Compassion FatigueNCT06766682
Emotion Regulation Skill Program: Impact on Emotion Regulation, Experiential Avoidance & Compassion Fatigue
A study testing The Skill Development Program for Emotion Regulation in people with Compassion Fatigue and Experiential Avoidance, run by Hacettepe University at 1 site in Turkey (Türkiye).
Trial summary
In this study, the effects of the skills development program for regulating emotions applied to oncology nurses on oncology nurses' emotion regulation, experiential avoidance, and comorbidity fatigue will be examined. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Compassion Fatigue, Experiential Avoidance, Emotion Regulation Abilities
- What is being tested?
- The Skill Development Program for Emotion Regulation
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 66 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 3 Mar 2025to 26 Sep 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- Volunteering to participate in the research
- Working in the specified units for at least six months
- Not having a disease or disability would make it difficult for them to understand the program and data collection tools and to apply the skills.
Who cannot join
- Having received or currently receiving individual or group psychotherapy/counseling program within the last six months
- Requesting to withdraw from the study at any stage of the research
- Regularly missing two consecutive group sessions
- Failure to attend three or more sessions in total
Trial locations and contacts
1 site in 1 country.
About this study
Official title: The Effect of Skill Development Program for Emotion Regulation on Emotion Regulation, Experiential Avoidance and Compassion Fatigue of Oncology Nurses
In this study, the effects of the skills development program for regulating emotions applied to oncology nurses on oncology nurses' emotion regulation, experiential avoidance, and comorbidity fatigue will be examined. The research will be conducted as a randomized controlled experimental study with pretest-posttest and follow-up design.
Read the detailed description
Cancer has profound emotional, psychological, and behavioral impacts on patients and caregivers. Oncology nurses, while providing care, often experience feelings of helplessness, sadness, anxiety, and anger. Shift work-induced insomnia and irregular living patterns can impair emotional regulation, negatively affecting nurses' ability to provide holistic care, make effective decisions, and maintain professional interactions. Emotional recognition and management skills are critical for nurses engaged in long-term care processes. Emotional regulation involves identifying, understanding, and managing emotional responses, encompassing awareness, appropriate management, and expression. Ineffective emotional regulation may lead to difficulties in coping with emotional challenges and increase the risk of developing disorders such as depression and anxiety.
The literature highlights that emotional regulation strategies, which involve specific skills to modify emotional experiences, play a significant role in the development of various psychopathological disorders and affect mental health. Maladaptive strategies such as experiential avoidance-defined as avoiding situations or thoughts to escape distressing emotions-have been linked to increased risks of anxiety, depression, and burnout. Effective emotional regulation strategies are crucial for maintaining mental health and influencing behaviors. Increased experiential avoidance among healthcare workers has been associated with higher levels of burnout.
Empathy is a cornerstone of psychosocial care for patients and their families in oncology clinics. However, failure to regulate emotions during empathetic interactions can result in compassion fatigue, characterized by physical and emotional exhaustion, anger, disengagement, reduced job performance, and patient dissatisfaction. Effective emotional regulation supports the delivery of empathetic care and protects the psychosocial well-being of nurses. Emotional regulation enhances individuals' emotional awareness and enables more conscious and controlled management of emotions. This study aims to investigate the impact of an emotional regulation skills development program on oncology nurses' emotional regulation difficulties, experiential avoidance, and compassion fatigue in challenging work environments.
- Conditions
- Compassion Fatigue, Experiential Avoidance, Emotion Regulation Abilities, Emotion Regulation
- Being tested
- The Skill Development Program for Emotion Regulation
- Keywords
- oncology nursing, difficulty in emotion regulation, emotion regulation skill, experiential avoidance, compassion fatigue
- Medical subject headings
- Compassion Fatigue, Emotional Regulation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
The Skill Development Program for Emotion RegulationBehavioural
The Skill Development Program for Emotion Regulation to be carried out with the intervention group was planned as 6 sessions. The aim of this study was to investigate The Skill Development Program for Emotion Regulation Program on oncology nurses' emotion regulation difficulties, emotion regulation skills, experiential avoidance, and compassion fatigue.
