title: The 1-year impact of an emotion regulation intervention on early adolescent health risk behaviors.
abstract: Sexual activity often begins in early adolescence, and adolescents with mental health symptoms are at greater risk for sexual activity and other health risks. This study aimed to evaluate a developmentally targeted intervention designed to enhance early adolescents' emotion regulation competencies as a strategy for reducing health risk behaviors, including sexual initiation.
  
  
  
  Adolescents 12 to 14 years old (N = 420; 53% male) with mental health symptoms participated in either an emotion regulation (ER) or health promotion (HP) intervention consisting of 12 after-school sessions. Participants completed questionnaires on laptop computers at baseline, 2-, 6-, and 12-month follow-ups.
  
  
  
  Time to event analyses were used to compare intervention conditions on rate of initiation to vaginal sex. Results showed that participants in the ER condition were less likely to transition into vaginal sexual activity by 1-year follow-up than were those in the HP condition (adjusted hazard ratio = 0.58, 95% confidence interval [0.36, 0.94], p = .01). However, those who were sexually active did not report differences in sexual risk behaviors (e.g., condomless sex). Participants in the ER condition were significantly less likely to report violence behaviors and showed improvement on a behavioral measure of emotion identification; however, they did not differ from HP participants on self-reports of emotional competence.
  
  
  
  Emotion regulation strategies can be used to delay sexual initiation among early adolescents with mental health symptoms and may have an important role in health education. (PsycINFO Database Record
authors.affiliation: Rhode Island Hospital.
authors.forename: Christopher D
authors.initials: CD
authors.lastname: Houck
authors.affiliation: Rhode Island Hospital.
authors.forename: David H
authors.initials: DH
authors.lastname: Barker
authors.affiliation: Rhode Island Hospital.
authors.forename: Wendy
authors.initials: W
authors.lastname: Hadley
authors.affiliation: Rhode Island Hospital.
authors.forename: Larry K
authors.initials: LK
authors.lastname: Brown
authors.affiliation: Department of Psychiatry, Geisel School of Medicine.
authors.forename: Amy
authors.initials: A
authors.lastname: Lansing
authors.affiliation: Institute of Child Development, University of Minnesota.
authors.forename: Brandon
authors.initials: B
authors.lastname: Almy
authors.affiliation: Rhode Island Hospital.
authors.forename: Evan
authors.initials: E
authors.lastname: Hancock
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000067697:Adolescent Health / Q000639:trends; D004644:Emotions; D005260:Female; D006266:Health Education / Q000379:methods; D006293:Health Promotion / Q000379:methods / Q000639:trends; D006801:Humans; D008297:Male; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology*; D011795:Surveys and Questionnaires; D013997:Time Factors