ClinicalTrials.gg
Active, not recruitingNCT07096141UniWELL-DUpdated Oct 28, 2026

Improving Emotional Wellbeing of University Students: Emotion Regulation

An interventional study of DBT-informed Group Psychotherapy for Emotion Regulation in Emotion Regulation, sponsored by Bogazici University. Active, not recruiting at 2 sites in Turkey (Türkiye). Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-28.

Sponsored by Bogazici University · Not applicable, Interventional, and Treatment

Updated Oct 28, 2026Now Active, not recruitingGo to Updates ↓

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Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 37 studies in Emotional Regulation with a site in Turkey — 10 open to participants now, 14 under way, none of them phase 3. Emotional Regulation · Turkey.

Planned enrollment
30th of 35
40 · median 60
Started
2025
with 12 others
No phase
35 of 37
10 open now
Primary completion
2026-07
later than 6 of 13 live
Registered
19th of 37
by date

Among the 37 studies in Emotional Regulation with a site in Turkey, this one is the 30th largest by planned enrollment of the 35 interventional ones that give a count, is one of 13 that started in 2025, is one of 35 with no phase, reaches primary completion later than 6 of the 13 other live ones, and was the 19th registered.

Emotional Regulation

547 studies on the registry are indexed under Emotional Regulation; 190 are open to participants now.

Browse Emotional Regulation studies →

Open to participants now

10 of the 37 studies in Emotional Regulation with a site in Turkey are open now. Recruiting first, the newest first:

5 more — sign in →

All 10 open studies →

A study can be open while its sites in Turkey have not opened yet or have stopped. Only those recruiting at a site in Turkey →

Who these studies take

Of the 136 Emotional Regulation studies recruiting now, 36 (26%) set no upper age limit and 96 (71%) stop at 75 or younger; 47 take children under 18; 66 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

University students' psychological well-being is a growing public health concern. University life involves major psychological, social, and academic changes, increasing vulnerability to mental health issues. Group-based Dialectical Behaviour Therapy (DBT) has been shown to support student well-being effectively. However, interventions tailored to specific cultural and contextual needs are more likely to be helpful. Western-based therapy models may not fully align with non-Western populations, such as students in Türkiye.

In Türkiye, public mental health services are often limited to short psychiatric consultations, while therapy is typically accessed privately. University counselling centres offering free or low-cost therapy are therefore essential. Cost-effective interventions like group DBT may be especially valuable in these settings. To address this gap, culturally adapted DBT groups should be developed and evaluated for Turkish university students.

This study is part of the UniWELL Project (sister to UniWELL-C) and examines the effectiveness of DBT-informed emotion regulation groups for Turkish students. Any Bogazici University student aged 18+ is eligible. Exclusion criteria include severe mental illness, high risk of harm to self/others, or scoring below threshold on the Difficulties in Emotion Regulation Scale (DERS-16), as these students may require more individual support.

The study includes participation in an 8-session DBT-informed group. Participants are expected to benefit from free psychological support, guided reflection, and shared experiences with peers. The research will also contribute to the evidence base for culturally adapted interventions.

There are some risks: participants may feel overwhelmed during the sessions or while completing questionnaires. If so, support will be provided by a clinical psychology master's student and/or the group facilitator, under supervision of an experienced clinical psychologist. If a participant's risk increases, they will be referred to psychiatric services. An emergency contact will be requested to ensure safety if needed.

The study will take place at Bogazici University through the Translational Clinical Psychology Lab, in collaboration with BUREM. It is expected to run for at least one year, possibly extending up to three years. The study is partially funded by the Bogazici Scientific Research Projects Unit (20022). Dr Ayse Akan (t-clinpsylab@bogazici.edu.tr) is the study lead and main contact.

03

Conditions studied

  • Emotion Regulation

Keywords

  • emotion regulation
  • mental health
  • DBT
  • group therapy
  • university student mental health
  • culturally adapted psychotherapy
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Must be a Bogazici University student.
  2. Must be 18 years or older.
  3. Must score above the threshold on the Difficulties in Emotion Regulation Scale (DERS-16).

