Exploring putative therapeutic mechanisms of change in a hybrid compassion-focused, ecological momentary intervention: findings from the EMIcompass trial
Compassion-focused interventions represent a promising transdiagnostic approach, but the mechanisms involved in hybrid delivery combining face-to-face sessions and an ecological momentary intervention remain unexplored. The current study aimed at exploring associations of putative mechanisms with cl...
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| Main Authors: | , , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
September 2023
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| In: |
Behaviour research and therapy
Year: 2023, Volume: 168, Pages: 1-11 |
| ISSN: | 1873-622X |
| DOI: | 10.1016/j.brat.2023.104367 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.brat.2023.104367 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0005796723001158 
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| Author Notes: | Isabell Paetzold, Anita Schick, Christian Rauschenberg, Dusan Hirjak, Tobias Banaschewski, Andreas Meyer-Lindenberg, Jan R. Boehnke, Benjamin Boecking, Ulrich Reininghaus |
| Summary: | Compassion-focused interventions represent a promising transdiagnostic approach, but the mechanisms involved in hybrid delivery combining face-to-face sessions and an ecological momentary intervention remain unexplored. The current study aimed at exploring associations of putative mechanisms with clinical outcomes at post-intervention/follow-up and mediation of outcome at follow-up by preceding pre-to post-intervention changes in putative mechanisms. The compassion-focused EMIcompass intervention was applied in an exploratory randomized controlled trial (treatment as usual (TAU) vs. TAU + EMIcompass) with youth with early mental health problems. Data was collected before randomization, at post-intervention and at four-week follow-up. We recruited N = 92 participants, N = 46 were allocated to the experimental condition. After control for baseline levels of the target outcomes, baseline-to post-intervention improvement in adaptive emotion regulation was associated with lower levels of clinical outcomes (e.g. psychological distress b = −1.15; 95%CI = −1.92 to −0.39) across time points. We could not detect indirect effects, but we observed associations of change in self-compassion and adaptive emotion regulation with outcomes at follow-up in the mediation analysis (e.g., β = −0.35, 95%CI = −0.52 to −0.16). If successfully targeted by interventions, self-compassion and emotion regulation may be promising putative therapeutic mechanisms of change. |
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| Item Description: | Online verfügbar: 4. Juli 2023, Artikelversion: 17. Juli 2023 Gesehen am 06.10.2023 |
| Physical Description: | Online Resource |
| ISSN: | 1873-622X |
| DOI: | 10.1016/j.brat.2023.104367 |