The role of dorsolateral prefrontal cortex on placebo effect of regulating social pain: A TMS study

Under the influence of the novel coronavirus epidemic, some negative social events, such as separation of family or friends and home isolation have increased. These events can cause negative emotion experiences similar to physical pain, thus they are called social pain. Placebo effect refers to the positive response to the inert treatment with no specific therapeutic properties, which has been shown to be one of the effective ways to alleviate social pain. Studies have shown that the dorsolateral prefrontal cortex (DLPFC) plays a key role in placebo effect. Therefore, this study aimed to explore whether activating DLPFC by using transcranial magnetic stimulation (TMS) could improve the ability of placebo effects to regulate social pain. Besides, we also combined neuroimaging and neuromodulation techniques to provide bidirectional evidence for the role of the DLPFC on placebo effects. We recruited a total of 100 participants to finish the task of negative emotional rating of the social exclusion images. Among them, 50 participants were stimulated by TMS at the right DLPFC (rDLPFC), while the others were assigned to the sham group. This study contained two independent variables. The between-subject variable was TMS group (rDLPFC-activated group or sham group) and the within-subject variable was placebo type (no-placebo and placebo). All participants received nasal spray in two blocks. In the no-placebo condition, participants were instructed that they would receive a saline nasal spray which helped to improve physiological readings;in placebo block, participants were told to administrate an intranasal fluoxetine spray (saline nasal spray in fact) that could reduce unpleasantness within 10 minutes. To strengthen the expectation of intranasal fluoxetine, participants viewed a professional introduction to fluoxetine's clinical and academic usage including downregulating negative emotion, such as fear, anxiety, and disgust. Participants who received the placebo block first would be reminded that fluoxetine's effect was over before the next block to reduce the carry-over for the following block. Self-reported negative emotional and electroencephalogram data were recorded. There was a significant two-way interaction of TMS group and placebo type. Results showed that compared with the sham group, participants in the rDLPFC-activated group reported less negative emotional feeling and had a lower amplitude of the late positive potential (LPP) in placebo condition, a component that reflects the emotional intensity, suggesting that activating rDLPFC can improve the ability of placebo effect to regulate social pain. The above finding suggested that activating DLPFC can improve the placebo effect of regulating negative emotion. Moreover, this study is the first attempt to investigate the enhancement of placebo effects by using TMS on emotion regulation. The findings not only support the critical role of DLPFC on placebo effect using neuroimaging and neuromodulation techniques, but also provide a potential brain target for treating emotional regulation deficits in patients with psychiatric disorders. © 2023 WANG Mei.

Dynamic modelling of changes in emotional and behavioural problems in children and adolescents during the COVID-19 pandemic

Aims: Children and adolescents were affected in various ways by the measures due to COVID-19 pandemic. The aims of this study were to investigate and compare the effects on mental health across age, to identify latent class trajectories of emotional and behavioural problems over 12-months and to examine the association of classes of trajectories with baseline demographic and clinical predictors. Method(s): Children (n = 1854) and adolescents (n = 1243) from the general population were assessed baseline, at 6-, 9-, and 12-month follow-up. They were eligible if they were residents in Austria, Germany, or Switzerland, were parents/caregivers of a child aged between 7 and 10 years or adolescents >=11 years, had sufficient German language skills and provided informed consent. Results and Conclusion(s): Significant age-effects were found regarding type and frequency of problems. While children had the largest increase in aggressive behaviours, adolescents reported the largest increase in emotional problems. Sociodemographic variables, exposure to and appraisal of COVID-19, psychotherapy before COVID-19 and parental mental health significantly predicted change in problemscores (F >= 3.69, p <= .001). Using growth mixture modelling, a oneclass solution was detected for the trajectory of aggressive behaviours and a two- and three-class solution for withdrawn/depression and anxiety/depression. A substantial proportion of children and adolescents experienced age-related mental health problems during the different stages of the COVID-19 pandemic. These results suggest that psychological problems of specific sub-groups should be monitored over the longer-term and interventions to improve communication, emotion regulation, and appraisal style should be offered to risk groups.

