{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T23:56:57Z","timestamp":1787702217915,"version":"build-2784847793"},"reference-count":72,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,2,25]],"date-time":"2024-02-25T00:00:00Z","timestamp":1708819200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004955","name":"Austrian Research Promotion Agency","doi-asserted-by":"publisher","award":["880557"],"award-info":[{"award-number":["880557"]}],"id":[{"id":"10.13039\/501100004955","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behavioral Sciences"],"abstract":"<jats:p>Passive psychoeducation is an easily accessible and cost-effective self-guided intervention that does not use elements of active psychotherapies or require homework. The present study aimed to investigate the acceptability and efficacy of a 7-week app-based passive psychoeducation stress management program to promote adaptive emotion regulation and coping skills in university students (i.e., 80% psychology students). Participants were tested via Lime-Survey\u00ae at pre- and post-test with the Depression Anxiety Stress Scale-21 (DASS-21), the Response Styles Questionnaire (RSQ), and the Emotion Regulation Questionnaire (ERQ). A stratified permutation block randomization by age, gender, and the DASS-21 stress subscale was performed. Each week, the psychoeducation group (n = 123) received different psychoeducation modules. At the end of each module, participants answered questions about their satisfaction with each module and adherence to psychoeducation. The control group (n = 130) received no intervention. The psychoeducation program led to a significant improvement in the adaptive emotion regulation strategy: \u201creappraisal\u201d (p = 0.004) and a significant reduction in the dysfunctional coping style: \u201csymptom-related rumination\u201d (p = 0.01) but not to a significant reduction in depression, anxiety, and stress scores compared to the control group. Thus, the present study might demonstrate a preventive effect of an app-based passive psychoeducation program in students with low clinically relevant psychopathological symptoms.<\/jats:p>","DOI":"10.3390\/bs14030180","type":"journal-article","created":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T03:34:04Z","timestamp":1708918444000},"page":"180","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Preventive Effect of a 7-Week App-Based Passive Psychoeducational Stress Management Program on Students"],"prefix":"10.3390","volume":"14","author":[{"given":"Elisabeth M.","family":"Weiss","sequence":"first","affiliation":[{"name":"Department of Psychology, University of Innsbruck, 6020 Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siegmund","family":"Staggl","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Innsbruck, 6020 Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernhard","family":"Holzner","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, University Hospital of Psychiatry II, Medical University of Innsbruck, 6020 Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerhard","family":"Rumpold","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, University Hospital of Psychiatry II, Medical University of Innsbruck, 6020 Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Verena","family":"Dresen","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Innsbruck, 6020 Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4565-5663","authenticated-orcid":false,"given":"Markus","family":"Canazei","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Innsbruck, 6020 Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,2,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Klein, E.M., Br\u00e4hler, E., Dreier, M., Reinecke, L., M\u00fcller, K.W., Schmutzer, G., W\u00f6lfling, K., and Beutel, M.E. (2016). The German version of the Perceived Stress Scale\u2013Psychometric characteristics in a representative German community sample. BMC Psychiatry, 16.","DOI":"10.1186\/s12888-016-0875-9"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1056\/NEJM199801153380307","article-title":"Protective and damaging effects of stress mediators","volume":"338","author":"McEwen","year":"1998","journal-title":"N. Engl. J. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1007\/s00038-009-8031-7","article-title":"Work-life imbalance and mental health among male and female employees in Switzerland","volume":"54","author":"Bauer","year":"2009","journal-title":"Int. J. Public Health"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1159\/000381400","article-title":"Quantifying insufficient coping behavior under chronic stress: A cross-cultural study of 1303 students from Italy, Spain and Argentina","volume":"48","author":"Delfino","year":"2015","journal-title":"Psychopathology"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.pse.2014.05.006","article-title":"Academic stress as a predictor of chronic stress in university students","volume":"20","year":"2014","journal-title":"Psicol. Educ."