An Emotion Regulation and Impulse Control (ERIC) Intervention for Vulnerable Young People: A Multi-Sectoral Pilot Study

Objective: There is a demonstrated link between the mental health and substance use comorbidities experienced by young adults, however the vast majority of psychological interventions are disorder specific. Novel psychological approaches that adequately acknowledge the psychosocial complexity and tr...

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Main Authors: Kate Hall, George Youssef, Angela Simpson, Elise Sloan, Liam Graeme, Natasha Perry, Richard Moulding, Amanda L. Baker, Alison K. Beck, Petra K. Staiger
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-04-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2021.554100/full
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author Kate Hall
Kate Hall
George Youssef
George Youssef
George Youssef
Angela Simpson
Angela Simpson
Elise Sloan
Elise Sloan
Liam Graeme
Natasha Perry
Richard Moulding
Richard Moulding
Amanda L. Baker
Alison K. Beck
Petra K. Staiger
Petra K. Staiger
author_facet Kate Hall
Kate Hall
George Youssef
George Youssef
George Youssef
Angela Simpson
Angela Simpson
Elise Sloan
Elise Sloan
Liam Graeme
Natasha Perry
Richard Moulding
Richard Moulding
Amanda L. Baker
Alison K. Beck
Petra K. Staiger
Petra K. Staiger
author_sort Kate Hall
collection DOAJ
description Objective: There is a demonstrated link between the mental health and substance use comorbidities experienced by young adults, however the vast majority of psychological interventions are disorder specific. Novel psychological approaches that adequately acknowledge the psychosocial complexity and transdiagnostic needs of vulnerable young people are urgently needed. A modular skills-based program for emotion regulation and impulse control (ERIC) addresses this gap. The current one armed open trial was designed to evaluate the impact that 12 weeks exposure to ERIC alongside usual care had on young people's ability to regulate emotions, as well as examine potential moderating mechanisms.Methods: Seventy nine young people (50.6% male; M = 19.30; SD = 2.94) were enrolled to the 12 week intervention period. Twenty one practitioners from youth and community health services delivered relevant ERIC modules adjunct to usual care. Linear mixed effects regression (with random intercept) was used to examine change over time across the primary outcome of emotion dysregulation and secondary outcomes of depression, anxiety, stress, experiential avoidance and mindfulness. Moderation analyses were conducted to test whether the magnitude of change in emotion dysregulation moderated change over time in secondary outcomes.Results: Analyses revealed significant improvement in the primary outcome of emotion dysregulation with a moderate effect size (Mean Change = −10.24, 95% CI (−14.41, −6.06; Cohen's dav = −0.53), in addition to decreases in the secondary outcomes of depression, anxiety, stress and experiential avoidance. No improvements in mindfulness were reported. Moderation analyses revealed that the residualised change over time in emotion dysregulation moderated the change over time in symptoms of distress, depression, anxiety, stress, experiential avoidance, and mindfulness.Conclusion: Reductions in the severity of emotion dysregulation, depression, anxiety, stress and experiential avoidance are promising, and were evident despite the complexity of the participants and the diversity of the service setting. The improvements found in each outcome were only observed for those young people whose emotion regulation also improved, providing preliminary evidence for the role of emotion regulation as a key treatment target in this population.
