Emotion Regulation Therapy for Emotional Distress

DS
AS
Overseen ByAbigail Szkutak
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Teachers College, Columbia University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a therapy called Emotion Regulation Therapy (ERT) to help individuals manage feelings such as worry, rumination (repeatedly thinking about the same thing), or self-criticism. The therapy consists of 12 online sessions conducted via video calls, along with additional online resources. Residents of New York State who frequently experience worry or self-criticism may be suitable candidates, particularly if they have a diagnosed psychological disorder. The researchers aim to observe changes in feelings before, during, and after the therapy. As an unphased trial, this study offers participants the chance to contribute to innovative research that could enhance emotional well-being.

Will I have to stop taking my current medications?

The trial requires that if you are taking psychotropic medication, it must have been stable for at least 3 months. If your medication hasn't been stable for that long, you may need to adjust it before participating.

What prior data suggests that Emotion Regulation Therapy via telehealth is safe?

Research shows that Emotion Regulation Therapy (ERT) provided through telehealth has been studied for its impact on emotional well-being. One study found that participants experienced improvements in emotional reactions, irritability, and their ability to manage emotions and behaviors after receiving ERT. Another study examined the effectiveness of ERT delivered online alongside regular care, suggesting it may help reduce emotional distress.

Regarding safety, direct data is limited. A report on telehealth methods in mental health indicated that evidence for safety and effectiveness is limited or inconsistent. This means strong evidence is lacking, but no major safety issues have been reported.

The trial is labeled "Not Applicable" for its phase, suggesting that ERT via telehealth is likely well-tolerated and not in the early testing stages. Serious side effects are unlikely, but further research could help confirm its safety.12345

Why are researchers excited about this trial?

Most treatments for emotional distress, like cognitive-behavioral therapy or medication, require in-person visits or have potential side effects. Emotion Regulation Therapy delivered via telehealth is unique because it offers a flexible, remote option that combines live video sessions with an online platform for additional support between sessions. This approach not only makes therapy more accessible to people who can't easily attend in-person sessions, but also provides continuous learning opportunities that can enhance treatment effectiveness. Researchers are excited because this method could broaden access to mental health care while maintaining, or even improving, therapeutic outcomes.

What evidence suggests that Emotion Regulation Therapy via telehealth is effective for emotional distress?

Research has shown that Emotion Regulation Therapy (ERT) can reduce emotional distress. One study found that ERT improved emotional and behavioral management, reduced reactivity and irritability, and achieved a high participation rate of 93%. Another study found that ERT, similar to therapies like CBSM and EMDR, effectively reduced symptoms of depression, anxiety, stress, and repetitive negative thoughts. These findings suggest that ERT, which participants in this trial will receive via telehealth, can help individuals better manage emotions and reduce feelings of worry, overthinking, and self-criticism.678910

Who Is on the Research Team?

DS

Douglas S Mennin

Principal Investigator

Professor of Clinical Psychology

Are You a Good Fit for This Trial?

This trial is for New York State residents aged 18-65 who are fluent in English and have internet access. Participants must meet DSM-5 criteria for a psychological disorder and report high levels of worry, rumination, or self-criticism. It's not open to those on unstable psychotropic meds, current students at Teachers College, Columbia University, anyone already in therapy, with active suicidal thoughts or certain psychiatric conditions.

Inclusion Criteria

High self-reported worry, rumination, and/or self-criticism
Currently living in New York State
Access to at least one device with internet and video-conferencing capabilities
See 2 more

Exclusion Criteria

Substance dependence disorder, schizophrenia, bipolar-I disorder, or a primary DSM-5 diagnosis of borderline or narcissistic personality disorder
Active suicidal ideation or intent
Current students at Teachers College, Columbia University
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2 weeks
1 visit (virtual)

Treatment

Participants attend 12 once-weekly telehealth ERT sessions

12 weeks
12 visits (virtual)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks
4 assessments (online)

What Are the Treatments Tested in This Trial?

Interventions

  • Emotion Regulation Therapy via Telehealth
Trial Overview The study tests Emotion Regulation Therapy (ERT) delivered via telehealth over 12 sessions to see how it affects individuals with elevated worry, rumination or self-criticism. The focus is on the personal changes experienced before, during and after treatment.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: TreatmentExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Teachers College, Columbia University

Lead Sponsor

Trials
27
Recruited
6,100+

Published Research Related to This Trial

The pilot study involving 39 adolescents (ages 13-18) found that adding guided internet-based emotion regulation training (ERT) to cognitive behavioral therapy (CBT) was feasible and acceptable, with a treatment adherence rate of 66.5%.
Preliminary results indicated that the CBT + ERT group experienced significantly reduced anxiety and depressive symptoms, as well as improved emotion regulation strategies, compared to the CBT-only group at the six-month follow-up.
Internet-based emotion-regulation training added to CBT in adolescents with depressive and anxiety disorders: A pilot randomized controlled trial to examine feasibility, acceptability, and preliminary effectiveness.Wisman, MA., Emmelkamp, J., Dekker, JJM., et al.[2022]

Citations

Internet-based emotion-regulation training added to CBT in ...Adherence to ERT was 66.5 %, and treatment satisfaction was adequate. 76.5 % of eligible patients participated in the study. Linear mixed-model ...
Telehealth regulating together pilot trial: emotion regulation ...We observed a 93% retention rate across both groups. Improvements were found in reactivity, irritability, emotion and behavioral regulation, and ...
Comparing the effects of CBSM, ERT, and EMDR on ...Conclusion. Gross-model based ERT, CBSM intervention, and EMDR therapy are effective in reducing depression, anxiety, stress, and RNT and improving resilience ...
Effectiveness of an add-on guided internet-based emotion ...This study aims to evaluate the effectiveness of E-TRAIN + CBT compared to CBT alone on depressive and anxiety outcomes among adolescents with depressive and/ ...
Efficacy of digital technologies aimed at enhancing ...Results showed a significant improvement in stress and a greater control over their emotions compared baseline measured by mood reporting scales (24). A recent ...
Telehealth regulating together pilot trial: emotion regulation ...Improvements were found in reactivity, irritability, emotion and behavioral regulation, and flexibility immediately post-intervention and 10- ...
Effect of Internet-Delivered Emotion Regulation Individual ...This randomized clinical trial examines the effectiveness of internet-delivered emotion regulation individual therapy in addition to usual ...
Emotion Regulation Therapy (ERT) II: Treatment ...Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders: Protocol Development and Initial Outcome Data. Article. Mar 2010 ...
Effect of Internet-Delivered Emotion Regulation Individual ...This randomized clinical trial examines the effectiveness of internet-delivered emotion regulation individual therapy in addition to usual care for reducing ...
Evidence Brief: Safety and Effectiveness of TelehealthStrength of evidence (SOE) was low or insufficient for all safety and effectiveness outcomes due to inconsistent findings and methodological ...
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