Sadness-Based Approach-Avoidance Modification Training for Subjective Stress in Adults: Pilot Randomized Controlled...

Area of Science:

• Psychology
• Digital Health
• Mental Health Interventions

Background:

• Chronic stress is a major risk factor for mental health issues, necessitating accessible interventions.
• App-based stress management training offers a scalable solution.
• Modifying dysfunctional beliefs through approach-avoidance modification training (AAMT) may reduce stress.

Purpose of the Study:

• To evaluate the feasibility of a mobile emotion-enhanced AAMT (eAAMT-SP) using sadness and positive emotions.
• To explore the clinical efficacy of this novel intervention for stress reduction.

Main Methods:

• 30 adults with elevated stress were randomized into eAAMT-SP, swipe control, or inactive control groups.
• Feasibility assessed via technical issues, adherence, usability, and acceptability.
• Clinical efficacy measured by changes in perceived stress and secondary outcomes.

Main Results:

• Study design feasibility and intervention completion benchmarks were met; technical feasibility requires improvement.
• eAAMT-SP showed favorable usability and acceptability compared to swipe control.
• Significant effect sizes for reduced perceived stress were observed for eAAMT-SP versus control groups.

Conclusions:

• The eAAMT-SP intervention is feasible, with preliminary evidence of clinical efficacy.
• Incorporating emotions into AAMT may enhance its effectiveness for stress management.
• Further research with larger trials is recommended to confirm therapeutic potential.