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Digital Mental Health Interventions for the Prevention and Treatment of Social Anxiety Disorder in Children, Adolescents, and Young Adults: Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Walder N, Frey A, Berger T, Schmidt SJ. · Journal of medical Internet research · 2025 · Systematic review / meta-analysis

Original publication · Original publication · Original publication · Original publication · Original publication

Recorded summary

Digital social-anxiety interventions showed a moderate pooled effect, especially versus waitlist; guided and disorder-specific subgroups had larger estimates.

Recorded limitations

Only three studies rated low risk of bias, heterogeneity and variable adherence. Cross-study guidance comparisons are not randomized proof that guidance causes superior outcomes.

Evidence and provenance

Chapter Trust Factor uses a minimum of three distinct qualifying studies. Publication records retain their own evidence and assessment.

Study design and assessment
design
Systematic review / meta-analysis
assessment
category
review
is Randomized Controlled Trial
false
peer Reviewed
true
basis
Systematic review/meta-analysis of RCTs
masking Roles
Not applicable or not established from inspected methods; no masking inferred
sources

https://pubmed.ncbi.nlm.nih.gov/40504611/ · https://doi.org/10.2196/67067 · https://pmc.ncbi.nlm.nih.gov/articles/PMC12203032/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC12203032/fullTextXML · https://api.crossref.org/works/10.2196%2F67067

review Scope
selected-methods
trust Factor
score
1
display Crosses
1
scope
Paper
status
assessed
rating Scale
library-trust-factor/1-3
randomized Controlled Trial
false
peer Reviewed
true
blinding
not-applicable
masking Roles
Not applicable or not established from inspected methods; no masking inferred
basis
Systematic review/meta-analysis of RCTs
sources

https://pubmed.ncbi.nlm.nih.gov/40504611/ · https://doi.org/10.2196/67067 · https://pmc.ncbi.nlm.nih.gov/articles/PMC12203032/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC12203032/fullTextXML · https://api.crossref.org/works/10.2196%2F67067

assessed At
2026-11-02
review Scope
selected-methods
human Approval
false
review Limit
AI source-based design assessment; human content sign-off is recorded separately.
jadad
status
not-applicable
score
Not recorded
evidence
evidence Type
Systematic review / meta-analysis
intervention
Not applicable or not established from inspected sections
provider
Not separately established; clinician/teacher/app details, if known, are retained in the intervention description
comparator
See design/intervention description; otherwise unknown
sample
22 studies, 21 pooled
population
age
Eligible mean age under 25, including children
age Fit
mixed-overlap
sample
22 studies, 21 pooled
setting
Not separately established; see population/intervention description
community
Not assigned
measurement
Specific outcomes are reported in the finding and retained appraisal.
trial Id
publication-40504611
trial Registries

CRD42023424181

registry Scope
Identifiers explicitly reported in article abstract; other registrations remain unverified
relationship Note
Offer accessible, supported routes into evidence-based treatment; general lab participation is not social-anxiety therapy. Component evidence does not establish efficacy of the combined Universal Mind lab model.
measured Genes
None recorded
pathways
None recorded
quality
tier
qualified
qualification
Qualified for the stated design-specific use in a rapid methods-based review, not necessarily low risk of bias or high certainty.
formal Risk Of Bias Tool Applied
false
jadad Score
Not recorded
masking Roles
Not applicable or not established from inspected methods; no masking inferred
harms And Attrition
Not systematically extracted beyond findings/limitations; absence of reporting is not evidence of no harm
source Access
scope
selected-methods
full Text Cached
true
methods Inspected
true
full Text Appraisal Claim
false
level
selected-methods
source URLs

https://pubmed.ncbi.nlm.nih.gov/40504611/ · https://doi.org/10.2196/67067 · https://pmc.ncbi.nlm.nih.gov/articles/PMC12203032/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC12203032/fullTextXML · https://api.crossref.org/works/10.2196%2F67067

