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IRCT20210704051776N1 IRCT 2021-07-12 Islamic Azad University Comparing the Effectiveness of Acceptance and Commitment-Based Therapy (ACT) and Compassion-Focused Therapy and acceptance and commitment therapy enriched with compassion on Social Cohesion, Mental Well-being, and Improving Communication Patterns of Married Women with Depression and Marital Conflicts اثربخشی درمان پذیرش و تعهد با تمرکز بر شفقت Comparing the Effectiveness of Acceptance and Commitment-Based Therapy (ACT) and Compassion-Focused Therapy and acceptance and commitment therapy enriched with compassion on Social Cohesion, Mental Well-being, and Improving Communication Patterns of Married Women with Depression and Marital Conflicts 2021-02-03 anticipated 60 Complete https://irct.ir/trial/57279 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Based on the inclusion and exclusion criteria of the study and conducting a pre-test session, 60 women who are selected in the initial screening test, which includes clinical interview and completion of Beck Depression Inventory and Marital Conflict MCQ-Marital Confict Questionnaire, by purposive sampling method. Considering that the study groups have an equal sample size, we use the simple random allocation law, which is one of the limited randomization methods, and divide the individuals into 3 intervention groups and a control group.Participants will be assigned to the control group (without therapeutic intervention), acceptance and commitment therapy (ACT), compassion-focused therapy (CFT), and compassion-enriched acceptance and commitment therapy with the help of a random number table.In this way, a number is assigned to each individual and using the table of random numbers of each selected number, it is randomly assigned to one of the groups and this work continues until the end of the number of people in each group..Therefore, the researcher will not have the option to change the status of individuals or predict it. For concealment, the method of opaque sealed envelopes with random sequence is used.So randomization in three steps: 1- Creating a random sequence: This is a simple or limited randomization step based on a table of random numbers. 2- Hide random assignment which is done in the form of coded boxes with random sequence. 3- Execution of random assignment process: A: Identify the person who creates the random sequence B: The person who evaluates and registers the researchers in terms of entry and exit criteria C: The person who assigns the participants to the groups. N/A Condition 1: Social adjustment. Condition 2: Mental well-being. Condition 3: Communication patterns. Intervention 1: Acceptance and commitment therapy intervention group - Psychological-educational interventions include acceptance and commitment therapy techniques. The interventions will be performed in groups in 8 training sessions of 90 minutes once a week for the subjects of the experimental group . Experiments before the intervention, At the end of the intervention and 30 days after the intervention (in the follow-up stage), they will answer the Bell Form Adult Social Adjustment Questionnaires, Keys and Magyarmo Mental Well-Being Questionnaire and CPQ Communication Patterns. The content of the sessions will be as follows: Session 1: Introduction and acquintance - Pre-test Session 2: Analyzing members' issues and relationships - Examining their willingness to stay in the relationship and the amount of effort to improve the relationship - Discussion about experiences and ways of response (avoidance responses) - Difference in emotional pain and suffering - making creative frustration - Introducing the inevitable schema pain control as an issue - Identifying ineffective control strategies and its consequences. Session 3: Introducing acceptance and praying for peace- Performing (NAME) exercises .Session 4: Introducing layers of psychological fog and cognitive barriers and filling in the table of getting hooks into the mind outside the session. Session 5: Introducing the change of perspective of oneself as content towards oneself as context Session 6: Introducing the application of mindfulness technique in psychological flexibility - Performing conscious breathing exercise Session 7: Explaining the clarification of individual values in the field of marriage as a compass of life-Filling in the table of values the fieeld of marriage and examining and measuring appropriate behaviors to values. Session 8: Creating readiness for committed action and filling out the commitment form in the path of a worthwhile life - Post-test - Coordinating the date of fulfillment the questionnaire to follow up with clients. Intervention 2: The intervention group focused on compassion-psychological-educational interventions, including compassion-based treatment techniques. The interventions will be performed in groups in 8 training sessions of 90 minutes once a week for the subjects of the experimental group . Experiments before the intervention, end