| Study group | Role | What they receive |
|---|---|---|
| The Skill Development Program for Emotion Regulation | Experimental | The Skill Development Program for Emotion Regulation to be carried out with the intervention group consists of 6 sessions. The sessions are planned to be held in 3 groups of 11 people. The duration of a session is planned to be 90 minutes. Sessions will be completed in three weeks, twice a week. Sessions will be face-to-face. The session of the same group will be held on the same day and time every week. Receives: Behavioral: The Skill Development Program for Emotion Regulation |
| Control Group | No intervention | After the follow-up tests were completed for the nurses in the control group, the 6-session skill program applied to the intervention group was planned to be applied in the same way within their wishes. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Difficulty in Emotion Regulation Scale-Short Form
Difficulty in Emotion Regulation Scale-Short Form consists of 16 items and 5 sub-dimensions in 5-point Likert type (1=almost never, 5=almost always). It has five sub-dimensions: Clarity, Goals, Impulse, Strategies, and Non-Acceptance. A minimum score of 16 points and a maximum score of 80 points can be obtained from the scale and high scores obtained from the sub-dimensions and total score of the scale indicate that emotion regulation difficulties are high.
Measured: [Time Frame: Baseline, 3th week, 3st month follow-up) (Pretest-posttest follow-up experimental design)
Secondary outcomes (1)
Change in the Emotion Regulation Skills Scale
The Emotion Regulation Skills Scale is a five-point Likert-type (1=almost never, 5=almost always) self-report instrument consisting of 27 items and nine subscales. The sub-dimensions are Awareness/attention, Body sensations, Clarity, Understanding, Acceptance, Tolerance, Preparation for confrontation, Self-support, and Modification. The minimum score that can be obtained from the scale is 27 and the maximum score is 135. The scale can be evaluated on the total score and the average of the sub-dimension scores
Measured: [Time Frame: Baseline, 3th week, 3st month follow-up) (Pretest-posttest follow-up experimental design)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Jan 2025
- Study start3 Mar 2025
- Primary completion27 Jun 2025
- Study completion26 Sep 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (9)Papers the sponsor has linked to this study.
- Other trials for Compassion FatigueStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 66 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hacettepe University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Aycan Kayalar, Hacettepe University
- Investigators
- DUYGU HİÇDURMAZ, Professor, Study director, Hacettepe University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06766682
- Sponsor's protocol ID
- AYCAN KAYALAR
- Status last verified
- Jul 2026
- First submitted
- 5 Jan 2025
- Last updated
- 22 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Barnett MD, Hays KN, Cantu C. Compassion fatigue, emotional labor, and emotional display among hospice nurses. Death Stud. 2022;46(2):290-296. doi: 10.1080/07481187.2019.1699201. Epub 2019 Dec 9.
PubMed 31814533Figley, C. R. (2013). Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized. Routledge.
Guner P, Hicdurmaz D, Kocaman Yildirim N, Inci F. Psychosocial care from the perspective of nurses working in oncology: A qualitative study. Eur J Oncol Nurs. 2018 Jun;34:68-75. doi: 10.1016/j.ejon.2018.03.005. Epub 2018 Mar 16.
PubMed 29784141Lincoln, T. M., Schulze, L., & Renneberg, B. (2022). The role of emotion regulation in the characterization, development and treatment of psychopathology. Nature Reviews Psychology, 1(5), 272-286
Yiğit, İ. ve Guzey-Yiğit, M. (2019). Psychometric properties of Turkish version of difficulties in emotion regulation scale-brief form (DERS-16). Current Psychology, 38, 1503-1511. https://doi.org/10.1007/s12144-017-9712-7
Zheng RS, Guo QH, Dong FQ, Owens RG. Chinese oncology nurses' experience on caring for dying patients who are on their final days: a qualitative study. Int J Nurs Stud. 2015 Jan;52(1):288-96. doi: 10.1016/j.ijnurstu.2014.09.009. Epub 2014 Oct 5.
PubMed 25445033Lyu XC, Jiang HJ, Lee LH, Yang CI, Sun XY. Oncology nurses' experiences of providing emotional support for cancer patients: a qualitative study. BMC Nurs. 2024 Jan 20;23(1):58. doi: 10.1186/s12912-024-01718-1.
PubMed 38245735Kostka AM, Borodzicz A, Krzeminska SA. Feelings and Emotions of Nurses Related to Dying and Death of Patients - A Pilot Study. Psychol Res Behav Manag. 2021 Jun 4;14:705-717. doi: 10.2147/PRBM.S311996. eCollection 2021.
