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The Impact of Trauma-Informed Sports-Based Intervention on Emotion Regulation, Self-Esteem, and Peer Relationships in Adolescents With Substance Use Disorder

3. juni 2026 oppdatert av: Neslihan Lok

The Impact of Trauma-Informed Sports-Based Intervention on Emotion Regulation, Self-Esteem, and Peer Relationships in Adolescents With Substance Use Disorder: A Randomized Controlled Trial

This study was aimed to investigate the effects of a trauma-informed sports-based intervention on emotion regulation, self-esteem, and peer relationships in adolescents with substance use disorder. The research hypotheses of this study are as follows: 1. Adolescents with substance use disorder who receive the trauma-informed sports-based intervention will exhibit statistically higher emotion regulation skills compared to those in the control group. 2. Adolescents with substance use disorder who receive the trauma-informed sports-based intervention will exhibit statistically higher levels of self-esteem compared to those in the control group. 3. Adolescents with substance use disorder who receive the trauma-informed sports-based intervention will exhibit statistically improved peer relationships compared to those in the control group. The study hypothesizes that participation in a trauma-informed sports-based intervention will lead to enhancement on emotion regulation, self-esteem, and peer relationships in adolescents with substance use disorder. Researchers were compared the trauma-informed sports-based intervention to a control group (no intervention) to see if the trauma-informed sports-based intervention works on femotion regulation, self-esteem, and peer relationships in adolescents with substance use disorder. Intervention group participants were:

attended the trauma-informed sports-based intervention, 8-week period, with sessions held five days a week, consisting of three days of psychoeducation and two days of sports-based practice, each lasting 45-60 minutes, at a municipally affiliated Child and Adolescent Alcohol and Substance Addiction Treatment Center (ÇEMATEM).

Studieoversikt

Detaljert beskrivelse

The study was conducted with adolescents aged 14-18 with substance use disorder in a ÇEMATEM, according to the inclusion and exclusion criteria. A total of 147 adolescents with substance use disorder were included in the study. These individuals were randomly assigned to two groups: intervention and control groups. Pre-test data were collected in a quiet room at the ÇEMATEM by researches between November 15 and 20, 2025 from both the intervention and control groups using the "Personal Information Form", "Emotion Regulation Scale for Adolescents", "Rosenberg Self-Esteem Scale" and "Peer Relationships Scale" on a self-report basis. The Trauma-Informed Sports-Based Intervention was administered to the intervention group between November 2025 and January 2026 for 8 weeks, five days a week, consisting of three days of psychoeducation and two days of sports-based practice, in sessions lasting 45-60 minutes each. At the end of the Trauma-Informed Sports-Based Intervention, both the intervention and control groups were administered the "Emotion Regulation Scale for Adolescents", "Rosenberg Self-Esteem Scale" and "Peer Relationships Scale" as a post-test on January, 2026. The control group received no intervention during the 8-week program.

Studietype

Intervensjonell

Registrering (Faktiske)

120

Fase

  • Ikke aktuelt

Kontakter og plasseringer

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Studiesteder

      • Ankara, Tyrkia (Türkiye), 06000
        • Child and Adolescent Alcohol and Substance Addiction Treatment Center (ÇEMATEM)

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Barn
  • Voksen

Tar imot friske frivillige

Nei

Beskrivelse

Inclusion Criteria were:

  • receiving treatment at ÇEMATEM,
  • aged 14-18 years,
  • diagnosed with substance use disorder,
  • scoring ≤54 on the emotion regulation scale,
  • having sufficient cognitive capacity for communication,
  • willingness to participate.

Exclusion Criteria included:

  • presence of neurological, sensory, or physical impairments,
  • severe psychiatric comorbidities (e.g., psychotic disorders),
  • clinical conditions preventing participation.

Participants who missed at least two sessions of the intervention were excluded.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Støttende omsorg
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Intervention
The intervention group was a group of 60 people consisting of adolescents with substance use disorder who followed the 8-week the Trauma-Informed Sports-Based Intervention.

The Trauma-Informed Sport-Based Intervention Program

The program was structured according to trauma-informed care principles and aimed to enhance emotion regulation, self-esteem, and peer relationships. It integrated cognitive behavioral psychoeducation with sport-based activities. The intervention was conducted five days a week (Psychoeducation sessions were conducted three days per week, while sport-based activities were implemented two days per week), each session lasting 45-60 minutes, over 8 weeks. The program consisted of four core components:

(1) Emotion regulation and anger management: Developing skills to recognize, express, and regulate emotions. (2) Behavioral (social skills): Enhancing peer relationships, empathy, and communication skills. (3) Cognitive component: Increasing self-awareness and restructuring maladaptive thoughts. (4) Sport-based component: Cooperative games, rhythmic exercises, coordination activities, and body awareness practices.

Ingen inngripen: Control Group
The control group consisted of 60 adolescents with substance use disorder who did not receive any intervention for 8 weeks.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Emotion regulation total mean score
Tidsramme: From enrollment to the end of the trauma-informed sports-based intervention at 8 weeks.
Emotion regulation was assessed using the Emotion Regulation Scale for Adolescents, multidimensional structure assessing various aspects of emotion regulation processes. Total scores range from 18 to 90, with higher scores indicate greater difficulties in emotion regulation.
From enrollment to the end of the trauma-informed sports-based intervention at 8 weeks.
Self-esteem total mean score
Tidsramme: From enrollment to the end of the trauma-informed sports-based intervention at 8 weeks.
Self-esteem was assessed using the Rosenberg Self-Esteem Scale, consists of 10 items rated on a 4-point Likert scale. Higher scores indicate higher levels of self-esteem. In the Turkish validity and reliability study of the scale, scores of 0-1 were classified as high self-esteem, scores of 2-4 as moderate self-esteem, and scores of 5-6 as low self-esteem.
From enrollment to the end of the trauma-informed sports-based intervention at 8 weeks.
Peer Relationships total mean score
Tidsramme: From enrollment to the end of the trauma-informed sports-based intervention at 8 weeks.
Peer Relationships was assessed using the Peer Relationships Scale, the final version of the scale consists of 22 items across five subscales: Companionship, Conflict, Help, Protection, and Closeness. Total scores range from 1 to 5, with Scores are calculated as the mean of total or subscale scores, with higher scores indicating better peer relationship quality.
From enrollment to the end of the trauma-informed sports-based intervention at 8 weeks.

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Sponsor

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

15. november 2025

Primær fullføring (Faktiske)

10. januar 2026

Studiet fullført (Faktiske)

10. februar 2026

Datoer for studieregistrering

Først innsendt

13. mai 2026

Først innsendt som oppfylte QC-kriteriene

13. mai 2026

Først lagt ut (Faktiske)

19. mai 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

5. juni 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

3. juni 2026

Sist bekreftet

1. mai 2026

Mer informasjon

Begreper knyttet til denne studien

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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