Appendix B

Research and Results

Here we provide research results from a quantitative outcome trial for emotion efficacy therapy.

Hypotheses and Results

H1: An eight-week emotion regulation treatment will be effective in reducing emotion dysregulation, as measured by the DERS; increasing self-efficacy beliefs about regulating negative emotions, as measured by the MNESRES; and reducing depression, anxiety, and stress symptoms, as measured by the DASS–21.

Results and Significance of Pre- vs. Posttreatment Scores for Hypothesis 1

Variable

Univariate

MANOVAs

Planned Comparison

Pre vs. Post

F (1,21)

d

Hypothesis 1: Emotion Regulation

DERS

32.36***

-1.21***

MNESRES

42.17***

1.38***

DASS-Depression

5.23*

-0.49*

DASS-Anxiety

5.01*

-0.48*

DASS-Stress

19.37***

-0.94***

Note. N = 22. ^p < 0.10; * p < 0.05; ** p <0.01; *** p < 0.001

Cohen’s d: 0.2 = small; 0.5 = medium; 0.8 = large.

DERS = Difficulties with Emotion Regulation Scale.

DASS = Depression, Anxiety, and Stress Scale.

DTS = Distress Tolerance Scale.

MEAQ = Multidimensional Experiential Avoidance Questionnaire.

H2: An eight-week emotion regulation treatment will be effective in reducing experiential avoidance, as measured by the MEAQ; and increasing distress tolerance, as measured by the DTS.

Results and Significance of Pre- vs. Posttreatment Scores for Hypothesis 2

Variable

Univariate

MANOVAs

Planned Comparison

Pre vs. Post

F (1,21)

d

Hypothesis 2: Distress Tolerance and Experiential Avoidance

DTS

15.45***

1.34***

MEAQ-Total

14.47***

-0.81***

MEAQ-Behavioral Avoidance

8.53**

-0.62**

MEAQ-Distress Aversion

12.26**

-0.75**

MEAQ-Procrastination

6.90*

-0.56*

MEAQ-Distraction & Suppression

0.04

-0.04

MEAQ-Repression & Denial

8.22**

-0.61**

MEAQ-Distress Endurance

2.31

0.32

Note. N = 22. ^p < 0.10; * p < 0.05; ** p <0.01; *** p < 0.001

Cohen’s d: 0.2 = small; 0.5 = medium; 0.8 = large.

DERS = Difficulties with Emotion Regulation Scale.

DASS = Depression, Anxiety, and Stress Scale.

MNESRES = Multidimensional Negative Emotions Self-regulatory Scale.

DTS = Distress Tolerance Scale.

MEAQ = Multidimensional Experiential Avoidance Questionnaire.

Emotion Regulation Measures

Emotion dysregulation decreased significantly (d = -1.21)

Efficacy regulating negative emotions increased significantly (d = -1.38)

Depressive symptoms decreased significantly (d = -0.49)

Anxiety symptoms decreased significantly (d = -0.48)

Stress symptoms decreased significantly (d = -0.94)

Transdiagnostic Drivers

Experiential Avoidance

Experiential avoidance decreased significantly (d = -0.81)

Distress Tolerance

Distress tolerance increased significantly (d = 1.34)