PubMed 34113186Cotter P, Holden A, Johnson C, Noakes S, Urch C, King A. Coping With the Emotional Impact of Working in Cancer Care: The Importance of Team Working and Collective Processing. Front Psychol. 2022 Jul 15;13:877938. doi: 10.3389/fpsyg.2022.877938. eCollection 2022.
PubMed 35911049
Study at a glance
From the registry record, last updated by the sponsor on 22 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Skill Development Program for Emotion Regulation on Emotion Regulation, Experiential Avoidance and Compassion Fatigue of Oncology Nurses
- ClinicalTrials.gov ID
- NCT06766682
- Acronym / sponsor ID
- AYCAN KAYALAR
- Conditions
- Compassion Fatigue, Experiential Avoidance, Emotion Regulation Abilities, Emotion Regulation
- Keywords
- oncology nursing, difficulty in emotion regulation, emotion regulation skill, experiential avoidance, compassion fatigue
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 66 participants (actual)
- Lead sponsor
- Hacettepe UniversityUniversity, hospital or other
- Study start
- 3 Mar 2025 (actual)
- Primary completion
- 27 Jun 2025 (actual)
- Study completion
- 26 Sep 2025 (actual)
- First posted
- 9 Jan 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
In this study, the effects of the skills development program for regulating emotions applied to oncology nurses on oncology nurses' emotion regulation, experiential avoidance, and comorbidity fatigue will be examined. The research will be conducted as a randomized controlled experimental study with pretest-posttest and follow-up design.
Detailed description
Cancer has profound emotional, psychological, and behavioral impacts on patients and caregivers. Oncology nurses, while providing care, often experience feelings of helplessness, sadness, anxiety, and anger. Shift work-induced insomnia and irregular living patterns can impair emotional regulation, negatively affecting nurses' ability to provide holistic care, make effective decisions, and maintain professional interactions. Emotional recognition and management skills are critical for nurses engaged in long-term care processes. Emotional regulation involves identifying, understanding, and managing emotional responses, encompassing awareness, appropriate management, and expression. Ineffective emotional regulation may lead to difficulties in coping with emotional challenges and increase the risk of developing disorders such as depression and anxiety.
The literature highlights that emotional regulation strategies, which involve specific skills to modify emotional experiences, play a significant role in the development of various psychopathological disorders and affect mental health. Maladaptive strategies such as experiential avoidance-defined as avoiding situations or thoughts to escape distressing emotions-have been linked to increased risks of anxiety, depression, and burnout. Effective emotional regulation strategies are crucial for maintaining mental health and influencing behaviors. Increased experiential avoidance among healthcare workers has been associated with higher levels of burnout.
Empathy is a cornerstone of psychosocial care for patients and their families in oncology clinics. However, failure to regulate emotions during empathetic interactions can result in compassion fatigue, characterized by physical and emotional exhaustion, anger, disengagement, reduced job performance, and patient dissatisfaction. Effective emotional regulation supports the delivery of empathetic care and protects the psychosocial well-being of nurses. Emotional regulation enhances individuals' emotional awareness and enables more conscious and controlled management of emotions. This study aims to investigate the impact of an emotional regulation skills development program on oncology nurses' emotional regulation difficulties, experiential avoidance, and compassion fatigue in challenging work environments.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| The Skill Development Program for Emotion Regulation | Experimental | Behavioral: The Skill Development Program for Emotion RegulationThe Skill Development Program for Emotion Regulation to be carried out with the intervention group consists of 6 sessions. The sessions are planned to be held in 3 groups of 11 people. The duration of a session is planned to be 90 minutes. Sessions will be completed in three weeks, twice a week. Sessions will be face-to-face. The session of the same group will be held on the same day and time every week. |
| Control Group | No intervention | –After the follow-up tests were completed for the nurses in the control group, the 6-session skill program applied to the intervention group was planned to be applied in the same way within their wishes. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (3 listed)
- Volunteering to participate in the research
- Working in the specified units for at least six months
- Not having a disease or disability would make it difficult for them to understand the program and data collection tools and to apply the skills.
