Supporting University Students During the Pandemic: A Study on The Efficacy of a Mentalizing Online Group Counselling

Giovanna Esposito, Raffaella Passeggia, Giuliana Pepicelli, Anna Cannata, Maria Rosaria Di Natale, Federica Parlato, Maria Francesca Freda

Abstract


Background: University counselling services assume a fundamental support function for students who are facing moments of crisis during their academic career. Such services often aim to reduce drop-out rates and achieve improvement in terms of psychological well-being. COVID-19 contagion containment measures have also had an impact on the psychological health of university students and their ability to cope with important developmental tasks. It has become necessary, therefore, to offer online counselling services which has become, however, the means of choice to support students during the university course in the pandemic era, as a complementary intervention to the traditional face-to-face approach.


Methods: In a clinical and health psychology perspective, this study aims to analyze the efficacy of 13 online counselling groups involving 66 underachieving students, lagging with their studies. The intervention has adopted the methodology of the Narrative Mediation Path, which aims at promoting mentalization, academic engagement and psychological well-being in order to have an impact on students’ academic performance and prevent university dropouts. At the beginning and end of counselling the following measures were administered: a) Reflective Functioning Questionnaire, b) Psychological General Well-Being Index Short Form, c) Academic Performance Inventory, d) University Student Engagement Inventory, e) Group Climate Questionnaire.


Results: The results showed that online counselling groups enabled an overall improvement in all the variables considered.


Conclusion: Overall, the present study showed the efficacy of the online group counselling service in supporting students during the pandemic period and in coping with the difficulties encountered during the academic career.


Keywords


Online group counselling; Mentalization; Psychological well-being; Academic engagement; University drop-out.

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References


Adebowale, O. (2014). Disposition of students to Online counselling: The Obafemi Awolowo University, Nigerian experience. International Journal of Education and Development using ICT, 10(3),. Open Campus, The University of the West Indies, West Indies. Retrieved on December 23, 2022 from https://www.learntechlib.org/p/148475/.

Agnew, M., Poole, H., & Khan, A. (2019). Fall break fallout: Exploring student perceptions of the impact of an autumn break on stress. Special Issue: Psychological Wellbeing and Distress in Higher Education, 10(3), 45-54. https://doi.org/10.5204/ssj.v10i3.1412

Ahmed, M. Z., Ahmed, O., Aibao, Z., Hanbin, S., Siyu, L., & Ahmad. A. (2020). Epidemic of COVID-19 in China and associated psychological problems. Asian Journal of Psychiatry, 51, 102092. https://doi.org/10.1016/j.ajp.2020.102092

Allan, J. F., McKenna, J., & Dominey, S. (2013). Degrees of resilience: profiling psychological resilience and prospective academic achievement in university inductees. British Journal of Guidance & Counselling, 42(1), 9–25. https://doi.org/10.1080/03069885.2013.793784

Allen, J. G., Fonagy, P., & Bateman, A. (2008). Mentalizing in clinical practice. Washington: American Psychiatric Press.

Alrashidi, O., Phan, H. P., & Ngu, B. H. (2016). Academic engagement: an overview of its definitions, dimensions, and major conceptualisations. International Education Studies, 9(12), 41-52. https://doi.org/10.5539/ies.v9n12p41

Antonsen, B. T., Johansen, M. S., Rø, F. G., Kvarstein, E. H., & Wilberg, T. (2016). Is reflective functioning associated with clinical symptoms and long-term course in patients with personality disorders?. Comprehensive Psychiatry, 64, 46-58. https://doi.org/10.1016/j.comppsych.2015.05.016

Arrow, K., Yap, K., & Chester, A. (2021). Group climate in online group cognitive behaviour therapy predicts treatment outcomes. Clinical Psychologist, 25(2), 153-163. https://doi.org/10.1080/13284207.2020.1829944

Assunção, H., Lin, S. W., Sit, P. S., Cheung, K. C., Harju-Luukkainen, H., Smith, T., Maloa, B., Álvares Duarte Bonini Campos, J., Stepanovich Ilic, I., Esposito, G., Freda, M. F. & Marôco, J. (2020). University student engagement inventory (USEI): transcultural validity evidence across four continents. Frontiers in Psychology, 2796. https://doi.org/10.3389/fpsyg.2019.02796

Awabil, G., & Akosah, J. C. (2018). Attitude of Ghanaian university students towards online counselling. Journal of Education and Practice, 9(11), 10-16.

