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. 2024 Apr 1;11:e49217. doi: 10.2196/49217

Table 2.

Inferential statistics exploring the differences between before and after the intervention in well-being and mental health symptomology.


Participants, n Before the intervention, mean (SD) After the intervention, mean (SD) Mean difference (95% CI) Repeated measures t test (df) P value Cohen d
Autonomy (BPNSa Questionnaire) 26 4.38 (1.08) 4.36 (1.02) 0.02 (−0.40 to 0.46) 0.13 (25) .90 0.03
Competence (BPNS Questionnaire) 25 3.70 (0.89) 3.95 (1.01) −0.25 (−0.64 to 0.15) −1.30 (24) .21 −0.26
Relatedness (BPNS Questionnaire) 26 4.44 (1.18) 4.62 (1.01) −0.18 (−0.54 to 0.17) −1.05 (25) .30 −0.21
Depression (PHQ-9b) 25 15.92 (7.57) 13.44 (7.93) 2.48 (0.82 to 4.14) 3.08 (24) .005 0.62
Loneliness (University of California, Los Angeles Loneliness Scale) 25 54.92 (10.54) 50.38 (10.55) 4.54 (0.75 to 8.32) 2.47 (24) .02 0.50
Psychological well-being (Flourishing Scale) 24 33.62 (10.04) 36.79 (9.63) −3.17 (−6.51 to 0.16) −1.97 (23) .06 −0.40
Social isolation (Friendship Scale) 24 13.08 (5.71) 9.83 (5.51) 3.25 (1.19 to 5.30) 3.28 (23) .003 0.70
Social anxiety (SIASc) 24 44.55 (14.43) 39.07 (15.28) 5.48 (2.34 to 8.62) 3.61 (23) .001 0.74
Stress (PSSd) 24 25.33 (6.89) 19.92 (6.43) 5.42 (3.01 to 7.83) 4.65 (23) <.001 0.95
Psychological distress (K10e) 24 33.24 (9.82) 29.30 (9.31) 3.94 (1.09 to 6.80) 2.86 (23) .009 0.58
Client working alliance

Goal (WAI-SRCf) 24 9.63 (2.12) 9.67 (1.61) −0.04 (−1.11 to 1.03) −0.08 (23) .94 −0.02

Task (WAI-SRC) 24 11.83 (1.17) 11.83 (1.46) 0.00 (−0.63 to 0.63) 0.00 (23) .99 0.00

Bond (WAI-SRC) 23 12.39 (2.73) 12.78 (2.95) −0.39 (−1.59 to 0.81) −0.68 (22) .51 −0.14
Therapist working alliance

Goal (WAI-SRTg) 17 10.76 (2.08) 11.88 (2.45) −1.11 (−1.86 to −0.37) −3.17 (16) .006 −0.77

Task (WAI-SRT) 17 10.00 (1.66) 11.00 (2.09) −1.00 (−1.93 to −0.07) −2.29 (16) .04 −0.56

Bond (WAI-SRT) 17 16.65 (2.55) 17.53 (2.03) −0.88 (−1.58 to −0.18) −2.67 (16) .002 −0.65
Functioning (SOFASh) 18 57.50 (14.63) 64.28 (17.22) −6.78 (−10.71 to −2.85) −3.92 (17) <.001 −0.86

aBPNS: Basic Psychological Needs Satisfaction.

bPHQ-9: Patient Health Questionnaire (9-item version).

cSIAS: Social Interaction Anxiety Scale.

dPSS: Perceived Stress Scale.

eK10: Kessler Psychological Distress Scale (10-item version).

fWAI-SRC: Working Alliance Inventory–Short Revised (client version).

gWAI-SRT: Working Alliance Inventory–Short Revised (therapist version).

hSOFAS: Social and Occupational Functioning Assessment Scale (clinician rated).