RecruitingNot ApplicableNCT07118072

A Pilot Study to Examine the Efficacy of Internet-Delivered Skills Training in Affective and Interpersonal Regulation (i-STAIR) for Individuals With Adverse Childhood Experiences and Subsyndromal Depression

Internet-Delivered Skills Training in Affective and Interpersonal Regulation (i-STAIR) for Individuals With Adverse Childhood Experiences and Subsyndromal Depression: A Pilot Study

Sponsor

Institute of Mental Health, Singapore

Enrollment

150 participants

Start Date

Oct 31, 2025

Study Type

INTERVENTIONAL

Conditions

Subthreshold Depression

Summary

The present study aims to pilot internet-delivered Skills Training in Affective and Interpersonal Regulation (i-STAIR) as a transdiagnostic emotion dysregulation intervention to prevent progression to depression in individuals with adverse childhood experiences (ACEs) and subsyndromal depression. The aims of the study are: (i) to examine the effectiveness of i-STAIR on emotion dysregulation, interpersonal skills, depressive and PTSD symptoms at post-intervention i.e. on completion of the intervention (8 weeks); (ii) to examine if gains were maintained at 3 month post- intervention follow-up.

Eligibility

Min Age: 21 YearsMax Age: 65 Years

Plain Language Summary

Simplified for easier understanding

This study is testing an online therapy program called i-STAIR for adults in Singapore who experienced difficult or traumatic childhoods (adverse childhood experiences, or ACEs) and have mild depression symptoms. The program is internet-delivered, so participants can join from home. Researchers want to know if this digital therapy can help prevent depression from worsening. **You may be eligible if...** - You are aged 21–65, living in Singapore (citizen or permanent resident) - You experienced mild, moderate, or severe adverse childhood experiences - You screened positive for low-level (subsyndromal) depression - You can speak and understand English - You have internet access and are willing to complete assessments online **You may NOT be eligible if...** - You currently have a diagnosed mental health disorder - You have cognitive impairment - You are currently receiving or have received dialectical behavior therapy (DBT) - You are pregnant or recently gave birth Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALInternet-Delivered Skills Training in Affective and Interpersonal Regulation

Internet-Delivered Skills Training in Affective and Interpersonal Regulation (i-STAIR) is a psychological intervention that is focused on applying skills to improve emotion regulation difficulties and reduce interpersonal problems over two months (eight sessions; one session per week). i-STAIR also significantly reduces PTSD symptoms without direct discussion of the trauma and may be used alone or adjunctively to boost the effects of trauma-focused therapies.

BEHAVIORALOnline general psychoeducation

Online general psychoeducation will focus on the teaching the link between adverse childhood experiences and depression, as well as teaching healthy lifestyle changes involving diet, exercise, and sleep. The online general psychoeducation will involve engaging presentations, active discussions, and self-directed homework activities.