Rapid Relief Online: A Randomized Trial of a Single-Session Simple-Swift Reconstruction Approach Group During the COVID-19 Surge

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Background: Large-scale crises require brief, scalable, on-line mental-health interventions. We examined the effectiveness of a single 90–120 min videoconference group based on the Simple-Swift Reconstruction Approach (SSRA). Methods: : In a parallel‑group randomized trial, 277 Chinese adults were assigned to SSRA (n = 143) or a waiting‑list control (n = 134). Baseline and 2‑week outcomes were the Patient Health Questionnaire‑9 (PHQ‑9), Generalized Anxiety Disorder‑7 (GAD‑7), and General Self‑Efficacy Scale (GSES). The SSRA group also completed Subjective Units of Disturbance (SUD) ratings immediately before and after the session. Complete‑case analyses used paired and independent t ‑tests with Cohen’s d (two‑tailed α = .05). Results: : One hundred twenty‑one SSRA participants (19% male; M = 34.9 years, SD = 11.3) attended the SSRA session and showed a large within‑session SUD reduction (baseline M = 5.81, SD = 1.62; post M = 3.20, SD = 1.57; t (120) = 19.26, p < .001, d = 1.75). Two‑week follow‑up data were available for 71 SSRA and 19 control participants (retention = 32.5 %). In the SSRA group, depression (Δ = −2.14, d  = 0.63), anxiety (Δ = −1.89, d  = 0.66), and self‑efficacy (Δ = +2.28, d  = 0.41) all improved ( ps  < .001). Compared with controls, only the PHQ‑9 change remained significant ( t (24.7) = −2.60, p  = .015, d  = 0.76); group differences for GAD‑7 and GSES were nonsignificant. Age and sex did not moderate outcomes. Conclusions: : A one-off, on-line SSRA group produced a large immediate distress reduction and small-to-moderate short-term mood benefits, supporting SSRA as a rapid, low-intensity option during public-health emergencies. Replication with larger samples and longer follow-up is recommended. Keywords: Internet intervention; single‑session; group therapy; COVID‑19; brief intervention.
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Rapid Relief Online: A Randomized Trial of a Single-Session Simple-Swift Reconstruction Approach Group During the COVID-19 Surge | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 25 July 2025 V1 Latest version Share on Rapid Relief Online: A Randomized Trial of a Single-Session Simple-Swift Reconstruction Approach Group During the COVID-19 Surge Authors : Junkai Yang 0000-0003-0187-3834 [email protected] , Yao Chen , Yin Fan , Yunge Bai , Zhang Lin , Huajian Li , and Shuangge Sui Authors Info & Affiliations https://doi.org/10.22541/au.175346105.50845970/v1 Published Internet Interventions Version of record Peer review timeline 343 views 114 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Background: Large-scale crises require brief, scalable, on-line mental-health interventions. We examined the effectiveness of a single 90–120 min videoconference group based on the Simple-Swift Reconstruction Approach (SSRA). Methods: In a parallel‑group randomized trial, 277 Chinese adults were assigned to SSRA (n = 143) or a waiting‑list control (n = 134). Baseline and 2‑week outcomes were the Patient Health Questionnaire‑9 (PHQ‑9), Generalized Anxiety Disorder‑7 (GAD‑7), and General Self‑Efficacy Scale (GSES). The SSRA group also completed Subjective Units of Disturbance (SUD) ratings immediately before and after the session. Complete‑case analyses used paired and independent t ‑tests with Cohen’s d (two‑tailed α = .05). Results: One hundred twenty‑one SSRA participants (19% male; M = 34.9 years, SD = 11.3) attended the SSRA session and showed a large within‑session SUD reduction (baseline M = 5.81, SD = 1.62; post M = 3.20, SD = 1.57; t (120) = 19.26, p < .001, d = 1.75). Two‑week follow‑up data were available for 71 SSRA and 19 control participants (retention = 32.5 %). In the SSRA group, depression (Δ = −2.14, d = 0.63), anxiety (Δ = −1.89, d = 0.66), and self‑efficacy (Δ = +2.28, d = 0.41) all improved ( ps < .001). Compared with controls, only the PHQ‑9 change remained significant ( t (24.7) = −2.60, p = .015, d = 0.76); group differences for GAD‑7 and GSES were nonsignificant. Age and sex did not moderate outcomes. Conclusions: A one-off, on-line SSRA group produced a large immediate distress reduction and small-to-moderate short-term mood benefits, supporting SSRA as a rapid, low-intensity option during public-health emergencies. Replication with larger samples and longer follow-up is recommended. Keywords: Internet intervention; single‑session; group therapy; COVID‑19; brief intervention. Supplementary Material File (manusccript_online_ssra_group_trial_20250725.pdf) Download 358.24 KB Information & Authors Information Version history V1 Version 1 25 July 2025 Peer review timeline Published Internet Interventions Version of Record 1 Dec 2025 Published Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords brief intervention covid-19 group therapy internet intervention single-session Authors Affiliations Junkai Yang 0000-0003-0187-3834 [email protected] School of Psychology and Entrepreneurship Education, Laboratory for Behavioral and Regional Finance, Guangdong University of Finance View all articles by this author Yao Chen School of Psychology, South China Normal University Senior High School View all articles by this author Yin Fan School of Government, Shenzhen University View all articles by this author Yunge Bai Fushun No. 2 Senior High School View all articles by this author Zhang Lin Wenzhou Seventh People's Hospital View all articles by this author Huajian Li College of Psychology, Hainan Normal University View all articles by this author Shuangge Sui Spring Care Stress Intervention Center View all articles by this author Funding Information Basic and Applied Basic Research Foundation of Guangdong Province 2023A1515110530 Junkai Yang Metrics & Citations Metrics Article Usage 343 views 114 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Junkai Yang, Yao Chen, Yin Fan, et al. Rapid Relief Online: A Randomized Trial of a Single-Session Simple-Swift Reconstruction Approach Group During the COVID-19 Surge. Authorea . 25 July 2025. DOI: https://doi.org/10.22541/au.175346105.50845970/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . 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