of the intervention And 30 days after the intervention (in the follow-up phase), they will answer the Bell Form Adult Social Adjustment Questionnaires, the Keys and Magyarmo Mental Well-Being Questionnaire, and the CPQ Communication Patterns. The content of the sessions will be as follows: Session 1: Introduction and acquaintance - Pre-test. Session 2: Definition and explanation of the mind and types of mind products - Identification of different shovels (ineffective methods of dealing with problems) of life. Session 3: Definition and interpretation of three emotional regulation systems (defense, motivation, security) and the characteristics of each system and the role of security system in psychological well-being. Session 4: Explain the concepts of pure and impure suffering and its relationship with emotion regulation systems and introduction Three brains (old, analytical and conscious) . Session 5: Explaining the characteristics of a compassionate person - Encouraging self-knowledge and examining one's personality as a compassionate person and cultivating and understanding that others also have flaws and problems (cultivating a sense of human commonalities) in the face of self-destructive feelings and shame - Performing mindful breathing practice . Session 6: Introducing the six skills of cultivating a compassionate mind. Session 7: Introducing kind behaviors that include 4 behaviors (1 - caressing, 2-giving opportunities, 3-structuring and 4-creating challenges). -Performing exercises of sensitivity to suffering and empathy and empathy with oneself and others -Compassionate notes for oneself and others and daily recording of real situations based on compassion and their performance in that situation.Session 8: Reviewing the issues raised in the previous sessions - Summarizing the sessions - Post-test - Coordinating the date of the questionnaire to follow up with clients. Intervention 3: Compassion-Enriched Acceptance and Commitment Treatment Psycho-educational interventions include compassion-enriched acceptance and commitment treatment techniques. The interventions will be performed in groups in 8 training sessions of 90 minutes once a week for the subjects of the experimental group The content of treatment sessions based on acceptance and commitment enriched with compassion was prepared by combining the content sessions of two approaches.. From the beginning of the intervention, the end of the intervention and 30 days after the intervention (in the follow-up stage), they will answer the Bell Form Adult Social Adjustment Questionnaire, Keys and Magyarmo Mental Well-Being Questionnaire and CPQ communication patterns. 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 Any publication of data or information obtained from patients should be based on informed consent.
public Abolfazl Bakhshipour
University St. - Islamic Azad University, Bojnourd Branch
Bojnourd Iran (Islamic Republic of) 9417697796 +98 58 3229 6383 Ab8boj@gmail.com Islamic Azad University scientific Dr Abolfazl Bakhshipour
University St. - Islamic Azad University, Bojnourd Branch
Bojnourd Iran (Islamic Republic of) 9417697796 +98 58 3229 6983 Ab8boj@gmail.com Islamic Azad University Iran (Islamic Republic of) Existence of marital conflicts (people who received a minimum score above the average in the Marital Conflict Questionnaire). Diagnosis of moderate depression based on structured interview based on DSM-V and Beck test Duration of marriage between 5-25 years - Age range 25-45 Minimum diploma education Personal consent to participate in the research The subject should not be treated with medication to reduce anxiety and depression. 25 years 45 years Female Initiate or continue attending psychological treatments other than acceptance, commitment, and compassion therapy from three months prior to participating in the study. Diagnosis of Borderline Personality Disorder - Bipolar Disorder - Psychosis or Mental Retardation Based on Structured Interview Addiction to any substance Existence of hospitalization history. Behavior Behavior Behavior Acceptance and commitment therapy intervention group - Psychological-educational interventions include acceptance and commitment therapy techniques. The interventions will be performed in groups in 8 training sessions of 90 minutes once a week for the subjects of the experimental group . Experiments before the intervention, At the end of the intervention and 30 days after the intervention (in the follow-up stage), they will answer the Bell Form Adult Social Adjustment Questionnaires, Keys and Magyarmo Mental Well-Being Questionnaire and CPQ Communication Patterns. The content of the sessions will be as follows: Session 1: Introduction and acquintance - Pre-test Session 2: Analyzing members' issues and relationships - Examining their willingness to stay in the relationship and the amount of effort to improve the relationship - Discussion about experiences and ways of response (avoidance responses) - Difference in emotional pain and suffering - making creative