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Emotion RegulationNCT06183333

Efficacy of a Web-Based Emotion Regulation Training in a Transdiagnostic Sample

A study testing Heidelberg Emotion Regulation Training in people with Emotion Regulation and Anxiety Disorders, run by Heidelberg University at 1 site in Germany.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This two-armed randomized controlled trial investigates the efficacy of a web-based emotion regulation intervention in a transdiagnostic sample. The sample includes participants diagnosed with anxiety disorders, depression, eating disorders, borderline personality disorder, and healthy controls without a current… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Emotion Regulation, Anxiety Disorders, Depression
What is being tested?
Heidelberg Emotion Regulation Training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
250 participants
Where
1 siteGermany
Study dates
1 May 2023to Aug 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Sufficient German language skills (C1)
  • Permanent internet access during the study period
  • ≥ 18 years of age

Who cannot join

  • Acute suicidality
  • Current severe substance use disorder
  • Current severe depressive episode
  • Lifetime bipolar disorder
  • Lifetime psychotic disorders
  • Body Mass Index (BMI) below 18.5

Trial locations and contacts

1 site in 1 country.

Germany1 site, 1 recruiting
  • Heidelberg University

    Heidelberg, Baden-Wurttemberg, 69117

    Recruiting

Other trials in Germany

About this study

Official title: Efficacy of a Web-Based Emotion Regulation Training in a Transdiagnostic Sample: A Randomized Controlled Trial

This two-armed randomized controlled trial investigates the efficacy of a web-based emotion regulation intervention in a transdiagnostic sample. The sample includes participants diagnosed with anxiety disorders, depression, eating disorders, borderline personality disorder, and healthy controls without a current psychiatric diagnosis. Participants will be randomly assigned to either the intervention group, receiving a web-based emotion regulation program, or a waitlist control group, which will have delayed intervention access after eight weeks.

The intervention is grounded in cognitive-behavioral therapy (CBT), featuring everyday emotion regulation exercises, and psychoeducation delivered through video and audio files. Outcome measures include emotion regulation abilities, well-being, anxiety, depression, eating disorder symptoms, personality pathology, and self-esteem, evaluated at four and eight weeks post-baseline.

Read the detailed description

Background:

Emotion regulation is pivotal in the pathogenesis and persistence of diverse psychopathologies. While anxiety disorders are often marked by an impaired ability to modulate acute fear responses, depressive disorders feature enduring negative affect and frequent rumination. In eating disorders, emotional dysregulation typically leads to maladaptive coping via disordered eating behaviors, whereas in borderline personality disorder, it manifests as emotional instability. The pervasiveness of emotion regulation difficulties across these diverse clinical presentations highlights a need for treatments targeting this shared mechanism. Our study aims to address this gap by testing the effectiveness of a novel web-based emotion regulation intervention in a transdiagnostic sample.

Method:

This two-armed randomized controlled trial involves participants aged 18 and above diagnosed with anxiety disorders, depression, eating disorders, borderline personality disorder, and healthy controls without psychiatric diagnoses. Participants will be randomly assigned to one of two groups:

  1. Web-based emotion regulation intervention.
  2. Waitlist control group with delayed intervention access (eight weeks).

The intervention, accessible via mobile phones or desktop browsers, employs cognitive-behavioral therapy (CBT) techniques, offering everyday emotion regulation exercises and psychoeducation through video material and audio files.

Outcome measures, including emotion regulation abilities, well-being, anxiety, depression, eating disorder symptoms, personality pathology, and self-esteem, will be assessed at four and eight weeks post-baseline.

Hypotheses:

The intervention is expected to result in improved emotion regulation abilities and well-being, along with reduced anxiety, depression, eating disorder symptoms, personality pathology, and self-esteem compared to the waitlist control group. The transdiagnostic intervention is anticipated to demonstrate superiority in addressing the diverse emotional challenges across different psychological disorders.

Additional Laboratory Study:

A subgroup of participants will be invited for a follow-up laboratory assessment of physiological indicators of emotion regulation abilities four weeks after their initial baseline measurement. We hypothesize that the intervention will lead to notable improvements in implicit emotion regulation capacity measured during a resting period and the presentation of negative emotional images. Furthermore, we anticipate observable improvements in explicit emotion regulatory skills, specifically in the downregulation of negative emotions and the upregulation of positive emotions, as assessed through a picture-viewing paradigm.

Being tested
Heidelberg Emotion Regulation Training
Keywords
Internet-Based Intervention, Web-Based Training, Emotion Regulation
Medical subject headings
Emotional Regulation, Anxiety Disorders, Depression, Feeding and Eating Disorders, Borderline Personality Disorder

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Heidelberg Emotion Regulation TrainingBehavioural

    The four-week intervention program is specifically designed to enhance the participants' emotion regulation. It focuses on developing their skills in accurately recognizing various emotions and effectively applying diverse emotion regulation strategies. To achieve this, the program includes video-based psychoeducation sessions. Alongside these sessions, the program incorporates daily short exercises, each lasting approximately five minutes. These exercises are crafted to help participants practically integrate the concepts and strategies learned from the psychoeducation sessions into their everyday lives. All components of the intervention are accessible through an online platform, ensuring ease of access and flexibility for participants.