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.jad.2014.10.054","article-title":"The prevalence and correlates of depression, anxiety, and stress in a sample of college students","volume":"173","author":"Beiter","year":"2015","journal-title":"J. Affect. Dis."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1007\/s11553-012-0369-7","article-title":"Stress im Studium","volume":"8","author":"Dlugosch","year":"2013","journal-title":"Pr\u00e4vent. Gesundheitsf\u00f6rd."},{"key":"ref_8","unstructured":"Gr\u00fctzmacher, J., Gusy, B., Lesener, T., Sudheimer, S., and Willige, J. (2018). Gesundheit Studierender in Deutschland 2017. Ein Kooperationsprojekt Zwischen dem Deutschen Zentrum f\u00fcr Hochschul-und Wissenschaftsforschung, der Freien Universit\u00e4t Berlin und der Techniker-Krankenkasse, Techniker Krankenkasse. Available online: https:\/\/www.tk.de\/resource\/blob\/2050660\/8bd39eab37ee133a2ec47e55e544abe7\/gesundheit-studierender-in-deutschland2017-studienband-data.pdf."},{"key":"ref_9","unstructured":"Herbst, U., Voeth, M., Eidhoff, A.T., M\u00fcller, M., and Stief, S. (2016). Studierendenstress in Deutschland\u2013Eine Empirische Untersuchung, AOK-Bundesverband. Available online: https:\/\/www.uni-heidelberg.de\/md\/journal\/2016\/10\/08_projektbericht_stressstudie.pdf."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1176\/appi.ps.201800332","article-title":"Increased rates of mental health service utilization by U.S. College students: 10-year population-level trends (2007\u20132017)","volume":"70","author":"Lipson","year":"2019","journal-title":"Psychiatr. Serv."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"R795","DOI":"10.1016\/j.cub.2020.06.021","article-title":"Effects of the COVID-19 lockdown on human sleep and rest-activity rhythms","volume":"30","author":"Blume","year":"2020","journal-title":"Curr. Biol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1016\/j.jad.2021.05.109","article-title":"Prevalence of anxiety symptom and depressive symptom among college students during COVID-19 pandemic: A metaanalysis","volume":"292","author":"Chang","year":"2021","journal-title":"J. Affect. Disord."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1016\/j.sleep.2020.05.018","article-title":"The immediate impact of the 2019 novel coronavirus (COVID-19) outbreak on subjective sleep status","volume":"77","author":"Lin","year":"2020","journal-title":"Sleep Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1080\/09638237.2021.1875420","article-title":"Nursing students, mental health status during COVID-19 quarantine: Evidence from three European countries","volume":"30","author":"Patelarou","year":"2021","journal-title":"J. Ment. Health"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e21279","DOI":"10.2196\/21279","article-title":"Effects of COVID-19 on College Students\u2019 Mental Health in the United States: Interview Survey Study","volume":"22","author":"Son","year":"2020","journal-title":"J. Med. Internet Res."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1080\/0309877X.2019.1579896","article-title":"Student perspectives on mental health support and services in the UK","volume":"44","author":"Batchelor","year":"2020","journal-title":"J. Furth. High. Educ."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"100374","DOI":"10.1016\/j.invent.2021.100374","article-title":"Effect of an internet- and app-based stress intervention compared to online psychoeducation in university students with depressive symptoms: Results of a randomized controlled trial","volume":"24","author":"Harrer","year":"2021","journal-title":"Internet Interv."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e1764","DOI":"10.1002\/mpr.1764","article-title":"Lifetime and 12-month treatment for mental disorders and suicidal thoughts and behaviors among first year college students","volume":"28","author":"Bruffaerts","year":"2019","journal-title":"Int. J. Methods Psychiatr. Res."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Ram\u00f3n-Arbu\u00e9s, E., Gea-Caballero, V., Granada-L\u00f3pez, J.M., Ju\u00e1rez-Vela, R., Pellicer-Garc\u00eda, B., and Ant\u00f3n-Solanas, I. (2020). The Prevalence of Depression, Anxiety and Stress and Their Associated Factors in College Students. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17197001"},{"key":"ref_20","unstructured":"Thorley, C. (2017). Not by Degrees: Improving Student Mental Health in the UK\u2019s Universities, Institute for Public Policy Research."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"100503","DOI":"10.1016\/j.invent.2022.100503","article-title":"Effects of self-guided stress management interventions in college students: A systematic review and meta-analysis","volume":"28","author":"Amanvermez","year":"2022","journal-title":"Internet Interv."