Evidence map›Paper›PMID 40481500›Full record

Trial reportBMC psychology2025

The role of idioms in reducing depression in university students: a study on group cognitive behavioral therapy.

Chenchen Lin, Mingyu Hu, Jingren Xu, Ruilu Yang, Haoran Yu, Hua Yang, Ning Zhang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Chenchen LinSchool of Psychology, Nanjing Normal University, Nanjing, China.
Mingyu HuMedical Psychology Department, Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Jingren XuMedical Psychology Department, Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Ruilu YangMedical Psychology Department, Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Haoran YuMedical Psychology Department, Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Hua YangMedical Psychology Department, Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China. xiaoyang124@163.com.
Ning ZhangMedical Psychology Department, Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China. zn6360@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the effectiveness of Culturally Adapted Cognitive-Behavioral Therapy (CA-CBT) compared to standard CBT in alleviating depression in college students.

methodsA randomized trial was conducted on college students with mild to moderate depression. The CA-CBT group (21 students) received a group CA-CBT intervention incorporating idioms, while the standard CBT group (20 students) received a standard group-based CBT intervention. Both group interventions were conducted once a week, with each session lasting one and a half hours, for a total duration of eight weeks. Eighteen students from the standard CBT group and 12 from the CA-CBT group completed the trial. Depressive symptoms, cognitive distortions, emotional regulation, and CBT understanding were assessed at baseline, week five, post-treatment, and three months after post-treatment using validated scales. Data were analyzed using repeated measures ANOVA, t-tests, and chi-square tests via SPSS 26.0.

resultsThe repeated measures ANOVA results for the pre-treatment and post-treatment showed a significant interaction effect of time and intervention and a significant main effect of time for the sleep disturbance factor of the Hamilton Depression Rating Scale. However, only the main effect of time was significant for all other variables. T-tests indicated that the CA-CBT group had significantly lower Hamilton scores at follow-up compared to the standard CBT group. Meanwhile, the standard CBT group had significantly better CBT understanding post-treatment. Except for the above two items, no other significant difference were found by T-test.

conclusionsCompared with standard CBT, the CA-CBT group that incorporates idioms is beneficial for college students with depressive symptoms to continue to achieve relief for a certain period of time after the end of treatment. Specifically, this relief may be reflected in the improvement of sleep problems. However, CA-CBT did not better improve participants' emotion regulation, understanding of cognitive behavioral therapy, or reduction of cognitive distortions.At the same time, the CA-CBT group did not perform better than the standard CBT group in terms of dropout rate, treatment satisfaction, recommendation, and re-use rate.

trial registrationThe trial was registered on the Chinese Clinical Trial Registry (No. ChiCTR2300074752|| http://www.chictr.org.cn/ ) on August 15, 2023.

Indexed as

Cognitive Behavioral TherapyDepressionPsychotherapy, GroupStudentsAdolescentAdultFemaleHumansMaleTreatment OutcomeUniversitiesYoung AdultCognitive Behavioral TherapyCultural adaptationDepressive symptomGroup therapyIdioms

Identifiers

PMID40481500
PMCPMC12143015

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.