Day Hospital Treatment of Emotional Dysregulation

NCT04280614 | Completed

• 1 other identifier: H2019:485
• Study Type: observational
• Target: 28
• Locations: 1 country
• Sites: 1

Brief Summary

Objective: The goal of this proposed research project is a quantitative analysis of a day hospital program designed to treat persons with emotional dysregulation. Background: The Short-term Assessment and Treatment (STAT) program has been operating at Health Sciences Center, Winnipeg, Manitoba for many decades. The STAT program is based on the principles of dialectical and cognitive behavior therapy. The STAT program is a five week day hospital program employing multi-modal treatment methods to treat patients with emotional dysregulation. The literature provides evidence of numerous treatment models with varying effectiveness for this population of patients. The STAT program hasn't had a quantitative analysis of its treatment model. Problem Statement: Is the 5 week day hospital treatment model developed and employed by the STAT program effective in improving the mental health of participants admitted to the program?

Conditions

Emotional Dysfunction

Outcome Measures

Primary Outcomes (1)

• Self-harm, emotional distress, depression, anxiety

  The Symptom-Checklist-90-Revised is a psychometric measure used in research and clinical settings in measurement of outcomes related to treatment. It measures global severity of mental illness, positive symptom distress index, positive symptom total as well as nine dimensions of psychopathology on a 0 - 4 scale. Previous research studies on therapeutic interventions involving BPD participants have used the SCL-90-R to measure outcome. The SCL-90-R will be used to assess if the participants self-report a decrease in the severity of global indices of mental illness and nine specific psychopathology factors. Gratz and Roemer (2004) developed the Difficulties in Emotion Regulation Scale (DERS), a 36 item self-report survey to assess emotion dysregulation on six domains. DERS has good test-retest reliability and high internal consistency.

  Roughly 8 weeks.

Interventions

Dialectical behaviour therapy (DBT) BEHAVIORAL

DBT is based on the behavioural therapy principals focusing on four main modules: mindfulness, interpersonal effectiveness, emotional regulation and distress tolerance. The therapy is taught in a group and individual therapy model with coaching during periods of crisis. CBT is a standard model of therapy similar to DBT but is more direct in focusing clients on changing maladaptive behaviours or thoughts to effectively manage difficult emtions.

Also known as: cognitive behaviour therapy (CBT)

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Participants are referred to the STAT program through emergency room consultations, family physician referrals and from psychiatrists working in the community, outpatient department or during an inpatient admission. Most potential participants live within the catchment of Winnipeg.

You may qualify if:

• years and older

You may not qualify if:

• declined by the STAT Program

Sponsors & Collaborators

• University of Manitoba: lead

Study Sites (1)

Health Science Centre

Winnipeg, Manitoba, R3A 1R9, Canada

Location

MeSH Terms

Interventions

Dialectical Behavior Therapy; Cognitive Behavioral Therapy

Intervention Hierarchy (Ancestors)

Behavior Therapy; Psychotherapy; Behavioral Disciplines and Activities

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: February 19, 2020
• First Posted: February 21, 2020
• Study Start: December 1, 2020
• Primary Completion: February 1, 2021
• Study Completion: March 17, 2021
• Last Updated: August 5, 2021

Record last verified: 2021-08

Locations

CA (1)