retrieved At
2026-11-02
Topics and recorded topic scores
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    title
    Universal Mind Mobile Lab · Direct response and inspired by
    collection
    language
    trust Score
    3
  2. key
    language:youth-access-connection
    title
    Youth access, digital support and connection
    collection
    language
    trust Score
    3
Citation snapshot and identifiers
id
youth-pmid-40504611
doi
10.2196/67067
pmid
40504611
citation Snapshot
count
Not recorded
source
Not recorded
retrieved At
Not recorded
status
not-assessed
citations By Collection
language
Not recorded
Complete approved library record
lab Relevance
relationship
inspired-by
implication
Offer accessible, supported routes into evidence-based treatment; general lab participation is not social-anxiety therapy.
transfer Limit
Component evidence does not establish efficacy of the combined Universal Mind lab model.
institutions
None recorded
institution Evidence
None recorded
research Topics

Youth needs / digital / access

publication Status
pmid
40504611
checked At
2026-11-02T01:32:46.777484+00:00
pub Types

Meta-Analysis · Systematic Review · review-article · Journal Article

indexed Notices
None recorded
crossref Updates
None recorded
notice Records
None recorded
scope
Europe PMC indexed publication types/linked notices, publisher JATS related articles and Crossref update-to metadata; absence is not a guarantee of no notice.
notice Summary
Indexed related notices are retained below; no retraction identified in this bounded metadata check. This is not an exhaustive guarantee.
randomized Study Unit Id
Not recorded
publication Approval
status
approved-for-publication
approved By
Ben Korbel
approved At
2026-11-02
assessment
AI assessed; human approved for publication
scope
Approved research summaries for Informatics staging. No clinical peer review, treatment recommendation, partner endorsement or production release is claimed.
source Revision
r1-f921af4d134c
source Content Hash
f921af4d134ca6aeb1b60c12a4ee3615b4a53d1a407aa55c7d1fc6e8f1ec5356
source Access
scope
selected-methods
full Text Cached
true
methods Inspected
true
full Text Appraisal Claim
false
level
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source URLs

https://pubmed.ncbi.nlm.nih.gov/40504611/ · https://doi.org/10.2196/67067 · https://pmc.ncbi.nlm.nih.gov/articles/PMC12203032/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC12203032/fullTextXML · https://api.crossref.org/works/10.2196%2F67067

retrieved At
2026-11-02
study Family Id
publication-40504611
approaches

Youth needs / digital / access

id
youth-pmid-40504611
aliases
None recorded
title
Digital Mental Health Interventions for the Prevention and Treatment of Social Anxiety Disorder in Children, Adolescents, and Young Adults: Systematic Review and Meta-Analysis of Randomized Controlled Trials.
journal
Journal of medical Internet research
neurotransmitters
None recorded
year
2025
authors
Walder N, Frey A, Berger T, Schmidt SJ.
design
Systematic review / meta-analysis
kind
Review
identity Conflict
Not recorded
doi
10.2196/67067
pmid
40504611
urls

https://doi.org/10.2196/67067 · https://pubmed.ncbi.nlm.nih.gov/40504611/ · https://pmc.ncbi.nlm.nih.gov/articles/PMC12203032/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC12203032/fullTextXML · https://api.crossref.org/works/10.2196%2F67067

collections

language

categories

Methods & context

targets
None recorded
priority
1
quotes
None recorded
summary
Digital social-anxiety interventions showed a moderate pooled effect, especially versus waitlist; guided and disorder-specific subgroups had larger estimates.
limitation
Only three studies rated low risk of bias, heterogeneity and variable adherence. Cross-study guidance comparisons are not randomized proof that guidance causes superior outcomes.
citation Count
Not recorded
citation Snapshot
count
Not recorded
source
Not recorded
retrieved At
Not recorded
status
not-assessed
study Design Assessment
category
review
is Randomized Controlled Trial
false
peer Reviewed
true
basis
Systematic review/meta-analysis of RCTs
masking Roles
Not applicable or not established from inspected methods; no masking inferred
sources

https://pubmed.ncbi.nlm.nih.gov/40504611/ · https://doi.org/10.2196/67067 · https://pmc.ncbi.nlm.nih.gov/articles/PMC12203032/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC12203032/fullTextXML · https://api.crossref.org/works/10.2196%2F67067

