Primary outcome |
Depression (CES-D, 0–60) |
- T1 (baseline) |
25.05 |
7.85 |
23.60 |
8.17 |
|
|
|
|
- T2 (7 weeks) |
21.91 |
10.30 |
18.18 |
10.09 |
0.36 |
0.08–0.64 |
7.83 |
0.005 |
- T3 (3 months) |
18.96 |
11.30 |
15.53 |
10.23 |
0.31 |
0.04–0.59 |
5.64 |
0.018 |
|
Mental health |
Behavioral Activation for Depression (BADS, 0–150) |
|
|
|
|
|
|
|
|
- T1 (baseline) |
82.93 |
22.92 |
82.34 |
20.34 |
|
|
|
|
- T2 (7 weeks) |
89.10 |
23.93 |
103.66 |
21.93 |
0.61 |
0.30–0.91 |
17.12 |
<0.001 |
- T3 (3 months) |
91.11 |
31.99 |
105.37 |
26.37 |
0.47 |
0.14–0.81 |
7.33 |
0.019 |
Perceived stress (PSS-10, 0–40) |
|
|
|
|
|
|
|
|
- T1 (baseline) |
24.08 |
5.37 |
23.57 |
5.92 |
|
|
|
|
- T2 (7 weeks) |
20.83 |
6.99 |
17.53 |
7.28 |
0.45 |
0.18–0.73 |
13.10 |
<0.001 |
- T3 (3 months) |
19.75 |
9.37 |
17.20 |
8.03 |
0.30 |
−0.02–0.59 |
3.79 |
0.057 |
Anxiety (STAI-6, 6–24) |
|
|
|
|
|
|
|
|
- T1 (baseline) |
14.98 |
3.75 |
14.59 |
3.37 |
|
|
|
|
- T2 (7 weeks) |
14.23 |
4.04 |
12.80 |
3.89 |
0.35 |
0.03–0.67 |
4.88 |
0.039 |
- T3 (3 months) |
13.05 |
4.34 |
12.39 |
4.56 |
0.15 |
−0.19–0.49 |
0.26 |
0.614 |
Worrying (AWQ, 0–40) |
|
|
|
|
|
|
|
|
- T1 (baseline) |
17.55 |
5.16 |
16.74 |
4.85 |
|
|
|
|
- T2 (7 weeks) |
17.29 |
5.86 |
15.18 |
6.14 |
0.35 |
0.06–0.63 |
7.65 |
0.007 |
- T3 (3 months) |
15.37 |
7.50 |
13.67 |
6.38 |
0.25 |
−0.04–0.53 |
3.23 |
0.073 |
Emotional exhaustion (MBI-S, 5–30) |
|
|
|
|
|
|
|
|
- T1 (baseline) |
19.50 |
5.66 |
19.39 |
5.10 |
|
|
|
|
- T2 (7 weeks) |
18.19 |
6.06 |
17.74 |
5.90 |
0.08 |
−0.21–0.36 |
0.22 |
0.638 |
- T3 (3 months) |
18.34 |
7.28 |
14.58 |
6.59 |
0.52 |
0.24–0.80 |
16.44 |
<0.001 |
|
Academic outcomes |
Work impairment (WIS, 10–50) |
|
|
|
|
|
|
|
|
- T1 (baseline) |
32.33 |
6.66 |
32.30 |
5.65 |
|
|
|
|
- T2 (7 weeks) |
31.51 |
7.77 |
29.83 |
7.58 |
0.22 |
−0.06–0.49 |
3.70 |
0.055 |
- T3 (3 months) |
30.92 |
7.56 |
28.09 |
7.94 |
0.36 |
0.05–0.67 |
6.04 |
0.017 |
Work output (WOS, 0–100) |
|
|
|
|
|
|
|
|
- T1 (baseline) |
54.63 |
28.08 |
56.39 |
25.70 |
|
|
|
|
- T2 (7 weeks) |
54.42 |
29.28 |
62.34 |
29.22 |
0.27 |
0.00–0.54 |
4.24 |
0.039 |
- T3 (3 months) |
56.82 |
33.71 |
65.59 |
31.82 |
0.27 |
−0.11–0.64 |
1.18 |
0.313 |
Work cutback (PS-S, h) |
|
|
|
|
|
|
|
|
- T1 (baseline) |
9.91 |
14.96 |
8.02 |
12.33 |
|
|
|
|
- T2 (7 weeks) |
8.33 |
11.90 |
5.81 |
10.16 |
0.23 |
