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IRCT20170719035180N4 IRCT 2023-03-29 Islamic Azad University Effectiveness of mindfulness intervention on patients with bipolar disorder Comparing the effectiveness of smartphone-based mindfulness intervention, face-to-face and combined, on sleep disorders, suicidal thoughts, psychological flexibility, fusion of thought and action, and intensity of manic and mixed phases in patients with bipolar disorder. 2023-04-03 anticipated 60 Complete https://irct.ir/trial/69087 interventional Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance. N/A Bipolar Disorder. Intervention 1: Intervention group: face-to-face intervention of mindfulness: first introduction and familiarization and explanation of the concept of automatic guidance: introduction of the program and a brief description of 8 sessions, familiarization of the group members with each other and the consultant, determination of group goals and rules, familiarization with the concepts of mindfulness training and the need for training Mindfulness, explanation about automatic guidance and raisin eating meditation, and then for 30 minutes, body check meditation and conscious breathing, assignment. Second, facing obstacles: reviewing the tasks of the previous session (doing body check meditation and discussing this experience), practice obstacles and Mindfulness program solutions for it and breathing mindfulness meditation practice, discussing the difference between thoughts and feelings, doing sitting meditationAssignment. Third, awareness of breathing or conscious breathing: practicing seeing and hearing, sitting meditation and breathing with attention to bodily senses, discussing homework, three-minute breathing space practice, doing yoga exercises, assignment. Fourth, staying in the present. : Sitting meditation with attention to breathing, body sounds and thoughts (which is also called four-dimensional sitting meditation). Teaching how to stay in the present, assigning assignments. Fifth, permission/permission to attend (accepting thoughts and feelings): reviewing the assignment of the previous session, explaining the concept of acceptance, doing sitting meditation (awareness and presence of the mind from breathing, sounds, thoughts and feelings), presenting and performing yoga movements,Assignment. Sixth, thoughts are not facts: practice of three-minute breathing space, discussion of homework in pairs, presentation of an exercise entitled "creating thoughts, separate views" with this theme: the content of thoughts are mostly not real, use of poetry and metaphor and Its connection with the quality of mindfulness, assignment. Seventh, how can I take care of myself in the best way? Sitting meditation and awareness of everything that comes into awareness in the moment. Presenting an exercise for making a list of pleasant and unpleasant life events, experiencing awareness and non-judgmental (non-selective) acceptance, assignment. 8. Acceptance and change (using what you have learned so far): body check meditation, three-minute breathing space exercise, discussion of Methods of coping with obstaclesMeditation, getting feedback from the participants and taking the post-test, preparing for the end of the sessions and the end of the intervention. Intervention 2: Intervention group: Mindfulness based on a smart phone. 1st body scan in 5 minutes, restful sleep on the first day, self-love training. 2nd body scan in 10 minutes, restful sleep on the second day, letting go of comparison and perfectionism. 3rd body scan in 20 minutes, restful sleep on the day Third, getting rid of stress and fear. Fourth, body scan in 30 minutes, easy sleep on the fourth day, self-acceptance and challenging the main beliefs. Fifth, easy sleep on the fifth day, source of inner happiness, correct breathing training, breathing according to the time of exhalation. Exhalation and breath holding, (simple breathing exercise for relief) 6th day, restful sleep, sixth day, order and law in relationships, breathing according to the time of inhalation, exhalation and breath holding (attention breathing exercise), 7th day, restful sleep, balance, breathing according to time Inhale, exhale and hold your breath (square breathing exercise)8th day, comfortable sleep, empathy, breathing according to the time of inhalation, exhalation and breath holding (heart breathing exercise). Intervention 3: Intervention group: Combining the intervention of face-to-face mindfulness training and training through the first training application of the meditation technique with the sound of fire. Automatic guidance and meditation of eating raisins. 