Emotion Regulation Group Skills Training for Eating Disorders
Study Details
Study Description
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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: 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. |
Behavioral: An Adjunctive Emotion Regulation Skills Training
The adjunctive emotion regulation skills training is delivered in a group format once a week during 5 weeks to young adults with eating disorders together with treatment as usual
|
Outcome Measures
Primary Outcome Measures
- 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).
- 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).
Secondary Outcome Measures
- 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.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Being enrolled as a patient at the eating disorder unit at eh child- and adolescent psychiatric clinic in Linköping, Sweden
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Having an eating disorder diagnosis as primary diagnosis.
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Being between the ages of 18-25 years
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Having sufficient knowledge of the Swedish language
Exclusion Criteria:
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Clinical diagnosis of schizophrenia
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Clinical diagnosis of psychosis
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Clinical diagnosis of severe autism spectrum disorder
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Having a cognitive disability
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Having ongoing drug or alcohol abuse
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Clinical diagnosis of bipolar disorder
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Insufficient knowledge of the Swedish language
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Region Ostergotland BUP-kliniken | Linköping | Sweden | 581 85 |
Sponsors and Collaborators
- Region Östergötland
Investigators
- Principal Investigator: Maria Zetterqvist, PhD, Region Ostergotland
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2017/472-32