Badoud, D., Luyten, P., Fonseca-Pedrero, E., Eliez, S., Fonagy, P., & Debbané, M. (2015). The French version of the Reflective Functioning Questionnaire: validity data for adolescents and adults and its association with non-suicidal self-injury. PloS one, 10(12):e0145892. https://doi.org/10.1371/journal.pone.0145892

Banbury, A., Nancarrow, S., Dart, J., Gray, L., & Parkinson, L. (2018). Telehealth interventions delivering home-based support group videoconferencing: systematic review. Journal of medical Internet research, 20(2), e25. https://doi.org/10.2196/jmir.8090

Barak, A., & Grohol, J. M. (2011). Current and future trends in internet-supported mental health interventions. Journal of Technology in Human Services, 29, 155-196. https://doi.org/10.1080/15228835.2011.616939

Bateman, A., & Fonagy, P. (Eds.). (2019). Handbook of mentalizing in mental health practice (2nd ed.). American Psychiatric Association Publishing.

Bateman, A., & Fonagy, P. (2016). Mentalization-based treatment for personality disorders: A practical guide. Oxford: Oxford University Press. https://doi.org/10.1093/med:psych/9780199680375.001.0001

Beaunoyer, E., Dupéré, S., & Guitton, M. J. (2020). COVID-19 and digital inequalities: Reciprocal impacts and mitigation strategies. Computers in Human Behavior, 111, 106424. https://doi.org/10.1016/j.chb.2020.106424

Belar, C. D. (2008). Clinical health psychology: A health care specialty in professional psychology. Professional Psychology: Research and Practice, 39(2), 229-233. https://doi.org/10.1037/0735-7028.39.2.229

Bishop, J., & Brenneman, K. (1986). An initial assessment of a counseling center’s role in retention. Journal of College Student Personnel, 27, 461–462

Bolier, L., Ketelaar, S. M., Nieuwenhuijsen, K., Smeets, O., Gärtner, F. R., & Sluiter, J. K. (2014). Workplace mental health promotion online to enhance well-being of nurses and allied health professionals: A cluster-randomized controlled trial. Internet Interventions, 1(4), 196-204. https://doi.org/10.1016/j.invent.2014.10.002

Bolinski, F., Boumparis, N., Kleiboer, A., Cuijpers, P., Ebert, D. D., & Riper, H. (2020). The effect of e-mental health interventions on academic performance in university and college students: A meta-analysis of randomized controlled trials. Internet Interventions, 20, 100321. https://doi.org/10.1016/j.invent.2020.100321

Brackney, B., & Karabenick, S. (1995). Psychopathology and academic performance: The role of motivation and learning strategies. Journal of Counseling Psychology, 42(4), 456–465. https://doi.org/10.1037/0022-0167.42.4.456

Brim, O. G., Ryff, C. D., and Kessler, R. C. (2019). How Healthy are We?: A National Study of Well-Being at Midlife. Chicago: University of Chicago Press.

Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. The Lancet, 395(10227), 912–920. https://doi.org/10.1016/S0140-6736(20)30460-8

Buntrock, C., Ebert, D.D., Lehr, D., Smit, F., Riper, H., Berking, M., Cuijpers, P., 2016. Effect of a web-based guided self-help intervention for prevention of major depression in adults with subthreshold depression: a randomized clinical trial. Jama 315, 1854–1863. https://doi.org/10.1001/jama.2016.4326

Burlingame, G. M., Fuhriman, A., & Johnson, J. E. (2004). Process and outcome in group counseling and psychotherapy. In J. L. DeLucia-Waack, D. A. Gerrity, C. R. Kalodner., & M. T. Riva. (Eds.), Handbook of group counseling and psychotherapy (pp. 49–61). Thousand Oak, CA: Sage. https://doi.org/10.4135/9781452229683.n4

