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IRCT20200707048042N1 IRCT 2020-10-12 Islamic Azad University 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 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 2019-12-22 anticipated 45 Complete https://irct.ir/trial/49970 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Factorial, Purpose: Education/Guidance, 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. N/A Anxiety, cognitive avoidance, marital conflict. Intervention 1: 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). Intervention 2: 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. Intervention 3: Control group: Does not receive any intervention. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information.
public Mohamadian Shabnam
No. 25, Foolad shahr 5 Ave. Sad dastgah Blvd. Bahonar
Ahvaz Iran (Islamic Republic of) 6176843437 +98 61 3227 4147 aseman37@yahoo.com Islamic Azad University scientific Mohamadian Shabnam
No. 25, Foolad shahr 5 Ave. Sad dastgah Blvd. Bahonar
Ahvaz Iran (Islamic Republic of) 6176843437 +98 61 3227 4147 aseman37@yahoo.com Islamic Azad University Iran (Islamic Republic of) Iran (Islamic Republic of) 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 25 years 45 years Both 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 Lifestyle Lifestyle Lifestyle 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). 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. Control group: Does not receive any intervention 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). 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). 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). 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. Islamic Azad University Approved 2020-05-09 Ethics Committee of Ahvaz Azad University No. 25, Foolad shahr 5 Ave. Sad dastgah Blvd. Bahonarr Ahvaz Khouzestan Iran (Islamic Republic of)