},{"key":"ref_22","unstructured":"American Psychological Association (2023, November 03). APA Dictionary of Psychology. Available online: https:\/\/dictionary.apa.org\/preventive-stress-managent."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1002\/j.1556-6676.1992.tb02200.x","article-title":"Psychoeducational Interventions for Stress Management and Well-Being","volume":"71","author":"Romano","year":"1992","journal-title":"J. Couns. Dev."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1177\/1099800415569845","article-title":"Risk Factors and Coping Style Affect Health Outcomes in Adults With Type 2 Diabetes","volume":"18","author":"Huang","year":"2016","journal-title":"Biol. Res. Nurs."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.eatbeh.2014.10.014","article-title":"Social comparison, negative body image, and disordered eating behavior: The moderating role of coping style","volume":"16","author":"Pinkasavage","year":"2015","journal-title":"Eat. Behav."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1111\/ppc.12828","article-title":"Effect of group psychoeducation on depression, anxiety, stress and coping with stress of nursing students: A randomized controlled study","volume":"58","year":"2022","journal-title":"Perspect. Psychiatr. Care"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Donker, T., Griffiths, K.M., Cuijpers, P., and Christensen, H. (2009). Psychoeducation for depression, anxiety and psychological distress: A meta-analysis. BMC Med., 7.","DOI":"10.1186\/1741-7015-7-79"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1080\/01933922.2021.1950881","article-title":"Group Psychoeducation for Anxiety Symptoms in Youth: Systematic Review and Meta-analysis","volume":"47","author":"Baourda","year":"2021","journal-title":"J. Spec. Group Work."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"104162","DOI":"10.1016\/j.ijnurstu.2021.104162","article-title":"Effectiveness of psychoeducational interventions among caregivers of patients with cancer: A systematic review and meta-analysis","volume":"127","author":"Cheng","year":"2022","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_30","first-page":"2167096","article-title":"Effectiveness of Psychoeducation on Burden among Family Caregivers of Adults with Schizophrenia: A Systematic Review and Meta-Analysis","volume":"2023","author":"Okafor","year":"2023","journal-title":"Nurs. Res. Pract."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"e47152","DOI":"10.2196\/47152","article-title":"The Experiences of Informal Caregivers of People with Dementia in Web-Based Psychoeducation Programs: Systematic Review and Metasynthesis","volume":"6","author":"Yu","year":"2023","journal-title":"JMIR Aging"},{"key":"ref_32","first-page":"41","article-title":"The Effect of Psychoeducational Stress Management Interventions on Students Stress Reduction: Systematic Review","volume":"25","author":"Ahmad","year":"2022","journal-title":"J. Educ. Cult. Psychol. Stud."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1177\/1090198111419202","article-title":"Stress Reduction through Psychoeducation: A Meta-Analytic Review","volume":"39","author":"Welzijn","year":"2012","journal-title":"Health Educ. Behav."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1673","DOI":"10.1111\/ppc.12735","article-title":"The effect of an online psychoeducational stress management program on international students\u2019 ability to cope and adapt","volume":"57","author":"Ahmad","year":"2021","journal-title":"Perspect. Psychiatr. Care"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"e136","DOI":"10.2196\/jmir.9293","article-title":"Effectiveness of an internet- and app-based intervention for college students with elevated stress: Randomized controlled trial","volume":"20","author":"Harrer","year":"2018","journal-title":"J. Med. Internet Res."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"e1759","DOI":"10.1002\/mpr.1759","article-title":"Internet interventions for mental health in university students: A systematic review and meta-analysis","volume":"28","author":"Harrer","year":"2019","journal-title":"Int. J. Methods Psychiatr. Res."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Andrews, G., Cuijpers, P., Craske, M.G., McEvoy, P., and Titov, N. (2010). Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: A meta-analysis. PLoS ONE, 5.","DOI":"10.1371\/journal.pone.0013196"},{"key":"ref_38","first-page":"39","article-title":"Un programa de intervenci\u00f3n autoaplicado a trav\u00e9s de Internet para el tratamiento de la depresi\u00f3n: \u201cSonre\u00edr es divertido\u201d","volume":"33","author":"Botella","year":"2015","journal-title":"Aloma Rev. Psicol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"e231","DOI":"10.2196\/jmir.5695","article-title":"An internet-based intervention for depression in primary Care in Spain: A randomized controlled trial","volume":"18","author":"Araya","year":"2016","journal-title":"J. Med. Internet Res."