Study groups in NCT06183333
Study groupRoleWhat they receive
Intervention groupExperimentalWeb-based emotion regulation intervention
Receives: Behavioral: Heidelberg Emotion Regulation Training
Waitlist control groupNo interventionEight-week waiting period

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes in Emotion Regulation Difficulties

    The Difficulties in Emotion Regulation Scale (DERS; Gratz \& Roemer, 2004)

    Measured: 0 weeks, 4 weeks, 8 weeks

Secondary outcomes (11)
  1. Changes in Emotion Regulation Strategy Use

    The Heidelberg Form for Emotion Regulation Strategies (HFERST; Izadpanah et al., 2019)

    Measured: 0 weeks, 4 weeks, 8 weeks

  2. Changes in Well-Being

    The World Health Organization Well-Being Index (WHO-5; Topp et al., 2015)

    Measured: 0 weeks, 4 weeks, 8 weeks

  3. Changes in Anxiety Symptoms

    The General Anxiety Disorder Scale (GAD-7; Spitzer et al., 2006)

    Measured: 0 weeks, 4 weeks, 8 weeks

  4. Changes in Depressive Symptoms

    The Patient Health Questionnaire (PHQ-9; Kroenke et al., 2001)

    Measured: 0 weeks, 4 weeks, 8 weeks

  5. Changes in Eating Psychopathology

    The Eating Disorders Examination Questionnaire (EDE-Q; Berg et al., 2012)

    Measured: 0 weeks, 4 weeks, 8 weeks

  6. Changes in Personality Pathology

    The Personality Inventory for DSM-5 (PID-5; Krueger et al., 2012)

    Measured: 0 weeks, 4 weeks, 8 weeks

  7. Changes in Eating-Disorder-Related Daily Difficulties

    The Clinical Impairment Assessment Questionnaire (CIA; Bohn et al., 2008)

    Measured: 0 weeks, 4 weeks, 8 weeks

  8. Changes in Self-Esteem

    The Rosenberg Self-Esteem Scale (RSES; Roth et al., 2008)

    Measured: 0 weeks, 4 weeks, 8 weeks

  9. Changes in Weekly Emotion Regulation Strategy Use

    Weekly assessment of emotion regulation strategies (adapted from Pruessner et al., 2023).

    Measured: 0 weeks, 1 weeks, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks, 7 weeks, 8 weeks

  10. Changes in Weekly Positive and Negative Affect

    Positive and Negative Affect Schedule - Expanded Form (16 items; PANAS-X; Watson \& Clark, 1994)

    Measured: 0 weeks, 1 weeks, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks, 7 weeks, 8 weeks

  11. Changes in Weekly Eating Psychopathology

    The Eating Disorders Examination Questionnaire (EDE-QS; Gideon et al., 2016)

    Measured: 0 weeks, 1 weeks, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks, 7 weeks, 8 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Dec 2023
  2. Study start1 May 2023
  3. Primary completionJun 2025 (estimated)
  4. Study completionAug 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized Controlled Trial with an Intervention Group and a Waiting List Control Group
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
250 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06183333
Sponsor's protocol ID
ER-Training
Status last verified
Dec 2023
First submitted
13 Dec 2023
Last updated
27 Dec 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: De-identified dataset

Publications

  • Ritschel LA, Tone EB, Schoemann AM, Lim NE. Psychometric properties of the Difficulties in Emotion Regulation Scale across demographic groups. Psychol Assess. 2015 Sep;27(3):944-54. doi: 10.1037/pas0000099. Epub 2015 Mar 16.

    PubMed 25774638
  • Izadpanah S, Barnow S, Neubauer AB, Holl J. Development and Validation of the Heidelberg Form for Emotion Regulation Strategies (HFERST): Factor Structure, Reliability, and Validity. Assessment. 2019 Jul;26(5):880-906. doi: 10.1177/1073191117720283. Epub 2017 Jul 21.

    PubMed 28730850
  • Topp CW, Ostergaard SD, Sondergaard S, Bech P. The WHO-5 Well-Being Index: a systematic review of the literature. Psychother Psychosom. 2015;84(3):167-76. doi: 10.1159/000376585. Epub 2015 Mar 28.

    PubMed 25831962
  • Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006 May 22;166(10):1092-7. doi: 10.1001/archinte.166.10.1092.

    PubMed 16717171
  • Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001 Sep;16(9):606-13. doi: 10.1046/j.1525-1497.2001.016009606.x.

    PubMed 11556941
  • Hilbert A, de Zwaan M, Braehler E. How frequent are eating disturbances in the population? Norms of the eating disorder examination-questionnaire. PLoS One. 2012;7(1):e29125. doi: 10.1371/journal.pone.0029125. Epub 2012 Jan 18.

    PubMed 22279527
  • Zimmermann J, Altenstein D, Krieger T, Holtforth MG, Pretsch J, Alexopoulos J, Spitzer C, Benecke C, Krueger RF, Markon KE, Leising D. The structure and correlates of self-reported DSM-5 maladaptive personality traits: findings from two German-speaking samples. J Pers Disord. 2014 Aug;28(4):518-40. doi: 10.1521/pedi_2014_28_130. Epub 2014 Feb 10.

    PubMed 24511899
  • Roth M, Altmann T. A Comparison of the Predictive Validity of Self-Esteem Level and Directly Measured Self-Esteem Stability in the Temporal Prediction of Psychological Distress. Front Psychol. 2020 Jul 24;11:1770. doi: 10.3389/fpsyg.2020.01770. eCollection 2020.

    PubMed 32849049

Questions about this trial

What is this clinical trial studying?

A study testing Heidelberg Emotion Regulation Training in people with Emotion Regulation and Anxiety Disorders, run by Heidelberg University at 1 site in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 27 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Steffen Hartmann (+496221 / 54 7295, steffen.hartmann@psychologie.uni-heidelberg.de), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in Emotion Regulation Difficulties (time frame: 0 weeks, 4 weeks, 8 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06183333, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Dec 2023.

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