Key exclusion criteria (4 listed)
- Having received or currently receiving individual or group psychotherapy/counseling program within the last six months
- Requesting to withdraw from the study at any stage of the research
- Regularly missing two consecutive group sessions
- Failure to attend three or more sessions in total
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| The Skill Development Program for Emotion RegulationThe Skill Development Program for Emotion Regulation to be carried out with the intervention group was planned as 6 sessions. The aim of this study was to investigate The Skill Development Program for Emotion Regulation Program on oncology nurses' emotion regulation difficulties, emotion regulation skills, experiential avoidance, and compassion fatigue. | Behavioural | The Skill Development Program for Emotion Regulation |
Primary outcome
Change in Difficulty in Emotion Regulation Scale-Short Form
Time frame: [Time Frame: Baseline, 3th week, 3st month follow-up) (Pretest-posttest follow-up experimental design)
Difficulty in Emotion Regulation Scale-Short Form consists of 16 items and 5 sub-dimensions in 5-point Likert type (1=almost never, 5=almost always). It has five sub-dimensions: Clarity, Goals, Impulse, Strategies, and Non-Acceptance. A minimum score of 16 points and a maximum score of 80 points can be obtained from the scale and high scores obtained from the sub-dimensions and total score of the scale indicate that emotion regulation difficulties are high.
1 secondary outcome
Change in the Emotion Regulation Skills Scale
Time frame: [Time Frame: Baseline, 3th week, 3st month follow-up) (Pretest-posttest follow-up experimental design)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Jul 2026.
- Results publication: PubMed 31814533Barnett MD, Hays KN, Cantu C. Compassion fatigue, emotional labor, and emotional display among hospice nurses. Death Stud. 2022;46(2):290-296. doi: 10.1080/07481187.2019.1699201. Epub 2019 Dec 9.
- Results publicationFigley, C. R. (2013). Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized. Routledge.
- Results publication: PubMed 29784141Guner P, Hicdurmaz D, Kocaman Yildirim N, Inci F. Psychosocial care from the perspective of nurses working in oncology: A qualitative study. Eur J Oncol Nurs. 2018 Jun;34:68-75. doi: 10.1016/j.ejon.2018.03.005. Epub 2018 Mar 16.
- Results publicationLincoln, T. M., Schulze, L., & Renneberg, B. (2022). The role of emotion regulation in the characterization, development and treatment of psychopathology. Nature Reviews Psychology, 1(5), 272-286
- Results publicationYiğit, İ. ve Guzey-Yiğit, M. (2019). Psychometric properties of Turkish version of difficulties in emotion regulation scale-brief form (DERS-16). Current Psychology, 38, 1503-1511. https://doi.org/10.1007/s12144-017-9712-7
- Results publication: PubMed 25445033Zheng RS, Guo QH, Dong FQ, Owens RG. Chinese oncology nurses' experience on caring for dying patients who are on their final days: a qualitative study. Int J Nurs Stud. 2015 Jan;52(1):288-96. doi: 10.1016/j.ijnurstu.2014.09.009. Epub 2014 Oct 5.
- Results publication: PubMed 38245735Lyu XC, Jiang HJ, Lee LH, Yang CI, Sun XY. Oncology nurses' experiences of providing emotional support for cancer patients: a qualitative study. BMC Nurs. 2024 Jan 20;23(1):58. doi: 10.1186/s12912-024-01718-1.
- Results publication: PubMed 34113186Kostka AM, Borodzicz A, Krzeminska SA. Feelings and Emotions of Nurses Related to Dying and Death of Patients - A Pilot Study. Psychol Res Behav Manag. 2021 Jun 4;14:705-717. doi: 10.2147/PRBM.S311996. eCollection 2021.
- Results publication: PubMed 35911049Cotter P, Holden A, Johnson C, Noakes S, Urch C, King A. Coping With the Emotional Impact of Working in Cancer Care: The Importance of Team Working and Collective Processing. Front Psychol. 2022 Jul 15;13:877938. doi: 10.3389/fpsyg.2022.877938. eCollection 2022.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
DUYGU HİÇDURMAZ, Professor study director
Hacettepe University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing The Skill Development Program for Emotion Regulation in people with Compassion Fatigue and Experiential Avoidance, run by Hacettepe University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 22 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Difficulty in Emotion Regulation Scale-Short Form (time frame: [Time Frame: Baseline, 3th week, 3st month follow-up) (Pretest-posttest follow-up experimental design)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06766682, which also lists 9 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Jul 2026.