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"e32","DOI":"10.2196\/jmir.5774","article-title":"The benefit of web- and computer-based interventions for stress: A systematic review and meta-analysis","volume":"19","author":"Heber","year":"2017","journal-title":"J. Med. Internet Res."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"e337","DOI":"10.2196\/jmir.6003","article-title":"Drivers and barriers to acceptance of web-based aftercare of patients in inpatient routine care: A cross-sectional survey","volume":"18","author":"Hennemann","year":"2016","journal-title":"J. Med. Internet Res."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"e38","DOI":"10.2196\/mental.6061","article-title":"Effectiveness of internet-based interventions for the prevention of mental disorders: A systematic review and meta-analysis","volume":"3","author":"Sander","year":"2016","journal-title":"JMIR Ment. Health"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1080\/15228830802097257","article-title":"Best practices in online therapy","volume":"26","author":"Abbott","year":"2008","journal-title":"J. Technol. Hum. Serv."},{"key":"ref_44","first-page":"10","article-title":"Online positive interventions to promote well-being and resilience in the adolescent population: A narrative review","volume":"8","author":"Etchemendy","year":"2017","journal-title":"Front. Psychol."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Bolier, L., Haverman, M., Westerhof, G.J., Riper, H., Smit, F., and Bohlmeijer, E. (2013). Positive psychology interventions: A meta-analysis of randomized controlled studies. BMC Public Health, 13.","DOI":"10.1186\/1471-2458-13-119"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1002\/cpp.770","article-title":"Evaluating the effectiveness and efficacy of unguided internet-based self-help intervention for the prevention of depression: A randomized controlled trial","volume":"20","author":"Lintvedt","year":"2013","journal-title":"Clin. Psychol. Psychother."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/j.brat.2012.11.003","article-title":"A randomized controlled trial of a self-guided, multimedia, stress management and resilience training program","volume":"51","author":"Rose","year":"2013","journal-title":"Behav. Res. Ther."},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Lovibond, S.H., and Lovibond, P.F. (1995). Depression Anxiety Stress Scales (DASS\u201321, DASS\u201342), APA PsycTests.","DOI":"10.1037\/t01004-000"},{"key":"ref_49","unstructured":"Nilges, P., and Essau, C. (2021). DASS. Depressions-Angst-Stress-Skalen-Deutschsprachige Kurzfassung, ZPID, Leibniz-Institut f\u00fcr Psychologie Open Test Archive."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1348\/014466505X29657","article-title":"The short-form version of the Depression Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample","volume":"44","author":"Henry","year":"2005","journal-title":"Br. J. Clin. Psychol."},{"key":"ref_51","unstructured":"K\u00fchner, C., Huffziger, S., and Nolen-Hoeksema, S. (2007). RSQ-D Response Styles Questionnaire\u2013Deutsche Version, Hogrefe."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1037\/0021-843X.100.4.569","article-title":"Responses to depression and their effects on the duration of depressive episodes","volume":"100","year":"1991","journal-title":"J. Abnorm. Psychol."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1026\/0012-1924.55.3.144","article-title":"Emotion Regulation Questionnaire\u2013Eine deutschsprachige Fassung des ERQ von Gross und John","volume":"55","author":"Abler","year":"2009","journal-title":"Diagnostica"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1037\/0022-3514.85.2.348","article-title":"Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being","volume":"85","author":"Gross","year":"2003","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1007\/s10964-005-3210-1","article-title":"Evaluation of a Psychoeducational Program to Help Adolescents Cope","volume":"34","author":"Hayes","year":"2005","journal-title":"J. Youth Adolesc."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.nedt.2017.11.034","article-title":"Coping with stressful events: A pre-post-test of a psychoeducational intervention for undergraduate nursing and midwifery students","volume":"61","author":"McCarthy","year":"2018","journal-title":"Nurse Educ. Today"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"445","DOI":"10.3200\/JACH.56.44.445-454","article-title":"Evaluation of a Resilience Intervention to Enhance Coping Strategies and Protective Factors and Decrease Symptomatology","volume":"56","author":"Steinhardt","year":"2010","journal-title":"J. Am. Coll. Health"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"100175","DOI":"10.1016\/j.chbr.2022.100175","article-title":"Effects of an online self-help intervention on university students\u2019 mental health during COVID-19: A non-randomized controlled pilot study","volume":"5","author":"Charbonnier","year":"2022","journal-title":"Comput. Hum. Behav. Rep."