The goal of this pilot study is to evaluate COMET-Y in 22 adolescents (11-18 years) with various mental health problems and low self-esteem. The main questions is: Does COMET-Y, parallel to care as usual (CAU), improve self-esteem? Before and after the training participants fill in questionnaires to measure self-esteem, mental health problems, resilience, quality of life, emotions and individual goals. Some of the outcomes are measured through diary methods. Youth and therapists will be assessed to evaluate feasibility and acceptability of the COMET-Y training.
Low self-esteem plays an important role in various mental health problems, and targeted treatment of self-esteem could potentially enhance the efficacy of existing treatments. Research in adults shows that self-esteem training improves self-esteem and mental health problems, but in adolescents this is still unknown. COMET-Y is a personalized self-esteem training, specifically developed for adolescents. In this pilot study, 22 adolescents (11-18 years) with various mental health problems and low self-esteem will be included. Participants receive COMET-Y parallel to care as usual (CAU). Before and after the training participants fill in questionnaires to measure self-esteem, mental health problems, resilience, quality of life, emotions and individual goals. Some of the outcomes are measured through diary methods. Feasibility and acceptability of the COMET-Y training will be evaluated with youth and therapists.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
22
Competitive memory training (COMET) is a transdiagnostic intervention first developed for adults and later adapted to be used in children and adolescents. The adapted version for youth consists of 7 sessions in which participants learn to facilitate activation of functional/positive thoughts instead of relying on dysfunctional/negative thoughts by using positive self-verbalizations, imagery, body posture, and music. In addition, they are challenged to reformulate dysfunctional/negative thoughts into more functional/positive thoughts. As an addition to the original COMET protocol, there is a parent session in which parents receive psycho-education about their influence on self-esteem. Parents learn to be a 'co-therapist' and to support practicing at home and improve generalization.
Accare
Groningen, Netherlands
RECRUITINGSelf Esteem
Global self esteem measured with the Rosenberg self-esteem scale (RSES). Range: 0-30, higher score means higher self-esteem.
Time frame: Two weeks before COMET-Y and a week after COMET-Y
Domain-specific Self Esteem
Domain-specific self esteem measured with the Competentiebelevingsschaal voor adolescenten (CBSA). Range: 5-20 for each subscale, a higher score means more competence for the specific domains.
Time frame: Two weeks before COMET-Y and a week after COMET-Y
Mental Health Problems
Mental health problems measured with the Strengths and Difficulties Questionnaire (SDQ). Range total score: 0-40, with a higher score corresponding to more problems.
Time frame: Two weeks before COMET-Y and a week after COMET-Y
Quality of life
Several aspects of quality of life measured with the Kidscreen-27. Range: 0-130, a higher score means a higher quality of life.
Time frame: Two weeks before COMET-Y and a week after COMET-Y
Affect
Positive and negative affect, measured with the Positive and negative affects schedule. (PANAS-C). Range: 0-100, with a higher score higher affect (positive or negative).
Time frame: Two weeks before COMET-Y and a week after COMET-Y
Resilience
Resilience is measured with the Brief Resilience Scale (BRS). Range: 1-5, a higher score indicates more resilience.
Time frame: Two weeks before COMET-Y and a week after COMET-Y
Ecological Momentary Assessments - Global self-esteem
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Global self-esteem: short-version of the Rosenberg Self-esteem Scale, as part of a short questionnaire filled in three times a day by the participants via their mobile phones. Range: 0-16, higher score means higher self-esteem.
Time frame: Two weeks before and two weeks after COMET-Y
Ecological Momentary Assesments - Goal Based Outcome (GBO) tool for young people
The Goal-Based Outcome (GBO) tool for young people, as part of a short questionnaire filled in three times a day by the participants via their mobile phones. Participants fill in three personalized goals, which they rate on a scale from 1-10, where higher scores indicate improved goal progress.
Time frame: Two weeks before and two weeks after COMET-Y
Ecological Momentary Assesments - Domain-specific self-esteem
Domain-specific self-esteem: perceived self-esteem related functioning covering the specific domains measured by the Competentiebelevingsschaal voor Adolescenten. Range: 0-60, where higher scores indicate more competence.
Time frame: Two weeks before and two weeks after COMET-Y