Exclusion criteria

Exclusion Criteria:

  1. Not Bogazici University student.
  2. Has serious and severe mental illness.
  3. High risk of self-harm/harm to others.
  4. Scoring below the threshold of on the Difficulties in Emotion Regulation Scale (DERS-16).
  5. Younger than 18 years old.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    DBT Experimental Arm

    An 8-session Dialectical Behaviour Therapy informed emotional regulation group psychotherapy will be offered to the experimental group of about 40 university students who volunteered and scored above the threshold on the Difficulties in Emotion Regulation Scale (DERS-16).

    Behavioral: DBT-informed Group Psychotherapy for Emotion Regulation

  • No intervention
    DBT Waitlist Arm

    DBT waitlist control

Interventions

  • BehavioralDBT-informed Group Psychotherapy for Emotion Regulation

    An 8-session Dialectical Behaviour Therapy informed emotion regulation psychotherapy group.

    Also known as: DBT, Group DBT

06

What researchers measure

Primary outcomes

  1. Difficulties in Emotion Regulation Scale (DERS-16)

    Difficulties in Emotion Regulation Scale (DERS-16) is a questionnaire that measures different aspects of difficulties in emotion, including emotional awareness, clarity, acceptance, impulse control, and goal-directed behavior during emotional distress. Each item is scored on a 5-point Likert scale, from 1 (almost never) to 5 (almost always), resulting in a total score range of 16 to 80. Higher scores indicate greater difficulties in emotion regulation.

    Time frame: Baseline, immediately after the intervention, and follow-up 6 weeks after the completion intervention

Secondary outcomes

  1. Borderline Evaluation of Severity Over Times (BEST)

    The Borderline Evaluation of Severity Over Times (BEST) is a tool that measures the severity and progression of thoughts, feelings, and behaviors that are typical of Borderline Personality Disorder. Each item is rated on a 5-point Likert scale, where 1 indicates none/rarely and 5 indicates almost always, resulting in a total score range between 12 and 72. Higher scores indicate more severe symptoms. The scale also provides information about positive behaviors separately.

    Time frame: Baseline, immediately after the intervention, and follow-up 6 weeks after the completion intervention

  2. Depression Anxiety and Stress Scale (DASS-42)

    Depression Anxiety Stress Scale (DASS-42) is a questionnaire that measures the negative emotional states depression, anxiety and stress. Each subscale is scored separately. Each item is rated on a 4-point Likert scale from 0 (did not apply to me at all) to 3 (applied to me very much or most of the time). Scores for each subscale range from 0 to 42, and the combined total scale ranges from 0 to 126. Higher scores indicate more severity. The severity is categorized into "normal", "mild", "moderate", "severe", and "extremely severe".

    Time frame: Baseline, immediately after the intervention, and follow-up 6 weeks after the completion of the intervention

  3. Generalised Anxiety Disorder-7 (GAD7)

    The Generalised Anxiety Disorder - 7 Scale (GAD7) is a questionnaire used to screen for Generalised Anxiety Disorder and assess the severity of anxiety symptoms. Each item is rated on a 4-point Likert scale from 0 (not at all) to 3 (nearly every day), resulting in a total score ranging from 0 to 21. Higher scores indicate more severity. The severity is categorized into "minimal", "mild", "moderate", and "severe".

    Time frame: Baseline, immediately after the intervention, and follow-up 6 weeks after the completion of the intervention

  4. Patient Health Questionnaire (PHQ9)

    The Patient Health Questionnaire (PHQ9) is a scale used for assessing the presence and the severity of depression. Each item is rated on a 4-point Likert scale from 0 (not at all) to 3 (nearly every day), resulting in a total score that ranges from 0 to 27. Higher scores indicate more severity of depressive symptoms. The severity is categorized into "minimal", "mild", "moderate", "moderately severe" and "severe".

    Time frame: Baseline, immediately after the intervention, and follow-up 6 weeks after the completion of the intervention

  5. Outcome Rating Scale (ORS)

    Outcome Rating Scale (ORS) is a brief 4-item scale used for assessing the members' overall functioning in key areas: individual well-being, interpersonal relationships, social role, and overall well-being. Each item is rated on a visual analog scale from 0 to 10, resulting in a total score between 0 and 40. Higher scores indicate better overall functioning and well-being.

