RecruitingNot ApplicableNCT06067165

Primary Care Online Emotion-regulation Treatment (POET)


Sponsor

Karolinska Institutet

Enrollment

388 participants

Start Date

Oct 16, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

Mental health problems in youth are a global problem, causing incalculable suffering in youth and families, harming long-term prospects of youths, and creating substantial economic costs to society. The overall objective of this study is to build an evidence base for a highly scalable transdiagnostic intervention called the Primary care Online Emotion-regulation Treatment (POET) for youth (12-17 years) seeking treatment for mental health problems. In a randomized controlled trial, the investigators will examine the effects of POET. The investigators will test if emotion regulation mediates reduction in mental health problems during treatment. In addition the investigators will test if POET is more effective for some individuals than others and evaluate if POET is cost-effective. The investigators will also test whether there are detectable effects of POET on distal outcomes utilizing registry data following participants up to 10 years post treatment.


Eligibility

Min Age: 12 YearsMax Age: 17 Years

Inclusion Criteria4

  • Age between 12 - 17 years
  • Seeking care for mental health problems
  • At least one guardian interested in participating in the parent program
  • Deemed capable of making decisions

Exclusion Criteria7

  • Psychiatric problems that require more extensive treatment.
  • Low global functioning (under 41 points on clinician rated C-GAS or functioning that requires more extensive treatment).
  • Elevated suicide risk
  • Insufficient Swedish comprehension.
  • Life circumstances that complicate or make treatment impossible (eg severe deficits in parental care, domestic violence).
  • Change in psychopharmacological medication in the last 2 months.
  • Ongoing psychological treatment

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Interventions

BEHAVIORALPOET feeling

POET is adapted from online Emotion Regulation Individual Therapy for Adolescents developed by the research group (ClinicalTrials.gov Identifier: NCT03353961). POET is also based on the Modal model of emotion and Process model of emotion regulation that provides a framework for understanding how emotions are generated, experienced and how they can be regulated. The youth component of POET will include psychoeducation, addressing maladaptive beliefs about emotions and emotion regulation, and teaching adaptive emotion regulation strategies, such as acceptance of emotions and flexible cognitive reappraisal. The parent component will include psychoeducation and teaching effective support and responding to their adolescent's and their own emotions.

BEHAVIORALSupportive treatment

The treatment will include educative material on mental health and self-reflection on themes such as school, family and friends. The parent component will include educative material and self reflection in how to support their adolescent.


Locations(1)

Karolinska Institutet

Stockholm, Sweden

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NCT06067165


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