Abstract Objective Cognitive-behavioral interventions can be effective for relieving anxiety associated with coronavirus disease 2019 (COVID-19), but complications such as social distancing, quarantine, a shortage of experts, and delayed care provisions have made it difficult to access face-to-face therapeutic interventions. The purpose of this study was to investigate the efficacy of a video-based cognitive-behavioral intervention for reducing COVID-19 anxiety. Method In the present randomized controlled trial, 150 college students with severe COVID-19 anxiety were randomly assigned to either an intervention (n = 75) or a waiting list control (n = 75) group. The intervention group participated in a video-based cognitive-behavioral program consisting of nine 15-20-minute sessions (three days a week for three weeks). Dependent measures included the COVID-19 Anxiety Questionnaire, Short Health Anxiety Inventory, Anxiety Sensitivity Index-3, Somatosensory Amplification Scale, Experience of Parasocial Interaction Scale, and Source Credibility Scale. Results Participants who were randomly assigned to the cognitive-behavioral program reported high parasocial interaction, source credibility, and satisfaction with the intervention. Eighty percent reported that the video-based intervention was a beneficial alternative to traditional face-to-face therapeutic intervention. At post-treatment evaluation, the video-based cognitive-behavioral intervention group showed a significant reduction in COVID-19 anxiety, health anxiety, anxiety sensitivity, and somatosensory amplification when compared to the wait-listed control group. Conclusions This study suggests that video-based cognitive-behavioral interventions can be an affordable, feasible, and effective method to reduce anxiety during a large-scale pandemic.
【저자키워드】 COVID-19, Anxiety, video-based psychotherapy, cognitive-behavioral therapy, 【초록키워드】 Randomized controlled trial, coronavirus disease, Efficacy, pandemic, severe COVID-19, quarantine, social distancing, Intervention, amplification, sensitivity, Complication, scale, Care, experience, Satisfaction, Interaction, Health anxiety, control group, intervention group, measure, participant, credibility, therapeutic interventions, therapeutic intervention, objective, effective, inventory, Randomly, Result, reported, nine, reducing, reduce, feasible, assigned, Source, reduction in, Dependent, participated, 【제목키워드】 Randomized controlled trial, Intervention,