review Scope
selected-methods
paper Trust Assessment
score
1
display Crosses
1
scope
Paper
status
assessed
rating Scale
library-trust-factor/1-3
randomized Controlled Trial
false
peer Reviewed
true
blinding
not-applicable
masking Roles
Not applicable or not established from inspected methods; no masking inferred
basis
Systematic review/meta-analysis of RCTs
sources

https://pubmed.ncbi.nlm.nih.gov/40504611/ · https://doi.org/10.2196/67067 · https://pmc.ncbi.nlm.nih.gov/articles/PMC12203032/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC12203032/fullTextXML · https://api.crossref.org/works/10.2196%2F67067

assessed At
2026-11-02
review Scope
selected-methods
human Approval
false
review Limit
AI source-based design assessment; human content sign-off is recorded separately.
citations By Collection
language
Not recorded
topics
  1. key
    language:universal-mind-mobile-lab
    title
    Universal Mind Mobile Lab · Direct response and inspired by
    collection
    language
    trust Score
    3
  2. key
    language:youth-access-connection
    title
    Youth access, digital support and connection
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    language
    trust Score
    3
journal Key
journalofmedicalinternetresearch
journal Label
Journal of medical Internet research
chapter Entries
  1. id
    language-universal-mind-mobile-lab-youth-pmid-40504611
    aliases
    None recorded
    title
    Digital Mental Health Interventions for the Prevention and Treatment of Social Anxiety Disorder in Children, Adolescents, and Young Adults: Systematic Review and Meta-Analysis of Randomized Controlled Trials.
    authors
    Walder N, Frey A, Berger T, Schmidt SJ.
    year
    2025
    journal
    Journal of medical Internet research
    doi
    10.2196/67067
    pmid
    40504611
    urls

    https://doi.org/10.2196/67067 · https://pubmed.ncbi.nlm.nih.gov/40504611/ · https://pmc.ncbi.nlm.nih.gov/articles/PMC12203032/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC12203032/fullTextXML · https://api.crossref.org/works/10.2196%2F67067

    collections

    language

    categories

    Methods & context

    targets
    None recorded
    neurotransmitters
    None recorded
    conditions

    anxiety

    condition Evidence
    1. id
      anxiety
      evidence
      1. field
        title
        text
        Digital Mental Health Interventions for the Prevention and Treatment of Social Anxiety Disorder in Children, Adolescents, and Young Adults: Systematic Review and Meta-Analysis of Randomized Controlled Trials.
        matched Text
        Anxiety
      2. field
        findings
        text
        Digital social-anxiety interventions showed a moderate pooled effect, especially versus waitlist; guided and disorder-specific subgroups had larger estimates.
        matched Text
        anxiety
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      Studied topic or reported outcome, including null findings; no diagnosis, benefit or subgroup membership is inferred.
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    language

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    The existing youth filter includes adolescents and source-defined young people. It does not establish a separate 16–24 estimate.
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    mixed-overlap
    source URL
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    selected-methods-ai-editorial-assessment
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    Broad groups describe source-reported populations or review scope. Eligibility and study mean ages are not observed participant ranges; read the reported-age wording.
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    quotes
    None recorded
    finding
    Digital social-anxiety interventions showed a moderate pooled effect, especially versus waitlist; guided and disorder-specific subgroups had larger estimates.
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    Digital social-anxiety interventions showed a moderate pooled effect, especially versus waitlist; guided and disorder-specific subgroups had larger estimates.
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    Only three studies rated low risk of bias, heterogeneity and variable adherence. Cross-study guidance comparisons are not randomized proof that guidance causes superior outcomes.
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    Qualified for the stated design-specific use in a rapid methods-based review, not necessarily low risk of bias or high certainty.
    formal Risk Of Bias Tool Applied
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    Not recorded
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    Not recorded
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    Not recorded
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    retrieved At
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    lab Relevance
    relationship
    inspired-by
    implication
    Offer accessible, supported routes into evidence-based treatment; general lab participation is not social-anxiety therapy.
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    indexed Notices
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    crossref Updates
    None recorded
    notice Records
    None recorded
    scope
    Europe PMC indexed publication types/linked notices, publisher JATS related articles and Crossref update-to metadata; absence is not a guarantee of no notice.
    notice Summary
    Indexed related notices are retained below; no retraction identified in this bounded metadata check. This is not an exhaustive guarantee.
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    Youth needs / digital / access