Carrera, S., Pandolfi, G., Cappelletti, Y. E., Padoani, W., & Salcuni, S. (2018). Oriented mentalization-based treatment for borderline personality disorder patients: preliminary results at Camposampiero Mental Health Centre. Research in Psychotherapy: Psychopathology, Process and Outcome, 21(3), 178-189. https://doi.org/10.4081/ripppo.2018.336

Chow, H. P. (2010). Predicting academic success and psychological wellness in a sample of Canadian undergraduate students. Electronic Journal of Research in Educational Psychology, 8(2), 473-496. Retrieved from https://www.redalyc.org/articulo.oa?id=293122002002

Christenson, S. L., Reschly, A. L., Appleton, J. J., Berman-Young, S., Spangers, D., & Varro, P. (2008). Best practices in fostering student engagement. In A. Thomas, & J. Grimes (Eds.), Best practices in school psychology V (pp. 1099-1120). Washington, DC: National Association of School Psychologists.

Cobo‐Rendón, R., Pérez‐Villalobos, M. V., Páez‐Rovira, D., & Gracia‐Leiva, M. (2020). A longitudinal study: Affective wellbeing, psychological wellbeing, self‐efficacy and academic performance among first‐year undergraduate students. Scandinavian Journal of Psychology, 61(4), 518-526. https://doi.org/10.1111/sjop.12618

Connell, J., Barkham, M., & Mellor-Clark, J. (2007). CORE-OM mental health norms of students attending university counselling services benchmarked against an age-matched primary care sample. British Journal of Guidance & Counselling, 35(1), 41–57. https://doi.org/10.1080/03069880601106781

Costantini, A., Picardi, A., Podrasky, E., Lunetta, S., Ferraresi, G., & Balbi, A. (2002). Questionario sul Clima di Gruppo: validazione di una misura di processo per le psicoterapie di gruppo. [Group Climate Questionnaire: validation of a process measure for group psychotherapy] Rivista di psichiatria, 37(1), 14-19.

Council for the Advancement of Standards in Higher Education (CAS). (1999). The role of counseling programs: CAS standards contextual statement. Washington, DC: CAS.

Cucchi, A., Hampton, J. A., & Moulton-Perkins, A. (2018). Using the validated Reflective Functioning Questionnaire to investigate mentalizing in individuals presenting with eating disorders with and without self-harm. PeerJ, 6, e5756. https://doi.org/10.7717/peerj.5756

De Coninck, D., Matthijs, K., & Luyten, P. (2021). Depression in Belgian first‐year university students: A longitudinal study of self‐definition, interpersonal relatedness, mentalizing, and integration. Journal of Clinical Psychology, 77(7), 1715-1731. https://doi.org/10.1002/jclp.23149

Dicé, F., Maiello, A., Dolce, P., & Freda, M. F. (2017). Le trasformazioni dialogiche delle preoccupazioni in Pediatria di Famiglia: un’indagine empirica. [Dialogical transformations of worries in Pediatry: an empirical investigation.] Psicologia della Salute, 3, 74-96. https://doi.org/10.3280/PDS2017-003004

Esposito, G., Freda, M. F., & Manzo, S. (2016). Reflexivity and improvements in academic performance. In Freda, M. F., González-Monteagudo, J., & Esposito, G. (Eds.), Working with underachieving students in higher education: Fostering inclusion through narration and reflexivity. (pp. 124-138). New York, NY and Abington: Routledge.

Esposito, G., Savarese, L., & Squitieri, B. (2019). Relation between referential and reflexive processes: an explorative study. Counselling Psychology Quarterly, 32(2), 186-204. https://doi.org/10.1080/09515070.2018.1428528

Esposito, G., Marano, D., & Freda, M. F. (2020). Supportive and interpretative interventions in fostering mentalisation during counselling. British Journal of Guidance & Counselling, 48(3), 314-332. https://doi.org/10.1080/03069885.2018.1463429

Esposito, G., Passeggia, R., Cutolo, A. S., Karterud, S., & Freda, M. F. (2020a). Treatment integrity and members’ change in group counseling: A pilot study on counselor’s mentalizing interventions. Professional Psychology: Research and Practice, 51(6), 588. https://doi.org/10.1037/pro0000304

