Goal-Focused Emotion-Regulation Therapy (GET) for young adult survivors of testicular cancer: a pilot randomized controlled trial of a biobehavioral intervention protocol.

BackgroundTesticular cancer diagnosis and treatment, especially given its threat to sexuality and reproductive health, can be distressing in the formative period of young adulthood and the majority of young survivors experience impairing, distressing, and modifiable adverse outcomes that can persist long after medical treatment. These include psychological distress, impairment in pursuit of life goals, persistent physical side effects, elevated risk of secondary malignancies and chronic illness, and biobehavioral burden (e.g., enhanced inflammation, dysregulated diurnal stress hormones). However, few targeted interventions exist to assist young survivors in renegotiating life goals and regulating cancer-related emotions, and none focus on reducing the burden of morbidity via biobehavioral mechanisms. This paper describes the methodology of a randomized controlled biobehavioral trial designed to investigate the feasibility and preliminary impact of a novel intervention, Goal-focused Emotion-Regulation Therapy (GET), aimed at improving distress symptoms, emotion regulation, goal navigation skills, and stress-sensitive biomarkers in young adult testicular cancer patients.MethodsParticipants will be randomized to receive six sessions of GET or Individual Supportive Therapy (ISP) delivered over 8 weeks. In addition to indicators of intervention feasibility, we will measure primary (depressive and anxiety symptoms) and secondary (emotion regulation and goal navigation skills, career confusion) psychological outcomes prior to (T0), immediately after (T1), and 12 weeks after (T2) intervention. Additionally, identified biomarkers will be measured at baseline and at T2.DiscussionGET may have the potential to improve self-regulation across biobehavioral domains, improve overall cancer adjustment, and address the need for targeted supportive care interventions for young adult cancer survivors.Trial registrationClinicaltrials.gov, NCT04150848. Registered on 28 October 2019

Hope, Goals, and Pathways: Further Validating the Hope Scale with Observer Ratings

Objective: For the past two decades, hope theory has been an important framework for conceptualizing goal pursuits. Surprisingly there has been little effort to test the underlying suppositions of hope theory or to further validate the Hope Scale. Method: In Study 1, participants (N = 162, Mage = 19, 61% female) completed the Hope Scale and nominated goals they would like to accomplish in the next few months. Goals were coded on several dimensions. In Study 2, participants (N = 118, Mage = 19, 59% female) completed the Hope Scale, measures of optimism and self-efficacy, and generated workable pathways for achieving standardized goals. Results: Hope scores predicted setting objectively important, prosocial, long-term, and challenging goals. Hope (but not optimism or self-efficacy) was associated with generating more pathways for standardized goals. Conclusions: The results of these studies generally support the tenets of hope theory and provide further validation for the Hope Scale. As expected, people with higher hope were more likely than their lower-hope counterparts to engage in what has been considered successful goal-setting behavior. Hope is associated with important goal-relevant behaviors and efforts to increase hopeful thought may be important in helping individuals to move toward important life outcomes

More (of the right strategies) is better: Disaggregating the naturalistic between- and within-person structure and effects of emotion regulation strategies

Although people often use multiple strategies to regulate their emotions, it is unclear if using more strategies effectively changes emotional outcomes. This may be because there is no clear, data-driven structure to organise which strategies people use together, so strategies with opposing impacts are modelled together. We first conducted a multilevel factor analysis of negative- and positive-emotion regulation strategies among undergraduates (n = 92) completing ecological momentary assessment three times per day for 10 days. Solutions including 3-within/3-between factors were most interpretable. Using more between-person Adaptive Engagement strategies and within-person Adaptive Engagement, Enhancement, and Behavioural strategies predicted improved mood, whereas using more between-person Aversive Cognitive and within-person Aversive Cognitive and Disengagement strategies predicted worse mood, ps < .05. Using a greater quantity of strategies may thus promote better, or worse, emotional outcomes, depending on the class of strategies used

Identifying core deficits in a dimensional model of Borderline Personality Disorder features: A network analysis

