The Impact of Trauma-Informed Sports-Based Intervention on Emotion Regulation, Self-Esteem, and Peer Relationships in Adolescents With Substance Use Disorder

NCT07597447 | Completed

• 1 other identifier: SelcukU-GUzun-004
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

This study was aimed to investigate the effects of a trauma-informed sports-based intervention on emotion regulation, self-esteem, and peer relationships in adolescents with substance use disorder. The research hypotheses of this study are as follows: 1. Adolescents with substance use disorder who receive the trauma-informed sports-based intervention will exhibit statistically higher emotion regulation skills compared to those in the control group. 2. Adolescents with substance use disorder who receive the trauma-informed sports-based intervention will exhibit statistically higher levels of self-esteem compared to those in the control group. 3. Adolescents with substance use disorder who receive the trauma-informed sports-based intervention will exhibit statistically improved peer relationships compared to those in the control group. The study hypothesizes that participation in a trauma-informed sports-based intervention will lead to enhancement on emotion regulation, self-esteem, and peer relationships in adolescents with substance use disorder. Researchers were compared the trauma-informed sports-based intervention to a control group (no intervention) to see if the trauma-informed sports-based intervention works on femotion regulation, self-esteem, and peer relationships in adolescents with substance use disorder. Intervention group participants were: attended the trauma-informed sports-based intervention, 8-week period, with sessions held five days a week, consisting of three days of psychoeducation and two days of sports-based practice, each lasting 45-60 minutes, at a municipally affiliated Child and Adolescent Alcohol and Substance Addiction Treatment Center (ÇEMATEM).

Conditions

Adolescents With Substance Use Disorder

Keywords

Substance-Related Disorders; Adolescent; Trauma-Informed Care; Exercise Therapy; Emotion Regulation; Self-Esteem; Peer Relationships

Outcome Measures

Primary Outcomes (3)

• Emotion regulation total mean score

  Emotion regulation was assessed using the Emotion Regulation Scale for Adolescents, multidimensional structure assessing various aspects of emotion regulation processes. Total scores range from 18 to 90, with higher scores indicate greater difficulties in emotion regulation.

  From enrollment to the end of the trauma-informed sports-based intervention at 8 weeks.

• Self-esteem total mean score

  Self-esteem was assessed using the Rosenberg Self-Esteem Scale, consists of 10 items rated on a 4-point Likert scale. Higher scores indicate higher levels of self-esteem. In the Turkish validity and reliability study of the scale, scores of 0-1 were classified as high self-esteem, scores of 2-4 as moderate self-esteem, and scores of 5-6 as low self-esteem.

  From enrollment to the end of the trauma-informed sports-based intervention at 8 weeks.

• Peer Relationships total mean score

  Peer Relationships was assessed using the Peer Relationships Scale, the final version of the scale consists of 22 items across five subscales: Companionship, Conflict, Help, Protection, and Closeness. Total scores range from 1 to 5, with Scores are calculated as the mean of total or subscale scores, with higher scores indicating better peer relationship quality.

  From enrollment to the end of the trauma-informed sports-based intervention at 8 weeks.

Study Arms (2)

Intervention

EXPERIMENTAL

The intervention group was a group of 60 people consisting of adolescents with substance use disorder who followed the 8-week the Trauma-Informed Sports-Based Intervention.

Behavioral: The Trauma-Informed Sport-Based Intervention Program

Control Group

NO INTERVENTION

The control group consisted of 60 adolescents with substance use disorder who did not receive any intervention for 8 weeks.

Interventions

The Trauma-Informed Sport-Based Intervention Program BEHAVIORAL

The Trauma-Informed Sport-Based Intervention Program The program was structured according to trauma-informed care principles and aimed to enhance emotion regulation, self-esteem, and peer relationships. It integrated cognitive behavioral psychoeducation with sport-based activities. The intervention was conducted five days a week (Psychoeducation sessions were conducted three days per week, while sport-based activities were implemented two days per week), each session lasting 45-60 minutes, over 8 weeks. The program consisted of four core components: (1) Emotion regulation and anger management: Developing skills to recognize, express, and regulate emotions. (2) Behavioral (social skills): Enhancing peer relationships, empathy, and communication skills. (3) Cognitive component: Increasing self-awareness and restructuring maladaptive thoughts. (4) Sport-based component: Cooperative games, rhythmic exercises, coordination activities, and body awareness practices.

Intervention

Eligibility Criteria

• Age: 14 Years - 18 Years
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• (1) receiving treatment at ÇEMATEM, (2) aged 14-18 years, (3) diagnosed with substance use disorder, (4) scoring ≤54 on the emotion regulation scale, (5) having sufficient cognitive capacity for communication, and (6) willingness to participate.

You may not qualify if:

• (1) presence of neurological, sensory, or physical impairments, (2) severe psychiatric comorbidities (e.g., psychotic disorders), and (3) clinical conditions preventing participation. Participants who missed at least two sessions of the intervention were excluded.

Sponsors & Collaborators

• Neslihan Lok: lead

Study Sites (1)

Child and Adolescent Alcohol and Substance Addiction Treatment Center (ÇEMATEM)

Ankara, 06000, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Substance-Related Disorders; Emotional Regulation

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders; Self-Control; Social Behavior; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Prof.

Model Details: This study was a randomized controlled trial with pre-test and post-test control groups.

Study Record Dates

• First Submitted: May 13, 2026
• First Posted: May 19, 2026
• Study Start: November 15, 2025
• Primary Completion: January 10, 2026
• Study Completion: February 10, 2026
• Last Updated: May 19, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)