: Development and Psychometric Evaluation of the Self-Reflection and Insight Scale for Youth.","volume":"38","author":"FM Sauter","year":"2010","journal-title":"Behav Cogn Psychother"},{"issue":"11","key":"pdig.0000095.ref058","doi-asserted-by":"crossref","first-page":"e41800","DOI":"10.2196\/41800","article-title":"Efficacy of the Mental Health App \u201cIntellect\u201d to Improve Body Image and Self-compassion in Young Adults: A Randomized Controlled Trial With a 4-Week Follow-up","volume":"10","author":"WY Ong","year":"2022","journal-title":"JMIR MHealth UHealth"},{"issue":"12","key":"pdig.0000095.ref059","doi-asserted-by":"crossref","first-page":"e40723","DOI":"10.2196\/40723","article-title":"Efficacy of the Mental Health App Intellect to Reduce Stress: Randomized Controlled Trial With a 1-Month Follow-up","volume":"6","author":"SHY Toh","year":"2022","journal-title":"JMIR Form Res"},{"issue":"5","key":"pdig.0000095.ref060","doi-asserted-by":"crossref","first-page":"601","DOI":"10.4103\/idoj.IDOJ_149_19","article-title":"Selection of Control, Randomization, Blinding, and Allocation Concealment.","volume":"10","author":"A Sil","year":"2019","journal-title":"Indian Dermatol Online J."},{"issue":"3","key":"pdig.0000095.ref061","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1089\/g4h.2014.0046","article-title":"Randomized Controlled Trial of SuperBetter, a Smartphone-Based\/Internet-Based Self-Help Tool to Reduce Depressive Symptoms","volume":"4","author":"AM Roepke","year":"2015","journal-title":"Games Health J."},{"issue":"2","key":"pdig.0000095.ref062","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1037\/pspp0000128","article-title":"Reconceptualizing Anxiety as a Continuum That Ranges From High Calmness to High Anxiety: The Joint Importance of Reducing Distress and Increasing Well-Being","volume":"114","author":"AP Siddaway","year":"2018","journal-title":"J Pers Soc Psychol"},{"issue":"3","key":"pdig.0000095.ref063","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1097\/MLR.0b013e318160d093","article-title":"Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population","volume":"46","author":"B L\u00f6we","year":"2008","journal-title":"Med Care"},{"issue":"10","key":"pdig.0000095.ref064","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7","volume":"166","author":"RL Spitzer","year":"2006","journal-title":"Arch Intern Med"},{"issue":"9","key":"pdig.0000095.ref065","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9.","volume":"16","author":"K Kroenke","year":"2001","journal-title":"J Gen Intern Med"},{"issue":"4","key":"pdig.0000095.ref066","doi-asserted-by":"crossref","first-page":"e6202","DOI":"10.2196\/mental.6202","article-title":"Development of a Mobile Phone App to Support Self-Monitoring of Emotional Well-Being: A Mental Health Digital Innovation.","volume":"3","author":"N Rickard","year":"2016","journal-title":"JMIR Ment Health"},{"issue":"2","key":"pdig.0000095.ref067","doi-asserted-by":"crossref","first-page":"e72","DOI":"10.2196\/mhealth.5849","article-title":"Development and Validation of the User Version of the Mobile Application Rating Scale (uMARS).","volume":"4","author":"SR Stoyanov","year":"2016","journal-title":"JMIR MHealth UHealth"},{"issue":"2","key":"pdig.0000095.ref068","doi-asserted-by":"crossref","first-page":"175","DOI":"10.3758\/BF03193146","article-title":"G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences","volume":"39","author":"F Faul","year":"2007","journal-title":"Behav Res Methods"},{"issue":"5","key":"pdig.0000095.ref069","doi-asserted-by":"crossref","first-page":"e17458","DOI":"10.2196\/17458","article-title":"Mobile Apps for Mental Health Issues: Meta-Review of Meta-Analyses","volume":"8","author":"T Lecomte","year":"2020","journal-title":"JMIR MHealth 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(Internet).","author":"AF Hayes"},{"issue":"2","key":"pdig.0000095.ref074","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1086\/651257","article-title":"Reconsidering Baron and Kenny: Myths and Truths about Mediation Analysis","volume":"37","author":"X Zhao","year":"2010","journal-title":"J Consum Res"},{"issue":"6","key":"pdig.0000095.ref075","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1111\/j.1751-9004.2011.00355.x","article-title":"Mediation Analysis in Social Psychology: Current Practices and New Recommendations","volume":"5","author":"DD Rucker","year":"2011","journal-title":"Soc Personal Psychol Compass"},{"key":"pdig.0000095.ref076","volume-title":"Statistical Power Analysis for the Behavioral