Evidence map›Paper›PMID 41318529›Full record

Trial reportBMC psychiatry2025

Evaluation of the efficacy of group cognitive behavioral therapy on anxiety in college students based on wearable devices and mobile applications: a randomized controlled trial.

Yang Wang, Keyin Zhou, Zexin Lin, Hantong Shen, Rongxun Liu, Zhao Su, Fay Y Womer, Yuxin Wang, Yange Wei, Rongxin Zhu and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05913349 (Effectiveness of Group Cognitive Behavioral Therapy for Psychological Sub-health), which is not on this 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.

NCT05913349 naunknown statusnot on this map

Effectiveness of Group Cognitive Behavioral Therapy for Psychological Sub-health: A Randomized Controlled Trial

TypeinterventionalSponsorJiangsu Province Nanjing Brain HospitalRan2021 to 2024Enrolled60ConditionsMental SufferingArmsGroup Cognitive Behavioral Therapy (GCBT)
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

13 authors.

Yang Wang *Early Intervention Unit, Department of Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, 264 Guangzhou Street, Nanjing, Jiangsu, 210096, China.
Keyin Zhou *Early Intervention Unit, Department of Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, 264 Guangzhou Street, Nanjing, Jiangsu, 210096, China.
Zexin Lin *Early Intervention Unit, Department of Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, 264 Guangzhou Street, Nanjing, Jiangsu, 210096, China.
Hantong ShenEarly Intervention Unit, Department of Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, 264 Guangzhou Street, Nanjing, Jiangsu, 210096, China.
Rongxun LiuEarly Intervention Unit, Department of Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, 264 Guangzhou Street, Nanjing, Jiangsu, 210096, China.
Zhao SuSchool of Biomedical Engineering and Informatics, Nanjing Medical University, 101 Longmian Avenue, Jiangning District, Nanjing, Jiangsu, 211166, China.
Fay Y WomerDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.
Yuxin WangFunctional Brain Imaging Institute of Nanjing Medical University, Nanjing, China.
Yange WeiDepartment of Early Intervention, The Second Affiliated Hospital of Xinxiang Medical University, Henan Mental Hospital, Xinxiang, Henan, China.
Rongxin ZhuEarly Intervention Unit, Department of Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, 264 Guangzhou Street, Nanjing, Jiangsu, 210096, China.
Junjie ZhengEarly Intervention Unit, Department of Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, 264 Guangzhou Street, Nanjing, Jiangsu, 210096, China. zhengjjuestc@gmail.com.
Xizhe ZhangEarly Intervention Unit, Department of Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, 264 Guangzhou Street, Nanjing, Jiangsu, 210096, China. zhangxizhe@gmail.com.
Fei WangEarly Intervention Unit, Department of Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, 264 Guangzhou Street, Nanjing, Jiangsu, 210096, China. fei.wang@yale.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnxiety disorders are highly prevalent worldwide and have significant comorbidities including depression and substance use disorders. The global burden of anxiety disorders necessitates early intervention for high-risk populations, including college students facing stress during major life transitions. Objective measures and ecological momentary assessments may advance the development of early interventions.

objectiveTo test the efficacy of group cognitive-behavioral therapy (GCBT) intervention by implementing a randomized controlled trial and identifying potential objective measures.

methodsCollege students with a Generalized Anxiety Disorder Scale 7 scores ≥ 5 were randomized into GCBT (n = 31) and wait-list control (WLC; n = 28) groups. For both groups, self-reported symptom severity was assessed at baseline and follow-up in weeks 4, 8, and 28. Continuous heart rate and step counts measurements were captured by wearable sensors, along with ecological momentary assessments of mood and energy, which were obtained within 4 weeks of treatment.

resultsCompared to the WLC group, the GCBT group showed significant improvements in anxiety symptoms at week 28. Moreover, the GCBT group had significantly increased step counts and faster heart rates, more stable moods in the morning and evening, and better energy in the morning. Improvements in anxiety symptoms were closely associated with increases in step counts in the GCBT group.

conclusionPreliminary findings suggest that GCBT is associated with improvements in anxiety symptoms in college students over the long term. Changes in daily heart rates and step counts were correlated with mood and energy levels, suggesting that physiological markers may be useful in assessing treatment response.

trial registrationClinicalTrials.gov (NCT05913349), trial registration date: June 13, 2023 (retrospectively registered).

Indexed as

AnxietyAnxiety DisordersCognitive Behavioral TherapyMobile ApplicationsPsychotherapy, GroupStudentsWearable Electronic DevicesAdolescentAdultEcological Momentary AssessmentFemaleHeart RateHumansMaleTreatment OutcomeUniversitiesAnxietyEcological momentary assessmentsGroup cognitive-behavioral therapyWearable devices

Identifiers

PMID41318529
PMCPMC12771738

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Registered trials

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.