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    source Pages
    None recorded
    assessment Record
    id
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    title
    Digital Mental Health Interventions for the Prevention and Treatment of Social Anxiety Disorder in Children, Adolescents, and Young Adults: Systematic Review and Meta-Analysis of Randomized Controlled Trials.
    authors
    Walder N, Frey A, Berger T, Schmidt SJ.
    year
    2025
    journal
    Journal of medical Internet research
    doi
    10.2196/67067
    pmid
    40504611
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    Youth needs / digital / access

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    None recorded
    publication Type

    Meta-Analysis · Systematic Review · review-article · Journal Article

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    Eligible mean age under 25, including children
    age Fit
    mixed-overlap
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    22 studies, 21 pooled
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    findings
    Digital social-anxiety interventions showed a moderate pooled effect, especially versus waitlist; guided and disorder-specific subgroups had larger estimates.
    limitations
    Only three studies rated low risk of bias, heterogeneity and variable adherence. Cross-study guidance comparisons are not randomized proof that guidance causes superior outcomes.
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    pub Types

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    indexed Notices
    None recorded
    crossref Updates
    None recorded
    notice Records
    None recorded
    scope
    Europe PMC indexed publication types/linked notices, publisher JATS related articles and Crossref update-to metadata; absence is not a guarantee of no notice.
    notice Summary
    Indexed related notices are retained below; no retraction identified in this bounded metadata check. This is not an exhaustive guarantee.
    quality
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    decision Scope
    Ben reviews proposed content and release; full medical-paper reading is not required.
    provenance
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    None recorded
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    topic Id
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    topic Title
    Universal Mind Mobile Lab · Direct response and inspired by
    trust Score
    3
  2. id
    language-youth-access-connection-youth-pmid-40504611
    aliases
    None recorded
    title
    Digital Mental Health Interventions for the Prevention and Treatment of Social Anxiety Disorder in Children, Adolescents, and Young Adults: Systematic Review and Meta-Analysis of Randomized Controlled Trials.
    authors
    Walder N, Frey A, Berger T, Schmidt SJ.
    year
    2025
    journal
    Journal of medical Internet research
    doi
    10.2196/67067
    pmid
    40504611
    urls

    https://doi.org/10.2196/67067 · https://pubmed.ncbi.nlm.nih.gov/40504611/ · https://pmc.ncbi.nlm.nih.gov/articles/PMC12203032/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC12203032/fullTextXML · https://api.crossref.org/works/10.2196%2F67067

    collections

    language

    categories

    Methods & context

    targets
    None recorded
    neurotransmitters
    None recorded
    conditions

    anxiety

    condition Evidence
    1. id
      anxiety
      evidence
      1. field
        title
        text
        Digital Mental Health Interventions for the Prevention and Treatment of Social Anxiety Disorder in Children, Adolescents, and Young Adults: Systematic Review and Meta-Analysis of Randomized Controlled Trials.
        matched Text
        Anxiety
      2. field
        findings
        text
        Digital social-anxiety interventions showed a moderate pooled effect, especially versus waitlist; guided and disorder-specific subgroups had larger estimates.
        matched Text
        anxiety
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      Studied topic or reported outcome, including null findings; no diagnosis, benefit or subgroup membership is inferred.
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    Broad groups describe source-reported populations or review scope. Eligibility and study mean ages are not observed participant ranges; read the reported-age wording.
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    kind
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    trial Registries