2. Teaching meditation technique with the sound of the forest. Practicing seeing and hearing. The third training of meditation technique with the sound of rain. Sitting meditation, teaching how to stay in the present moment. Fourth, teaching the technique of meditation with the sound of flight. The use of poetry and metaphor and its relationship with the quality of mindfulness.Fifth, correct breathing training, breathing based on the time of inhalation, exhalation and breath holding, (simple breathing exercise for relief). Preparation of a list of pleasant and unpleasant events in life. Sixth breathing based on the time of inhaling, exhaling and holding the breath (attention breathing exercise). Experience awareness and acceptance without judgment (non-selective). 7th breathing based on the time of inhaling, exhaling and holding the breath (square breathing exercise). Methods of dealing with the obstacles of doing meditation. Eighth breathing based on the time of inhaling, exhaling and holding the breath (heart breathing exercise). Summarizing the content and conducting the post-exam. Intervention 4: Control group: no intervention. Yes - There is a plan to make this available What will be shared: after de-identification ,All data is shared. When: Access starts after the articles are published To whom: Psychology students and researchers Conditions: En The results of the research are done without sending the statistics, if the statistics are requested, they will cooperate according to the needs of the researcher. Where to obtain: mzamani.zahra@gmail.com How to obtain: En A request for documentation is made and the documentation is provided to the researcher within a week Comments:
public Seyed Mosa Tabatabaee
Semnan University, Psychology and Educational sciences Faculty
Semnan Iran (Islamic Republic of) 3519956549 +98 23 3342 2765 s.mosatabatabaee@semnan.ac.ir Semnan University scientific Seyed Mosa Tabatabaee
Semnan University, Psychology and Educational sciences Faculty
Semnan Iran (Islamic Republic of) 3519956549 +98 23 3342 2765 s.mosatabatabaee@semnan.ac.ir Semnan University Iran (Islamic Republic of) Diagnosis of bipolar disorder according to the opinion of a psychiatrist. At least a diploma education. At least 6 months have passed since the diagnosis of the disease. Not receiving electronic shock. Not pregnant. Not receiving other psychological interventions during the intervention. Access to a smart mobile phone. 15 years 50 years Both Unwillingness to participate in research. F31 Bipolar disorder Treatment - Other Treatment - Other Treatment - Other N/A Intervention group: face-to-face intervention of mindfulness: first introduction and familiarization and explanation of the concept of automatic guidance: introduction of the program and a brief description of 8 sessions, familiarization of the group members with each other and the consultant, determination of group goals and rules, familiarization with the concepts of mindfulness training and the need for training Mindfulness, explanation about automatic guidance and raisin eating meditation, and then for 30 minutes, body check meditation and conscious breathing, assignment. Second, facing obstacles: reviewing the tasks of the previous session (doing body check meditation and discussing this experience), practice obstacles and Mindfulness program solutions for it and breathing mindfulness meditation practice, discussing the difference between thoughts and feelings, doing sitting meditationAssignment. Third, awareness of breathing or conscious breathing: practicing seeing and hearing, sitting meditation and breathing with attention to bodily senses, discussing homework, three-minute breathing space practice, doing yoga exercises, assignment. Fourth, staying in the present. : Sitting meditation with attention to breathing, body sounds and thoughts (which is also called four-dimensional sitting meditation). Teaching how to stay in the present, assigning assignments. Fifth, permission/permission to attend (accepting thoughts and feelings): reviewing the assignment of the previous session, explaining the concept of acceptance, doing sitting meditation (awareness and presence of the mind from breathing, sounds, thoughts and feelings), presenting and performing yoga movements,Assignment. Sixth, thoughts are not facts: practice of three-minute breathing space, discussion of homework in pairs, presentation of an exercise entitled "creating thoughts, separate views" with this theme: the content of thoughts are mostly not real, use of poetry and metaphor and Its connection with the quality of mindfulness, assignment. Seventh, how can I take care of myself in the best way? Sitting meditation and awareness of everything that comes into awareness in the moment. Presenting an exercise for making a list of pleasant and unpleasant life events, experiencing awareness and non-judgmental (non-selective) acceptance, assignment. 