Esposito, G., Passeggia, R., Pepicelli, G., Cannata, A., Parlato, F., & Freda, M. F. (2020b). Mentalizing the University experience: an exploratory study on the relationship between university students' reflective functioning, psychological well-being and academic performance. Mediterranean Journal of Clinical Psychology, 8(2). https://doi.org/10.6092/2282-1619/mjcp-2415

Esposito, G., Karterud, S., & Freda, M. F. (2021). Mentalizing underachievement in group counseling: Analyzing the relationship between members’ reflective functioning and counselors’ interventions. Psychological Services, 18(1), 73. https://psycnet.apa.org/doi/10.1037/ser0000350

Esposito, G., Formentin, S., Marogna, C., Sava, V., Passeggia, R., & Karterud, S. W. (2022a). Pseudomentalization as a Challenge for Therapists of Group Psychotherapy With Drug Addicted Patients. Frontiers in Psychology, 5432. https://doi.org/10.3389/fpsyg.2021.684723

Esposito, G., Marôco, J., Passeggia, R., Pepicelli, G., & Freda, M. F. (2022b). The Italian validation of the university student engagement inventory. European Journal of Higher Education, 12(1), 35-55. https://doi.org/10.1080/21568235.2021.1875018

Ferrari, L., Rosnati, R., Manzi, C., & Benet-Martínez, V. (2015). Ethnic identity, bicultural identity integration, and psychological well-being among transracial adoptees: a longitudinal study. New Directions for Child and Adolescence Development, 2015(150), 63–76. https://doi.org/10.1002/cad.20122

Fonagy, P., Gergely, G., Jurist, E., & Target, M. (2002). Affect regulation, Mentalization and the Development of the Self. New York: Other Press.

Fonagy, P., Luyten, P., Moulton-Perkins, A., Lee, Y. W., Warren, F., Howard, S., Ghinai, R., Fearon, P., & Lowyck, B. (2016). Development and validation of a self-report measure of mentalizing: The Reflective Functioning Questionnaire. PLoS One, 11(7). https://doi.org/10.1371/journal.pone.0158678

Freda, M. F., González-Monteagudo, J., & Esposito, G. (Eds.). (2016). Working with underachieving students in higher education: Fostering inclusion through narration and reflexivity. New York, NY and Abington: Routledge. https://doi.org/10.4324/9781315659121

Freda, M. F., Savarese, L., Dolce, P., & De Luca Picione, R. (2019). Caregivers’ sensemaking of children’s Hereditary Angioedema: a semiotic narrative analysis of the Sense of Grip on the Disease. Frontiers in Psychology, 10, 2609. https://doi.org/10.3389/fpsyg.2019.02609

Fredricks, J. A., Blumenfeld, P. C., & Paris, A. H. (2004). School Engagement: Potential of the Concept, State of the Evidence. Review of Educational Research, 74(1), 59-109. https://doi.org/10.3102/00346543074001059

Friedman, E. M., Ruini, C., Foy, R., Jaros, L., Sampson, H., & Ryff, C. D. (2017). Lighten UP! A community-based group intervention to promote psychological well-being in older adults. Aging & Mental Health, 21(2), 199–205. https://doi.org/10.1080/13607863.2015.1093605

Gallagher, R. P. (2012). Thirty years of the national survey of counseling center directors: A personal account. Journal of College Student Psychotherapy, 26(3), 172-184. https://doi.org/10.1080/87568225.2012.685852

Giordano, C., Ambrosiano, I., Graffeo, M. T., Di Caro, A., & Gullo, S. (2022). The transition to online psychotherapy during the pandemic: a qualitative study on patients’ perspectives. Research in Psychotherapy: Psychopathology, Process and Outcome. 25(3). https://doi.org/10.4081/ripppo.2022.638

Grist, R., Croker, A., Denne, M., & Stallard, P. (2019). Technology delivered interventions for depression and anxiety in children and adolescents: a systematic review and meta-analysis. Clinical Child and Family Psychology Review, 22(2), 147-171. https://doi.org/10.1007/s10567-018-0271-8

