Online Emotional Regulation Group Treatment

• The Brain Injury Rehabilitation Trust Regulation of Emotions Questionnaire (BREQ) [ Time Frame: up to 28 weeks ] [ Designated as safety issue: No ]
  32 item self-report questionnaire assessing deficits in emotion regulation, developed specifically to assess emotional dysregulation related to TBI
• Problem Solving Inventory [ Time Frame: up to 28 weeks ] [ Designated as safety issue: No ]
  35-item self-report questionnaire assessing problem solving capability
• Social Problem Solving Inventory-Revised: Short Form [ Time Frame: up to 28 weeks ] [ Designated as safety issue: No ]
  25-item self-report questionnaire assessing problem solving in everyday living
• Positive Affect Negative Affect Scale [ Time Frame: up to 28 weeks ] [ Designated as safety issue: No ]
  20-item self-report measure of positive and negative affect within a specified time frame
• Satisfaction with Life Scale [ Time Frame: T1 (baseline) ] [ Designated as safety issue: No ]
  5- item measure of global satisfaction with life
• Satisfaction with Life Scale [ Time Frame: T2 (week 4) ] [ Designated as safety issue: No ]
  5- item measure of global satisfaction with life
• Satisfaction with Life Scale [ Time Frame: T3 (week 16) ] [ Designated as safety issue: No ]
  5- item measure of global satisfaction with life
• Satisfaction with Life Scale [ Time Frame: T4 (week 28) ] [ Designated as safety issue: No ]
  5- item measure of global satisfaction with life
• Satisfaction with Therapy and Therapist Scale [ Time Frame: T3 (week 16) ] [ Designated as safety issue: No ]
  12-item scale that assesses satisfaction with treatment and therapist
• Satisfaction with Therapy and Therapist Scale [ Time Frame: T4 (week 28) ] [ Designated as safety issue: No ]
  12-item scale that assesses satisfaction with treatment and therapist
• Treatment Compliance [ Time Frame: up to 28 weeks ] [ Designated as safety issue: No ]
  therapist's ratings of participant on each of the following areas at each session: attendance, participation, homework completion, skill acquisition, skill generalization, ease of use of technology, and interpersonal behavior

This study will examine the feasibility of online delivery of emotional regulation training to individuals with TBI with emotional dysregulation. 80 subjects with significant emotional dysregulation will be enrolled and will receive 24 60-minute emotional regulation sessions twice a week for 12 weeks, delivered online in group modality. Attendance and compliance will be tracked, and outcomes will be monitored using online data collection methods. Treatment satisfaction and participant subjective experience will also be assessed.

This study will examine the feasibility of online delivery of emotional regulation training to individuals with Traumatic Brain Injury who also have emotional dysregulation. 80 subjects with significant emotional dysregulation will be enrolled and will receive 24 60-minute emotional regulation sessions twice a week for 12 weeks, delivered online via a group meeting software. Study participation will last 28 weeks: 4 weeks of baseline, 12 weeks of treatment (24 sessions) and 12 weeks of follow-up. Assessments will be conducted at each of four timepoints: T1 (baseline), T2 (pre-treatment assessment), T3 (end-of-treatment assessment) and T4 (follow-up assessment). In addition, a subset of the measures will be administered weekly for the duration of the study. Assessments will consist of a variety of measures designed to measure executive functioning, problem solving skills, and quality of life. All assessments will be completed online, using a web-based data collection. Attendance and treatment compliance will be tracked, and outcomes will be monitored using online data collection methods. Treatment satisfaction and participant subjective experience (including technical difficulties that make access to web-delivered treatment impossible) will also be assessed.

• Traumatic Brain Injury
• Executive Dysfunction
• Emotional Regulation

Inclusion Criteria:

• Documented TBI of any severity and being at least 6 months post injury
• Presence of executive dysfunction, manifested as self-reported difficulties with emotional and behavioral self-regulation, operationalized as endorsement of 25% or more of the symptoms on the Difficulties in Emotion Regulation Scale (DERS, Gratz & Roemer, 2004) or the Brain Injury Rehabilitation Trust Regulation of Emotions Questionnaire (BREQ, Cattran, Oddy, & Wood, 2011).
• Currently aged 18 or older
• English speaking
• At least low average intellectual functioning, operationalized as a minimum Verbal IQ score of 80 on the Wechsler Abbreviated Scale of Intelligence
• Ownership of and relative facility with use of a computer, webcam, and microphone
• Access to a broadband internet connection at sufficiently high speed to allow videoconference

Exclusion Criteria:

• DSM-IV-TR diagnosis of alcohol or substance use within past 6 months
• DSM-IV-TR of psychosis within past 6 months
• Active suicidality, operationalized as a score of 9 or higher on the Mini International Neuropsychiatric Interview (M.I.N.I., Sheehan et al., 2008)

Participation in this study will not preclude participation in other treatments.