Emotion Regulation Group Skills Training for Eating Disorders

NCT04148014 | Completed

• 1 other identifier: 2017/472-32
• Study Type: interventional
• Target: 39
• Locations: 1 country
• Sites: 1

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.

Conditions

Eating Disorders; Emotions; Skill, Coping

Keywords

eating disorders; young adults; emotion regulation skills

Outcome Measures

Primary Outcomes (4)

• Difficulties with Emotion Regulation Scale (DERS)

  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).

  Change from baseline at 5 weeks

• Toronto Alexithymia Scale (TAS-20)

  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.

  Change from baseline at 5 weeks

• Eating Disorder Examination Questionnaire (EDE-Q).

  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.

  Change from baseline at 5 weeks

• The Clinical Impairment Assessment Questionnaire (CIA)

  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).

  Change from baseline at 5 weeks

Secondary Outcomes (2)

• Montgomery Åsberg Depression Rating Scale, self-report version (MADRS-S).

  Change from baseline at 5 weeks

• Beck's Anxiety Inventory (BAI)

  Change from baseline at 5 weeks

Study Arms (1)

Adjunctive Emotion Regulation Skills Training

EXPERIMENTAL

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

Interventions

An Adjunctive Emotion Regulation Skills Training BEHAVIORAL

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

Adjunctive Emotion Regulation Skills Training

Eligibility Criteria

• Age: 18 Years - 25 Years
• Gender Eligibility Details: Participant eligibility is based on biological sex.
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Being enrolled as a patient at the eating disorder unit at eh child- and adolescent psychiatric clinic in Linköping, Sweden
• Having an eating disorder diagnosis as primary diagnosis.
• Being between the ages of 18-25 years
• Having sufficient knowledge of the Swedish language

You may not qualify if:

• Clinical diagnosis of schizophrenia
• Clinical diagnosis of psychosis
• Clinical diagnosis of severe autism spectrum disorder
• Having a cognitive disability
• Having ongoing drug or alcohol abuse
• Clinical diagnosis of bipolar disorder
• Insufficient knowledge of the Swedish language

Sponsors & Collaborators

• Region Östergötland: lead

Study Sites (1)

Region Ostergotland BUP-kliniken

Linköping, 581 85, Sweden

Location

Related Publications (1)

• Holmqvist Larsson K, Lowen A, Hellerstedt L, Bergcrona L, Salerud M, Zetterqvist M. Emotion regulation group skills training: a pilot study of an add-on treatment for eating disorders in a clinical setting. J Eat Disord. 2020 Apr 3;8:12. doi: 10.1186/s40337-020-00289-1. eCollection 2020.

  PMID: 32266070 DERIVED

MeSH Terms

Conditions

Feeding and Eating Disorders

Condition Hierarchy (Ancestors)

Signs and Symptoms, Digestive; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders

Study Officials

• Maria Zetterqvist, PhD

  Region Östergötland

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Prinicipal investigator

Model Details: A pilot study without randomization or controlled design

Study Record Dates

• First Submitted: October 30, 2019
• First Posted: November 1, 2019
• Study Start: August 1, 2017
• Primary Completion: April 30, 2019
• Study Completion: April 30, 2019
• Last Updated: November 1, 2019

Record last verified: 2019-10

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)