Distress Tolerance Skills Training for Emotional Distress

(STRIDE Trial)

DK
Overseen ByDakota Kliamovich, PhD
Age: < 18
Sex: Any
Trial Phase: Academic
Sponsor: Oregon Health and Science University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores a classroom program designed to help middle school students manage tough emotions more effectively. It focuses on teaching distress tolerance skills, useful for handling feelings related to anxiety and depression. The trial compares students participating in these lessons with those following their regular school curriculum. Students in grades 6 to 8 at Valley Catholic Middle School are eligible to join. As an unphased trial, this study provides students with a unique opportunity to develop valuable emotional skills that can enhance their well-being.

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications.

What prior data suggests that this distress tolerance skills training is safe for middle school students?

Research has shown that distress tolerance skills training is generally well-received. For instance, one study found that a short mindfulness training designed to boost distress tolerance did not increase participants' distress. Another study with veterans demonstrated that participating in distress tolerance skills training significantly reduced behaviors related to suicide, indicating that the training is safe and beneficial for emotional health.

These findings suggest that distress tolerance skills training provides a safe method for better managing emotional distress.12345

Why are researchers excited about this trial?

Researchers are excited about Distress Tolerance Skills Training because it offers a fresh approach to managing emotional distress. Unlike traditional methods that might rely on medication or talk therapy, this training focuses on teaching students practical skills in a classroom setting to better tolerate and manage distressing emotions. By empowering students with these tools, the hope is to improve their resilience and emotional regulation without the need for standard interventions. This proactive, skills-based approach could be particularly appealing for young people who might not have access to or be comfortable with other forms of treatment.

What evidence suggests that Distress Tolerance Skills Training is effective for emotional distress?

Studies have shown that learning Distress Tolerance Skills can help people manage emotional distress. Research indicates that this training improves emotional regulation, making it easier to handle tough feelings. For example, one study found that better distress tolerance led to improved coping strategies and fewer negative behaviors. Another study showed that this training helped nursing students manage stress more effectively. Overall, these findings suggest that learning distress tolerance skills can help reduce symptoms of anxiety and depression. In this trial, participants will either receive Distress Tolerance Skills Training or continue with their Standard Curriculum, allowing for a comparison of the effects on emotional distress management.678910

Who Is on the Research Team?

BN

Bonnie Nagel, PhD

Principal Investigator

Oregon Health and Science University

Are You a Good Fit for This Trial?

This trial is for middle school students who may be experiencing emotional distress or have mental health disorders. The program aims to teach them skills to better handle upsetting emotions.

Inclusion Criteria

I am a student in grade 6, 7, or 8 at Valley Catholic Middle School.

Exclusion Criteria

N/A

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants receive classroom-based distress tolerance skills training

Academic year
Weekly sessions during class time

Follow-up

Participants are monitored for changes in distress tolerance and internalizing symptoms

6 months
Assessments at 3-month and 6-month intervals

What Are the Treatments Tested in This Trial?

Interventions

  • Distress Tolerance Skills Training
Trial Overview The study is testing a classroom-based Distress Tolerance (DT) skills training program. It will assess how well the program works, if it's practical in a school setting, and its effect on symptoms like anxiety and depression.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Distress Tolerance Skills TrainingExperimental Treatment1 Intervention
Group II: Standard Curriculum (Control)Active Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Oregon Health and Science University

Lead Sponsor

Trials
1,024
Recruited
7,420,000+

Valley Catholic Middle School

Collaborator

Trials
1
Recruited
70+

Published Research Related to This Trial

Patients with Borderline Personality Disorder (BPD) reported that Distress Tolerance Skills (DTS) training, part of Dialectical Behavioral Therapy (DBT), led to an immediate reduction in tension and helped them cope with challenging situations, enhancing their feelings of stability and self-confidence.
While participants experienced benefits from DTS training, they also faced challenges during the initial learning and application phases, indicating a need for improved support and strategies in clinical practice to optimize the training process.
How do patients with borderline personality disorder experience Distress Tolerance Skills in the context of dialectical behavioral therapy?-A qualitative study.Schaich, A., Braakmann, D., Rogg, M., et al.[2021]

Citations

The Effectiveness of Emotion Regulation Training and ...The data showed that emotion regulation training was more effective than cognitive therapy (P<0.05) and naltrexone (P<0.01) in relapse prevention. Findings show ...
A systematic review of interventions aimed at improving ...The Emotion Regulation group showed greater improvement in rates of depression, anxiety and health-related quality of life which were maintained at follow up.
Effectiveness of emotion regulation and distress tolerance ...Conclusion: Emotion regulation and distress tolerance skills led to improved emotion regulation, coping strategies, and reduced use of emotion- ...
The Effect of Distress Tolerance Training on Problematic ...The results suggest that the Distress Tolerance Skills Training was effective in increasing the tolerance toward distress levels among nursing ...
Emotional Regulation and Interpersonal Effectiveness as ...provide an objective measure of DBT skills use as distress tolerance activities and is composed of three subscales: Skills Use, General Dysfunctional Coping, ...
The Effect of a Brief Mindfulness Training on Distress ...These results suggest that a brief mindfulness training can increase DT without affecting the subjective experience of distress.
The mediating role of distress tolerance in the relationship ...Distress tolerance is defined as the ability of the person to endure emotional distress without trying to escape or avoid it. In fact, the ...
Incorporating distress tolerance into exposure-based ...This case study provides evidence for incorporating distress tolerance skill training into manualized, exposure-based CBT for SAD.
A Novel Adaptation of Distress Tolerance Skills Training ...Findings suggest a significant reduction in suicide-related behaviors among veterans who attended 8 or more skills training groups. Clinical implications of ...
The Effectiveness of Dialectical Behavior Therapy-Based ...The aim of this study was to examine the effectiveness of dialectical behavior therapy-based skills training on distress tolerance, cognitive emotion ...
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