Emotional Regulation
Conditions
Keywords
emotional regulation, gender diverse
Brief summary
Gender diverse (e.g. trans or non-binary) young people are at higher risk of self-harm and may be more likely to access support through gender-diverse-specific 3rd sector charities. Dialectical behavioural therapy (DBT) is a transdiagnostic intervention targeting emotion dysregulation, self-harm and suicidality and is recommended by best-practice clinical guidelines; There is developing evidence that DBT skills training can be offered as an effective stand-alone intervention.The current study, therefore, aims to evaluate the feasibility, acceptability and early indicators of effectiveness of a DBT-informed skills group intervention in a gender diverse charity setting. The intervention will be co-facilitated with a gender-diverse support worker from the charity to develop the therapeutic skills of the charity staff working with the young people, whilst they provide specialist knowledge and valuable lived experience. Research questions 1. Is the intervention feasible to deliver in a charity setting? 2. Is the intervention acceptable to participants and charity facilitators? Participants will attend a 16-week group intervention. They will complete questionnaire to assess acceptability at the end of the intervention. Attrition rates, training time, and questionnaires will be used to assess feasibility. Outcome measures will also be completed by the participants every three weeks to indicate possible effectiveness of the intervention. The outcomes will include emotion dysregulation, coping skills, anxiety, depression and suicidal behaviours.
Interventions
BEHAVIORALDialectical behavioural therapy (DBT)-informed skills group
16 week 1.5hr DBT-informed skills group facilitated by the lead researcher and two charity facilitators
Sponsors
Gendered Intelligence
King's College London
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
16-week LGBTQ+ -adapted DBT skills group
Eligibility
Sex/Gender
ALL
Age
16 Years to 25 Years
Healthy volunteers
No
Inclusion criteria
* Age 16-25 years old * Identify as gender diverse * Receiving support from Gendered Intelligence * Support worker identified and self-report emotion regulation difficulties.
Exclusion criteria
* In acute crisis at point of recruitment and start of the intervention such as active suicidal ideation with active plans, or severe self-harm requiring intensive interventions such as inpatient or crisis care.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acceptability of intervention | 16 weeks | 1\. Short, bespoke feedback questionnaire completed at the end of each session regarding content and delivery. |
| Feasibility of intervention | 16 weeks | 1\. Eligibility rates at screening |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Emotion dysregulation | Every 2 weeks for 4 weeks, and then every three weeks for 16 weeks once the intervention begins. | The Difficulties in Emotion Regulation Scale. Higher scores indicate more severe emotion dysregulation difficulties. |
| Use of DBT coping skills | Every 2 weeks for 4 weeks, and then every three weeks for 16 weeks once the intervention begins. | The DBT Ways of Coping Checklist |
| Anxiety | Every 2 weeks for 4 weeks, and then again after 16 weeks. | Generalised Anxiety Disorder Assessment. Higher scores indicate higher levels of anxiety. |
| Depression | Every 2 weeks for 4 weeks, and then again after 16 weeks. | Patient Health Questionnaire. Higher scores indicate higher levels of depression. |
| Internalised transphobia | Every 2 weeks for 4 weeks, and then every three weeks for 16 weeks once the intervention begins. | Gender Minority Stress and Resilience Measure. Higher scores indicate higher internalised transphobia. |
| Gender-related negative future expectations | Every 2 weeks for 4 weeks, and then again after 16 weeks. | Gender Minority Stress and Resilience Measure. Higher scores indicate higher gender-related negative future expectations. |
| Gender-related community connectedness | Every 2 weeks for 4 weeks, and then every three weeks for 16 weeks once the intervention begins. | Gender Minority Stress and Resilience Measure. Higher scores indicate higher gender-related community connectedness. |
| Gender-specific pride | Every 2 weeks for 4 weeks, and then every three weeks for 16 weeks once the intervention begins. | Gender Minority Stress and Resilience Measure. Higher scores indicate higher gender-specific pride |
| Suicidal behaviours | Every 2 weeks for 4 weeks, and then every three weeks for 16 weeks once the intervention begins. | Frequencies of self-harm, suicidal behaviours, A&E attendances, and inpatient bed days. |
Countries
United Kingdom
Outcome results
None listed