Anxiety Management on Campus: An Evaluation of a Mobile Health Intervention

  • Alicia M. PaulEmail author
  • C. J. Eubanks Fleming
Brief Report


Mental illness is highly prevalent among young adults in the USA, with anxiety disorders affecting a growing number of college students every year. Despite the availability of effective treatments, rates of help-seeking remain low among undergraduate students. One possible solution to overcoming the barriers to treatment-seeking is the use of mobile health (m-health), a set of electronic applications that aim to improve physical or mental health. This study aims to identify an alternative to formal treatment for anxiety disorders in order to best reach students who do not often use formal resources. In the present study, 18 undergraduate students utilized MindShift™, an anxiety-reducing phone application (app), for three weeks. Participants completed assessments at three time points measuring somatic anxiety, general anxiety, depression, and panic symptoms, and responded to open-ended questions evaluating app usability and satisfaction. Analyses of variance showed significant reductions in somatic anxiety (F3, 45 = 7.75, p = .001), general anxiety (F3, 45 = 15.90, p < .001), and depression symptoms (F3, 45 = 6.48, p = .004). In regard to app acceptability, participants reported a general satisfaction with MindShift™ with some critiques including technical difficulties and repetitive content. This study provides preliminary support for the efficacy of MindShift™ in managing anxiety symptoms and acceptability among college students. MindShift™ or similar apps should be further investigated as a tool for colleges and universities to use to combat the high levels of stress and anxiety their students are facing.


Anxiety Undergraduates Mobile health Intervention 


Compliance with Ethical Standards

Approval for this study was obtained from the local IRB.


  1. American College Health Association. (2015). American College Health Association-National College Health Assessment II: Reference Group Executive Summary Spring 2015. Hanover: American College Health Association Retrieved from Scholar
  2. Anxiety and Depression Association of America. (n.d.) Mobile app reviews. Retrieved from
  3. AnxietyBC. (2013). MindShift™ app. Retrieved from
  4. Blanco, C., Okuda, M., Wright, C., Hasin, D. S., Grant, B. F., Liu, S.-M., & Olfson, M. (2008). Mental health of college students and their non-college-attending peers: results from the National Epidemiologic Study on Alcohol and Related Conditions. Archives of General Psychiatry, 65(12), 1429–1437. Scholar
  5. Cheng, H.-L., McDermott, R. C., & Lopez, F. G. (2015). Mental health, self-stigma, and help-seeking intentions among emerging adults: an attachment perspective. The Counseling Psychologist, 43(3), 463–487. Scholar
  6. Eisenberg, D., Golberstein, E. & Hunt, J. (2009). Mental health and academic success in college. The B.E. Journal of Economic Analysis & Policy, 9(1): Article 40.
  7. Eisenberg, D., Hunt, J., Speer, N., & Zivin, K. (2011). Mental health service utilization among college students in the United States. The Journal of Nervous and Mental Disease, 199(5), 301–308. Scholar
  8. Eisenberg, D., Speer, N., & Hunt, J. B. (2012). Attitudes and beliefs about treatment among college students with untreated mental health problems. Psychiatric Services, 63(7), 711–713. Scholar
  9. Hiçdurmaz, D., İnci, F., & Karahan, S. (2017). Predictors of mental health symptoms, automatic thoughts, and self-esteem among university students. Psychological Reports, 120(4), 650–669. Scholar
  10. Hunt, J., & Eisenberg, D. (2010). Mental health problems and help-seeking behavior among college students. Journal of Adolescent Health, 46(1), 3–10. Scholar
  11. Olff, M. (2015). Mobile mental health: a challenging research agenda. European Journal of Psychotraumatology, 6.
  12. Schofield, C. A., Dea Moore, C., Hall, A., & Coles, M. E. (2016). Understanding perceptions of anxiety disorders and their treatment. Journal of Nervous and Mental Disease, 204(2), 116–122. Scholar
  13. Spitzer, R. L., Kroenke, K., & Williams, J. B. (1999). Validation and utility of a selfreport version of PRIME-MD: the PHQ primary care study. Primary care evaluation of mental disorders. Patient Health Questionnaire. JAMA, 282(18), 1737–1744. Scholar
  14. Vogel, D. L., Wester, S. R., & Larson, L. M. (2007). Avoidance of psychological counseling: psychological factors that inhibit seeking help. Journal of Counseling & Development, 85, 410–422. Scholar

Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  1. 1.Department of PsychologyElon UniversityElonUSA

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