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    registry Scope
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    measured Genes
    None recorded
    pathways
    None recorded
    quality
    tier
    qualified
    qualification
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    formal Risk Of Bias Tool Applied
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    jadad Score
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    masking Roles
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    harms And Attrition
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    source Access
    scope
    selected-methods
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    true
    methods Inspected
    true
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    retrieved At
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    false
    peer Reviewed
    true
    basis
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    masking Roles
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    not-applicable
    masking Roles
    Not applicable or not established from inspected methods; no masking inferred
    basis
    Systematic review/meta-analysis of RCTs
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    AI source-based design assessment; human content sign-off is recorded separately.
    jadad
    status
    not-applicable
    score
    Not recorded
    citation Count
    Not recorded
    citation Snapshot
    count
    Not recorded
    source
    Not recorded
    retrieved At
    Not recorded
    status
    not-assessed
    publication Approval
    status
    approved-for-publication
    approved By
    Ben Korbel
    approved At
    2026-11-02
    assessment
    AI assessed; human approved for publication
    scope
    Approved research summaries for Informatics staging. No clinical peer review, treatment recommendation, partner endorsement or production release is claimed.
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    r1-f921af4d134c
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    true
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    retrieved At
    2026-11-02
    study Family Id
    publication-40504611
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    institutions
    None recorded
    institution Evidence
    None recorded
    research Topics

    Youth needs / digital / access

    lab Relevance
    relationship
    inspired-by
    implication
    Offer accessible, supported routes into evidence-based treatment; general lab participation is not social-anxiety therapy.
    transfer Limit
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    publication Status
    pmid
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    checked At
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    pub Types

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    indexed Notices
    None recorded
    crossref Updates
    None recorded
    notice Records
    None recorded
    scope
    Europe PMC indexed publication types/linked notices, publisher JATS related articles and Crossref update-to metadata; absence is not a guarantee of no notice.
    notice Summary
    Indexed related notices are retained below; no retraction identified in this bounded metadata check. This is not an exhaustive guarantee.
    approaches

    Youth needs / digital / access

    record Id
    youth-pmid-40504611
    source Pages
    None recorded
    assessment Record
    id
    youth-pmid-40504611
    title
    Digital Mental Health Interventions for the Prevention and Treatment of Social Anxiety Disorder in Children, Adolescents, and Young Adults: Systematic Review and Meta-Analysis of Randomized Controlled Trials.
    authors
    Walder N, Frey A, Berger T, Schmidt SJ.
    year
    2025
    journal
    Journal of medical Internet research
    doi
    10.2196/67067
    pmid
    40504611
    pmcid
    PMC12203032
    trial Registries

    CRD42023424181

    registry Scope
    Identifiers explicitly reported in article abstract; other registrations remain unverified
    collection
    youth-20261102
    topics

    Youth needs / digital / access

    institutions
    None recorded
    institution Evidence
    None recorded
    publication Type

    Meta-Analysis · Systematic Review · review-article · Journal Article

    study Family Id
    publication-40504611
    randomized Study Unit Id
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    existing Repository Matches
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    population
    age
    Eligible mean age under 25, including children
    age Fit
    mixed-overlap
    sample
    22 studies, 21 pooled
    setting
    Not separately established; see population/intervention description
    community
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    Not applicable or not established from inspected sections
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    comparator
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    design
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    randomization Methods Inspected
    false
    masking
    Not applicable or not established from inspected methods; no masking inferred
    double Blinding Verified
    false
    proposed Crosses
    1
    approved Crosses
    Not recorded
    findings
    Digital social-anxiety interventions showed a moderate pooled effect, especially versus waitlist; guided and disorder-specific subgroups had larger estimates.
    limitations
    Only three studies rated low risk of bias, heterogeneity and variable adherence. Cross-study guidance comparisons are not randomized proof that guidance causes superior outcomes.
    harms And Attrition
    Not systematically extracted beyond findings/limitations; absence of reporting is not evidence of no harm
    lab Relevance
    relationship
    inspired-by
    implication
    Offer accessible, supported routes into evidence-based treatment; general lab participation is not social-anxiety therapy.
    transfer Limit
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    source Access
    scope
    selected-methods
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    true
    methods Inspected
    true
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    false
    sources
    1. type
      primary bibliographic record
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      sha256
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      hash Scope
      normalized Europe PMC core metadata snapshot
    2. type
      publisher DOI
      url
      https://doi.org/10.2196/67067
      retrieved At
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      retrieved At
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    4. type
      full-text-xml
      url
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      retrieved At
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      sha256
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      DOI-metadata
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      sha256
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    publication Status
    pmid
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    checked At
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    pub Types

