Targeting Components of Distress Tolerance

Обзор

The goal of this clinical trial is to learn which aspects of distress intolerance (i.e., difficulties withstanding upsetting emotional states) are the most important for improving effective emotion regulation and associated mental health symptoms. The main questions it aims to answer are: How are willingness to feel upset and self-efficacy for withstanding distress associated with different emotion regulation strategies used in daily life? Does targeting willingness to feel upset and/or self-efficacy for withstanding distress help people use more effective emotion regulation strategies in daily life when they feel upset? Are improvements in emotion regulation strategies in daily life associated with fewer symptoms of mental health problems over time? Participants will: Answer questions about their moods, willingness to feel upset, self-efficacy for withstanding distress and emotion regulation strategies for three weeks using a cell phone app Undergo a willingness, self-efficacy, combined or psychoeducational control intervention in the lab Be prompted to use the intervention skill via the cell phone app during the second week, after the intervention Complete weekly reports of mental health symptoms

Вмешательства

• Поведенческое Self-Efficacy
  Brief skills based psychotherapy session to increase perceived self-efficacy for withstanding distress, giving participants increased beliefs that they \*can\* do it.
• Поведенческое Willingness
  Brief skills based psychotherapy session to increase perceived willingness to engage with distress for withstanding distress, giving participants increased motivation to try.
• Поведенческое Psychoeducation
  Psychoeducation about the components and functions of emotion.

Первичные конечные точки

• Engagement behaviors [Срок оценки: Assessed 5x/day via ecological momentary assessment]
• Disengagement behaviors [Срок оценки: Assessed 5x/day via ecological momentary assessment]
• GAD-7 [Срок оценки: Baseline, weekly for three weeks and then after one month followup]
• PHQ-9 [Срок оценки: Baseline, weekly for three weeks and then after one month followup]
• AUDIT [Срок оценки: Baseline, weekly for three weeks and then after one month followup]
• Binge Eating Disorder Scale [Срок оценки: Baseline, weekly for three weeks and then after one month followup]
• DSM Cross-Cutting Symptom Measure [Срок оценки: Baseline, weekly for three weeks and then after one month followup]

Вторичные конечные точки (4)

• Satisfaction with Life Scale (SWLS) [Срок оценки: Baseline, weekly for three weeks and then after one month followup]
• Self-Compassion Scale - Short [Срок оценки: Baseline, weekly for three weeks and then after one month followup]
• State Loss of Interest and Pleasure Scale [Срок оценки: Baseline, weekly for three weeks and then after one month followup]
• Rumination and Reflection Questionnaire [Срок оценки: Baseline, weekly for three weeks and then after one month followup]

Критерии участия

Критерии включения

• Fluent in English
• Uses Android or iPhone smartphone
• Depression Anxiety and Stress Scale (DASS-21) scores of 42 and higher
• Distress Intolerance Index (DII) scores of 3 or higher

Критерии исключения

• Work or School that does not allow consistent access to phone (or is unsafe)
• No internet access for completing follow-up surveys

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

США · 1 центр

• University of Arkansas - Fayetteville — Fayetteville

Идентификаторы

NCT: NCT06570603 · 1R15MH136626-01

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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