Parental stress as a mediator between parents' emotion regulation and youth's psychological symptoms during the COVID-19 lockdown: a cross-sectional study

Mental health in families has been affected by COVID-19 stressors. Parental stress and emotion regulation can moderate the emotional effects on their children. This study analyzes the role of parental stress as a mediating variable between parents' emotion regulation and children's symptoms. Participants were 214 parents of youth aged 3-17 years, who completed an online survey providing information about parental variables and symptoms in their children. The results show that parental stress mediates the relationship between parental emotion regulation and children's psychological symptoms. Thus, parents who used cognitive reappraisal strategy less frequently reported more psychological symptoms in their children and higher parental stress. Parents who used expressive suppression more frequently also reported more psychological symptoms in their children and higher parental stress. The present study provides novel information by relating parental psychological variables with psychological variables in youth during a period characterized by the most significant psychological impact of the COVID-19 pandemic. © 2023. Psy, Soc & Educ.

Associations Between Children's Emotion Regulation, Mindful Parenting, Parent Stress, and Parent Coping During the COVID-19 Pandemic

Stress among parents has increased during the COVID-19 pandemic. Research prior to the pandemic indicates that parents of children who struggle with emotion regulation (ER) and who themselves are less mindful report more stress and diminished coping abilities. We know little, however, about these associations in the context of COVID-19. To prevent COVID-related deteriorations in parent well-being and child outcomes and to support parents during this potentially challenging time, it is important to understand the factors that are associated with increased stress as well as adaptive coping. This paper discusses the association between children's ER, mindful parenting (MP), parent stress, and parents' coping with parenting during the pandemic in a sample of 217 caregivers of school-aged children (91.0% mothers). Results indicated that children's ER was associated with parents' self-reported coping with parenting in the pandemic but was not associated with increased stress. Further, MP moderated the association between children's ER and coping, such that parents who were the most mindful and had children with better ER skills reported significantly greater ability to cope with pandemic parenting. Coping was lower for other combinations of ER and mindful parenting. These findings contradict those from before COVID, suggesting the relationship between children's ER and parent outcomes may differ in the COVID-19 context, and offering insights into which parents may be most likely to struggle with coping with pandemic parenting. [ FROM AUTHOR] Copyright of Family Journal is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Impact of loneliness and cognitive emotion regulation in psychological well-being of students during the pandemic

The current study, seeks to determine how loneliness and the different cognitive emotion regulation strategies contribute to psychological well-being of young adults during the COVID-19 pandemic. It also examines whether cognitive emotion regulation explains well-being beyond loneliness. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Psychoeducation and emotional regulation in times of confinement: Feasibility and interest of YouTube videos of dialectical behavioral therapy

Introduction: Dialectical Behavior Therapy (DBT) aims to decrease emotional dysregulation, particularly through psychoeducation groups targeting skills learning. In March 2020, the confinement due to COVID-19 abruptly interrupted these groups. We continued skills training through YouTube videos. Our objective is to evaluate the feasibility of this format during the confinement. Method(s): All the participants in the DBT skills group carried out in Strasbourg were included (n = 37). The psychoeducational videos were published biweekly during the confinement on the YouTube channel "GREMO HUS". Participants were encouraged to view these videos by calls/messages. One month after the end of the confinement, an online questionnaire assessed satisfaction. Result(s): In total, 92% of patients responded. Of the 34 respondents, 28 (82%) had watched at least one video, and 32% had watched more than 6 videos. A very large majority of users were satisfied with the videos. Seventy-nine percent said they were very helpful in understanding the skills, and 77% thought they had used the DBT skills more frequently. All but one said that the skills helped them to overcome difficulties in times of confinement. Discussion(s): Our study is the first to interview patients directly regarding DBT YouTube videos. These videos were considered relevant by participants during the confinement period. Their use could compliment DBT skills training groups, and serve as a training support for therapists.Copyright © 2021 Elsevier Masson SAS

The effect of a global pandemic on students' social emotional competencies

The objective of this study was to determine the effect of COVID-19 on youth's social emotional competencies. Specifically, this study examined whether there was a significant difference in social emotional competency proficiency levels of self-management, social awareness, and emotion regulation as measured by the Panorama SEL Survey from October 2019 to October 2021 in fifth through twelfth grade students who attended a large, diverse suburban school district in Illinois. This study showed statistically significant differences in students' proficiency levels, which increased for self-management and decreased for social awareness and emotion regulation. Based on these results, school district leaders should consider investing funds to increase interventions and strategies for students regarding social awareness and emotion regulation. Future research should consider analyzing mindfulness interventions implemented as well as the different demographic subgroups with pre-pandemic and during-pandemic data. An extension study with additional years from the same cohort may also provide meaningful insights to school district leaders. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Impact of campus living conditions on Chinese medical school students' mental health during the COVID-19 campus lockdown: the chain mediating role of cognitive reappraisal and expression suppression.

