Anxiety, Depression, Distress, Emotional, Emotional Dysfunction
Conditions
Keywords
Emotion Regulation, Distress Disorders, Anxiety, Depression, COVID-19 Pandemic, Telehealth
Brief summary
This study is an open trial designed specifically to address the need for evidence-based treatment delivered via telehealth to individuals that are currently struggling with mental health issues during the COVID-19 pandemic, with the overarching goal of helping residents of New York adversely impacted by the pandemic to effectively manage their anxiety, stress, and depression during this unprecedented time in human history.
Detailed description
The present study is evaluating whether this ERT treatment program delivered via telehealth demonstrates efficacy in: 1) reducing symptoms of psychological distress (e.g., anxiety, depression, worry, rumination); 2) improving outcomes specific to the ERT mechanism-based model (e.g., attentional control, decentering, reappraisal); 3) improving quality of life and functioning, for adults aged 18-65 years old.
Interventions
BEHAVIORALEmotion Regulation Training 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). Following the development of these skills, sessions focus on the application of somatic awareness and emotion regulation skills while imagining emotionally evocative themes. The remaining session focuses on terminating therapy, relapse prevention, and future goals. An Internet-based online platform will be used to promote engagement with and increase accessibility to between-session skills practice and treatment-related activities (e.g., self-monitoring, session summaries, worksheets).
Sponsors
University of Michigan
Teachers College, Columbia University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
All participants will receive a 9-session version of Emotion Regulation Training delivered semi-weekly via synchronous telehealth using videoconferencing software and an asynchronous Internet-based Online platform to supplement the content covered in each session.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Aged 18-65 years during the time of participation * Endorses distress and worry/rumination exacerbated by the COVID-19 pandemic * Access to a mobile device (e.g., smartphone, personal computer, laptop, tablet) connected to the Internet
Exclusion criteria
* Active suicidal intent * Current substance dependence disorder (within the past year) * Current or past psychotic disorder, Bipolar-I disorder, or dementia * Primary DSM-5 diagnosis of borderline or narcissistic personality disorder * Currently receiving any other form of psychosocial treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Anxiety, Depression, and Distress: Mood and Anxiety Symptoms Questionnaire (MASQ) | Pre-Treatment, Post-Treatment (4-5 weeks after starting treatment), 3-Month Follow-Up, 9-Month Follow-Up, 2-Year Follow-Up | Scale = 1-5 (minimum = 30; maximum = 150; higher scores indicate worse outcomes) |
| Changes in Anxiety, Depression, and Distress: Depression Anxiety Stress Scale (DASS) | Pre-Treatment, Post-Treatment (4-5 weeks after starting treatment), 3-Month Follow-Up, 9-Month Follow-Up, 2-Year Follow-Up | Scale = 0-4 (minimum = 0; maximum = 84; higher scores indicate worse outcomes) |
| Changes in Worry: Penn State Worry Questionnaire (PSWQ) | Pre-Treatment, Post-Treatment (4-5 weeks after starting treatment), 3-Month Follow-Up, 9-Month Follow-Up, 2-Year Follow-Up | Scale = 1-5 (minimum = 12; maximum = 60; higher scores indicate worse outcomes) |
| Changes in Rumination: Rumination-Reflection Questionnaire (RRQ) | Pre-Treatment, Post-Treatment (4-5 weeks after starting treatment), 3-Month Follow-Up, 9-Month Follow-Up, 2-Year Follow-Up | Scale = 1-5 (minimum = 12; maximum = 60; higher scores indicate worse outcomes) |
| Changes in Functional Impairment: Sheehan Disability Scale (SDS) | Pre-Treatment, Post-Treatment (4-5 weeks after starting treatment), 3-Month Follow-Up, 9-Month Follow-Up, 2-Year Follow-Up | Scale = 0-10 (minimum = 0; maximum = 30; higher scores indicate worse outcomes) |
| Changes in Life Satisfaction: Brief Multidimensional Students' Life Satisfaction Scale (BMSLSS) | Pre-Treatment, Post-Treatment (4-5 weeks after starting treatment), 3-Month Follow-Up, 9-Month Follow-Up, 2-Year Follow-Up | Scale = 1-6 (minimum = 5; maximum = 30; higher scores indicate better outcomes) |
| Changes in Life Satisfaction: Patient-Reported Outcomes Measurement Information System (PROMIS): Meaning and Purpose | Pre-Treatment, Post-Treatment (4-5 weeks after starting treatment), 3-Month Follow-Up, 9-Month Follow-Up, 2-Year Follow-Up | Scale = 1-5 (minimum = 4; maximum = 20; higher scores indicate better outcomes) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Semi-Weekly Measures of Treatment Changes in Metacognitive Regulation: Experiences Questionnaire (EQ) | Semi-weekly over the course of four weeks | Scale = 1-5 (minimum = 5; maximum = 25; higher scores indicate better outcomes) |
| Semi-Weekly Measures of Treatment Changes in Anxiety: Patient-Reported Outcomes Measurement Information System (PROMIS): Anxiety | Semi-weekly over the course of four weeks | Scale = 1-5 (minimum = 4; maximum = 20; higher scores indicate worse outcomes) |
| Satisfaction and Usability of Treatment: Client Satisfaction Questionnaire (CSQ) | Post-Treatment (4-5 weeks after starting treatment) | Scale = 1-4 (minimum = 4; maximum = 16; higher scores indicate better outcomes) |
| Semi-Weekly Measures of Treatment Changes in Attentional Regulation: The Attentional Control Scale (ACS) | Semi-weekly over the course of four weeks | Scale = 1-4 (minimum = 6; maximum = 24; higher scores indicate better outcomes) |
| Semi-Weekly Measures of Treatment Changes in Depression: Patient-Reported Outcomes Measurement Information System (PROMIS): Depression | Semi-weekly over the course of four weeks | Scale = 1-5 (minimum = 4; maximum = 20; higher scores indicate worse outcomes) |
| Semi-Weekly Measures of Treatment Changes in Depression Symptoms | Semi-weekly over the course of four weeks | Quick Inventory of Depressive Symptoms(QUIDS) |
| Semi-Weekly Measures of Treatment Changes in Distress | Semi-weekly over the course of four weeks | Distress Thermometer (DT) |
| Semi-Weekly Measures of Treatment Changes in Worry: Brief Penn State Worry Questionnaire (PSWQ) | Semi-weekly over the course of four weeks | Scale: 1-5 (minimum = 3; maximum = 15; higher scores indicate worse outcomes) |
| Semi-Weekly Measures of Treatment Changes in Rumination: Brief Rumination-Reflection Questionnaire (RRQ) | Semi-weekly over the course of four weeks | Scale = 1-5 (minimum = 3; maximum = 15; higher scores indicate worse outcomes) |
| Semi-Weekly Measures of Treatment Changes in Metacognitive Regulation: Emotion Regulation Questionnaire (ERQ) | Semi-weekly over the course of four weeks | Scale = 1-5 (minimum = 6; maximum = 30; higher scores indicate better outcomes) |
Countries
United States
Outcome results
None listed