Targeting Components of Distress Tolerance
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 240
- 试验地点
- 1
- 主要终点
- Binge Eating Disorder Scale
研究概览
简要总结
The goal of this clinical trial is to learn which aspects of distress intolerance (i.e., difficulties withstanding upsetting emotional states) are the most important for improving effective emotion regulation and associated mental health symptoms.
The main questions it aims to answer are:
How are willingness to feel upset and self-efficacy for withstanding distress associated with different emotion regulation strategies used in daily life?
Does targeting willingness to feel upset and/or self-efficacy for withstanding distress help people use more effective emotion regulation strategies in daily life when they feel upset?
Are improvements in emotion regulation strategies in daily life associated with fewer symptoms of mental health problems over time?
Participants will:
Answer questions about their moods, willingness to feel upset, self-efficacy for withstanding distress and emotion regulation strategies for three weeks using a cell phone app
Undergo a willingness, self-efficacy, combined or psychoeducational control intervention in the lab
Be prompted to use the intervention skill via the cell phone app during the second week, after the intervention
Complete weekly reports of mental health symptoms
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Fluent in English
- •Uses Android or iPhone smartphone
- •Depression Anxiety and Stress Scale (DASS-21) scores of 42 and higher
- •Distress Intolerance Index (DII) scores of 3 or higher
排除标准
- •Work or School that does not allow consistent access to phone (or is unsafe)
- •No internet access for completing follow-up surveys
研究组 & 干预措施
Combined Willingness and Self-Efficacy
Single session intervention focused on increasing both willingness and self-efficacy. Will include brief psychoeducation about emotion, then a combination of using values and self-compassion to increase both allowing and self-efficacy.
干预措施: Self-Efficacy (Behavioral)
Combined Willingness and Self-Efficacy
Single session intervention focused on increasing both willingness and self-efficacy. Will include brief psychoeducation about emotion, then a combination of using values and self-compassion to increase both allowing and self-efficacy.
干预措施: Willingness (Behavioral)
Combined Willingness and Self-Efficacy
Single session intervention focused on increasing both willingness and self-efficacy. Will include brief psychoeducation about emotion, then a combination of using values and self-compassion to increase both allowing and self-efficacy.
干预措施: Psychoeducation (Behavioral)
Psychoeducational Control
Participants will receive psychoeducation only
干预措施: Psychoeducation (Behavioral)
Self-Efficacy (Only)
Single session intervention focusing on increasing self-efficacy to manage distress. Will include brief psychoeducation about emotion, then a focus on agency and self-criticism, using stressors the participant provided from the previous week, with an aim to teach self-compassion skills that will improve self-efficacy.
干预措施: Self-Efficacy (Behavioral)
Self-Efficacy (Only)
Single session intervention focusing on increasing self-efficacy to manage distress. Will include brief psychoeducation about emotion, then a focus on agency and self-criticism, using stressors the participant provided from the previous week, with an aim to teach self-compassion skills that will improve self-efficacy.
干预措施: Psychoeducation (Behavioral)
Willingness (Only)
Single session intervention focused on increasing willingness to allow distress. Will include brief psychoeducation about emotion, then a discussion of values and how allowing and experiencing emotions nourishes values, experiencing discomfort enhances growth. Will use stressors from the prior week as examples.
干预措施: Willingness (Behavioral)
Willingness (Only)
Single session intervention focused on increasing willingness to allow distress. Will include brief psychoeducation about emotion, then a discussion of values and how allowing and experiencing emotions nourishes values, experiencing discomfort enhances growth. Will use stressors from the prior week as examples.
干预措施: Psychoeducation (Behavioral)
结局指标
主要结局
Binge Eating Disorder Scale
时间窗: Baseline, weekly for three weeks and then after one month followup
binge eating symptoms
Engagement behaviors
时间窗: Assessed 5x/day via ecological momentary assessment
Emotion regulation strategies reflective of engagement; these are new items developed for this study and are not from an established scale. All items will be rated from 0 (not at all) to 6 (extremely). There will be 7 items assessing labeling ("I'm using emotion words to describe how I feel right now"), processing ("I'm reflecting on or writing about my feelings"), sharing ("I'm sharing how I feel with another person"), physical feeling ("I'm intentionally feeling my feelings in my body"), curiously considering ("I'm curiously considering how my feelings came about"), defusion ("I'm observing my feelings without getting 'stuck' in them"), and importance ("I'm trying to think about how this current situation maps on to what matters.")
GAD-7
时间窗: Baseline, weekly for three weeks and then after one month followup
Symptoms of anxiety
PHQ-9
时间窗: Baseline, weekly for three weeks and then after one month followup
symptoms of depression
Disengagement behaviors
时间窗: Assessed 5x/day via ecological momentary assessment
Emotion regulation strategies reflective of disengagement, some of which were modified from a momentary experiential avoidance measure (Hershenberg et al., 2017). All items will be rated from 0 (not at all) to 6 (extremely).Items will assess distraction ("Trying to distract myself from my feelings'), thought suppression ("Trying to push unwanted thoughts out of my mind."), discounting ("I'm telling myself I shouldn't be feeling the way I'm feeling"), expressive suppression ("I'm trying to control my feelings by not expressing them"), procrastination ("I'm intentionally putting of an unpleasant task until later"), denial ("I'm trying to 'turn off' the feelings that I don't want to feel"), and reduce importance ("Trying to think about the current situation as unimportant to me.")
AUDIT
时间窗: Baseline, weekly for three weeks and then after one month followup
Alcohol misuse
DSM Cross-Cutting Symptom Measure
时间窗: Baseline, weekly for three weeks and then after one month followup
symptoms of psychopathology
次要结局
- Satisfaction with Life Scale (SWLS)(Baseline, weekly for three weeks and then after one month followup)
- State Loss of Interest and Pleasure Scale(Baseline, weekly for three weeks and then after one month followup)
- Self-Compassion Scale - Short(Baseline, weekly for three weeks and then after one month followup)
- Rumination and Reflection Questionnaire(Baseline, weekly for three weeks and then after one month followup)
研究者
Jennifer C Veilleux
Associate Professor
University of Arkansas, Fayetteville