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Intervention effects and mechanisms of online single session therapy on test anxiety in university students: A

Liying Chen^1,2, Jiani Yan^1,2, Low Teck Keong³

¹Shanghai Key Laboratory of Mental Health and Psychological Crisis Intervention, School of Psychology and Cognitive Science, East China Normal University, Shanghai, China.

Internet Interventions

|June 27, 2025

Abstract

Objective:

This study aimed to develop an online Single-Session Therapy (SST) intervention program for test anxiety and explore the intervention effects and mechanisms underlying the effectiveness of this SST program for university students experiencing test anxiety, utilizing a randomized controlled trial.

Methods:

Sixteen psychological counselors and 57 university students with test anxiety were recruited through online platforms. The student participants were randomly assigned to either the online SST intervention group or the control group. Both groups completed scale assessments on the day before the intervention, the day of the intervention, and on days 4, 7, and 10 after the intervention.

Results:

Online SST effectively alleviated college students' test anxiety. In addition, SST also increased students' self-compassion levels, and self-compassion mediated the relationship between SST and test anxiety; meanwhile, counseling style preference matching significantly increased students' self-compassion levels, but did not positively affect their test anxiety levels.

Conclusion:

The online SST intervention targeting test anxiety effectively improves self-compassion and reduces test anxiety among university students. However, further research is needed to compare the advantages of SST with conventional counseling programs and to explore the mechanisms underlying counseling style preference matching.

Keywords:

Counseling style preference matching Randomized controlled trial Self-compassion Single-session therapy Test anxiety

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