There are a wide range of interventions designed to target emotional regulation, but there has yet to be a holistic examination of their comparable effectiveness. The aim of this review was to map the landscape of interventions targeting emotional regulation difficulties and identify their effectiveness and the methodologies employed. Controlled studies examining the impact of interventions targeting emotion regulation in children and adults were included in the review. This review demonstrated that there was considerable heterogeneity in the conceptualisation of emotional regulation, the characteristics and mental health problems of the participants, the measures used, and the duration of follow-up assessment (where one was reported). In addition, the emotional regulation interventions used in the studies were adapted in many cases. Together, this heterogeneity makes it difficult to draw firm conclusions about the specific circumstances where emotional regulation interventions will be more effective than alternatives and precluded a meta-analysis of the included papers. Clinicians and researchers should examine the relevant literature closely when selecting interventions and measures for research and practice to ensure that these are appropriate for the aims and intended outcomes of their work.
This pilot study examines change in dialysis patients’ depressive and anxiety symptoms after participation in a technology-assisted, entertaining, 8-session CBT program called Doing Better on Dialysis (DBD). A one-group pre-/post- test design assessed symptom change over time (baseline, post-treatment, three-month follow-up). Nonparametric tests, including Wilcoxon signed rank tests and Friedman’s related samples tests, were used to assess outcomes. Participants experienced a statistically and clinically significant decrease in depressive symptoms between baseline (Median = 12.00, n = 8) and post-treatment (Median = 5.00, n = 7) assessments, as measured by the PHQ-9 (z = −2.12, p = .034). Similar, though non-significant, patterns were observed for anxiety, via the GAD-7. Friedman’s tests revealed a significant overall pattern of difference on the PHQ-9 across all three timepoints in the expected direction. This pilot study provides preliminary support for DBD as a depression treatment for end stage kidney disease patients.
Psychotherapy continually evolves through innovative approaches, with single-case methodology gaining prominence for its detailed insights into individual psychological interventions. This article briefly explores the historical roots and empirical foundation of the single-case methodology and underlines the significance of single-case methodology in psychotherapy by stressing the limitations of group studies and advantages of single-case studies. It then exposes some of the most frequent designs with their pros and cons, presents a scale to assess methodological biases relevant for appraising the scientific literature on single-case studies and for planning research in the field, exposes guidelines to publish single-case research articles as well as briefly introduces relevant elements related to data analyses and statistics. The resurgence of single-case methodology in the 21st century, driven by advancements in statistical methods and influences from evidence-based medicine and education, underscores their growing importance. The flexibility of this methodology allows for adaptation to various research and clinical settings, accommodating complex and individualized treatment plans.
This article aims to guide clinicians and researchers in the field of cognitive and behavior therapy in conducting and publishing single-case studies with a rigorous methodological approach, highlighting the value of single-case methodology in advancing personalized, evidence-based psychotherapy.
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