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Compassion induction in personality disorder


- candidate number27438
- NTR NumberNTR6544
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR21-jun-2017
- Secondary IDsP17-16 METC NL61988.044.17
- Public TitleCompassion induction in personality disorder
- Scientific TitleEffects of a brief compassion induction on emotion regulation in patients with personality disorder (PD)
- ACRONYM
- hypothesisThe effects of a brief compassion induction exercise will be compared to the effects of a neutral exercise. We hypothesize that a brief compassion induction in a sample of patients with PD will facilitate the choice of more adaptive emotion regulation strategies in response to the recall of a recent emotional salient experience, lower levels of negative affect and higher levels of positive affect.
- Healt Condition(s) or Problem(s) studiedPersonality disorder, Emotion regulation, Compassion
- Inclusion criteriaSubject must meet all of the following criteria: 1) has one or more DSM-IV personality disorders as primary diagnosis, 2) is aged between 18 and 65 years old, and 3) is willing and able to provide voluntary and informed consent.
- Exclusion criteriaInsufficient Dutch language proficiency to be able to participate in the exercises and complete the questionnaires.
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingSingle
- controlActive
- groupCrossover
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 17-aug-2017
- planned closingdate30-sep-2017
- Target number of participants20
- InterventionsThe intervention, a brief compassion induction, consists of a 10 minute exercise called “building a compassionate image”.

In the control condition, a neutral exercise of 10 minutes, participants are instructed to describe the room with all their senses.
- Primary outcomeThe Emotion Regulation Profile – Revised (ERPR) is administered to examine the choice of emotion regulation strategies in response to recent positive or negative emotion eliciting experiences.
- Secondary outcomeSelf-compassion and self-criticism, as measured with the Forms of Self Criticising/ Attacking and Self Reassuring Scale (FSCRS).

Positive and negative affect, as measured with the Positive and Negative Affect Schedule (PANAS).

Trait emotion regulation strategies, as measured with the Difficulties in Emotion Regulation Scale (DERS).
- TimepointsCrossover design, four timepoints:
1. Before compassion or neutral exercise (pre-test)
2. After compassion or neutral exercise (post-test)
Short break
3. Before compassion or neutral exercise (pre-test)
4. After compassion or neutral exercise (post-test)
- Trial web site
- statusplanned
- CONTACT FOR PUBLIC QUERIES M.P.J. Sommers-Spijkerman
- CONTACT for SCIENTIFIC QUERIES M.P.J. Sommers-Spijkerman
- Sponsor/Initiator University of Twente, Dept. of Psychology, Health & Technology (PHT)
- Funding
(Source(s) of Monetary or Material Support)
University of Twente
- PublicationsN/A
- Brief summarySUMMARY
Background
Emotion dysregulation, that is, the inability to effectively respond to and manage emotions, has been established as a core symptom in patients with personality disorders (PDs). Effective treatment of emotion dysregulation may significantly reduce the burden and improve the quality of life of patients with personality disorders. Unfortunately, conventional treatments are only moderately successful in attenuating emotion regulation difficulties. An alternative form of treatment which may offer a helpful strategy for improving emotion regulation in this specific group of patients is compassion-focused therapy (CFT). CFT may contribute to more effective emotion regulation through (1) strengthening the capacity for experiencing and tolerating affiliative/soothing emotions in the face of setbacks; and (2) strengthening the capacity for regulating and engaging with unpleasant or feared emotions. Despite some preliminary, promising evidence that PD patients may benefit from practising compassion in terms of mental health and well-being, it remains as yet unclear whether the use of compassion may help PD patients improve their abilities for adaptive emotion regulation.

Objective
The primary aim of the current study is to examine the immediate effects of a brief compassion induction exercise on PD patients’ affect regulation choice in response to the recall of a recent emotional salient experience. A secondary aim is to assess to what extent a brief compassion induction impacts patients’ affective states. The effects of the compassion induction exercise will be compared to the effects of a neutral exercise. We hypothesize that a brief compassion induction in a sample of PD patients will facilitate the choice of more adaptive emotion regulation strategies in response to the recall of a recent emotional salient experience, lower levels of negative affect and higher levels of positive affect.

Study design
Experimental study with a two-group cross-over design. Participants with personality disorders will be randomly allocated over two groups. Both groups take part in two consecutive experimental sessions on the same day. One group receives a compassion induction exercise during the first session and a neutral exercise during the second session, and vice versa for the other group. Measurements, in the form of self-report questionnaires, take place at baseline and at the end of each session (i.e. following the exercise).

Study population
Adult patients (18-65 years) with personality disorders.

Intervention
The brief compassion induction consists of a 10-minute exercise called “building a compassionate image”. During the neutral exercise, participants are instructed to describe the room with all their senses, during 10 minutes.

Primary study parameters/outcome of the study:
The Emotion Regulation Profile – Revised (ERPR) is administered to examine the choice of emotion regulation strategies in response to recent positive or negative emotion eliciting experiences (primary outcome).

Secondary outcomes include:
Selfcompassion and selfcriticism, as measured with the Forms of SelfCriticising/ Attacking and SelfReassuring Scale (FSCRS).
Positive and negative affect, as measured with the Positive and Negative Affect Schedule (PANAS).
Trait emotion regulation strategies, as measured with the Difficulties in Emotion Regulation Scale (DERS).
- Main changes (audit trail)
- RECORD21-jun-2017 - 27-jul-2017


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