Objective: To investigate the effect of changes in campus living conditions related to the Corona Virus Disease 2019 (COVID-19) pandemic on medical school students' mental health status, to explore the mediating role of emotion regulation strategies, and to provide effective suggestions for promoting medical school students' mental health. Methods: A self-report questionnaire, an emotion regulation questionnaire (ERQ), and psychological questionnaires for emergent events of public health (PQEEPH) were used to interview 998 medical school students who experienced campus lockdowns during the COVID-19 pandemic. Results: The mean total PQEEPH score was 3.66 ± 3.06. The degrees of inconvenience in daily life and change in routine and expression suppression as an emotion regulation strategy were significantly positively correlated with all PQEEPH dimensions. Cognitive reappraisal was significantly negatively associated with depression, neurosis, obsessive-compulsive anxiety, and hypochondriasis (ps < 0.05). Cognitive reappraisal and expression suppression demonstrated a chain mediating role between the degree of inconvenience in life and mental health and between the degree of change in routine and mental health (F = 32.883, 41.051, ps < 0.05). Conclusion: Campus lockdown management significantly impacts medical school students' mental health. Extensive use of cognitive reappraisal and expression suppression can reduce students' adverse psychological reactions during campus lockdowns to an extent.

Emotion Regulation Strategies and Beliefs About Emotions Predict Psychosocial Outcomes in Response to Multiple Stressors.

Emotion regulation (ER) strategies and beliefs about emotions (implicit theories of emotions; ITE) may shape psychosocial outcomes during turbulent times, including the transition to adulthood and college while encountering stressors. The normative stressors associated with these transitions were compounded by the COVID-19 pandemic, providing a novel opportunity to examine how emerging adults (EAs) cope with sustained stressors. Stress exposures can heighten existing individual differences and serve as "turning points" that predict psychosocial trajectories. This pre-registered study (https://osf.io/k8mes) of 101 EAs (18-19 years old) examined whether ITE (believing emotions can change or not; incremental vs. entity beliefs) and ER strategy usage (cognitive reappraisal and expressive suppression usage) predicted changes in anxiety symptomatology and feelings of loneliness across five longitudinal assessments (across a 6-month period) before and during the initial months of the COVID-19 pandemic. On average, EAs' anxiety decreased after the pandemic outbreak but returned to baseline over time, while loneliness remained relatively unchanged across time. ITE explained variance in anxiety across time over and above reappraisal use. Conversely, reappraisal use explained variance in loneliness over and above ITE. For both anxiety and loneliness, suppression use resulted in maladaptive psychosocial outcomes across time. Thus, interventions that target ER strategies and ITE may ameliorate risk and promote resilience in EAs who experience increased instability. Supplementary Information: The online version contains supplementary material available at 10.1007/s42761-023-00187-0.

Emotion regulation and disordered eating behaviour in youths: Two daily-diary studies.

OBJECTIVE: Disordered eating cognitions and behaviours in childhood and adolescence have been identified as precursors for the development of eating disorders. Another important contributor to eating disorder risk is maladaptive emotion regulation. However, while the regulation of negative affect has been the focus of much research, the literature on the role of positive emotion regulation in eating pathology is extremely limited. The present study extends previous research by examining the regulation of both positive and negative affect in disordered eating using two waves of a daily diary design. METHOD: Every evening for 21 days, 139 youths (8-15 years) reported their use of rumination, dampening, and disordered eating cognitions and behaviours. 1 year later, during the onset of the COVID-19 pandemic, 115 of these youths were followed-up. RESULTS: As predicted, higher levels of rumination and dampening were found to be associated with a higher frequency of weight concerns and restrictive eating on person-level (both Waves) and day-level (Wave 2). Further, a higher frequency of rumination at Wave 1 predicted increases in the frequency of restrictive eating 1 year later. CONCLUSIONS: Our findings underline the importance of examining regulation of both positive and negative emotion in order to understand eating disorder risk.

