Modifying stress-related beliefs with emotion-, breath-, and speach-based approach-avoidance modification training: Randomized controlled trial in adults with elevated stress

Modifying stress-related beliefs with emotion-, breath-, and speach-based approach-avoidance modification training: Randomized controlled trial in adults with elevated stress - Wiz2

Status

Recruiting

Phases

Phase 1

Study type

Interventional

Source

DRKS

Registry ID

DRKS00027460

Enrollment

210

Registered

2022-03-24

Start date

2022-04-11

Completion date

Unknown

Last updated

2025-04-07

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

Conditions

stress management and prevention

Interventions

Group 1: Emotion-based AAMT (eAAMT) - Anger In the eAAMT-Anger condition, participants are asked to approach/avoid stress-related beliefs presented on a smartphone screen by displaying positive/negati

Eligibility

Sex/Gender

All

Age

18 Years to 70 Years

Inclusion criteria

Inclusion criteria: (1) Elevated levels of perceived stress (PSS-10 > 18), (2) ability and willingness to provide informed consent

Exclusion criteria

Exclusion criteria: (1) psychotic or bipolar disorder, (2) physical condition impairing the expression of emotion (e.g., facial paralysis), (3) heavy smoking, (4) suicidal ideation, (5) insufficient German language skills

Design outcomes

Primary

Measure	Time frame
Primary outcome will be the course of perceived stress assessed by the German version of the Perceived-Stress-Scale-10 (PSS-10). It will be assessed before the training (T1), directly after the training (T2), one week (T3), and five weeks (T4) after the training. In addition, two items will be used to assess the current stress level at T1-T4 and each day of training.	—

Secondary

Measure	Time frame
Secondary outcomes include: (1) Agreement with and helpfulness of stress-related (dys-)functional beliefs assessed with an adapted version of the Dysfunctional Attitude Scale. (2) Depressive symptoms assessed with the German version of the Center for Epidemiological Studies Depression Scale. (3) Emotional State assessed with an extended version of the Positive and Negative Affect Schedule. (4) Emotion regulation skills assessed with the Emotion Regulation Skills Questionnaire. These outcomes will be assessed at T1, T2, T3, and T4. Additional outcomes assessed at T1 and T2 are (5) Hormonal stress markers (i.e., salivary cortisol and alpha-amylase). (6) Physiological measures (i.e., heart activity and respiration). Moreover, we will assess some feasibility and usability outcomes at T2: (7) Feasibility of the intervention with self-developed items. (8) Usability of the app with the System Usability Scale.	—

Measure

Time frame

Secondary outcomes include: (1) Agreement with and helpfulness of stress-related (dys-)functional beliefs assessed with an adapted version of the Dysfunctional Attitude Scale. (2) Depressive symptoms assessed with the German version of the Center for Epidemiological Studies Depression Scale. (3) Emotional State assessed with an extended version of the Positive and Negative Affect Schedule. (4) Emotion regulation skills assessed with the Emotion Regulation Skills Questionnaire. These outcomes will be assessed at T1, T2, T3, and T4. Additional outcomes assessed at T1 and T2 are (5) Hormonal stress markers (i.e., salivary cortisol and alpha-amylase). (6) Physiological measures (i.e., heart activity and respiration). Moreover, we will assess some feasibility and usability outcomes at T2: (7) Feasibility of the intervention with self-developed items. (8) Usability of the app with the System Usability Scale.

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Countries

Germany

Contacts

Public ContactMarie Keinert

Lehrstuhl für Klinische Psychologie und Psychotherapie, Friedrich-Alexander-Universität Erlangen-Nürnberg

marie.keinert@fau.de+49 9131 85 67 5 63

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 4, 2026