frustration - Introducing the inevitable schema pain control as an issue - Identifying ineffective control strategies and its consequences. Session 3: Introducing acceptance and praying for peace- Performing (NAME) exercises .Session 4: Introducing layers of psychological fog and cognitive barriers and filling in the table of getting hooks into the mind outside the session. Session 5: Introducing the change of perspective of oneself as content towards oneself as context Session 6: Introducing the application of mindfulness technique in psychological flexibility - Performing conscious breathing exercise Session 7: Explaining the clarification of individual values in the field of marriage as a compass of life-Filling in the table of values the fieeld of marriage and examining and measuring appropriate behaviors to values. Session 8: Creating readiness for committed action and filling out the commitment form in the path of a worthwhile life - Post-test - Coordinating the date of fulfillment the questionnaire to follow up with clients The intervention group focused on compassion-psychological-educational interventions, including compassion-based treatment techniques. The interventions will be performed in groups in 8 training sessions of 90 minutes once a week for the subjects of the experimental group . Experiments before the intervention, end of the intervention And 30 days after the intervention (in the follow-up phase), they will answer the Bell Form Adult Social Adjustment Questionnaires, the Keys and Magyarmo Mental Well-Being Questionnaire, and the CPQ Communication Patterns. The content of the sessions will be as follows: Session 1: Introduction and acquaintance - Pre-test. Session 2: Definition and explanation of the mind and types of mind products - Identification of different shovels (ineffective methods of dealing with problems) of life. Session 3: Definition and interpretation of three emotional regulation systems (defense, motivation, security) and the characteristics of each system and the role of security system in psychological well-being. Session 4: Explain the concepts of pure and impure suffering and its relationship with emotion regulation systems and introduction Three brains (old, analytical and conscious) . Session 5: Explaining the characteristics of a compassionate person - Encouraging self-knowledge and examining one's personality as a compassionate person and cultivating and understanding that others also have flaws and problems (cultivating a sense of human commonalities) in the face of self-destructive feelings and shame - Performing mindful breathing practice . Session 6: Introducing the six skills of cultivating a compassionate mind. Session 7: Introducing kind behaviors that include 4 behaviors (1 - caressing, 2-giving opportunities, 3-structuring and 4-creating challenges). -Performing exercises of sensitivity to suffering and empathy and empathy with oneself and others -Compassionate notes for oneself and others and daily recording of real situations based on compassion and their performance in that situation.Session 8: Reviewing the issues raised in the previous sessions - Summarizing the sessions - Post-test - Coordinating the date of the questionnaire to follow up with clients. Compassion-Enriched Acceptance and Commitment Treatment Psycho-educational interventions include compassion-enriched acceptance and commitment treatment techniques. The interventions will be performed in groups in 8 training sessions of 90 minutes once a week for the subjects of the experimental group The content of treatment sessions based on acceptance and commitment enriched with compassion was prepared by combining the content sessions of two approaches.. From the beginning of the intervention, the end of the intervention and 30 days after the intervention (in the follow-up stage), they will answer the Bell Form Adult Social Adjustment Questionnaire, Keys and Magyarmo Mental Well-Being Questionnaire and CPQ communication patterns. Social adjustment. Timepoint: The evaluation will be done in three rounds of pre-test-post-test-follow-up (one month after the end of the last session). Method of measurement: questionnaire. Mental well-being. Timepoint: The evaluation will be done in three rounds of pre-test-post-test-follow-up (one month after the end of the last session). Method of measurement: Keyes & Magyar-Mae Questionnaire. Communication patterns. Timepoint: The evaluation will be done in three rounds of pre-test-post-test-follow-up (one month after the end of the last session). Method of measurement: Communication Pattern Questionnaire. Islamic Azad University sorosh clinic Vice Chancellor for Research, Islamic Azad University, Bojnourd Branch Vice Chancellor for Research, Islamic Azad University, Bojnourd Branch Vice Chancellor for Research, Islamic Azad University, Bojnourd Branch Approved 2021-03-10 Islamic Azad University-Bojnourd Branch University St. - Islamic Azad University, Bojnourd Branch Boujnourd Razavi Khorasan Iran (Islamic Republic of)