Sciences.","author":"J. Cohen","year":"1988","edition":"2"},{"issue":"2","key":"pdig.0000095.ref077","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1375\/bech.25.2.85","article-title":"Exploring the Effectiveness of the FRIENDS Program in Reducing Anxiety Symptoms Among South African Children","volume":"25","author":"J Mostert","year":"2008","journal-title":"Behav Change"},{"issue":"1","key":"pdig.0000095.ref078","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1186\/1471-244X-14-19","article-title":"A waitlist-controlled trial of group cognitive behavioural therapy for depression and anxiety in Parkinson\u2019s disease","volume":"14","author":"L Troeung","year":"2014","journal-title":"BMC Psychiatry"},{"key":"pdig.0000095.ref079","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.brat.2016.08.006","article-title":"Points of light","volume":"88","author":"S. Rachman","year":"2017","journal-title":"Behav Res Ther"},{"issue":"2","key":"pdig.0000095.ref080","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1037\/cou0000568","article-title":"A mindfulness-based mobile health (mHealth) intervention among psychologically distressed university students in quarantine during the COVID-19 pandemic: A randomized controlled trial.","volume":"69","author":"S Sun","journal-title":"J Couns Psychol. 20210715"},{"issue":"4","key":"pdig.0000095.ref081","doi-asserted-by":"crossref","first-page":"706","DOI":"10.3390\/psych4040052","article-title":"Risk Factors and Changes in Depression and Anxiety over Time in New Zealand during COVID-19: A Longitudinal Cohort Study","volume":"4","author":"M Law","year":"2022","journal-title":"Psych"},{"issue":"3","key":"pdig.0000095.ref082","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1111\/acps.13219","article-title":"Anxiety and depression in the Republic of Ireland during the COVID-19 pandemic","volume":"142","author":"P Hyland","year":"2020","journal-title":"Acta Psychiatr Scand"},{"key":"pdig.0000095.ref083","doi-asserted-by":"crossref","first-page":"697642","DOI":"10.3389\/fpubh.2021.697642","article-title":"Anxiety and Depression in Chinese Students During the COVID-19 Pandemic: A Meta-Analysis","volume":"9","author":"Y Zhang","year":"2021","journal-title":"Front Public Health"},{"issue":"2","key":"pdig.0000095.ref084","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1080\/16506070601119314","article-title":"Emotional-Vulnerability and Mindfulness: A Preliminary Test of Associations among Negative Affectivity, Anxiety Sensitivity, and Mindfulness Skills","volume":"36","author":"L McKee","year":"2007","journal-title":"Cogn Behav Ther."},{"issue":"3","key":"pdig.0000095.ref085","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.beth.2006.08.004","article-title":"Discomfort Intolerance: Evaluation of a Potential Risk Factor for Anxiety Psychopathology","volume":"38","author":"NB Schmidt","year":"2007","journal-title":"Behav Ther."},{"issue":"3","key":"pdig.0000095.ref086","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1016\/S0887-6185(02)00249-9","article-title":"Avoidance-oriented coping as a predictor of panic-related distress: a test using biological challenge","volume":"18","author":"AP Spira","year":"2004","journal-title":"J Anxiety Disord"},{"issue":"2","key":"pdig.0000095.ref087","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1037\/a0038402","article-title":"Trajectories of Change in Youth Anxiety during Cognitive Behavior Therapy.","volume":"83","author":"TS Peris","year":"2015","journal-title":"J Consult Clin Psychol"},{"issue":"3","key":"pdig.0000095.ref088","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1016\/j.cpr.2006.11.001","article-title":"Behavioral activation treatments of depression: A meta-analysis.","volume":"27","author":"P Cuijpers","year":"2007","journal-title":"Clin Psychol Rev"},{"issue":"1","key":"pdig.0000095.ref089","doi-asserted-by":"crossref","first-page":"p59","DOI":"10.5539\/ijps.v7n1p59","article-title":"The Prevalence, Predictors, Causes, Treatment, and Implications of Procrastination Behaviors in General, Academic, and Work Setting","volume":"7","author":"IS Abbasi","year":"2015","journal-title":"Int J Psychol Stud"},{"key":"pdig.0000095.ref090","doi-asserted-by":"crossref","first-page":"100245","DOI":"10.1016\/j.invent.2019.100245","article-title":"Effectiveness of an internet-based intervention for procrastination in college students (StudiCare Procrastination): Study protocol of a randomized controlled trial","volume":"17","author":"AM K\u00fcchler","year":"2019","journal-title":"Internet Interv"},{"issue":"2","key":"pdig.0000095.ref091","doi-asserted-by":"crossref","first-page":"e0148054","DOI":"10.1371\/journal.pone.0148054","article-title":"Procrastination, Distress and Life Satisfaction across the Age Range\u2013A German Representative Community Study","volume":"11","author":"ME Beutel","year":"2016","journal-title":"PLOS ONE"},{"key":"pdig.0000095.ref092","unstructured":"Anxiety, Depression, and Procrastination Among Students: Rumination Plays a Larger Mediating Role than Worry | SpringerLink (Internet). (cited 2022 Nov 28). Available from: https:\/\/link.springer.com\/article\/10.1007\/s10942-017-0271-5#Sec18."