Grossi, E. & Compare, A. (2014). Psychological General Well-Being Index (PGWB). In: A. C. Michalos, & P. George (Eds.), Encyclopedia of quality of life and well-being. Dordrecht, Holland: Springer (pp. 5152-5156). https://doi.org/10.1007/978-94-007-0753-5_2309

Gullo, S., Lo Coco, G., Leszcz, M., Marmarosh, C. L., Miles, J. R., Shechtman, Z., Weber, R., & Tasca, G. A. (2022). Therapists’ perceptions of online group therapeutic relationships during the COVID-19 pandemic: A survey-based study. Group Dynamics: Theory, Research, and Practice, 26(2), 103-118. https://doi.org/10.1037/gdn0000189

Häarkäapäaäa, K., Junttila, O., Lindfors, O., & Jäarvikoski, A. (2014). Changes in studying abilities as perceived by students attending psychotherapy. British Journal of Guidance & Counselling, 42(2), 166–180. https://doi.org/10.1080/03069885.2013.857759

Hayden, M. C., Müllauer, P. K., Gaugeler, R., Senft, B., & Andreas, S. (2018). Improvements in mentalization predict improvements in interpersonal distress in patients with mental disorders. Journal of Clinical Psychology, 74(12), 2276-2286. https://doi.org/10.1002/jclp.22673

Hysenbegasi, A., Hass, S. L., & Rowland, C. R. (2005). The impact of depression on the academic productivity of university students. Journal of mental health policy and economics, 8(3), 145.

Jańczak, M. (2018). Mentalization in borderline individuals: An attempt to integrate contradictory research results. Current Issues in Personality Psychology, 6(4), 266-278. https://doi.org/10.5114/cipp.2018.80196

Jańczak, M. O. (2021). What’s on your mind?. WPiK Open Access. 10.48226/978-83-66666-85-6

Jiang, N., Yan-Li, S., Pamanee, K., & Sriyanto, J. (2021). Depression, Anxiety, and Stress During the COVID-19 Pandemic: Comparison Among Higher Education Students in Four Countries in the Asia-Pacific Region. Journal of Population and Social Studies [JPSS], 29, 370-383. https://doi.org/10.25133/JPSSv292021.023

Johnson, J. E. (2013). Beware of storming: Research implications for interpreting Group Climate Questionnaire scores over time. International journal of group psychotherapy, 63(3), 433-446. https://doi.org/10.1521/ijgp.2013.63.3.433

Jones, G., & Stokes, A. (2009). Online counselling: A handbook for practitioners. Basingstoke, UK: Palgrave Macmillan. https://doi.org/10.1007/978-0-230-23085-9

Kahu, E. R. (2013) Framing student engagement in higher education. Studies in Higher Education, 38(5), 758-773. https://doi.org/10.1080/03075079.2011.598505

Kitzrow, M. A. (2003). The mental health needs of today’s college students: Challenges and recommendations. Journal of Student Affairs Research and Practice, 41(1), 167-181. https://doi.org/10.2202/1949-6605.1310

Lei, H., Cui, Y., & Zhou, W. (2018). Relationships between student engagement and academic achievement: A meta-analysis. Social Behavior and Personality: an international journal, 46(3), 517-528. https://doi.org/10.2224/sbp.7054

Lewis, A. D., Huebner, E. S., Malone, P. S., & Valois, R. F. (2011). Life satisfaction and student engagement in adolescents. Journal of Youth and Adolescence, 40, 249-262. https://doi.org/10.1007/s10964-010-9517-6

Li, Y., & Lerner, R. M. (2011). Trajectories of school engagement during adolescence: implications for grades, depression, delinquency, and substance use. Developmental psychology, 47(1), 233. https://doi.org/10.1037/a0021307

Lopez, A., Rothberg, B., Reaser, E., Schwenk, S., & Griffin, R. (2020). Therapeutic groups via video teleconferencing and the impact on group cohesion. Mhealth, 6(13). https://doi.org/10.21037/mhealth.2019.11.04

