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

基本信息

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
项目类别：
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

项目摘要

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.

项目概要/摘要大多数接受酒精使用障碍 (AUD) 治疗的青少年 (61-88%) 都会同时出现以下症状：精神科诊断。患有 AUD 并同时发生诊断的青少年表现出较差的一般功能和与单独使用 AUD 的治疗结果相比，治疗结果更差。不幸的是，青少年 AUD 的治疗落后于成人的结果并且显示出较小的效应量。为了改善对这一人群的干预措施，有一个需要了解青少年 AUD 治疗如何以及为何有效，并确定跨诊断治疗可以同时针对多种疾病症状的机制。情绪调节技巧运用之一这样的机制。该提案利用生态瞬时评估（EMA）来研究生态环境的变化在治疗环境中使用情绪调节技能，并检查其对相关 AUD 和并发疾病的治疗结果。拟议的研究将在一个范围内检查这些过程接受 AUD 和 co- 强化门诊计划的青少年（13-18 岁）的社区样本发生的紊乱。鉴于 EMA 研究所需的成本和劳动密集型资源以及很少的工作量 K99 项目将通过对这一人群使用 EMA 进行试点研究来测试可行性和 EMA 协议的可接受性，将确定合规性障碍，并完善该协议。（目标 1a-1c）。 R00 项目（N = 80 名青少年）将包括一项为期 10 周的研究，在此期间参与者将完成两次 3 周的 EMA 报告。 R00 项目的目标是检查未来的瞬时情绪调节技能的使用与瞬时治疗结果之间的关联（目标 2），以表征治疗过程中情绪调节技能使用的变化程度（目标 3a）并检查是否发生变化情绪调节技能的使用与治疗期间治疗结果的变化一致（目标 3b）。研究结果将作为该工作领域更大的 NIAAA R01 拨款申请的试点数据。重要的是，这 K99/R00 应用程序将作为 Jenzer 博士作为独立人士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，并且每个人都会为研究和培训计划提供独特的专业知识。