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Emotion Regulation Therapy for Distressed Adults During the COVID-19 Pandemic: Examining Trajectories and Predictors of Response Following a Blended Telehealth Intervention
Emotion Regulation Therapy for Distressed Adults During the COVID-19 Pandemic: Examining Trajectories and Predictors of Response Following a Blended Telehealth Intervention
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20250211152022
- ISBN
- 9798383581049
- DDC
- 157
- 서명/저자
- Emotion Regulation Therapy for Distressed Adults During the COVID-19 Pandemic: Examining Trajectories and Predictors of Response Following a Blended Telehealth Intervention
- 발행사항
- [Sl] : Columbia University, 2024
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2024
- 형태사항
- 158 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 86-02, Section: B.
- 주기사항
- Advisor: Mennin, Douglas.
- 학위논문주기
- Thesis (Ph.D.)--Columbia University, 2024.
- 초록/해제
- 요약In March 2020, New York City became the epicenter of the COVID-19 pandemic. Waves of illness, uncertainty, isolation, disruption, and loss led to increased rates of emotional distress. To extend access to evidence-based mental health services, we initiated an open trial of emotion regulation therapy in the context of the pandemic (ERT-P), delivered via telehealth and "blended" with an internet and mobile intervention (IMI) to augment treatment (e.g., video modules, between-session exercises, mindful regulation practices). ERT-P is a brief, 9-session psychotherapy program that integrates principles from traditional and contemporary cognitive behavioral therapies and mindfulness-based interventions to well-sui motivational and regulatory mechanisms associated with distress. The current study sought to evaluate the efficacy of ERT-P, investigate the impact of COVID-19 severity on treatment response, and explore whether sociodemographic, clinical, and contextual patient characteristics predict differential patterns of treatment response. Patients (N =134) were distressed, treatment-seeking adults in New York State. At pre- and posttreatment, as well as 3-month and 9-month follow-ups, patients completed assessments of perseverative negative thinking (PNT; worry, rumination), symptoms of emotional distress, and indices of quality of life. Patients exhibited statistically significant, large-magnitude reductions in all outcomes of interest at posttreatment (ds 1.53 - 2.74), which were maintained during the follow-up period (ds 0.75 - 1.33). Those who enrolled in treatment when the pandemic was most severe (i.e., highest seven-day averages of cases, hospitalizations, and deaths) demonstrated greater improvement in PNT at posttreatment compared to those who enrolled earlier and later, irrespective of vaccine availability. Longer-term trajectories of improvement were not impacted by enrollment date and COVID-19 severity. Exploring predictors of reliable improvement identified a mix of sociodemographic, clinical, and contextual characteristics associated with acute treatment response. Notably, parenthood was consistently associated with a decreased likelihood of reliable improvement in worry, rumination, and distress. Despite the study's open trial design, which precludes causal attributions, ERT-P demonstrated preliminary efficacy. Further, ERT-P was found to be feasible and acceptable, evidenced by high patient satisfaction ratings, perceived usability of the IMI platform, and low attrition rates (10.5%). The current trial succeeded in its clinical objective to rapidly mobilize and extend access to evidence-based mental health services to a diverse group of distressed adults amidst the evolving landscape of the COVID-19 pandemic.
- 일반주제명
- Clinical psychology
- 일반주제명
- Personality psychology
- 일반주제명
- Mental health
- 키워드
- COVID-19
- 키워드
- Distress
- 기타저자
- Columbia University Psychology
- 기본자료저록
- Dissertations Abstracts International. 86-02B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■006m o d
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■020 ▼a9798383581049
■035 ▼a(MiAaPQ)AAI31332514
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a157
■1001 ▼aSpaeth, Phillip Edward.
■24510▼aEmotion Regulation Therapy for Distressed Adults During the COVID-19 Pandemic: Examining Trajectories and Predictors of Response Following a Blended Telehealth Intervention
■260 ▼a[Sl]▼bColumbia University▼c2024
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2024
■300 ▼a158 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 86-02, Section: B.
■500 ▼aAdvisor: Mennin, Douglas.
■5021 ▼aThesis (Ph.D.)--Columbia University, 2024.
■520 ▼aIn March 2020, New York City became the epicenter of the COVID-19 pandemic. Waves of illness, uncertainty, isolation, disruption, and loss led to increased rates of emotional distress. To extend access to evidence-based mental health services, we initiated an open trial of emotion regulation therapy in the context of the pandemic (ERT-P), delivered via telehealth and "blended" with an internet and mobile intervention (IMI) to augment treatment (e.g., video modules, between-session exercises, mindful regulation practices). ERT-P is a brief, 9-session psychotherapy program that integrates principles from traditional and contemporary cognitive behavioral therapies and mindfulness-based interventions to well-sui motivational and regulatory mechanisms associated with distress. The current study sought to evaluate the efficacy of ERT-P, investigate the impact of COVID-19 severity on treatment response, and explore whether sociodemographic, clinical, and contextual patient characteristics predict differential patterns of treatment response. Patients (N =134) were distressed, treatment-seeking adults in New York State. At pre- and posttreatment, as well as 3-month and 9-month follow-ups, patients completed assessments of perseverative negative thinking (PNT; worry, rumination), symptoms of emotional distress, and indices of quality of life. Patients exhibited statistically significant, large-magnitude reductions in all outcomes of interest at posttreatment (ds 1.53 - 2.74), which were maintained during the follow-up period (ds 0.75 - 1.33). Those who enrolled in treatment when the pandemic was most severe (i.e., highest seven-day averages of cases, hospitalizations, and deaths) demonstrated greater improvement in PNT at posttreatment compared to those who enrolled earlier and later, irrespective of vaccine availability. Longer-term trajectories of improvement were not impacted by enrollment date and COVID-19 severity. Exploring predictors of reliable improvement identified a mix of sociodemographic, clinical, and contextual characteristics associated with acute treatment response. Notably, parenthood was consistently associated with a decreased likelihood of reliable improvement in worry, rumination, and distress. Despite the study's open trial design, which precludes causal attributions, ERT-P demonstrated preliminary efficacy. Further, ERT-P was found to be feasible and acceptable, evidenced by high patient satisfaction ratings, perceived usability of the IMI platform, and low attrition rates (10.5%). The current trial succeeded in its clinical objective to rapidly mobilize and extend access to evidence-based mental health services to a diverse group of distressed adults amidst the evolving landscape of the COVID-19 pandemic.
■590 ▼aSchool code: 0054.
■650 4▼aClinical psychology
■650 4▼aPersonality psychology
■650 4▼aMental health
■653 ▼aCOVID-19
■653 ▼aDistress
■653 ▼aEmotion regulation therapy
■653 ▼aPerseverative negative thinking
■690 ▼a0622
■690 ▼a0625
■690 ▼a0347
■71020▼aColumbia University▼bPsychology.
■7730 ▼tDissertations Abstracts International▼g86-02B.
■790 ▼a0054
■791 ▼aPh.D.
■792 ▼a2024
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17162527▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