Family functioning, emotion regulation and stress during COVID-19 lockdown among Mexican adolescents

COVID-19 lockdown has brought multiple changes in the lives of adolescents. In this context, the objective of the present research was to examine the role of emotion regulation, including five adaptive strategies (mindfulness, reappraisal, acceptance, problem solving, and distraction) as parallel mediators of the effects of family functioning on stress among Mexican teenagers. A total of 788 adolescents participated in this study. Results confirmed the parallel mediation model showing that family functioning can reduce stress experienced by adolescents by positively influencing the strategies of mindfulness, reappraisal, problem solving, and distraction. In conclusion, it was possible to confirm for the first time the effects that family functioning has on stress of Mexican adolescents via emotion regulation strategies.

The mechanism of reducing anxiety through mindfulness interventions: Digital therapeutic program

The COVID-19 pandemic exacerbated the prevalence of anxiety disorders, making it a population health concern in the United States and worldwide. The growing need for effective prevention and treatment of anxiety coincides with a deficit of mental health providers and physicians. With the healthcare system currently overwhelmed and the slow training pipeline of new providers, the gap between patient demand and treatment providers will not be closed in the next decade. There is a growing need for evidence-based treatments for anxiety disorders that can increase access to care while addressing the underlying mechanisms of anxiety. Digital therapeutics is a fast-developing field that can be one such solutions provided in ?one-to-many? format. It can be used in conjunction with individual therapy, as well as independently, depending on the severity of patients? symptoms. This quantitative dissertation study aimed to investigate the mechanism of reducing anxiety in the digital application (app) Unwinding Anxiety Program and its impact on emotion regulation, self-representation (self-esteem), and the degree of attachment security in adults. The study used a single-case experimental design to assess the effect size of the intervention in these domains. Five study participants completed the program. The results of the study demonstrated the efficacy of the intervention for reducing anxiety among participants with medium to large effect size and decrease of attachment-related anxiety for all participants with small effect size. All study participants demonstrated improved emotion regulation with moderate effect size for the sample. Self-esteem scores improved for some participants, while decreased for others. These findings support the existing evidence for the efficacy of mindfulness-based interventions for anxiety demonstrating the key role of emotion regulation in the mechanism of change. This study brings the novelty of examining the impact of digital therapeutic intervention on attachment security. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Psychosocial predictors of trajectories of mental health distress during the COVID-19 pandemic: A four-wave panel study.

Previous research suggested that during the COVID-19 pandemic, mental distress did not affect all people equally. This longitudinal study aims to examine joint trajectories of depressive, anxiety, and stress symptoms in a sample of Italian adults during the pandemic, and to identify psychosocial predictors of distress states. We analyzed four-wave panel data from 3,931 adults who had received assessments of depressive, anxiety and stress symptoms between April 2020 and May 2021. Trajectories of individual psychological distress were identified by Latent Class Growth Analysis (LCGA) with parallel processes, and multinomial regression models were conducted to identify baseline predictors. Parallel process LCGA identified three joint trajectory classes for depression, anxiety and stress symptoms. Most individuals (54%) showed a resilient trajectory. However, two subgroups showed vulnerable joint trajectories for depression, anxiety and stress. Expressive suppression, intolerance to uncertainty, and fear of COVID-19 were risk characteristics associated with vulnerable trajectories for mental health distress. Moreover, vulnerability to mental health distress was higher in females, younger age groups and those unemployed during the first lockdown. Findings support the fact that group heterogeneity could be detected in the trajectories of mental health distress during the pandemic and it may help to identify subgroups at risk of worsening states.

Emotion regulation styles and Adolescent adjustment following a COVID-19 lockdown.

This study explored the effect of emotion regulation styles - integrative emotion regulation (IER), suppressive emotion regulation, and dysregulation-on adolescents' psychosocial adjustment following a Covid-19-related lockdown. 114 mother-adolescent dyads were surveyed after lockdown and at two additional time points (three and six months later). Adolescents were aged 10-16 years, 50.9% females. Adolescents reported on their emotion regulation styles. Mothers and adolescents reported on adolescents' well-being (depressive symptoms, negative and positive emotions) and social behaviour (aggression and prosocial behaviour). Results of multilevel linear growth models showed IER predicted optimal well-being and social behaviour reported by both mothers and adolescents at baseline and a self-reported reduction in prosocial behaviours over time. Suppressive emotion regulation predicted reduced self-reported well-being after lockdown, evident in higher levels of negative affect and depressive symptoms and reductions in mother-reported prosocial behaviour over time. Dysregulation predicted reduced well-being and impaired social behaviour after lockdown, reported by both mothers and adolescents, and a reduction in self-reported depressive symptoms over time. Results suggest adolescents' adjustment to lockdown was affected by their habitual emotion regulation styles.

