Emotion Regulation Group Skills Training for Eating Disorders

Not Applicable

Completed

• Conditions: Eating Disorders; Emotions; Skill, Coping
• Interventions: Behavioral: An Adjunctive Emotion Regulation Skills Training

• Registration Number: NCT04148014
• Lead Sponsor: Region Östergötland

Brief Summary

Emotion regulation difficulties appear to play a role in the development and maintenance of several eating disorders. This pilot study aims at examining whether a short add-on group skills training in emotion regulation for young adults with different eating disorders is feasible in a psychiatric clinical setting. We also investigate if the treatment increases knowledge of emotions, and decreases self-reported difficulties with emotion regulation, alexithymia, symptoms of eating disorder, anxiety and depression, as well as clinical impairment.

Six skills training groups were piloted with a total of 29 participants (M = 21.41 years, SD = 1.92). The treatment consists of five sessions dealing with psychoeducation about emotions and emotion regulation skills training. Paired samples t-test was used to compare differences between before-and-after measures.

Detailed Description

Not available

Study Timeline

• Study Start: 2017-08-01
• Primary Completion: 2019-04-30
• Study Completion: 2019-04-30
• Status Verified: 2019-10
• Study First Submitted: 2019-10-30
• Study First Submitted QC: 2019-10-31
• Last Update Submitted: 2019-10-31
• Study First Posted: 2019-11-01
• Last Update Posted: 2019-11-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 39

Inclusion Criteria

• Being enrolled as a patient at the eating disorder unit at eh child- and adolescent psychiatric clinic in Linköping, Sweden
• Having an eating disorder diagnosis as primary diagnosis.
• Being between the ages of 18-25 years
• Having sufficient knowledge of the Swedish language

Exclusion Criteria

• Clinical diagnosis of schizophrenia
• Clinical diagnosis of psychosis
• Clinical diagnosis of severe autism spectrum disorder
• Having a cognitive disability
• Having ongoing drug or alcohol abuse
• Clinical diagnosis of bipolar disorder
• Insufficient knowledge of the Swedish language

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Adjunctive Emotion Regulation Skills Training	An Adjunctive Emotion Regulation Skills Training	Participants will receive a 5 session once a week group emotion regulation skills training adjacent to treatment as usual provided by the eating disorder unit at the child and adolescent psychiatric clinic, Linköping, Sweden.

Primary Outcome Measures

Name	Time	Method
Toronto Alexithymia Scale (TAS-20)	Change from baseline at 5 weeks	Toronto Alexithymia Scale measures alexithymia. It contains a total of 20 items with 3 subscales (difficulties describing feelings: 7 items ranging from 7-35, difficulties identifying feelings: 5 items ranging from 5-25 and externally oriented thinking: 8 items ranging from 8-40). Total scores range from 20-100 with higher scores indicating higher levels of alexithymia.
Eating Disorder Examination Questionnaire (EDE-Q).	Change from baseline at 5 weeks	The Eating Disorder Examination Questionnaire (EDE-Q) is the self-report version of Eating Disorder Examination (EDE) and measures the characteristics of eating disorders. The 6.0 version used in this study consists of 28 items. EDE-Q is scored on a 7-point Likert scale, from "no days" to "every day" and higher scores indicate higher eating pathology. The total score ranges from 0-196. The questionnaire comprises a total scale and subscales for restraint, eating concerns, shape concerns and weight concerns.
The Clinical Impairment Assessment Questionnaire (CIA)	Change from baseline at 5 weeks	The Clinical Impairment Assessment Questionnaire (CIA) measures the psychosocial impairment of eating disorders. It focuses on the last 28 days and consists of 16 items, graded on a Likert scale from "Not at all" to "A lot". Higher scores indicate higher level of secondary psychosocial impairment and the total scores ranges from 0-48. The CIA is designed to be completed immediately after filling in a measure of current eating disorder features that covers the same time frame (e.g., the EDE-Q).
Difficulties with Emotion Regulation Scale (DERS)	Change from baseline at 5 weeks	Difficulties with Emotion Regulation Scale measures difficulties with emotion regulation. It contains a total of 36 items that are rated on a Likert scale between 1-5. Total score ranges between 36-180 with higher scores indicating more difficulties with emotion regulation. The scale has 6 subscales: nonacceptance (ranging from 6-30); goals (ranging from 5-25); impulse (ranging from 6-30); awareness (ranging from 6-30); strategies (ranging from 8-40) and clarity (ranging from 5-25).

Secondary Outcome Measures

Name	Time	Method
Montgomery Åsberg Depression Rating Scale, self-report version (MADRS-S).	Change from baseline at 5 weeks	Montgomery Åsberg Depression Rating Scale measures symptoms of depression. Its main purpose is to monitor the development of symptoms during treatment. The scale consists of 9 items, which are graded from zero to six. Total scores range from 0-54. Higher scores indicate higher level of depression symptoms.
Beck's Anxiety Inventory (BAI)	Change from baseline at 5 weeks	Beck's Anxiety Inventory measures symptoms of anxiety with 21 items rated on a four-graded scale (0-3). Total scores range from 0-63. Higher scores indicate higher levels of anxiety.

Trial Locations

Locations (1)

Region Ostergotland BUP-kliniken; 🇸🇪 Linköping, Sweden