Lun, V. M. C., & Bond, M. H. (2016). Achieving subjective well-being around the world: The moderating influence of gender, age and national goals for socializing children. Journal of Happiness Studies, 17, 587-608. https://doi.org/10.1007/s10902-015-9614-z

Macaskill, A. (2013). The mental health of university students in the United Kingdom. British Journal of Guidance & Counselling, 41, 426–441. https://doi.org/10.1080/03069885.2012.743110

MacKenzie, K. R. (1981). Measurement of group climate. International Journal of Group Psychotherapy, 31, 287-295. https://doi.org/10.1080/00207284.1981.11491708

MacKenzie, K. R. (1998). The alliance in time limited group psychotherapy. In J. D. Safran & J. C. Muran (Eds.), The therapeutic alliance in brief psychotherapy (pp. 193215). Washington, DC: American Psychological Association.

Marchetti, A., (2014). Prefazione all’edizione italiana. “Minding the child”: dall’individuo alle organizzazioni mentalizzanti [Prefaction to the Italian edition. “Minding the child”: from the mentalizing individual to the mentalizing organizations]. In Midgley, N., & Vrouva, I. (Eds.), La mentalizzazione nel ciclo di vita. Interventi con bambini, genitori e insegnanti [Minding the child: Mentalization-Based Interventions with children, young people and their families], Cortina: Milano (pp. XI- XVII).

Margherita, G., Muzii, B., Caffieri, A., Di Francia, A., & Somma, B. (2022). ‘Isolated together’: online group treatments during the COVID-19 pandemic. A systematic review. Research in Psychotherapy: Psychopathology, Process and Outcome, 25(3). https://doi.org/10.4081/ripppo.2022.639

Markowitz, J. C., Milrod, B., Heckman, T. G., Bergman, M., Am-salem, D., Zalman, H., Ballas, T., & Neria, Y. (2021). Psychotherapy at a Distance. The American Journal of Psychiatry, 178(3), 240-246. https://doi.org/10.1176/appi.ajp.2020.20050557

Marmarosh, C. L., Forsyth, D. R., Strauss, B., & Burlingame, G. M. (2020). The psychology of the COVID-19 pandemic: A group-level perspective. Group Dynamics: Theory, Research, and Practice, 24(3), 122. https://doi.org/10.1037/gdn0000142

Marôco, J., Marôco, A. L., Campos, J. A. D. B., & Fredricks, J. A. (2016). University student’s engagement: development of the University Student Engagement Inventory (USEI). Psicologia: Reflexão e Crítica, 29. https://doi.org/10.1186/s41155-016-0042-8

Marôco, J., Assunção, H., Harju-Luukkainen, H., Lin, S. W., Sit, P. S., Cheung, K. C., ... & Campos, J. A. (2020). Predictors of academic efficacy and dropout intention in university students: Can engagement suppress burnout?. PLoS One, 15(10), e0239816. https://doi.org/10.1371/journal.pone.0239816

Martino, M. L., Lemmo, D., Gargiulo, A., Barberio, D., Abate, V., Avino, F., & Tortoriello, R. (2019). Underfifty women and breast cancer: Narrative markers of meaning-making in traumatic experience. Frontiers in psychology, 10, 618. https://doi.org/10.3389/fpsyg.2019.00618

McClendon, D. T., & Burlingame, G. M. (2010). Group climate: Construct in search of clarity. In R. K. Conyne (Ed.), The Oxford handbook of group counseling (pp. 164-181). New York, NY: Oxford University Press. https://doi.org/10.1093/oxfordhb/9780195394450.013.0010

McKenzie, K., Murray, K. R., Murray, A. L., & Richelieu, M. (2015). The effectiveness of university counselling for students with academic issues. Counselling and Psychotherapy Research, 15(4), 284-288. https://doi.org/10.1002/capr.12034

Millon, T., Green, C., & Meagher, R. (Eds.). (1982). Handbook of Clinical Health Psychology. New York: Plenum. https://doi.org/10.1007/978-1-4613-3412-5