Emotion regulation difficulties and sleep quality in adolescence during the early stages of the COVID-19 lockdown.

INTRODUCTION: Adolescence is a period of vulnerability for emotion regulation and sleep difficulties, risks that might be compounded by intense COVID-19 lockdowns and challenges. The aim of this study was to investigate how sleep quality related to emotion regulation difficulties in adolescents during lockdown in Perú. METHODS: Participants were 2563 adolescents enrolled in Innova school in Perú (11 - -17 years) in May 2020. Hypotheses were derived from exploring one half of the sample, preregistered at https://osf.io/fuetz/, and then confirmed in the second half of the sample. Participants completed subjective surveys of sleep quality (short PSQI) and the Difficulties in Emotion Regulation Scale Short Form (DERS-SF). RESULTS: Worse sleep quality was robustly associated with more difficulties in emotion regulation across both samples. The association was found particularly for emotion regulation subscales related to the ability to engage in goal directed behavior in the face of distress, emotional clarity and strategies to deal with feeling distressed. In contrast, there was no robust association between sleep and the ability to regulate impulses in the context of negative emotions, and no association with the ability to accept emotions. Girls and older adolescents robustly endorsed worse sleep quality and more difficulties in emotion regulation. LIMITATIONS: The cross-sectional nature of this study prevents us from determining the direction of the association. Data were collected using adolescent self-report which, while informative of adolescent perceptions, might diverge from objective measures of sleep or emotion regulation difficulties. CONCLUSIONS: Our findings with adolescents in Perú contribute to our understanding of the association between sleep and emotion regulation at a broader global scale.

The relationship between cognitive emotion regulation and corona disease anxiety in the elderly: The mediating role of distress tolerance

The spread of Coronavirus seems to be an important challenge for health care systems in Iran. Cognitive emotion regulation and distress tolerance are thought to be the variables that can have a significant impact on mental health and quality of life in the elderly during the outbreak of coronavirus. Consequently, this study aimed to investigate the mediating role of distress tolerance in the relationship between cognitive emotion regulation and Corona disease anxiety (CDA) in the elderly. The research method was correlational, of path analysis type. The statistical population included all the elderly living in Sanandaj, Iran in 2021, among whom 300 were selected using convenience sampling method. Data were collected using Alipour et al.'s CDA Scale, Garnefski & Kraaij's Cognitive Emotion Regulation Questionnaire, and Simons & Gaher's Distress Tolerance Questionnaire, and were analyzed using Pearson's correlation method and path analysis in Amos software. The results demonstrated that the model fits the research data. According to the results, the path of positive cognitive emotion regulation strategies to CDA was mediated by distress tolerance (beta = -0.17, P < 0.05) and the path of negative cognitive emotion regulation strategies to CDA was mediated by distress tolerance (beta = 0.25, P < 0.01) significantly. According to the results of the current research, it can be said that targeting the three components of positive and negative cognitive emotion regulation as well as distress tolerance in relation to treatments and psychological services can be effective for the elderly during the spread of coronavirus. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Anxiety in early adolescents during the Covid-19 pandemic: The role of intolerance of uncertainty and cognitive emotion regulation

Introduction: Anxiety is one of the most common psychological problems in children, with an increasing trend during the COVID-19 pandemic. This study examines the mediating role of intolerance of uncertainty and cognitive emotion-regulation strategies in the relationship between stress and anxiety symptoms of children and early adolescents during the COVID-19 pandemic. Methods: We conducted the study with 234 elementary school students (128 females) aged 11 to 15 years. The students completed the COVID-19 Stress Scale, Revised Child Anxiety and Depression Scale, Intolerance of Uncertainty Scale for Children, and the Cognitive Emotion Regulation Questionnaire. To determine whether stress affects anxiety symptoms both directly and indirectly through intolerance of uncertainty and cognitive emotion-regulation strategies, we performed a mediation analysis with gender as a covariate. Results: Our results confirmed cognitive emotion regulation and intolerance of uncertainty as important cognitive vulnerability factors for anxiety in children and adolescents. A stressful experience contributes directly to anxiety and indirectly through higher intolerance of uncertainty and less adaptive strategies. The results serve to further improve prevention and intervention programs for children and adolescents which focus on correcting maladaptive cognitive emotion-regulation strategies and increasing tolerance of uncertainty. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Online Contingent Attention Training (OCAT): transfer effects to cognitive biases, rumination, and anxiety symptoms from two proof-of-principle studies.

