An Emotion Regulation Skills Training Intervention for Individuals With Multiple Sclerosis (MS) and Their Caregivers

2019 ◽  
Author(s):  
Keyword(s):  
Multiple Sclerosis ◽  
Emotion Regulation ◽  
Skills Training ◽  
Training Intervention

Dialectical Behaviour Therapy Skills Training Groups for Common Mental Health Disorders: A Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Chantal P Delaquis ◽  
Kayla M. Joyce ◽  
Maureen Zalewski ◽  
Laurence Katz ◽  
Julia Sulymka ◽  
...  
Keyword(s):  
Mental Health ◽  
Emotion Regulation ◽  
Meta Analysis ◽  
Skills Training ◽  
Mental Health Disorders ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Transdiagnostic Treatment ◽  
Training Groups ◽  
Health Disorders

Context: Emotion regulation deficits are increasingly recognized as an underlying mechanism of many disorders. Dialectical behaviour therapy (DBT) holds potential as a transdiagnostic treatment for disorders with underlying emotion regulation deficits.Objective: Systematically review the evidence for DBT skills training groups as a transdiagnostic treatment for common mental health disorders via meta-analysis. Study Selection: Randomized control trials (RCTs) of DBT skills training groups for adults with common mental health disorders, and no comorbid personality disorder, were included. Data Synthesis: Twelve RCTs met inclusion criteria (N = 425 participants). DBT had a moderate-to-large effect on symptom reduction (g = 0.79, 95% CI [0.52, 1.06], p < .0001). Improvements in emotion regulation yielded a small-to-moderate effect (g = 0.48, 95% CI [0.22, 0.74], p < .01). Results showed significant effects of DBT on depression (g = 0.50, 95% CI [0.25, 0.75], p = .002), eating disorders (g = 0.83, 95% CI [0.49, 1.17], p = .001) and anxiety (g = 0.45, 95% CI [0.08, 0.83], p = .03).Conclusions: Findings suggest DBT is an effective treatment for common mental health disorders and may be considered as a promising transdiagnostic therapy.

Session 5: Continued Problem-Solving/Modeling Healthy Responses to Anxiety

2016 ◽  
pp. 41-47
Author(s):  
Tara S. Peris ◽  
John Piacentini
Keyword(s):  
Emotion Regulation ◽  
Problem Solving ◽  
Skills Training ◽  
Family Problem ◽  
Family Issues ◽  
The Family ◽  
The Moment

This chapter provides a guide to continued family problem solving. It begins with a review of skills learned earlier in treatment as well as progress with the initial family issues they have begun to address. It provides a strategy for picking the next family problem to target, with an emphasis on giving the family more independence during problem solving exercises. The chapter discusses the parents’ inadvertent potential to reinforce OCD behavior in their behaviors and in their speech. Parents who are particularly anxious may have difficulty managing their emotions in the moment, even though they understand the concept of modeling. The chapter provides strategies for helping these parents navigate OCD-related situations that may trigger their anxiety. Focus of the chapter continues to skills training in emotion regulation, including in-session practice exercises and discussion of the importance of modelling healthy responses to anxiety.

scholarly journals Caregiver-guided pain coping skills training for patients with advanced cancer: Background, design, and challenges for the CaringPals study

2019 ◽  
Vol 16 (3) ◽  
pp. 263-272 ◽  
Author(s):  
Laura S Porter ◽  
Gregory Samsa ◽  
Jennifer L Steel ◽  
Laura C Hanson ◽  
Thomas W LeBlanc ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Family Caregivers ◽  
Advanced Cancer ◽  
Self Efficacy ◽  
Coping Skills ◽  
Skills Training ◽  
Training Intervention ◽  
Pain Coping ◽  
Coping Skills Training ◽  
Training Interventions

Background/Aims Pain is a major concern of patients with advanced cancer and their caregivers. There is strong evidence that pain coping skills training interventions based on cognitive-behavioral principles can reduce pain severity and pain interference. However, few such interventions have been tested for patients with advanced cancer and their family caregivers. This study aims to test the efficacy of a caregiver-guided pain coping skills training protocol on patient and caregiver outcomes. Methods A total of 214 patients age ≥18 with Stage III–Stage IV cancer and moderate to severe pain, along with their family caregivers, are being identified and randomized with a 1:1 allocation to the caregiver-guided pain coping skills training intervention or enhanced treatment-as-usual. Dyads in both conditions receive educational resources on pain management, and the caregiver-guided pain coping skills training intervention includes three weekly 60-min sessions conducted with the patient–caregiver dyad via videoconference. Measures of caregiver outcomes (self-efficacy for helping the patient manage pain, caregiver strain, caregiving satisfaction, psychological distress) and patient outcomes (self-efficacy for pain management, pain intensity and interference, psychological distress) are collected at baseline and post-intervention. Caregiver outcomes are also collected 3 and 6 months following the patient’s death. The study is enrolling patients from four tertiary care academic medical centers and one free-standing hospice and palliative care organization. The primary outcome is caregiver self-efficacy for helping the patient manage pain. Results This article describes challenges in the design and implementation of the CaringPals trial. Key issues for trial design include the identification and recruitment of patients with advanced cancer and pain, and the follow-up and collection of data from caregivers following the patient’s death. Conclusion The CaringPals trial addresses a gap in research in pain coping skills training interventions by addressing the unique needs of patients with advanced cancer and their caregivers. Findings from this study may lead to advances in the clinical care of patients with advanced cancer and pain, as well as a better understanding of the effects of training family caregivers to help patients cope with pain.

scholarly journals Emotion regulation group skills training: a pilot study of an add-on treatment for eating disorders in a clinical setting

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Kristina Holmqvist Larsson ◽  
Anna Lowén ◽  
Linda Hellerstedt ◽  
Linn Bergcrona ◽  
Mimmi Salerud ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Emotion Regulation ◽  
Eating Disorder ◽  
Pilot Study ◽  
Clinical Setting ◽  
Skills Training ◽  
Adjunctive Treatment ◽  
Paired Samples ◽  
Clinical Impairment ◽  
Group Skills

Abstract Background Emotion regulation difficulties appear to play a role in the development and maintenance of several eating disorders. This pilot study aimed at examining whether a short add-on group skills training in emotion regulation for young adults with different eating disorders was feasible in a psychiatric clinical setting. We also investigated if the treatment increased knowledge of emotions, and decreased self-reported difficulties with emotion regulation, alexithymia, symptoms of eating disorder, anxiety and depression, as well as clinical impairment. Methods Six skills training groups were piloted with a total of 29 participants (M = 21.41 years, SD = 1.92). The treatment consisted 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. Results The primary outcomes measures difficulties in emotion regulation (p <  0.001) and alexithymia (p <  0.001) showed significant improvement after treatment. The total eating disorder score (p = 0.009) was also significantly reduced, as was clinical impairment (p <  0.001). Acceptance/valued direction, identifying primary emotions and learning about secondary emotions was rated as especially helpful. Conclusions This preliminary pilot study showed that group training targeting emotion regulation skills was feasible and appreciated by participants, as well as being potentially promising as an adjunctive treatment for different eating disorders. Further controlled studies are needed. Trial registration The study was retrospectively registered NCT04148014 on October 30th 2019.

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