−0.06–0.51 |
2.47 |
0.117 |
- T3 (3 months) |
11.50 |
17.82 |
5.92 |
12.06 |
0.36 |
0.05–0.68 |
4.80 |
0.036 |
College self-efficacy (CSEI, 13–65) |
|
|
|
|
|
|
|
|
- T1 (baseline) |
46.72 |
11.48 |
47.50 |
11.66 |
|
|
|
|
- T2 (7 weeks) |
51.09 |
13.17 |
50.11 |
12.42 |
−0.08 |
−0.36–0.21 |
0.19 |
0.660 |
- T3 (3 months) |
51.31 |
18.10 |
51.17 |
14.89 |
−0.01 |
−0.32–0.31 |
−0.04 |
1.000 |
|
Risk and protective factors |
Resilience (CD-RISC, 0–8) |
|
|
|
|
|
|
|
|
- T1 (baseline) |
5.64 |
1.71 |
5.51 |
1.60 |
|
|
|
|
- T2 (7 weeks) |
5.53 |
1.82 |
5.92 |
1.73 |
0.22 |
−0.07–0.51 |
2.21 |
0.146 |
- T3 (3 months) |
5.15 |
2.24 |
5.93 |
1.88 |
0.37 |
0.08–0.66 |
7.36 |
0.007 |
Emotion regulation competencies (SEK-27, 27–108) |
|
|
|
|
|
|
|
|
- T1 (baseline) |
73.83 |
12.70 |
74.57 |
13.72 |
|
|
|
|
- T2 (7 weeks) |
76.44 |
14.59 |
85.35 |
14.15 |
0.59 |
0.32–0.87 |
24.00 |
<0.001 |
- T3 (3 months) |
78.83 |
26.62 |
82.98 |
19.22 |
0.18 |
−0.13–0.49 |
1.10 |
0.298 |
Self-compassion (SCS-D, 12–60) |
|
|
|
|
|
|
|
|
- T1 (baseline) |
19.17 |
7.86 |
19.68 |
7.42 |
|
|
|
|
- T2 (7 weeks) |
21.37 |
9.22 |
26.52 |
9.36 |
0.54 |
0.26–0.81 |
22.97 |
<0.001 |
- T3 (3 months) |
20.63 |
10.99 |
26.44 |
9.52 |
0.54 |
0.26–0.83 |
18.93 |
<0.001 |
Self-esteem (RSES, 10–40) |
|
|
|
|
|
|
|
|
- T1 (baseline) |
27.49 |
6.74 |
28.79 |
6.39 |
|
|
|
|
- T2 (7 weeks) |
29.20 |
6.76 |
31.80 |
6.24 |
0.39 |
0.12–0.67 |
20.82 |
<0.001 |
- T3 (3 months) |
29.83 |
10.13 |
31.16 |
8.10 |
0.14 |
−0.19–0.48 |
0.15 |
0.708 |
Negative beliefs about stress (BASS, 8–32) |
|
|
|
|
|
|
|
|
- T1 (baseline) |
26.45 |
4.16 |
26.36 |
3.56 |
|
|
|
|
- T2 (7 weeks) |
25.18 |
4.29 |
24.73 |
4.18 |
0.11 |
−0.18–0.39 |
0.70 |
0.404 |
- T3 (3 months) |
25.63 |
4.38 |
23.83 |
4.00 |
0.42 |
0.11–0.73 |
8.66 |
0.006 |
Positive beliefs about stress (BASS, 4–16) |
|
|
|
|
|
|
|
|
- T1 (baseline) |
8.95 |
3.25 |
8.99 |
2.96 |
|
|
|
|
- T2 (7 weeks) |
9.61 |
3.02 |
10.45 |
2.85 |
0.28 |
0.01–0.56 |
5.34 |
0.022 |
- T3 (3 months) |
9.31 |
3.13 |
10.08 |
3.13 |
0.24 |
−0.04–0.53 |
3.27 |
0.074 |
Controllability beliefs about stress (BASS, 3–12) |
|
|
|
|
|
|
|
|
- T1 (baseline) |
8.08 |
2.10 |
8.13 |
2.05 |
|
|
|
|
- T2 (7 weeks) |
8.73 |
2.04 |
9.88 |
1.67 |
0.59 |
0.31–0.86 |
20.83 |
<0.001 |
- T3 (3 months) |
8.58 |
2.24 |
10.12 |
1.93 |
0.69 |
0.40–0.98 |
19.94 |
<0.001 |