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Using Behavioural Activation and Self-compassion to Cope with Academic Worry

A randomised controlled trial evaluating the use of Behavioural Activation and Self-compassion interventions to cope with academic worry in university students,

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12624001419550
Enrollment
126
Registered
2024-12-04
Start date
2017-02-24
Completion date
2018-10-04
Last updated
2024-12-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The current study aimed to investigate the efficacy of two interventions, namely self-compassion (SC) and behavioural activation (BA), for academic worry in undergraduate students. We also examined the maintenance effects of the two interventions at 3- and 6-month follow-ups. Furthermore, we tested potential mechanisms of change in academic worry by focusing on experiential avoidance and intolerance of uncertainty. Undergraduate participants with moderate levels of academic worry were randomly assigned to behavioural activation, self-compassion, or control conditions, which included two in-person sessions targeting academic worry. We expected that (H1) Compared to the control condition, participants in both SC and BA conditions would show lower levels of academic worry, general worry, experiential avoidance, and intolerance of uncertainty at post-interventions, and at 3- and 6-month follow-ups. (H2) Experiential avoidance and intolerance of uncertainty at post-intervention and/or at 3-month follow-up would mediate the effects of BA and SC on academic worry at 3- and 6-month follow-ups.

Interventions

Academic worry, conceptualised as a domain of general worry, refers to worries towards academic performance with respect to grades, assignments, class attendance, and examinations (Deffenbacher, 1980). Academic worry is the most salient factor that leads to poor academic achievement (Gibbs & Kenealey, 2022; Owens, Stevenson, & Hadwin, 2012; Putwain, Daly, Chamberlain, & Sadreddini, 2015), and is positively associated with negative psychological consequences such as anxiety, depression, and low s

Academic worry, conceptualised as a domain of general worry, refers to worries towards academic performance with respect to grades, assignments, class attendance, and examinations (Deffenbacher, 1980). Academic worry is the most salient factor that leads to poor academic achievement (Gibbs & Kenealey, 2022; Owens, Stevenson, & Hadwin, 2012; Putwain, Daly, Chamberlain, & Sadreddini, 2015), and is positively associated with negative psychological consequences such as anxiety, depression, and low self-esteem (Cassady & Johnson, 2002; Owens, Stevenson, & Hadwin, 2012; Yadusky-Holahan & Holahan, 1983). It is estimated that 25-40% of students experience worry and anxiety towards their academic performance and competence (Gregor, 2005; McDonald, 2001). This trial contained two interventions, behavioural activation (BA) and self-compassion (SC), which aimed to manage academic worry in university students. The intervention programs consisted of two 45-minute in-person sessions in a laboratory with computer and pen-and-paper tasks and a three- and six-month follow-up, delivered weekly by a provisional psychologist with a bachelor's (honours) degree in psychology. Beyond these two in-person sessions of interventions, no other support or consultation was provided by the provisional psychologist. Upon arrival at the first in-person session and after consenting, all participants were asked to complete questionnaires assessing academic worry, general worry, experiential avoidance, intolerance of uncertainty, self-compassion, and behavioural activation. Next, participants were asked to write about an academic-related issue that had been worrying them and reflected on their thoughts, feelings, and behaviours, Following this, they were randomly assigned to different conditions. The BA program was based on Chen et al.'s (2013) behavioural activation program for excessive worry, which was adopted for academic worry in the current study. The program included psychoeducation, activity monitoring (identifying thoughts, feelings and behaviours related to academic avoidance), identifying goals and values related to the academic issues, activity scheduling, and homework that focused on activity scheduling, where participants selected up to two activities in an activity planner to help achieve a specific academic goal. Participants were required to record their practice in a worksheet to be reviewed at the second session. The SC program was based on Neff's (2003) self-compassion, which comprised three interconnected components: self-kindness, common humanity, and mindfulness. The program began by introducing the key concepts of self-compassion and how to apply it in the context of academic worry, followed by a practice of self-kindness, common humanity, and mindfulness in responding to their academic issue through a guided audio recording with instructions. Homework was assigned for the participants to practice self-compassion between sessions and recorded their practice in a worksheet to be reviewed at the second session. The second session was undertaken one week later, which began with participants’ brief reflection on what they had learned in the first session, followed by a review of their respective practice during the week in the SC and BA conditions to ensure their adherence to the respective program, At the end of the second session, all participants completed the post-intervention questionnaires including the same measures as those completed before the interventions. Participants were informed of the follow-up studies and are sent a link to the follow-up questionnaires three and six months after the completion of the second session.

Sponsors

Dr Junwen Chen, the School of Medicine and Psychology, Australian National University
Lead SponsorIndividual

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
17 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Participants were undergraduate students who reported moderate levels of academic worry based on Wolitzky-Taylor and Telch (2010), and who were English-speaking. Moderate academic worry was defined as a score of 2 or higher on at least one of the two questions from the AWQ, “distress about academic worry” and “life disruption/ interference caused by worrying about school” on a scale of 0 (mild) to 4 (extreme).

Exclusion criteria

none

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026