The Effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) on Mindfulness, Attachment Styles and Well-Being in Women with Marital Conflict
1. Determining the effect of Intensive Short-Term Dynamic Psychotherapy (ISTDP) on Mindfulness, Attachment Styles and Psychological Well-Being in women with marital conflicts.
Design
A clinical trial with an experimental group and a control group, randomized by lottery with a sample size of 30 people
Settings and conduct
First, the research will explain to all women with marital discord who will inform the center in 1401 in Tehran. After getting their consent and recognizing the presence of marital conflict in women based on the marital conflict questionnaire of Kenzas et al. (1985) and clinical interview, as well as having other inputs and outputs of the research, 30 people were randomly selected and randomly divided into two groups. Trial. and control will be placed. The experimental group will undergo short-term psychodynamic intervention twice a week for 10 sessions of 1 hour, but intervention will be required in the control group and they will be placed on the waiting list.
Participants/Inclusion and exclusion criteria
Entry requirements: minimum score of the Kansas Marital Conflict Questionnaire; Having a marital conflict in the clinical interview; not having a divorce; Absence of death of loved ones. Conditions of non-entry: substance abuse; Having mental retardation
Intervention groups
Experimental group: two one-hour sessions per week for ten sessions based on Dovanlo's intensive short-term dynamic psychotherapy protocol (adjusted method) will be subjected to intervention.
Control group: no intervention will be done
Main outcome variables
Mindfulness, Attachment styles and Psychological well-being are dependent variables
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20220705055380N1
Registration date:2022-07-30, 1401/05/08
Registration timing:prospective
Last update:2022-07-30, 1401/05/08
Update count:0
Registration date
2022-07-30, 1401/05/08
Registrant information
Name
Mohammad reza Sarafraz
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 8802 6670
Email address
mohamadrsarafraz@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2022-08-06, 1401/05/15
Expected recruitment end date
2022-09-11, 1401/06/20
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The Effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) on Mindfulness, Attachment Styles and Well-Being in Women with Marital Conflict
Public title
Investigating the Effect of Short-Term Dynamic Psychotherapy (ISTDP) on Mindfulness, attachment Styles and Psychological Wellbeing
Purpose
Supportive
Inclusion/Exclusion criteria
Inclusion criteria:
All married women with marital conflict
Having a minimum score of the Kansas Marital Conflict Questionnaire.
Confirmation of marital conflict in clinical interview.
Absence of acute and chronic diseases.
Absence of a divorce in one year before and during the implementation of the research.
Absence of death of closed relative in the past 6 months or during the implementation of the research.
Exclusion criteria:
Having substance abuse
Having mental retardation
Age
No age limit
Gender
Female
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
30
Randomization (investigator's opinion)
Randomized
Randomization description
Each of the people in the sample will be assigned a special number, then we will write each of the numbers on a small piece of paper and fold them and put them in a container and mix them, then tear the papers one by one and divide them into intervention groups. and control group
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Research ethics committee of Islamic Azad University, Semnan branch
Street address
Sharak Daneshgahi Islamic Azad University Semnan Branch
City
Semnan
Province
Semnan
Postal code
3513137111
Approval date
2022-05-24, 1401/03/03
Ethics committee reference number
IR.IAU.SEMNAN.REC.1401.006
Health conditions studied
1
Description of health condition studied
Women with marital conflict
ICD-10 code
ICD-10 code description
Primary outcomes
1
Description
Mindfulness, the score obtained from the Freiburg Mindfulness Questionnaire.