8. Acceptance and change (using what you have learned so far): body check meditation, three-minute breathing space exercise, discussion of Methods of coping with obstaclesMeditation, getting feedback from the participants and taking the post-test, preparing for the end of the sessions and the end of the intervention Intervention group: Mindfulness based on a smart phone. 1st body scan in 5 minutes, restful sleep on the first day, self-love training. 2nd body scan in 10 minutes, restful sleep on the second day, letting go of comparison and perfectionism. 3rd body scan in 20 minutes, restful sleep on the day Third, getting rid of stress and fear. Fourth, body scan in 30 minutes, easy sleep on the fourth day, self-acceptance and challenging the main beliefs. Fifth, easy sleep on the fifth day, source of inner happiness, correct breathing training, breathing according to the time of exhalation. Exhalation and breath holding, (simple breathing exercise for relief) 6th day, restful sleep, sixth day, order and law in relationships, breathing according to the time of inhalation, exhalation and breath holding (attention breathing exercise), 7th day, restful sleep, balance, breathing according to time Inhale, exhale and hold your breath (square breathing exercise)8th day, comfortable sleep, empathy, breathing according to the time of inhalation, exhalation and breath holding (heart breathing exercise) Intervention group: Combining the intervention of face-to-face mindfulness training and training through the first training application of the meditation technique with the sound of fire. Automatic guidance and meditation of eating raisins. 2. Teaching meditation technique with the sound of the forest. Practicing seeing and hearing. The third training of meditation technique with the sound of rain. Sitting meditation, teaching how to stay in the present moment. Fourth, teaching the technique of meditation with the sound of flight. The use of poetry and metaphor and its relationship with the quality of mindfulness.Fifth, correct breathing training, breathing based on the time of inhalation, exhalation and breath holding, (simple breathing exercise for relief). Preparation of a list of pleasant and unpleasant events in life. Sixth breathing based on the time of inhaling, exhaling and holding the breath (attention breathing exercise). Experience awareness and acceptance without judgment (non-selective). 7th breathing based on the time of inhaling, exhaling and holding the breath (square breathing exercise). Methods of dealing with the obstacles of doing meditation. Eighth breathing based on the time of inhaling, exhaling and holding the breath (heart breathing exercise). Summarizing the content and conducting the post-exam. Control group: no intervention. Sleep disorders. In this study, sleep disorders mean the score that the participants receive from answering questions 1 to 18. Timepoint: before the start of intervention (pre-test), immediately after the end of the intervention(post - test) and one month after that(follow up). Method of measurement: Sleep quality questionnaire of Petersburg et al. Suicidal thoughts: In the present study, suicidal thoughts mean the score that participants get from answering questions 1 to 19 of Beck et al.'s suicide thoughts questionnaire. Timepoint: Before the start of the intervention (pre-test), immediately after the end of the intervention (post-test) and one month after that (follow-up). Method of measurement: Beck et al.'s suicidal ideation questionnaire. Psychological flexibility: Psychological flexibility in the present study is the score that the participants get from answering questions 1 to 20 of the psychological flexibility questionnaire of Dennis et al. (2010). Timepoint: Before the start of the intervention (pre-test), immediately after the end of the intervention (post-test) and one month after that (follow-up). Method of measurement: Psychological flexibility questionnaire of Dennis et al. Fusion of thought-action: The meaning of fusion of thought-action in the present study is the score that the participants get from answering questions 1 to 19 of the questionnaire of fusion of thought-action by Rachman et al. (1988). Timepoint: before the start of intervention (pre-test), immediately after the end of the intervention(post - test) and one month after that(follow up). Method of measurement: Thought-action fusion questionnaire Rachman et al. Bipolar disorder: Bipolar disorder in the present study is the score that the participants get from answering questions 1 to 11 of the Maniai Yang et al. questionnaire (1978). Timepoint: Before the start of the intervention (pre-test), immediately after the end of the intervention (post-test) and one month after that (follow-up). Method of measurement: Yang et al.'s mania questionnaire. Islamic Azad University Approved 2023-02-15 Ethics committee of Shahrood Azad University University Blvd., Shahrood, SemnanTown Shahrood Semnan Iran (Islamic Republic of)