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Feasibility and initial impact of single-session internet-delivered acceptance
Caitlin L McLean1,2, Allison K Ruork1,3, Megan K Ramaiya4
1University of Nevada Reno, Reno, NV89557, USA.
Behavioural and Cognitive Psychotherapy
|June 8, 2023
Summary
Brief internet-based emotion regulation trainings were feasible for individuals with trauma-related distress. All participants showed improved emotion regulation, regardless of the specific skill taught.
Area of Science:
- Psychology
- Mental Health
- Digital Therapeutics
Background:
- Current trauma interventions may not suit all individuals, especially those with subthreshold post-traumatic stress disorder (PTSD).
- Emotion regulation is a key transdiagnostic mechanism for mental health issues linked to trauma exposure.
Purpose of the Study:
- To assess the feasibility and initial impact of two brief internet-based emotion regulation skill trainings.
- To compare these trainings against an active control group for trauma-related problems.
Main Methods:
- 156 participants were randomized into three groups: emotion acceptance skills, emotion change skills, or stress psychoeducation (control).
- All trainings were delivered online and were brief in duration.
- Measures of emotion regulation, mindfulness, and affect intensity were collected pre- and post-training.
Main Results:
- The internet-based training program was feasible and acceptable, with a 91.9% completion rate.
- All participants showed significant improvements in emotion regulation, irrespective of the training condition.
- Individuals in the emotion change group with higher PTSD symptoms experienced greater positive affect increases.
Conclusions:
- All three brief, internet-delivered training formats proved feasible for participants.
- While no condition showed superior outcomes, the study supports further research into emotion regulation skills for trauma-related distress.

