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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Hauptverfasser: Pätzold, Isabell (VerfasserIn) , Schick, Anita (VerfasserIn) , Rauschenberg, Christian (VerfasserIn) , Hirjak, Dusan (VerfasserIn) , Banaschewski, Tobias (VerfasserIn) , Meyer-Lindenberg, Andreas (VerfasserIn) , Böhnke, Jan R. (VerfasserIn) , Boecking, Benjamin (VerfasserIn) , Reininghaus, Ulrich (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: September 2023
In: Behaviour research and therapy
Year: 2023, Jahrgang: 168, Pages: 1-11
ISSN:1873-622X
DOI:10.1016/j.brat.2023.104367
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.brat.2023.104367
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0005796723001158
Volltext
Verfasserangaben:Isabell Paetzold, Anita Schick, Christian Rauschenberg, Dusan Hirjak, Tobias Banaschewski, Andreas Meyer-Lindenberg, Jan R. Boehnke, Benjamin Boecking, Ulrich Reininghaus

MARC

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520 |a 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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