Morandotti, N., Brondino, N., Merelli, A., Boldrini, A., De Vidovich, G. Z., Ricciardo, S., Abbiati, V., Ambrosi, P., Caverzasi, E., Fonagy, P., & Luyten, P. (2018). The Italian version of the Reflective Functioning Questionnaire: Validity data for adults and its association with severity of borderline personality disorder. PloS one, 13(11). https://doi.org/10.1371/journal.pone.0206433

Pan, X., Chen, D., Xia, Y., Wu, X., Li, T., Ou, X., Zhou, L., & Liu, J. (2020). Asymptomatic cases in a family cluster with SARS-CoV-2 infection. The Lancet Infectious Diseases, 20(4), 410-411. https://doi.org/10.1016/S1473-3099(20)30114-6

Papas, R. K., Belar, C. D., & Rozensky, R. H. (2004). The Practice of Clinical Health Psychology: Professional Issues. In T. J. Boll, R. G. Frank, A. Baum, & J. L. Wallander (Eds.), Handbook of clinical health psychology: Vol. 3. Models and perspectives in health psychology, American Psychological Association (pp. 293–319). https://doi.org/10.1037/11590-008

Rosendahl, J., Alldredge, C. T., Burlingame, G. M., & Strauss, B. (2021). Recent Developments in Group Psychotherapy Research. American journal of psychotherapy, 74(2), 52-59. https://doi.org/10.1176/appi.psychotherapy.20200031

Ryff, C. D. (2014). Psychological well-being revisited: Advances in the science and practice of eudaimonia. Psychotherapy and psychosomatics, 83(1), 10-28. https://doi.org/10.1159/000353263

Schimansky, J., David, N., Rössler, W., & Haker, H. (2010). Sense of agency and mentalizing: dissociation of subdomains of social cognition in patients with schizophrenia. Psychiatry Research, 178(1), 39-45. https://doi.org/10.1016/j.psychres.2010.04.002

Sinval, J., Casanova, J. R., Marôco, J., & Almeida, L. S. (2021). University student engagement inventory (USEI): Psychometric properties. Current Psychology, 40, 1608-1620. https://doi.org/10.1007/s12144-018-0082-6

Sirigatti, S., & Casale, S. (2008). Psicologia della salute e psicologia clinica: oppure psicologia clinica della salute. [Health Psychology and Clinical Psychology: or Clinical and Health Psychology]. Psicologia della Salute, 3, 47-58. https://doi.org/10.3280/PDS2008-003005

Tang, Y. Y., Tang, R., & Gross, J. J. (2019). Promoting psychological well-being through an evidence-based mindfulness training program. Frontiers in human neuroscience, 13, 237. https://doi.org/10.3389/fnhum.2019.00237

Taylor, A. I., & Buku, O. K. (2006). Basics in guidance and counselling (2nd ed.). Accra: Salt and Light Publications.

Thompson, R. J. (2014). Developing fully rounded individuals. University and College Counselling, May, 11–13. https://doi.org/10.1002/capr.12034

Varker, T., Brand, R. M., Ward, J., Terhaag, S., & Phelps, A. (2019). Efficacy of synchronous telepsychology interventions for people with anxiety, depression, posttraumatic stress disorder, and adjustment disorder: A rapid evidence assessment. Psychological Services, 16, 621–635. https://doi.org/10.1037/ser0000239

Weinberg, H. (2020). Online group psychotherapy: Challenges and possibilities during COVID-19-A practice review. Group Dynamics: Theory, Research, and Practice, 24(3), 201-211. https://doi.org/10.1037/gdn0000140

Weinberg, H. (2021). Obstacles, challenges, and benefits of online group psychotherapy. American Journal of Psychotherapy, 74(2), 83-88. https://doi.org/10.1176/appi.psychotherapy.20200034

Zepke, N. (2019). Student engagement research 2010–2018: Continuity and emergence. Advance – A SAGE preprint community publication. https://doi.org/10.31124/advance.7871984.v1

Zhai, Y., & Du, X. (2020). Addressing collegiate mental health amid COVID-19 pandemic. Psychiatry Research, 288, 113003. https://doi.org/10.1016/j.psychres.2020.113003




DOI: https://doi.org/10.13129/2282-1619/mjcp-3705

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