},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"K\u00fcchler, A.M., Schultchen, D., Dretzler, T., Moshagen, M., Ebert, D.D., and Baumeister, H. (2023). A Three-Armed Randomized Controlled Trial to Evaluate the Effectiveness, Acceptance, and Negative Effects of StudiCare Mindfulness, an Internet- and Mobile-Based Intervention for College Students with No and \u201cOn Demand\u201d Guidance. Int. J. Environ. Res. Public Health, 20.","DOI":"10.3390\/ijerph20043208"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1080\/10615806.2021.1895986","article-title":"A mindfulness-based promotive coping program improves well-being in college undergraduates","volume":"34","author":"Long","year":"2021","journal-title":"Anxiety Stress Coping"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"720965","DOI":"10.3389\/fpsyg.2021.720965","article-title":"Mindfulness-Based Stress Reduction Increases Mental Wellbeing and Emotion Regulation during the First Wave of the COVID-19 Pandemic: A Synchronous Online Intervention Study","volume":"12","author":"Sanilevici","year":"2021","journal-title":"Front. Psychol."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"463","DOI":"10.3389\/fpsyt.2020.00463","article-title":"Effects of a 6-Week Internet-Based Stress Management Program on Perceived Stress, Subjective Coping Skills, and Sleep Quality","volume":"11","author":"Domes","year":"2020","journal-title":"Front. Psychiatry"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"382","DOI":"10.5271\/sjweh.3573","article-title":"Internet- and mobile-based stress management for employees with adherence-focused guidance: Efficacy and mechanism of change","volume":"42","author":"Ebert","year":"2016","journal-title":"Scand. J. Work. Environ. Health"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1586\/14737167.7.3.291","article-title":"Internet-delivered treatments with or without therapist input: Does the therapist factor have implications for efficacy and cost?","volume":"7","author":"Palmqvist","year":"2007","journal-title":"Expert Rev. Pharmacoecon. Outcomes Res."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"e12869","DOI":"10.2196\/12869","article-title":"Digital Mental Health Interventions for Depression, Anxiety, and Enhancement of Psychological Well-Being Among College Students: Systematic Review","volume":"21","author":"Lattie","year":"2019","journal-title":"J. Med. Internet Res."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1007\/s40596-014-0241-5","article-title":"Qualitative literature review of the prevalence of depression in medical students compared to students in non-medical degrees","volume":"39","author":"Bacchi","year":"2015","journal-title":"Acad. Psychiatry"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1111\/medu.12962","article-title":"Prevalence of depression amongst medical students: A meta-analysis","volume":"50","author":"Puthran","year":"2016","journal-title":"Med. Educ."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1007\/s00278-009-0693-3","article-title":"Psychische Beschwerden und St\u00f6rungen von Studierenden","volume":"54","author":"Hofmann","year":"2009","journal-title":"Psychotherapeut"},{"key":"ref_69","first-page":"1831","article-title":"Psychological Counseling among University Students Worldwide: A Systematic Review","volume":"13","author":"Cerolini","year":"2023","journal-title":"Eur. J. Investig. Health Psychol. Educ."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1186\/s13033-022-00569-0","article-title":"University students\u2019 use of mental health services: A systematic review and meta-analysis","volume":"16","author":"Osborn","year":"2022","journal-title":"Int. J. Ment. Health Syst."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1002\/smi.2557","article-title":"Frequently Used Coping Scales: A Meta-Analysis","volume":"31","author":"Kato","year":"2015","journal-title":"Stress Health"},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1007\/s00278-012-0908-x","article-title":"Stressbew\u00e4ltigung","volume":"57","author":"Klauer","year":"2012","journal-title":"Psychotherapeut"}],"container-title":["Behavioral Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-328X\/14\/3\/180\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:04:37Z","timestamp":1760105077000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-328X\/14\/3\/180"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,25]]},"references-count":72,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,3]]}},"alternative-id":["bs14030180"],"URL":"https:\/\/doi.org\/10.3390\/bs14030180","relation":{},"ISSN":["2076-328X"],"issn-type":[{"value":"2076-328X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,25]]}}}