},{"key":"pdig.0000095.ref093","first-page":"9","article-title":"Targeting Procrastination Using Psychological Treatments: A Systematic Review and Meta-Analysis","author":"A Rozental","year":"2018","journal-title":"Front Psychol (Internet)."},{"issue":"1","key":"pdig.0000095.ref094","doi-asserted-by":"crossref","first-page":"31","DOI":"10.17744\/mehc.36.1.0k5v52l12540w218","article-title":"Interactive journaling as a clinical tool","volume":"36","author":"WR Miller","year":"2014","journal-title":"J Ment Health Couns"},{"issue":"3","key":"pdig.0000095.ref095","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1111\/add.12441","article-title":"Treatment of comorbid alcohol use disorders and depression with cognitive-behavioural therapy and motivational interviewing: a meta-analysis.","volume":"109","author":"H Riper","year":"2014","journal-title":"Addict Abingdon Engl"},{"issue":"2","key":"pdig.0000095.ref096","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1089\/apc.2011.0157","article-title":"Alcohol and Marijuana Use Outcomes in the Healthy Choices Motivational Interviewing Intervention for HIV-Positive Youth.","volume":"26","author":"Parsons for the Adolescent Trials N JT","year":"2012","journal-title":"AIDS Patient Care STDs"},{"issue":"9","key":"pdig.0000095.ref097","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1037\/ccp0000098","article-title":"Integrating motivational interviewing with cognitive-behavioral therapy for severe generalized anxiety disorder: An allegiance-controlled randomized clinical trial","volume":"84","author":"HA Westra","year":"2016","journal-title":"J Consult Clin Psychol"},{"issue":"4","key":"pdig.0000095.ref098","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1007\/s41811-019-00062-6","article-title":"Psychological Mindedness and Alexithymia Predict Symptom Reduction in Cognitive Behavior Therapy for Major Depressive Disorder","volume":"13","author":"R Kishon","year":"2020","journal-title":"Int J Cogn Ther."},{"key":"pdig.0000095.ref099","author":"RB Darlington","year":"2016"},{"issue":"4","key":"pdig.0000095.ref100","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1348\/147608309X436711","article-title":"Do psychologically-minded clients expect more from counselling?","volume":"82","author":"M Beitel","year":"2009","journal-title":"Psychol Psychother Theory Res Pract"},{"key":"pdig.0000095.ref101","doi-asserted-by":"crossref","first-page":"2791","DOI":"10.3389\/fpsyg.2019.02791","article-title":"Acceptance of Mobile Health Applications: Examining Key Determinants and Moderators.","volume":"10","author":"A Nunes","year":"2019","journal-title":"Front Psychol"},{"key":"pdig.0000095.ref102","doi-asserted-by":"crossref","first-page":"365","DOI":"10.3389\/fpsyt.2019.00365","article-title":"Optimizing Expectations via Mobile Apps: A New Approach for Examining and Enhancing Placebo Effects","volume":"10","author":"P Gruszka","year":"2019","journal-title":"Front Psychiatry"},{"issue":"2","key":"pdig.0000095.ref103","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/S2215-0366(15)00565-9","article-title":"The digital placebo effect: mobile mental health meets clinical psychiatry","volume":"3","author":"J Torous","year":"2016","journal-title":"Lancet Psychiatry"}],"container-title":["PLOS Digital Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pdig.0000095","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,24]],"date-time":"2023-05-24T17:27:23Z","timestamp":1684949243000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pdig.0000095"}},"subtitle":[],"editor":[{"given":"Laura M.","family":"K\u00f6nig","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2023,5,24]]},"references-count":103,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2023,5,24]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pdig.0000095","relation":{},"ISSN":["2767-3170"],"issn-type":[{"value":"2767-3170","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,24]]}}}