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. 2025 May 30;9:e74401. doi: 10.2196/74401

Table 1.

Longitudinal psychological changes in Project Aliens participants (N=3).

Participant and time points Loneliness (PROa) Resilience (PRO) Depression (PRO) Psychiatrist observation
Alien 1

Baseline Feeling disconnected when unable to talk to online friends Distracted self with videos and games No specific episode Limited social engagement

Prebroadcase Feeling excluded when unable to join conversations Watched videos to change their mood No specific episode Limited social interaction skills

Postbroadcase No specific episode Found interacting with various people was meaningful and enriching No specific episode Developed better coping strategies and became more socially engaged
Alien 2

Baseline Feeling abandoned and lonely when a classmate stopped interacting after a seating change No specific episode Feeling overwhelmed by loneliness and sadness Emotional distress, avoidance tendencies, and negative thought patterns

Prebroadcase No specific episode No specific episode Feeling anxious about participating in the program Anxiety about social interaction

Postbroadcase “Talking with other participants who shared similar struggles helped me realize that I was not alone.” “Expressing sadness and loneliness to others brought me relief.” Feeling warmth from kind program staff, reducing isolation Reduction in loneliness, improvement in coping skills, and alleviation of interpersonal distrust
Alien 3

Baseline “After missing school, pressure from my family to return caused tension, and I also became isolated from my friends.” “Retreating to my room provided me with a sense of comfort.” “However, I still felt distressed, as if I had no place to belong.” Social isolation, depressive state, and avoidance behavior

Prebroadcase “Continued school absence has resulted in prolonged feelings of isolation.” “I tried going outside.” “Feelings of depression and hopelessness persisted.” Despite improvements in proactive coping strategies, the depressive symptoms remained.

Postbroadcase “I started spending time and chatting with my friends after school.” “I stopped avoiding tasks due to perfectionism and realized that taking action matters. Now, l have learned to accept my imperfections.” “At first, I struggled to connect with my new classmates. Now I feel sad to part ways with them.” Enhanced coping strategies, relief from depressive symptoms, and reduced feelings of isolation

aPRO: patient reported outcome.