Timepoint
Measurement periods at the beginning of the study and before the intervention and one week after the intervention
Method of measurement
Freiburg measuring scale
2
Description
Attachment styles: the score obtained from Hazen and Shaver's attachment questionnaire
Timepoint
Measurement periods at the beginning of the study and before the intervention and one week after the intervention
Method of measurement
Hazen and Shaver measurement scale
3
Description
Psychological well-being: score obtained from RIF questionnaire
Timepoint
Measurement periods at the beginning of the study and before the intervention and one week after the intervention
Method of measurement
Reef measurement scale
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: In this research, Davanlo's intensive and short-term psychodynamic psychotherapy (adjusted method) is used, and the treatment method is as follows. Treatment process: The first treatment session lasts between one and a half to 3 hours, and after that the sessions are weekly and one hour long. This treatment can be divided into seven distinct stages, each of which is explained. First stage: In this stage, we start from the nature of the patient's problem and ask for an explanation of a specific and objective example of his problem. In the process of questioning the patient's problems, it is emphasized on providing personal, objective and specific explanations that give clarity to the patient's speech. At this stage, the patient's emotional tolerance capacity is actually evaluated. Patients enter the treatment with 4 different states: 1- emotional activation 2- anxiety activation 3- defense activation 4- without any of the mentioned symptoms .We continue questioning the patient until the signal is activated (defense, anxiety or emotion). If the patient comes in with anxiety, we will adjust the anxiety, if he comes in with defense, we will clarify and challenge him with defense, and if he comes in with a feeling, we will help him to fully experience that feeling on three levels, cognitive, physical and with impulse, and if none of these We will continue the questioning without being active. The second stage: pressure for more objective answers and experience of feeling, in this stage, the main defense systems are gradually activated in the patient. The therapist asks the patient for specific and objective answers. The patient is asked to give an example of the events that caused problems for him. An attempt is made to direct the interview to anxiety-provoking issues. Third step: identifying, clarifying and challenging the defenses. The therapist at this stage through pressure enters the stage of defense analysis and verification, since the purpose of this method is to create experience for experience at the highest level, all defenses against the experience of emotion are identified and challenged to be neutralized. . At this stage, the therapist pays attention to the types of defenses that are active in clients, events that caused problems for him. An attempt is made to direct the interview to anxiety-provoking issues. If the client uses tactical and non-verbal defenses such as lack of eye contact, involuntary laughter, reasoning, etc., the therapist tries to make these defenses clear and specific. This point is checked whether the client is aware of such defensive behaviors or can he simply become aware? Attention should be paid to the patient's ability to understand his defenses to avoid emotions. In patients with low ability, defenses in all dimensions of life are identified and clarified by performing appropriate interventions. The fourth stage: transference resistance In the fourth stage, the therapist watches the transference symptoms, which are mostly non-verbal. Signs that may be used to defend one's anger, such as clenching fists, clinging to the chair, tension and cramping, sighing, etc. When the therapist feels that the tension has increased to a suitable level, he directs the interview to focus on the transference. And in this process, he directs the patient's attention to the non-verbal signs that he shows. . The characteristics of this intervention are: targeting the therapeutic contract and mobilizing it against resistance, emphasis on transference resistance, special emphasis on clients' refusal to get emotionally close to the therapist and not allowing the therapist to enter their private world. The fifth stage: direct access to the unconscious in the fifth stage, focusing on defenses, identifying and clarifying and challenging them leads to the movement of intense and complex transference emotions in the patient. The pressure and challenge continues until the unconscious shows signs that emotions and impulses are approaching the surface. When the patient is able to express his feeling to the therapist, he is asked to describe his inner experience of that feeling. All three components of an emotion must be experienced for full penetration and real touching of emotions. Transference emotions are usually complex. Anger is the first layer of transitional emotions, followed by guilt and grief. But instead of the first anger, it may be a feeling of sadness and regret. The sixth stage: Systematic analysis of the transition, the result of the intrapsychic crisis is a major reduction in tension and a significant change within the patient, followed by the predominance of the therapeutic contract. Transference feelings lead to the opening of the patient's repressed memories and feelings either spontaneously or by asking the therapist. As a result, it becomes possible to explore areas outside of transmission. Seventh stage: dynamic exploration of the unconscious In the seventh stage, due to the dominance of the therapeutic contract, traumatic events that cause anxiety and unconscious feelings of anger, sadness and guilt are revealed and experienced. The therapist helps the person gain insight into them. After the systematic analysis of the transference and the triangle of conflict and person, the therapist explores the current and past relationships of the patient, and in this direction, the conflict structure and the core of the patient's disorder are clarified. Facing painful emotions may provoke some resistance, but resistance can be easily overcome with a little push and challenge. The therapist's effort is to bring the patient's most painful feelings to the surface and enable him to experience them directly. The second session to the tenth session continues according to the protocol that was explained in the first session and according to the conflict triangle and the person triangle and the follow-up of other referral problems.
Category
Other
2
Description
Control group: Control group: no intervention is done for the control group. Before the intervention, a pre-test was taken from the control group and they were put on the waiting list. At the end of the intervention, they will be given a post-test and the results will be analyzed.
Category
Other
Recruitment centers
1
Recruitment center
Name of recruitment center
Agah
Full name of responsible person
Dr Mehdi Reza Sarafraz
Street address
No 4, Khageh Abdolah Ansari Ave
City
Tehran
Province
Tehran
Postal code
1661687385
Phone
+98 21 8802 6670
Email
mohamadrsarafraz@gmail.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Islamic Azad University
Full name of responsible person
Hengameh Bydokty
Street address
Sharak Daneshgahi islamic Azad University of Semnan
City
Semnan
Province
Semnan
Postal code
3513137111
Phone
+98 23 3365 4040
Email
akram4453@yahoo.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?