The effectiveness of acceptance and commitment therapy on death anxiety and psychological health in the range of 55-70 in Zanjan: A preventive research
Determining the effectiveness of acceptance and commitment therapy on improving psychological health and reducing death anxiety in the elderly
Design
A randomized, randomized controlled clinical trial on 60 patients.
Settings and conduct
After receiving the code of ethics from the ethics committee of Zanjan University of Medical Sciences, the sample people are selected based on the entry and exit criteria, and then after the initial interview according to SCID and declaring their willingness to participate in the meetings, explanations about the research will be given to them. will be given and written consent will be obtained from them and they will be assured that participation in the study is voluntary and the participants can leave the study at any time.
Participants/Inclusion and exclusion criteria
Admission to the study, Willingness to participate in research
Age between 55 and 70 years
Absence of acute and chronic mental illnesses
Not suffering from chronic physical diseases, including types of cancer and other acute physical problems. Absence, Absence of more than two sessions
Intervention groups
Intervention group: ten 90-minute group therapy sessions based on acceptance and commitment will be implemented based on Steven Hayes's theory presented in the book. Therapy Based on Acceptance and commitment Presentation. Control group: no treatment
Main outcome variables
Death anxiety, Psychological health
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20211223053494N3
Registration date:2023-01-27, 1401/11/07
Registration timing:prospective
Last update:2023-01-27, 1401/11/07
Update count:0
Registration date
2023-01-27, 1401/11/07
Registrant information
Name
Jafar Sarani yaztappeh
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 17 1334 1894
Email address
sarani.jafar@yahoo.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-03-16, 1401/12/25
Expected recruitment end date
2023-06-15, 1402/03/25
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effectiveness of acceptance and commitment therapy on death anxiety and psychological health in the range of 55-70 in Zanjan: A preventive research
Public title
The effectiveness of acceptance and commitment therapy on death anxiety and psychological health in the range of 55-70: A preventive research
Purpose
Prevention
Inclusion/Exclusion criteria
Inclusion criteria:
Willingness to participate in research
Age between 55 and 70 years
Absence of acute and chronic mental illnesses
Not receiving psychiatric drugs
Not receiving psychological treatments in the last year
Absence of substance abuse disorders
Not suffering from chronic physical diseases, including types of cancer and other acute physical problems
Exclusion criteria:
Absence of more than two sessions
Reluctance to continue treatment sessions
Age
From 55 years old to 70 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
60
Randomization (investigator's opinion)
Randomized
Randomization description
Randomization will be simple randomization. The randomization unit is individual. Through the table of random numbers, which are produced without any particular pattern and order and are completely random and are made into a table, the names of the participants will be collected as a set of numbers and the numbers will be used to categorize different groups.
Even numbers are in the intervention group and odd numbers are in the 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 Committees of Zanjan University of Medical Sciences
Street address
Department of Clinical Psychology, Shahid Beheshti Hospital, Ark Square, Zanjan, Iran
City
Zanjan
Province
Zanjan
Postal code
1452488552
Approval date
2023-01-17, 1401/10/27
Ethics committee reference number
IR.ZUMS.REC.1401.311
Health conditions studied
1
Description of health condition studied
death anxiety and psychological health
ICD-10 code
F54
ICD-10 code description
Psychological and behavioral factors associated with disorders or diseases classified elsewhere
Primary outcomes
1
Description
Death anxiety score in Templer's death anxiety questionnaire
Timepoint
At the beginning of the study (before the intervention), after the intervention and 1month after the intervention
Method of measurement
Templer Death Anxiety Questionnaire
2
Description
The score of morbid symptoms in the morbid symptom checklist questionnaire (SCL-90-R) by Derogatis and Cleary
Timepoint
At the beginning of the study (before the intervention), after the intervention and 1month after the intervention
Method of measurement
The Symptom Checklist-90-R (SCL-90-R)
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: includes all the elderly of Zanjan city who receive acceptance and commitment therapy as a group according to the protocol in ten 90-minute weekly sessions. This therapy was designed by Steven Hayes and colleagues and was written in Iran in the form of a book entitled "Acceptance and Commitment Therapy " by Izadi and Abedi. The content of the first session: getting to know the group members and their expectations, determining the group policy, establishing a relationship with the members, distributing research questionnaires, briefly explaining the treatment method, using mindfulness exercises and presenting assignments (checking control strategies). Content of the second session: review of the assignment of the previous session, exercise of creative frustration, exercise of body scan meditation, and presentation of homework (body scan at home). Content of the third session: review of the previous session, breathing exercise, introduction of the life course model, self-disclosure exercise, paying attention to the present moment without judgment, presenting homework. The content of the fourth session: reviewing the assignments of the previous session, practicing acceptance of problems, teaching the use of desire instead of control by presenting the metaphor of the bus and the metaphor of the beggar, practicing mindfulness with breathing and presenting the assignment. Content of the fifth session: review of the previous session along with homework, training to observe the passing of thoughts, training to solve thinking reminder cards, group practice of breaking thoughts and presenting homework. Content of the sixth session: review of the previous session with assignments, life map training, using the chess metaphor in order to understand oneself as a context, presentation of the assignment. Content of the 7th session: Homework review, teaching to use values as a substitute for control, teaching joint commitment, presenting homework. The content of the eighth session: review of the previous session, teaching the concept of values and goals and the difference between them, presenting the values and goals form to the participants, at the end of presenting the task (ranking of values). Content of the 9th session: reviewing the past session and assignments, teaching the effects of paying attention to the past and future instead of choosing the present, teaching concentration exercises, reviewing the value rating assignments, summarizing the meeting and presenting homework (practical actions to achieve values). Content of the 10th session: review homework, review drawing a path to pursue values and the future, identify dangerous situations in the future, sum up the sessions, and do the post-test.
Category
Prevention
2
Description
Control group: No Treatment
Category
N/A
Recruitment centers
1
Recruitment center
Name of recruitment center
Shahid Beheshti Hospital
Full name of responsible person
Seyedeh Elnaz Mousavi
Street address
Ark Square, Shahid Beheshti Hospital, Department of Clinical Psychology, Zanjan, Iran
City
Znajan
Province
Zanjan
Postal code
1456287358
Phone
+98 24 3353 4500
Email
Dr.Emousavi@zums.ac.ir
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Zanjan University of Medical Sciences
Full name of responsible person
Dr Alireza Shoghli
Street address
Ark Square, Shahid Beheshti Hospital, Department of Clinical Psychology, Zanjan, Iran
City
Zanjan
Province
Zanjan
Postal code
1445868971
Phone
+98 24 3353 4500
Email
Dr.Emousavi@zums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Zanjan University of Medical Sciences
Proportion provided by this source
100
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
Zanjan University of Medical Sciences
Full name of responsible person
Seyedeh Elnaz Mousavi
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Psychology
Street address
Ark Square, Shahid Beheshti Hospital, Department of Clinical Psychology, Zanjan, Iran
City
Zanjan
Province
Zanjan
Postal code
1452687818
Phone
+98 24 3353 4500
Email
Dr.Emousavi@zums.ac.ir
Person responsible for scientific inquiries
Contact
Name of organization / entity
Zanjan University of Medical Sciences
Full name of responsible person
Seyedeh Elnaz Mousavi
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Psychology
Street address
Ark Square, Shahid Beheshti Hospital, Department of Clinical Psychology, Zanjan, Iran