The aim of the present research was to develop and test the efficacy of a novel online contingent attention training (i.e., OCAT) to modify attention and interpretation biases, improve emotion regulation, and reduce emotional symptom levels in the face of major stressors. Two proof-of-principle studies were carried out. In study 1, 64 undergraduates who were about to start a major stressful period (i.e., final exams) were randomized to undergo 10 days of active OCAT or a sham-control training. Emotion regulation (habitual use of rumination and reappraisal) and symptom levels (depression and anxiety) were assessed before and after the intervention. In study 2, the same 2 × 2 mixed design was used with 58 individuals from the general population undergoing a major stressful situation (the lockdown period at the beginning of the COVID-19 pandemic in 2020). In both studies, the OCAT group showed significant improvements on attention towards negative information and interpretation biases in comparison to the sham-control group. Additionally, changes in cognitive biases transferred to reductions of participants' use of rumination and anxiety symptom levels. These results show preliminary evidence regarding the efficacy of the OCAT to target attention and interpretation biases as well as to improve emotion regulation processes and to buffer against the effects of major stressors.

COVID-19 pandemic: Does musicianship matter?

The COVID-19 pandemic negatively influenced mental health and the music industry. The present study examined the relationship of between personality traits and emotional regulation with emotional problems and compared this relationship across three groups of individuals living in Türkiye during the COVID-19 pandemic. The sample consisted of 542 participants (238 musicians, 97 artists excluding musicians, and 207 participants who engaged in no form of art). The Depression, Anxiety and Stress Scale (DASS-21), Difficulties in Emotion Regulation Scale-Brief Form (DERS-16), and Basic Personality Traits Inventory were used. Findings showed that difficulties in emotion regulation were positively associated with stress, depression, and anxiety in all groups. The pattern of the relationship between personality traits and outcome measures was similar across musicians and participants who engaged in no form of art, whereas that of difficulties in emotional regulation with personality traits was almost the same across the three groups. Except for the personality traits of extraversion and openness, group comparisons showed no differences across different measures. These findings suggest that difficulties in emotional regulation need to be a target for psychological interventions to reduce emotional problems for all three groups. Being a musician did not make any difference in terms of emotional regulation or the experience of psychological problems.

Design of an App Using the Technique of "Slow-Paced Breathing" for the Self-Regulation for Students During the Coronavirus Disease Pandemic. A Digital Stress-Regulation Program for Students in Grades 6-8

Theoretical background: More than two-thirds of adolescents were moderately to severely burdened during the COVID-19 pandemic and reported lower quality of life as well as increased stress. Inadaequately regulated emotion and negative stress are risk factors for the development of internalization and externalization problems. Students can use an internet-based app for stress regulation training based on slow-paced breathing. This technique is simple and inexpensive and can be used anywhere. Slow-paced breathing stabilizes, calms, and improves physical and mental well-being. This technique can be used in both primary and secondary prevention. Objective: This study is a pilot project intended to investigate the accessibility, acceptance, and effectiveness of an app with the technology of slow-paced breathing. Method: A multimodule app has been designed and developed that explains the technique of slow-paced breathing and guides the use and practice of this technique before or during stressful situations. An additional breathing app provides support. As part of a pilot project during the second wave of the COVID-19 pandemic, students in grades 6 - 8 tested the 4-week training. 31 students evaluated the entire app, and training with the technique of "slow-paced breathing " was evaluated by 7 students. Results: First results indicate that most users were satisfied with the app technology and other aspects, such as design and processing time. The contents of the different modules were rated well by the training group "slow-paced breathing. " On the other hand, the accessibility was considered low, and half of the students (n = 30) would prefer face-to-face stress regulation training in school. All results are presented descriptively. Discussion and conclusion: The revised app plus face-to-face modules for compliance and motivational incentives should be evaluated in a larger sample of teenage students.