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IRCT20250215064731N1 IRCT 2025-02-23 Islamic Azad University Comparing the effectiveness of two therapy Comparing the effectiveness of mindfulness-based cognitive therapy and virtual reality-based anxiety exposure therapy on cognitive avoidance, emotional capital, hyper-emotion, and social self-efficacy in adolescents with social anxiety 2025-03-05 anticipated 45 Complete https://irct.ir/trial/81911 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Experimental and control groups: After selecting the sample, the next step is to divide the people into experimental and control groups. For this, a simple random method can be used. How to perform randomization: Step 1: After selecting the purposive sample, all the selected people are placed in a list. Step 2: From among these people, using a random method (such as drawing lots or using randomization software), people are divided into two experimental groups and a control group, Blinding description: In the study in question, all participants and clinical caregivers and evaluators who interpret and analyze the data are blinded, and the participants are unaware of each other, and an abbreviation is considered for each participant. N/A Anxiety disorder in adolescents. Intervention 1: Mindfulness-based cognitive therapy Mindfulness can help prevent anxiety due to its underlying mechanisms, such as acceptance, increased awareness, desensitization, presence in the moment, nonjudgmental observation, daydreaming, and letting go. Intervention 2: Virtual Reality-Based Exposure Therapy for Anxiety Virtual reality exposure therapy is a standardized, exposure-based treatment approach that has been introduced as an alternative to classic cognitive-behavioral therapy. Virtual reality is defined as a situation in which sensory information is provided by a computer instead of the natural environment. No - There is not a plan to make this available Justification or reason for not sharing IPD is Participant data is completely confidential and I do not intend to publish it.
public solmaz choheili
No. 718, Khansari Street, Zand Street
ahvaz Iran (Islamic Republic of) 6195655344 +98 61 3221 0997 solmaz_chohili@yahoo.com Islamic Azad University scientific solmaz choheili
No. 718, Khansari Street, Zand Street
ahvaz Iran (Islamic Republic of) 6195655344 +98 61 3221 0997 solmaz_chohili@yahoo.com Islamic Azad University Iran (Islamic Republic of) Being in the age range of 15-17 years. Participate in the research with informed consent. Having social anxiety disorder based on a diagnostic interview and the Social Anxiety Scale questionnaire (achieving a minimum score of 50 on the test). No concurrent clinical disorders and no dependence on alcohol or drugs. Not receiving any other concurrent treatment. 15 years 17 years Both Absent more than two meetings. Participants may withdraw from continuing treatment sessions. The occurrence of severe stressful events in life (such as divorce or death of a first-degree relative). Suffering from a physical disorder that requires hospitalization. The presence of certain physical diseases such as heart, lung and respiratory diseases, epilepsy and seizures. Behavior Behavior Mindfulness-based cognitive therapy Mindfulness can help prevent anxiety due to its underlying mechanisms, such as acceptance, increased awareness, desensitization, presence in the moment, nonjudgmental observation, daydreaming, and letting go. Virtual Reality-Based Exposure Therapy for Anxiety Virtual reality exposure therapy is a standardized, exposure-based treatment approach that has been introduced as an alternative to classic cognitive-behavioral therapy. Virtual reality is defined as a situation in which sensory information is provided by a computer instead of the natural environment. Social anxiety is a specific and persistent fear of being embarrassed or negatively evaluated (scrutinized) in social situations or when performing an activity in front of others. Timepoint: It takes two months before and after the study begins. Method of measurement: The Adolescent Social Anxiety Scale was developed by Lajerka (1999). Experiential cognitive avoidance refers to an individual's attempt to get rid of unwanted personal experiences by avoiding or suppressing them. Timepoint: It takes two months before and after the study begins. Method of measurement: Cognitive avoidance is the score that the subject obtains from the Cognitive Avoidance Questionnaire, Sexton and Dagas (2004). Emotional capital is a state of inner positive emotional energy and vitality that can be directed and transformed, which, with purposeful focus, has the ability to have a relatively lasting impact on human behaviors and choices, and is capable of expanding individuals' capacities and skills, promoting mental health, and psychological well-being. Timepoint: It takes two months before and after the study begins. Method of measurement: Emotional capital is the score that the subject obtains from the Emotional Capital Questionnaire (Golparvar, 2016). Literally, metaemotion means awareness of emotion, and figuratively, it means organizing a group of thoughts, feelings, and emotions about emotions. Timepoint: It takes two months before and after the study begins. Method of measurement: Hyperemotion is the score that the subject obtains from the Hyperemotion Questionnaire, Mittmannsgruber et al. (2009). Social self-efficacy is the belief and expectation that an individual has about their ability to succeed in social situations and interpersonal behavior. Timepoint: It takes two months before and after the study begins. Method of measurement: Social self-efficacy is the score that the subject obtains from the Social Self-Efficacy Scale, Gaudiano and Herbert (2003). Mindfulness-based cognitive therapy allows a person to engage with negative thoughts and feelings in a nonjudgmental, accepting manner, rather than reacting automatically to them. This approach is particularly effective for treating depression, anxiety, and stress-related disorders, and focuses on enhancing present-moment awareness, accepting emotional experiences, and reducing psychological distress. Timepoint: It takes three months before and after the study begins. Method of measurement: The content of mindfulness-based cognitive therapy is introduced based on the educational protocol of Williams, Segal, and Tizdel (2002). This intervention is designed in the form of 8 90-minute sessions. It will be carried out on the experimental group during 8 90-minute sessions. In Iran, this protocol has been used by Mohammad Gholizadeh (2015; quoted from Mousavi et al., 2010). Anxiety is a type of worry about the future and negative events. It triggers intense mental-verbal activity. Virtual reality is a relatively new technology that enables people to immerse themselves in a virtual world. This method has many advantages, including a more or less real-life environment that allows patients to forget that they are being tested and provides the opportunity for them to participate better. Timepoint: It takes three months before and after the study begins. Method of measurement: In this study, virtual reality-based anxiety exposure therapy refers to therapy sessions that will be conducted on the experimental group over 8 45-minute sessions based on the protocol (North et al., 2015). Virtual reality in which the individual is confronted with anxiety-provoking scenes in socially fearful subjects. solmaz choheili Approved 2025-01-23 Islamic Azad University, Ahvaz No. 718, Khansari Street, Zand Street ahvaz Khouzestan Iran (Islamic Republic of)