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Comparison of the effectiveness of acceptance and commitment therapy and schema therapy on anxiety, cognitive avoidance, resiliency and empathy in married adolescents referred to counseling centers

Protocol summary

Study aim
Comparing the effectiveness of treatment based on acceptance and commitment and schema therapy on anxiety, cognitive avoidance, action flexibility and empathy of married people referring to counseling centers.
Design
The design of the present study is a randomized experimental design in which 3 groups including 2 experimental groups and a control group will used. This plan is of pre-test-post-test-two-group follow-up with control group. 45 people will randomly assigned to three groups (15 people in each group). After assigning individuals to three groups (experimental 1, experimental 2 and control), acceptance and commitment therapy and schema therapy will applied separately to the two experimental groups.
Settings and conduct
The researcher will refer to specialized counseling and psychology clinics and after reviewing, 45 eligible people will be divided into three groups (experimental 1, experimental 2 and control) on 2 experimental groups, ACT and schema therapy Will be applied separately.
Participants/Inclusion and exclusion criteria
Having low marital adjustment, minimum diploma education, more than 1 year of marriage, being 25-25 years old, no Occurrence of stressful events such as divorce and death and not using other treatment methods at the same.
Intervention groups
people will be randomly assigned to 3 groups (2 experimental groups and 1 control group) (for the 2 experimental groups, acceptance and commitment therapy interventions and schema therapy will be performed) and no intervention will be performed on the control group. Members of all 3 assessment groups will be tested in the pre-test, post-test and follow-up stages.
Main outcome variables
The research results can be a good theoretical and practical basis for marital problems, communication patterns, pre- and post-marital education in order to prevent marital conflicts in various educational and medical institutions.

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20200707048042N1
Registration date: 2020-10-12, 1399/07/21
Registration timing: retrospective

Last update: 2020-10-12, 1399/07/21
Update count: 0
Registration date
2020-10-12, 1399/07/21
Registrant information
Name
Shabnam Mohamadian
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 61 3227 4147
Email address
aseman37@yahoo.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2019-12-22, 1398/10/01
Expected recruitment end date
2020-03-19, 1398/12/29
Actual recruitment start date
2019-12-22, 1398/10/01
Actual recruitment end date
2020-06-20, 1399/03/31
Trial completion date
2020-12-21, 1399/10/01
Scientific title
Comparison of the effectiveness of acceptance and commitment therapy and schema therapy on anxiety, cognitive avoidance, resiliency and empathy in married adolescents referred to counseling centers
Public title
Comparison of the effectiveness of acceptance and commitment therapy and schema therapy on anxiety, cognitive avoidance, resiliency and empathy in married adolescents referred to counseling centers
Purpose
Education/Guidance
Inclusion/Exclusion criteria
Inclusion criteria:
Having low marital compatibility (Getting a score lower than the cut-off point in the marital adjustment test) Minimum diploma education Passing More than a year from marriage Having an age of 45-25 years Signing the consent to participate in the research
Exclusion criteria:
The absence of stressful events such as divorce and the death of relatives or close friends in the last three months Do not use other therapies at the same time
Age
From 25 years old to 45 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size: 45
Actual sample size reached: 45
Randomization (investigator's opinion)
Randomized
Randomization description
The selection process was such that before starting treatment, the researcher referred to specialized counseling and psychology clinics in Ahvaz and informed the authorities about the research process and while justifying them, the center officials were asked to refer people with low marital adjustment to Refer the researcher. In the interview, low marital adjustment and high interpersonal problems were considered as the main complaints to refer to the counseling center. After the necessary studies, 45 people were identified as eligible to participate in the study, who after necessary coordination with them, were randomly assigned to three groups (15 people in each group). After assigning individuals to three groups (experimental 1, experimental 2 and control), acceptance and commitment therapy and schema therapy were applied separately to the two experimental groups.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Factorial
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Ahvaz Azad University
Street address
No. 25, Foolad shahr 5 Ave. Sad dastgah Blvd. Bahonarr
City
Ahvaz
Province
Khouzestan
Postal code
6176843437
Approval date
2020-05-09, 1399/02/20
Ethics committee reference number
1399.019

Health conditions studied

1

Description of health condition studied
Anxiety, cognitive avoidance, marital conflict
ICD-10 code
ICD-10 code description

Primary outcomes

1

Description
Anxiety in this study is a score that a person will get from 10 questions related to the dimension of anxiety in the revised list of psychological symptoms R-90SCL prepared by Dragotis, Lippmann and Covey (1973). Brought.
Timepoint
Measurements will performed at the beginning of the study and 70 days after the interventions and 45 days after the follow-up test.
Method of measurement
The Anxiety Dimension in the Symptom Checklist 90- Revised by Dragottis, Lippmann, and Cowie (1973)

2

Description
Cognitive avoidance will be calculated based on the score that the subject obtains from the 25-item Cognitive Avoidance Questionnaire of Sexton and Dougas (2008). A high score in this questionnaire means more use of cognitive avoidance.
Timepoint
Measurements will performed at the beginning of the study and 70 days after the interventions and 45 days after the follow-up test.
Method of measurement
Sexton and Dogas Cognitive Avoidance Questionnaire 25 Questionnaire (2008)

3

Description
Action flexibility is the score that a person will obtain on the scale of action flexibility of Klahenn (1996, translated by Alirezaei, 1389).
Timepoint
Measurements will be made at the beginning of the study and 70 days after the interventions and 45 days after the follow-up test.
Method of measurement
Kolahnen Action Flexibility Scale (1996, translated by Alirezaei, 2010)

