Constructive Emotional Management Interventions
Condition: Emotional Regulation; Peace of Mind; Older Adults
Study type: Interventional

Summary: 
      Emotional dysregulation is considered a phenotypic finding that has a purported impact on
      older adults' peace of mind. In this venue, employing constructive emotional management
      intervention is one of the breakthroughs that has been empirically targeted to restore
      positive emotional states and strengthen mental clarity in the geriatric population. Aim: to
      determine the effect of constructive emotional management interventions on emotional
      regulation difficulties and peace of mind among older adults. Design: The present study
      adopted a quasi-experimental methodological approach.
    

Detailed description: 
      Most elderly people are emotionally stable and well-regulated up until the age of 70 to 80.
      Due to the effects of changes in their personal circumstances, some older people, however,
      regard their mental and physical deterioration as becoming self-evident before they turn 70.
      In old age, it's normal to experience things like forced retirement, the death of a spouse,
      changes in the home, or financial insecurity. In old age, a great variety of emotions are
      felt (Kunzmann et al., 2022).

      Emotion is a psychological and cultural adaptation process that enables each person to
      respond adaptably and dynamically to environmental changes. Emotions add meaning to life,
      deepen human connections, teach people about their needs and feelings, and inspire them to
      take action (Troy et al., 2018). The phenomenon of emotions is complex. A single emotion
      consists of a cognitive evaluation, a bodily sensation, an intention, a personal sentiment, a
      motor response, and, frequently, an interpersonal component (Rompilla et al., 2022).
      Everyone, especially older adults, experience emotions on a regular basis. They face a wide
      range of emotions throughout any given day, along with their highs and lows. While some of
      these are manageable, others are more intense and challenging. It's common to experience
      those emotions occasionally. Yet, if they struggle with emotion management for an extended
      length of time, it may result in mental health issues and emotional regulation difficulties
      (McRae & Gross 2020).

      A response to emotions that is poorly controlled and does not fall within the parameters of
      an acceptable emotional reaction is referred to as having problems with emotional regulation.
      The terms marked mood fluctuation, mood swings, and labile mood are also used to describe
      emotional regulation difficulties. Anger outbursts, anxiety, sadness, substance misuse,
      suicidal ideation, self-harm, and other self-destructive behaviors may be displayed by older
      adults who have trouble controlling their emotions. Negative moods, personality disorders,
      psychosis, and post- traumatic stress disorder are all strongly predicted by problems with
      emotional regulation. Over time, this disorder may affect older persons' quality of life,
      social contacts, and personal relationships (Dunn et al., 2018).

      One's life balance can be thrown off by negative emotions, which are harmful. Lower mental
      health and inner peace are associated with higher levels of internal conflict, violence, and
      negative feelings and ideas. In fact, negative emotions and thoughts play a significant
      influence in the peace of mind maladjustment. In later life, especially, there may be a
      considerable correlation between peace of mind and effective emotion control. The spiritual
      and wisdom frequently represent a sense of inner harmony and a sense of wholeness and
      integration of the mind and body. The more inner peace elderly people have, the better off
      their minds are. As a result, regulating emotions may be a key therapy goal in psychological
      interventions for older persons (Isaacowitz 2022).

      A reduction in the ability to control older adults' emotions might happen suddenly, but it
      can also happen gradually, slowly, and subtly. Hence, gerontological nurses should evaluate
      and identify any potential mental and emotional distress related to this crucial transitional
      aging era. Anxiety, despair, worry, and fear are frequently present throughout this time.
      Also, gerontological nurses should intervene to teach elders how to effectively control and
      manage their emotions and build personalized plans for each elder. Also, they should take
      action to stop older persons from making self- destructive decisions and engaging in
      behaviors like loneliness, sadness, suicide, denial of treatment, and denial of care from
      family members or medical professionals (Erhan et al.,2021).

      Older persons who participate in educational emotional management nursing programs may
      experience an increase in positive emotions and a decrease in negative ones. The recommended
      therapies for the current study, constructive emotional management interventions, were
      constructed on the Dialectical Behavioral Therapy model (DBT). Linehan (2015) developed DBT,
      a cognitive behavioral treatment that incorporates evidence-based psychotherapy. Borderline
      personality disorder was its original intended application (BPD). Nowadays, it is utilized to
      treat a variety of emotional dysregulation and impulse control disorders and symptoms
      (Linehan & Wilks 2015).

      Constructive emotional management therapies, which are based on DBT, are made up of a variety
      of skills that assist older persons in controlling their emotions, fostering better
      relationships, and enduring difficult circumstances without impulsivity. These interventions
      involve skills that should be incorporated and practiced into the daily lives of older
      individuals. They function similarly to muscles strengthen with use over

      time. They instruct elderly people on what best skills are needed, when, and how to implement
      them. Thus further, constructive emotional management interventions could increase mental
      clarity, restore emotional dimensions, improve coping mechanisms, and lessen depressive
      symptoms as people age. The prevention or treatment of mental health issues as well as
      enhancing mental well-being and peace of mind in old age appear to be potential outcomes of
      constructive emotional management interventions with an emphasis on emotion-regulation.
      (Delhom et al., 2018).
    

Intervention name(s): constructive emotional management interventions
Intervention type(s): Behavioral
Intervention description(s): The Constructive emotional management interventions sessions were conducted in the activity rooms of the elderly clubs where the researchers met the participants. Participants completed a baseline evaluation of the outcome measures of the researched variables after being found to be eligible for the current study and indicating their willingness to participate willingly. After explaining the study's objectives to participants, the researchers themselves delivered the Constructive Emotional Management Interventions program, which had been vetted by experts in the field.
Allocation: Non-Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Supportive Care