    Time frame: From enrollment to the end of treatment at 8 weeks

  6. Qualitative data

    Participants who completed their groups will also be invited to attend a semi-structured interview for in-depth qualitative feedback when they finish the intervention. Below are the sample questions to be asked to the participants: 1. Could you tell us a little about the process (your mental health difficulties) that led you to apply to this group? 2. Were you satisfied with the group? 3. Which parts of the group were useful to you? 4. Which parts of the group need to change (what you didn't like)? 5. How was your relationship with the therapist and assistants? 6. How was your relationship with the other participants of the group? 7. What was the most important thing you learned from the group? 8. Are there any other things that stood out to you? 9. Would you recommend this group to other students with similar problems? 10. Do you think this group should be an ongoing service provided by the university?

    Time frame: Up to 12 weeks following the completion of the intervention

Other outcomes

  1. Group Session Rating Scale (GSRS)

    Group Session Rating Scale (GSRS) is a brief 4-item scale used for assessing the members' evaluation of each session regarding the therapeutic relationship, goals and topics, approach or method, and overall experience. Each item is rated on a visual analog scale from 0 to 10, resulting in a total score between 0 and 40. Higher scores indicate more satisfaction with the group session.

    Time frame: From enrollment to the end of treatment at 8 weeks

  2. Feedback Form

    The client feedback form is a 4-point self-report scale with a free-text box for additional comments. It is used to gather information about participants' experiences with the group facilitator and the intervention. The form includes questions about the therapeutic process, the structure of the sessions, the therapist's approach, and whether the support was helpful.

    Time frame: Immediately after the intervention

07

Study locations

2 sites
  • Bogazici University Student Guidance and Psychological Counselling Centre (BUREM)
    Istanbul, 34342, Turkey (Türkiye)
  • Translational Clinical Psychology Lab
    Istanbul, 34342, Turkey (Türkiye)
08

References and documents

Publications

  • Akan A, Korkut NH. Improving the emotional wellbeing of university students through culturally adapted cognitive and dialectical behavioral group interventions: protocol for two parallel feasibility and effectiveness studies. Transl Behav Med. 2026 Jan 7;16(1):ibag010. doi: 10.1093/tbm/ibag010. PubMed 41873829 ↗

Individual participant data

Plan to share: Yes — The anonymised quantitative data will be kept securely on a password protected drive for 10 years and will be shared with peer-reviewers if requested, while the qualitative interview transcripts will also be kept securely on a password protected drive but they will not be shared with peer-reviewers (will be only open to the research team) until it is deleted after 10 years. Some of the research team may use these data in secondary analysis projects.

Time frame: The data supporting this study's findings will be available from the corresponding author upon reasonable request, starting immediately after publication. Data will be maintained and available for 10 years after the last data collection.

Access criteria: Being a peer-reviewer / researcher.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2025 to primary completion in Jul 2026, 15 months.

Of 391 non-industry interventional studies with no phase under Emotional Regulation, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 36. This study's 15 months is below that.

Counting every sponsor, half of 397 studies reached it within 18 months; a quarter within 6 and three quarters within 36.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 14, 2025
First posted
Jul 31, 2025
StartActual
Mar 5, 2025
Primary completionActual
Jul 3, 2026
CompletionEst.
Dec 31, 2027
Last update
Oct 28, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Recruiting→Active, not recruiting
changed Oct 28, 2026
Show all 1 update
  1. Oct 28, 2026
    Recruiting→Active, not recruiting
    + 4 other changes: verification date, date precision, contact details and site details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07096141
Lead sponsor
Bogazici University
Responsible party
Ayse Akan (Assistant Professor and Clinical Psychologist, Bogazici University) — Principal investigator
First posted
Jul 31, 2025
Start date
Mar 5, 2025
Primary completion
Jul 3, 2026
Completion
Dec 31, 2027 (estimated)
Last update
Oct 28, 2026

Study contacts

Ayse Akan, DClinPsych
principal investigator · Bogazici University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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