Readiness and Progress in Emotion Regulation Therapy

Обзор

This study is an open trial designed to examine individual changes that occur before, during, and after 6 modules of Emotion Regulation Therapy (ERT) delivered via telehealth for individuals in New York State who are experiencing elevated worry, rumination, or self-criticism.

Подробное описание

The main questions this study aims to answer are to:

1. Examine temporal patterns of ERT-specific treatment mechanisms (attention regulation, metacognitive regulation, motivation regulation, and valued living), relationships between these mechanisms and negative self-referential processing (NSRP; i.e., rumination, worry, and self-criticism) severity over time, and changes in these mechanisms in response to specific intervention strategies/modules. 2. Investigate the effect of concordance and/or discordance between therapists and clients regarding skill acquisition, treatment goals, and case conceptualizations on treatment mechanisms as well as measures of treatment outcome and satisfaction. 3. Demonstrate the preliminary efficacy of a 6-module, time-variable version of ERT in reducing symptoms of psychological distress (e.g., anxiety, depression, worry, rumination, self-criticism), changing ERT-specific treatment mechanisms (e.g., attention regulation), and improving quality of life and overall functioning.

Participants will:

1. Fill out an online pre-screening questionnaire and complete a structured clinical interview via Zoom Healthcare 2. Be enrolled as a patient at the Dean Hope Center for Educational and Psychological Services (DHCEPS), located at Teachers College 3. Attend between 12-22 once-weekly telehealth ERT sessions 4. Complete between 18-28 weekly questionnaires online via Qualtrics (two before starting treatment, 12-22 during each week of treatment, and 4 after ending treatment).

Вмешательства

• Поведенческое Emotion Regulation Therapy via Telehealth
  The initial stage of treatment focuses on psychoeducation about anxiety/depression, the impact that these cognitions/behaviors/emotions have on recent situations, and self-monitoring of worry/anxiety/depression. The sessions focus on the development of skills that help understand and regulate one's emotional experience (i.e., recognizing emotions when they are happening, identifying the meaning of a given emotion experience, soothing oneself in the context of negative emotional experiences). Fol

Первичные конечные точки

• Weekly Assessment of Change in Attentional Control [Срок оценки: Weekly from Baseline (2 weeks) through Treatment (12-22 weeks) and Follow-Up (4 weeks)]
• Weekly Assessment of Change in Decentering [Срок оценки: Weekly from Baseline (2 weeks) through Treatment (12-22 weeks) and Follow-Up (4 weeks)]
• Weekly Assessment of Change in Reappraisal [Срок оценки: Weekly from Baseline (2 weeks) through Treatment (12-22 weeks) and Follow-Up (4 weeks)]
• Weekly Assessment of Change in Valued Living/Action [Срок оценки: Baseline, 1st Treatment Session, Follow-Up (4 weeks)]
• Weekly Assessment of Change in Clarity of Approach-Avoidance Motivation [Срок оценки: Baseline, 1st Treatment Session, Follow-Up (4 weeks)]
• Weekly Assessment of Change in Rumination [Срок оценки: Weekly from Baseline (2 weeks) through Treatment (12-22 weeks) and Follow-Up (4 weeks)]
• Weekly Assessment of Change in Worry [Срок оценки: Weekly from Baseline (2 weeks) through Treatment (12-22 weeks) and Follow-Up (4 weeks)]
• Weekly Assessment of Change in Self-Criticism [Срок оценки: Weekly from Baseline (2 weeks) through Treatment (12-22 weeks) and Follow-Up (4 weeks)]

Вторичные конечные точки (2)

• Weekly Assessment of Change in Depression Severity [Срок оценки: Baseline, 1st Treatment Session, Follow-Up (4 weeks)]
• Weekly Assessment of Change in Anxiety Severity [Срок оценки: Baseline, 1st Treatment Session, Follow-Up (4 weeks)]

Критерии участия

Критерии включения

• Between the ages of 18 and 65
• Fluent in English (and therefore able to provide consent)
• Currently living in New York State
• Access to at least one device with internet and video-conferencing capabilities
• High self-reported worry, rumination, and/or self-criticism
• Meet Diagnostic and Statistical Manual of Mental Disorders - Fifth Edition (DSM-5) criteria for at least one, current psychological disorder

Критерии исключения

• Active suicidal ideation or intent
• Substance dependence disorder, schizophrenia, bipolar-I disorder, or a primary DSM-5 diagnosis of borderline or narcissistic personality disorder
• Currently in therapy or receiving any type of psychosocial treatment
• Individuals taking psychotropic mediation that has not been stabilized for a period of at least 3 months
• Current students at Teachers College, Columbia University

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

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Не применимо

Модель

Одна группа

Маскирование

Открытое

Основная цель

Лечение

Центры проведения

США · 1 центр

• Teachers College, Columbia University — New York

Идентификаторы

NCT: NCT07478393 · 25-453

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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