Researchers have proposed three core deficits of Borderline Personality Disorder (BPD): emotion dysregulation, interpersonal problems, and self-identity disturbance. Previous methods for testing these deficits rest on problematic assumptions (e.g., the assumption that observable/measured features of BPD, such as chaotic relationships and affective intensity, occur independently). A network model of psychopathology assumes that observable features of disorders directly interact, and network analytic methods quantify how central each feature is. We conducted a network analysis of core deficits of BPD features using a large (n = 4386) sample of participants with a range of BPD features. The most central features of participants in the High BPD group were loneliness, recklessness/impulsivity, and intense moods, supporting models of emotion dysregulation and interpersonal problems. The networks of BPD features did not differ between men and women. We provide directions for future research to enhance our understanding of how networks of BPD features change over time

Open Materials

Open materials available for a researcher to reproduce the data collection procedures of our study

Quality or quantity? A multi-study analysis of emotion regulation skills deficits associated with Borderline Personality Disorder

Linehan’s (1993) biosocial theory posits that people with Borderline Personality Disorder (BPD) have emotion regulation skills deficits characterized by 1) less frequent use of adaptive emotion regulation strategies, 2) more frequent use of maladaptive strategies, or 3) poorer quality strategy implementation (i.e., strategies implemented less skillfully). We tested these possibilities among participants with BPD, Major Depressive Disorder (MDD), or no disorder (controls). Study 1 participants (N = 272) were recruited online; Study 2 participants (N = 90) completed in-person diagnostic assessments. The BPD groups reported greater use of maladaptive strategies than the MDD (d = .35) and control (d = 1.54) groups and lower quality implementation than the MDD (d = .33) and control groups (d = .97). BPD participants reported similar use of adaptive strategies as the MDD group (d = .09) but less use than controls (d = .47). BPD may be uniquely characterized by overuse of maladaptive strategies and poorer quality emotion regulation implementation

Identifying core deficits in a dimensional model of Borderline Personality Disorder features: A network analysis

Researchers have proposed three core deficits of Borderline Personality Disorder (BPD): emotion dysregulation, interpersonal problems, and self-identity disturbance. Previous methods for testing these deficits rest on problematic assumptions (e.g., the assumption that observable/measured features of BPD, such as chaotic relationships and affective intensity, occur independently). A network model of psychopathology assumes that observable features of disorders directly interact, and network analytic methods quantify how central each feature is. We conducted a network analysis of core deficits of BPD features using a large (n = 4386) sample of participants with a range of BPD features. The most central features of participants in the High BPD group were loneliness, recklessness/impulsivity, and intense moods, supporting models of emotion dysregulation and interpersonal problems. The networks of BPD features did not differ between men and women. We provide directions for future research to enhance our understanding of how networks of BPD features change over time

Online Supplementary Documents

Online Supplementary Documents that are referenced within the main text of the manuscript at https://www.tandfonline.com/doi/figure/10.1080/17439760.2022.2154695?scroll=top&needAccess=true&role=ta

The Science and Application of Positive Psychology

Positive psychology tackles the big questions: What does it mean to live a \u27good life\u27? What helps people to flourish and access their optimal potential? And how can we increase our capacities for joy, meaning, and hope? This engaging textbook emphasizes the science of positive psychology - students don\u27t simply learn about positive psychology in the abstract, but instead are exposed to the fascinating research that supports its conclusions.Bridging theory and practice, this textbook connects up-to-date research with real-world examples and guides students to apply evidence-based practices in their own lives. Its comprehensive coverage includes major new topics, such as spirituality, therapeutic interventions, mindfulness, and positive relationships. Featured pedagogy includes \u27Are You Sure about That?\u27 boxes presenting methodological and statistical principles in context, and \u27Practice Positive Psychology\u27 activities to extend student learning, while online resources include lecture slides, a test bank, and an instructor manual.https://scholarcommons.scu.edu/faculty_books/1555/thumbnail.jp