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INTER-E KIDS

INTER-E (Kids) is a bCBT intervention (digital therapy application) for stress and emotion regulation for children.
Intervention

Summary

Mental disorders are becoming increasingly common not only worldwide, but also in Switzerland. Emotion regulation, or the ability to deal with short- and long-term negative feelings (emotions) such as frustration, anger, sadness, stress, and anxiety, plays an important role in the development and maintenance of mental disorders. The concept of emotion regulation involves the ability to recognize emotions in oneself and others and to interpret them correctly in the context of the situation.

The ability to endure short- and long-term stressful emotions, which can be described as emotional tolerance, plays a particularly important role in many mental disorders. These steps are a prerequisite for processes such as analyzing the reasons for emotions experienced in oneself or others. If emotions can be correctly recognized, named, and tolerated, analyzing their causes can provide clues as to how to deal with them in a meaningful way or how to actually regulate the emotions experienced.

With beneficial (functional) emotion regulation, psychological stress decreases over time if the person succeeds in using other beneficial strategies in addition to tolerating negative emotions in the short term, such as refraining from rash actions, comparing the emotions experienced with reality, and making a balanced assessment of the manageability of the situation. Research on depressive disorders, eating disorders, anxiety disorders, and attention deficit hyperactivity disorder, for example, has shown that the use of dysfunctional (unfavorable) emotion regulation strategies (such as not allowing or avoiding emotions, ruminating, or self-sabotage) increases psychological stress, which can contribute to the development and maintenance of psychological stress or mental disorders.

Intended Use

INTER-E supports experts in conducting training on how to deal with stressful emotions in order to either prevent mental disorders, prepare for disorder-specific treatment, or increase the effectiveness of disorder-specific treatment for conditions such as depressive disorders, eating disorders, or anxiety disorders.

Information for Practitioners

INTER-E supports experts in conducting training on how to deal with stressful emotions in order to either prevent mental disorders, prepare for disorder-specific treatment, or increase the effectiveness of disorder-specific treatment for conditions such as depressive disorders, eating disorders or anxiety disorders.

Key Data

Age group: from 8 years

Languages: German (Swiss), French (Swiss)

Duration: 6 - 12 weeks

Structure: 2 introductory session, 6 therapy sessions

Screeners: Pediatric Symptom Checklist (PSC) / Working Alliance Inventory (WAI-TECH-SF)

General Content Structure and Automations

Chapters: The intervention is designed as structured learning paths. Each session unlocks sequentially, guiding patients step by step through their therapeutic journey. Progress determines access — once a session is completed, the next becomes available, ensuring a clear and motivating rhythm.

Exercises: Linked exercises are automatically deployed as patients advance. These practical activities are tied directly to the session content, helping translate learning into daily practice and reinforcing progress between appointments.

Reminders: Integrated time-based reminders keep participants on track. Notifications can prompt users to continue sessions, complete exercises, or reflect on progress — supporting regular engagement without overwhelming the experience.

Together, these smart functions create a personalized, continuous flow that blends structure with flexibility — for therapy that truly stays in motion.

Chapters

Chapter 0.1: Introduction for parents

Chapter 0.2 Welcome to the introduction

Chapter 1: The circle of emotions

Chapter 2: Feeling emotions in the body

Chapter 3: Naming emotions, accepting them and enduring them

Chapter 4: Positive thoughts about yourself and taking care of yourself

Chapter 5: Stop the thoughts, do something else and say your feelings out loud

Chapter 6: Everything you have learned

Exercises

Exercise 1: The circle of emotions

Exercise 2: Feeling emotions in the body

Exercise 3: Naming emotions, accepting them, and enduring them

Exersice 4.1: Positive thoughts about yourself

Exercise 4.2: Taking care of yourself & fun activity – diary

Exersice 5.1: Stopping thoughts and doing something else

Exersice 5.2: Saying emotions out loud

Exercise 6: The Emotion Sun with all its tricks

Authors

Prof. Dr. phil. Simone Munsch — Researcher and psychotherapist, Professor of Clinical Psychology and Psychotherapy at the Department of Psychology, University of Fribourg, Switzerland.

Prof. Dr. phil. Nadine Messerli-Bürgy — Researcher and psychotherapist, Professor of Clinical Child and Adolescent Psychology at the Institute of Psychology, University of Lausanne, Switzerland.

Scientific References

Peter, C., Tuch, A. & Schuler, D. (2023). Psychische Gesundheit – Erhebung Herbst 2022. Wie geht es der Bevölkerung in der Schweiz? Sucht sie bei psychischen Problemen Hilfe? (Obsan Bereicht 03 / 2023). Neuchâtel: Schweizerisches Gesundheitsobservatorium.

Berking, M., Wupperman, P., Reichardt, A., Pejic, T., Dippel, A., & Znoj, H. (2008). Emotion-regulation skills as a treatment target in psychotherapy. Behaviour Research and Therapy, 46(11), 1230–1237. https://doi.org/10.1016/j.brat.2008.08.0058

Berking, M., Wupperman, P., Reichardt, A., Pejic, T., Dippel, A., & Znoj, H. (2008). Emotion-regulation skills as a treatment target in psychotherapy. Behaviour Research and Therapy, 46(11), 1230–1237. https://doi.org/10.1016/j.brat.2008.08.005

Berking, M., Ebert, D., Cuijpers, P., & Hofmann, S. G. (2013). Emotion regulation skills training enhances the efficacy of inpatient cognitive behavioral therapy for major depressive disorder: A randomized controlled trial. Psychotherapy and Psychosomatics, 82(4), 234–245. https://doi.org/10.1159/000348448

Munsch, S., Forrer, F., Naas, A., Müller, V., Rubo, M., Hannoun, F., & Mugellini, E. (2021). Correlates of interpersonal emotion regulation problems in loss of Control Eating (loc) in youth: Study protocol of the combined online and app based questionnaire, laboratory and randomized controlled online intervention I-beat trial. BMC Psychology, 9(1). https://doi.org/10.1186/s40359-021-00690-8

Herrero R, Vara MD, Miragall M, Botella C, García-Palacios A, Riper H, Kleiboer A, Baños RM. Working Alliance Inventory for Online Interventions-Short Form (WAI-TECH-SF): The Role of the Therapeutic Alliance between Patient and Online Program in Therapeutic Outcomes. Int J Environ Res Public Health. 2020 Aug 25;17(17):6169. doi: 10.3390/ijerph17176169. PMID: 32854381; PMCID: PMC7503297.

Murphy, J. M., Bergmann, P., Chiang, C., Sturner, R., Howard, B., Abel, M. R., & Jellinek, M. (2016). The PSC-17: Subscale Scores, Reliability, and Factor Structure in a New National Sample. Pediatrics, 138(3). https://doi.org/10.1542/peds.2016-0038

Copyright

© 2024 University of Fribourg / © 2024 University of Lausanne / © 2024 SwissDTx GmbH‍

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