    Meta-Analysis · Systematic Review · review-article · Journal Article

    indexed Notices
    None recorded
    crossref Updates
    None recorded
    notice Records
    None recorded
    scope
    Europe PMC indexed publication types/linked notices, publisher JATS related articles and Crossref update-to metadata; absence is not a guarantee of no notice.
    notice Summary
    Indexed related notices are retained below; no retraction identified in this bounded metadata check. This is not an exhaustive guarantee.
    quality
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    formal Risk Of Bias Tool Applied
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    review Ready
    true
    hold Reason
    Not recorded
    duplicate Of
    Not recorded
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    status
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    reviewer
    Not recorded
    approved At
    Not recorded
    decision Scope
    Ben reviews proposed content and release; full medical-paper reading is not required.
    provenance
    Discovered and appraised by AI; pending human content sign-off
    production Eligible
    false
    approved Retrieval Eligible
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    selected Corpus References
    None recorded
    reference Scope
    Explicit publisher reference identifiers; citation is not proof of inclusion in a meta-analysis.
    content Hash
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    None recorded
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    language
    chapter Number
    6
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    trust Score
    3
evidence
evidence Type
Systematic review / meta-analysis
intervention
Not applicable or not established from inspected sections
provider
Not separately established; clinician/teacher/app details, if known, are retained in the intervention description
comparator
See design/intervention description; otherwise unknown
sample
22 studies, 21 pooled
population
age
Eligible mean age under 25, including children
age Fit
mixed-overlap
sample
22 studies, 21 pooled
setting
Not separately established; see population/intervention description
community
Not assigned
measurement
Specific outcomes are reported in the finding and retained appraisal.
trial Id
publication-40504611
trial Registries

CRD42023424181

registry Scope
Identifiers explicitly reported in article abstract; other registrations remain unverified
relationship Note
Offer accessible, supported routes into evidence-based treatment; general lab participation is not social-anxiety therapy. Component evidence does not establish efficacy of the combined Universal Mind lab model.
measured Genes
None recorded
pathways
None recorded
quality
tier
qualified
qualification
Qualified for the stated design-specific use in a rapid methods-based review, not necessarily low risk of bias or high certainty.
formal Risk Of Bias Tool Applied
false
jadad Score
Not recorded
masking Roles
Not applicable or not established from inspected methods; no masking inferred
harms And Attrition
Not systematically extracted beyond findings/limitations; absence of reporting is not evidence of no harm
source Access
scope
selected-methods
full Text Cached
true
methods Inspected
true
full Text Appraisal Claim
false
level
selected-methods
source URLs

https://pubmed.ncbi.nlm.nih.gov/40504611/ · https://doi.org/10.2196/67067 · https://pmc.ncbi.nlm.nih.gov/articles/PMC12203032/ · https://www.ebi.ac.uk/europepmc/webservices/rest/PMC12203032/fullTextXML · https://api.crossref.org/works/10.2196%2F67067

retrieved At
2026-11-02
jadad
status
not-applicable
score
Not recorded
condition Evidence
  1. id
    anxiety
    evidence
    1. field
      title
      text
      Digital Mental Health Interventions for the Prevention and Treatment of Social Anxiety Disorder in Children, Adolescents, and Young Adults: Systematic Review and Meta-Analysis of Randomized Controlled Trials.
      matched Text
      Anxiety
    2. field
      findings
      text
      Digital social-anxiety interventions showed a moderate pooled effect, especially versus waitlist; guided and disorder-specific subgroups had larger estimates.
      matched Text
      anxiety
    scope
    Studied topic or reported outcome, including null findings; no diagnosis, benefit or subgroup membership is inferred.
conditions

anxiety

topic Trust Scores

3

full Text
status
not-indexed
retrieval Available
false

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