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spelling doaj.art-8d1e743f416c4fedaba698b3c25754f02022-12-21T19:53:04ZengFrontiers Media S.A.Frontiers in Psychology1664-10782021-04-011210.3389/fpsyg.2021.554100554100An Emotion Regulation and Impulse Control (ERIC) Intervention for Vulnerable Young People: A Multi-Sectoral Pilot StudyKate Hall0Kate Hall1George Youssef2George Youssef3George Youssef4Angela Simpson5Angela Simpson6Elise Sloan7Elise Sloan8Liam Graeme9Natasha Perry10Richard Moulding11Richard Moulding12Amanda L. Baker13Alison K. Beck14Petra K. Staiger15Petra K. Staiger16School of Psychology, Deakin University, Geelong, VIC, AustraliaCentre of Drug Use, Addictive and Antisocial Behavior Research, Deakin University, Geelong, VIC, AustraliaSchool of Psychology, Deakin University, Geelong, VIC, AustraliaCentre of Drug Use, Addictive and Antisocial Behavior Research, Deakin University, Geelong, VIC, AustraliaCentre for Adolescent Health, Murdoch Children's Research Institute, Melbourne, VIC, AustraliaSchool of Psychology, Deakin University, Geelong, VIC, AustraliaCentre of Drug Use, Addictive and Antisocial Behavior Research, Deakin University, Geelong, VIC, AustraliaSchool of Psychology, Deakin University, Geelong, VIC, AustraliaCentre of Drug Use, Addictive and Antisocial Behavior Research, Deakin University, Geelong, VIC, AustraliaSchool of Psychology, Deakin University, Geelong, VIC, AustraliaSchool of Medicine and Public Health (Psychiatry), University of Newcastle, Newcastle, NSW, AustraliaSchool of Psychology, Deakin University, Geelong, VIC, AustraliaCentre of Drug Use, Addictive and Antisocial Behavior Research, Deakin University, Geelong, VIC, AustraliaSchool of Medicine and Public Health (Psychiatry), University of Newcastle, Newcastle, NSW, AustraliaSchool of Medicine and Public Health (Psychiatry), University of Newcastle, Newcastle, NSW, AustraliaSchool of Psychology, Deakin University, Geelong, VIC, AustraliaCentre of Drug Use, Addictive and Antisocial Behavior Research, Deakin University, Geelong, VIC, AustraliaObjective: There is a demonstrated link between the mental health and substance use comorbidities experienced by young adults, however the vast majority of psychological interventions are disorder specific. Novel psychological approaches that adequately acknowledge the psychosocial complexity and transdiagnostic needs of vulnerable young people are urgently needed. A modular skills-based program for emotion regulation and impulse control (ERIC) addresses this gap. The current one armed open trial was designed to evaluate the impact that 12 weeks exposure to ERIC alongside usual care had on young people's ability to regulate emotions, as well as examine potential moderating mechanisms.Methods: Seventy nine young people (50.6% male; M = 19.30; SD = 2.94) were enrolled to the 12 week intervention period. Twenty one practitioners from youth and community health services delivered relevant ERIC modules adjunct to usual care. Linear mixed effects regression (with random intercept) was used to examine change over time across the primary outcome of emotion dysregulation and secondary outcomes of depression, anxiety, stress, experiential avoidance and mindfulness. Moderation analyses were conducted to test whether the magnitude of change in emotion dysregulation moderated change over time in secondary outcomes.Results: Analyses revealed significant improvement in the primary outcome of emotion dysregulation with a moderate effect size (Mean Change = −10.24, 95% CI (−14.41, −6.06; Cohen's dav = −0.53), in addition to decreases in the secondary outcomes of depression, anxiety, stress and experiential avoidance. No improvements in mindfulness were reported. Moderation analyses revealed that the residualised change over time in emotion dysregulation moderated the change over time in symptoms of distress, depression, anxiety, stress, experiential avoidance, and mindfulness.Conclusion: Reductions in the severity of emotion dysregulation, depression, anxiety, stress and experiential avoidance are promising, and were evident despite the complexity of the participants and the diversity of the service setting. The improvements found in each outcome were only observed for those young people whose emotion regulation also improved, providing preliminary evidence for the role of emotion regulation as a key treatment target in this population.https://www.frontiersin.org/articles/10.3389/fpsyg.2021.554100/fullemotion regulationcomorbidityadolescenceyoung adultstreatment
spellingShingle Kate Hall
Kate Hall
George Youssef
George Youssef
George Youssef
Angela Simpson
Angela Simpson
Elise Sloan
Elise Sloan
Liam Graeme
Natasha Perry
Richard Moulding
Richard Moulding
Amanda L. Baker
Alison K. Beck
Petra K. Staiger
Petra K. Staiger
An Emotion Regulation and Impulse Control (ERIC) Intervention for Vulnerable Young People: A Multi-Sectoral Pilot Study
Frontiers in Psychology
emotion regulation
comorbidity
adolescence
young adults
treatment
title An Emotion Regulation and Impulse Control (ERIC) Intervention for Vulnerable Young People: A Multi-Sectoral Pilot Study
title_full An Emotion Regulation and Impulse Control (ERIC) Intervention for Vulnerable Young People: A Multi-Sectoral Pilot Study
title_fullStr An Emotion Regulation and Impulse Control (ERIC) Intervention for Vulnerable Young People: A Multi-Sectoral Pilot Study
title_full_unstemmed An Emotion Regulation and Impulse Control (ERIC) Intervention for Vulnerable Young People: A Multi-Sectoral Pilot Study
title_short An Emotion Regulation and Impulse Control (ERIC) Intervention for Vulnerable Young People: A Multi-Sectoral Pilot Study
title_sort emotion regulation and impulse control eric intervention for vulnerable young people a multi sectoral pilot study
topic emotion regulation
comorbidity
adolescence
young adults
treatment
url https://www.frontiersin.org/articles/10.3389/fpsyg.2021.554100/full
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