4

Description
It is a score will obtained from the Batson Empathy Traits Scale (BEA) on an 8-item scale (Batson, Equine, Voltz, Vanderplas, & Eisen, 1983).
Timepoint
Measurements will performed at the beginning of the study and 70 days after the interventions and 45 days after the follow-up test.
Method of measurement
Batson Empathy Adjectives (BEA) scale

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: Acceptance and Commitment Therapy is a 90-minute, 8-minute treatment will be designed twice a week based on the ACT Handbook of Afert and Forsythe (2005); And will be presented to the experimental group (Patterson and Efert, 2011).
Category
Lifestyle

2

Description
Intervention group:schema therapy: In this research, a set of activities and methods are considered that the researcher will use based on schema therapy (Yang et al., 2004; translated by Hamidpour and Anduz, 1394) in 10 90-minute sessions (one session per week); The most important of these methods are identifying early maladaptive schemas, identifying coping and child mindsets and replacing them with healthy adult mindsets, and identifying areas, processes, behaviors, and coping styles, and the like. Action flexibility has found a special place in the fields of developmental psychology, family psychology and mental health. Flexibility is an action of the basic constructs of personality that includes individual abilities in facing, retreating and resuming efforts and dealing with problems. Therefore, from a theoretical and practical point of view, it affects a person's self-efficacy. (Naderi, Heidari and Mashalpo ur, 2010). Considering the role that empathy can play in marital satisfaction (Naderi et al., 2016) and the role of schema therapy and treatment based on acceptance and commitment in its creation (Carson, 2004), the present study is important from several perspectives. On the other hand, most studies on cognitive avoidance have examined this component with behavioral and psychological problems. All of these studies have supported the role of cognitive avoidance as an influential variable in the incidence of mental illness and reduced quality of life. The effect of therapeutic methods on its improvement was discussed (Kashden, Bern, Ifram and Tehr, 2010, Atai, Fati, Ahmadi, 2012). Considering the above, the necessity of conducting this research in order to reduce anxiety and cognitive avoidance, and increase action flexibility and empathy has been felt more in couples. Of course, in this regard, different perspectives have been presented by presenting a therapeutic model; However, with studies conducted in Iran, no research has been conducted directly to compare the effectiveness of schema therapy and therapy based on acceptance and commitment in reducing anxiety and cognitive avoidance and increasing action flexibility and empathy in couples. Therefore, comparing the effectiveness of these therapies on reducing anxiety and cognitive avoidance, and increasing action flexibility and empathy in couples was necessary.
Category
Lifestyle

3

Description
Control group: Does not receive any intervention
Category
Lifestyle

Recruitment centers

1

Recruitment center
Name of recruitment center
Aramesh center
Full name of responsible person
Heidari Akbar
Street address
Deputy of Support of the Disciplinary Commannext to the Central Radio and Television of Khuzestan, Golstan Blvd.d of Khuzestan Province,
City
Ahvaz
Province
Khouzestan
Postal code
ندارد
Phone
+98 61 3373 7023
Email
siamak711@yahoo.com

2

Recruitment center
Name of recruitment center
Mehr o mah center
Full name of responsible person
Ansari asl Mohammad
Street address
Unit 2, First floor, Apt Kian, Between 20 &21 East Ave, Kian Abad Blvd.
City
Ahvaz
Province
Khouzestan
Postal code
6155759719
Phone
+98 61 3337 7515
Email
Mohammadansariasl@gmail.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Islamic Azad University
Full name of responsible person
Dr. Asgari Parviz
Street address
No. 25,Foolad Shahr 5 Ave, Sad dastgah Blve; Bahonar
City
Ahvaz
Province
Khouzestan
Postal code
6176843437
Phone
+98 61 3227 4147
Email
aseman37@yahoo.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Islamic Azad University
Proportion provided by this source
1
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Islamic Azad University
Full name of responsible person
Mohamadian Shabnam
Position
Student
Latest degree
Ph.D.
Other areas of specialty/work
Psychology
Street address
No. 25, Foolad shahr 5 Ave. Sad dastgah Blvd. Bahonar
City
Ahvaz
Province
Khouzestan
Postal code
6176843437
Phone
+98 61 3227 4147
Email
aseman37@yahoo.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Islamic Azad University
Full name of responsible person
Mohamadian Shabnam
Position
Student
Latest degree
Ph.D.
Other areas of specialty/work
Psychology
Street address
No. 25, Foolad shahr 5 Ave. Sad dastgah Blvd. Bahonar
City
Ahvaz
Province
Khouzestan
Postal code
6176843437
Phone
+98 61 3227 4147
Email
aseman37@yahoo.com

Person responsible for updating data

Contact
Name of organization / entity
Islamic Azad University
Full name of responsible person
Mohamadian Shabnam
Position
Student
Latest degree
Ph.D.
Other areas of specialty/work
Psychology
Street address
No. 25, Foolad shahr 5 Ave. Sad dastgah Blvd. Bahonar
City
Ahvaz
Province
Khouzestan
Postal code
6176843437
Phone
+98 61 3227 4147
Email
Askary47@yahoo.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Not applicable
Data Dictionary
Not applicable
Title and more details about the data/document
Part of the data, such as information about the main outcome or the like, can be shared.
When the data will become available and for how long
Access period starts 6 months after the results are published.
To whom data/document is available
It will be available to researchers working in academic and scientific institutions, as well as to those working in industry.
Under which criteria data/document could be used
Scientific and research requests
From where data/document is obtainable
aseman37@yahoo.com 09163048475 Mohamadian Shabnam
What processes are involved for a request to access data/document
When the applicant's request is sent to me, I try to send it to them as soon as possible.
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