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Feasibility and initial impact of single-session internet-delivered acceptance vs change skills for emotions for stress- and trauma-related problems: a randomized controlled trial
Behavioural and Cognitive Psychotherapy ( IF 2.467 ) Pub Date : 2023-06-08 , DOI: 10.1017/s1352465823000206
Caitlin L McLean 1, 2 , Allison K Ruork 1, 3 , Megan K Ramaiya 4 , Alan E Fruzzetti 1, 5
Affiliation  

Background:

Current psychological trauma-focused interventions have left a gap for individuals who may not be ready for trauma-focused treatment and/or who present with other forms of clinically significant distress, such as subthreshold post-traumatic stress disorder (PTSD). Emotion regulation is a possible transdiagnostic mechanism of change that may promote and maintain some of the varied mental health problems related to trauma exposure.

Aims:

This study examines the feasibility and initial impact of two brief emotion regulation skill trainings targeting different processes hypothesized to reduce trauma-related problems, compared with an active control.

Method:

Subjects (n = 156) were randomized to receive one of three brief internet-based trainings: (1) skill training on accepting emotions, (2) skill training on changing emotions, or (3) stress psychoeducation (control). Participants completed measures of emotion regulation, mindfulness, and affect intensity 24 hours pre- and immediately post-training.

Results:

Results suggested that a brief internet-based skills training programme was feasible and acceptable, with 91.9% completing the training programme to which they were randomized. Results showed that participants in all conditions demonstrated significant decreases in emotion regulation problems over time; yet these improvements did not vary by condition. Participants in the Change condition with higher PTSD symptoms were significantly more likely to have greater increases in positive affect compared with those with lower PTSD symptoms.

Conclusions:

Although the three conditions did not show different outcomes, all three brief internet-delivered trainings were feasible. Results provide direction for future studies to evaluate the delivery of emotion regulation skills in individuals with trauma-related distress.



中文翻译:

单次互联网传递的接受与改变压力和创伤相关问题情绪技能的可行性和初步影响:一项随机对照试验

背景:

当前以心理创伤为重点的干预措施为那些可能尚未准备好以创伤为重点的治疗和/或出现其他形式的临床显着痛苦(例如阈下创伤后应激障碍(PTSD))的个人留下了空白。情绪调节是一种可能的跨诊断变化机制,可能会促进和维持与创伤暴露相关的一些不同的心理健康问题。

目标:

本研究探讨了两种简短的情绪调节技能训练的可行性和初步影响,这些训练针对不同的过程,假设与主动控制相比可以减少创伤相关问题。

方法:

受试者(n = 156)被随机接受三种简短的基于互联网的培训之一:(1)接受情绪的技能培训,(2)改变情绪的技能培训,或(3)压力心理教育(对照)。参与者在训练前 24 小时和训练后立即完成情绪调节、正念和情感强度的测量。

结果:

结果表明,简短的基于互联网的技能培训计划是可行且可接受的,91.9% 的人完成了随机分配的培训计划。结果表明,随着时间的推移,所有条件下的参与者的情绪调节问题都显着减少。然而这些改进并不因条件而异。与具有较低 PTSD 症状的参与者相比,具有较高 PTSD 症状的“改变”条件下的参与者的积极情绪增加的可能性明显更大。

结论:

尽管这三种情况没有显示出不同的结果,但这三种简短的网络培训都是可行的。结果为未来评估创伤相关痛苦个体情绪调节技能的研究提供了方向。

更新日期:2023-06-08
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