Journal article
Emotion regulation and spillover of interpersonal stressors to postsession insight among depressed and suicidal adolescents
Journal of consulting and clinical psychology, v 86(7), pp 593-603
Jul 2018
PMID: 29939053
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Little is known about the extent to which previous weeks' stressful events spill over and influence adolescents' abilities to derive insight from treatment sessions. Even less is known about factors that moderate clients' vulnerabilities to these spillover effects. The current study examined the spillover of negative interpersonal events to postsession insight and the role of difficulties in emotion regulation in this spillover effect.
Participants were 129 adolescents with moderate to severe depressive symptoms and suicidal ideation (Mage = 14.96, 83% female, 56% African American/Black) participating in a comparative efficacy trial of Attachment-Based Family Therapy (ABFT) and Family-Enhanced Nondirective Supportive Therapy (FE-NST). A within-subject mediation model tested presession negative affect as a mediator of spillover of past week's events on postsession insight. We then examined baseline difficulties in emotion regulation (DERS) as a between-subjects moderator of the mediation model.
Negative affect partially mediated (44%) the spillover of the past week's negative events on adolescents' ratings of postsession insight (p = .03, 95% confidence interval, CI [-.09., -.002]). Baseline DERS increased adolescents' vulnerabilities to spillover effects (p = .01, 95% CI [-.28, -.03]). Negative interpersonal events from the past week influence presession negative affect and spill over to adolescents' abilities to gain insight from their treatment sessions. Adolescents who began treatment with greater DERS were particularly vulnerable to these spillover effects. Findings indicate the need for therapists to adapt sessions to individual differences in depressed and suicidal adolescents' exposure to negative interpersonal events preceding treatment and in their vulnerabilities to spillover and emotion dysregulation. (PsycINFO Database Record
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Details
- Title
- Emotion regulation and spillover of interpersonal stressors to postsession insight among depressed and suicidal adolescents
- Creators
- Nadia Bounoua - Department of Psychological and Brain Sciences.Caroline Abbott - Department of Psychological and Brain Sciences.Abigail Zisk - Department of Psychological and Brain Sciences.Joanna Herres - College of New JerseyGuy Diamond - Drexel UniversityRoger Kobak - University of Delaware
- Publication Details
- Journal of consulting and clinical psychology, v 86(7), pp 593-603
- Grant note
- NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Center for Family Intervention Science
- Web of Science ID
- WOS:000435941800003
- Scopus ID
- 2-s2.0-85049018099
- Other Identifier
- 991019169115104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychology, Clinical