Examination of emotion regulation strategy use in an outpatient treatment program for adolescents with co-occurring disorders

情绪调节策略在青少年并发疾病门诊治疗计划中的应用研究

• 批准号: 10723521
• 负责人: Tiffany Jenzer
• 金额: $ 13.41万
• 依托单位: EMMA PENDLETON BRADLEY HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-15 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10723521
• 关键词: Address; Adolescence; Adolescent; Adult; Alcohol consumption; Ambulatory Care; Anxiety; Area; Attention deficit hyperactivity disorder; Behavior; Communities; Comprehension; Data; Development; Diagnosis; Diagnostic; Dialectical behavior therapy; Disease; Ecological momentary assessment; Emotional; Enrollment; Exhibits; Feedback; Goals; Grant; Growth; Intervention; Learning Skill; Mental Depression; Mental disorders; Mentors; Methods; National Institute on Alcohol Abuse and Alcoholism; Nature; Participant; Patient Self-Report; Phase; Pilot Projects; Population; Population Intervention; Procedures; Process; Protocols documentation; Psychiatric Diagnosis; Psychopathology; Reporting; Research; Research Personnel; Resources; Role; Sampling; Scientist; Strategic Planning; Symptoms; Testing; Training; Treatment outcome; Work; Youth; acceptability and feasibility; adolescent alcohol treatment; adolescents with alcohol use disorders; aged; alcohol abuse therapy; alcohol craving; alcohol use disorder; associated symptom; cost; dual diagnosis; effective intervention; emotion dysregulation; emotion regulation; executive function; experience; feasibility testing; improved; outpatient programs; participant enrollment; prospective; randomized, clinical trials; satisfaction; skill acquisition; skills; skills training; treatment program; underage drinking

PROJECT SUMMARY/ABSTRACT Most adolescents (61-88%) who present to treatment with alcohol use disorder (AUD) have a co-occurring psychiatric diagnosis. Youth with AUD and a co-occurring diagnosis exhibit poorer general functioning and worse treatment outcomes compared to those with AUD alone. Unfortunately, treatments for adolescent AUD lag behind those for adults and show small effect sizes. To improve interventions for this population, there is a need to understand how and why adolescent AUD treatments work and to identify transdiagnostic treatment mechanisms that can target symptoms of multiple disorders simultaneously. Emotion regulation skill use is one such mechanism. This proposal leverages ecological momentary assessment (EMA) to study the change in emotion regulation skill use within a treatment context as well as examine its influence on relevant AUD and co-occurring disorder treatment outcomes. The proposed research will examine these processes within a community sample of adolescents (aged 13-18) undergoing an intensive outpatient program for AUD and co- occurring disorders. Given the cost and labor-intensive resources required for EMA research and the little work using EMA with this population, the K99 project will consist of a pilot study to test the feasibility and acceptability of the EMA protocol, will identify barriers to compliance, and will refine the protocol. (Aims 1a-1c). The R00 project (N = 80 adolescents) will consist of a 10-week study during which participants will complete two 3-week bursts of EMA reports. Aims of the R00 project are to examine prospective momentary associations between emotion regulation skill use and momentary treatment outcomes (Aim 2), to characterize the extent of change in emotion regulation skill use across treatment (Aim 3a) and examine whether changes in emotion regulation skill use coincide with changes in treatment outcomes across treatment (Aim 3b). Findings will serve as pilot data to a larger NIAAA R01 grant submission in this area of work. Importantly, this K99/R00 application will serve as foundational training for Dr. Jenzer's development as an independent scientist. Mentors (Drs. Miranda, Magill, Weiss, Litt) are committed to the candidate's training and each will provide unique expertise to the research and training plan.

项目摘要/摘要 大多数参加酒精使用障碍治疗（AUD）的青少年（61-88％）的同时存在 精神诊断。具有AUD和同时发生诊断的青年表现出较差的一般功能和 与单独使用AUD相比，治疗结果较差。不幸的是，青少年aud的治疗 落后于成年人的人，并显示出较小的效果大小。为了改善该人群的干预措施，有一个 需要了解青少年的AUD处理方式以及为什么要识别经诊断的治疗 可以同时针对多种疾病症状的机制。情绪调节技能使用是一种 这种机制。该提议利用生态瞬时评估（EMA）研究 情感调节技能在治疗环境中的使用，并检查其对相关AUD的影响 同时出现的疾病治疗结果。拟议的研究将在 青少年的社区样本（13-18岁），正在进行一项大量的门诊计划，以进行AUD和合作 发生疾病。鉴于EMA研究所需的成本和劳动密集型资源和少量工作 将EMA与该人群一起使用，K99项目将包括一项试点研究，以测试可行性和 EMA协议的可接受性将确定合规性的障碍，并将完善协议。 （AIMS 1A-1C）。 R00项目（n = 80名青少年）将包括一项为期10周的研究，参与者将完成 EMA报告了两周的两周爆发。 R00项目的目的是检查潜在的瞬间 情绪调节技能使用与瞬时治疗结果之间的关联（AIM 2），以表征 情绪调节技能在整个治疗中的使用程度（AIM 3A）并检查是否变化 在情绪调节方面，技能的利用与治疗中治疗结果的变化相吻合（AIM 3B）。 调查结果将作为在这一工作领域中更大的NIAAA R01赠款提交提交的试点数据。重要的是，这个 K99/R00应用程序将作为Jenzer博士作为独立发展的基础培训 科学家。导师（Miranda，Magill，Weiss，Litt博士）致力于候选人的培训 为研究和培训计划提供独特的专业知识。