Determining and comparing the average anger score, verbal aggression component score, physical aggression component score, aggression score (hostility component), and aggression score (anger component) of Shahrekord prison prisoners before and after training in the intervention groups.
Design
A parallel-group, single-blind, randomized, clinical trial on 122 patients. A sealed card lottery will be used for randomization.
Settings and conduct
The study population is all male prisoners in Shahrekord Prison.
The educational intervention will be presented in the form of 8 one-hour training sessions over eight weeks using lecture, group discussion, role play, and question-and-answer methods for both groups of prisoners.
The sessions will focus on aggression and anger management skills with a dialectical behavior therapy and narrative therapy approach.
Participants/Inclusion and exclusion criteria
The inclusion criteria are (male prisoners, prison history of less than 2 years, consent to enter the study) and the exclusion criteria are (history of mental disorders based on the prisoner's file, speech and hearing disorders, use of narcotics or psychotropic drugs, committing serious crimes).
Intervention groups
Dialectical Behavior Therapy Group (Intervention Group 1)
Narrative Therapy Group (Intervention Group 2)
Main outcome variables
The mean score of anger and aggression
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20180722040555N4
Registration date:2025-06-20, 1404/03/30
Registration timing:prospective
Last update:2025-06-20, 1404/03/30
Update count:0
Registration date
2025-06-20, 1404/03/30
Registrant information
Name
Zohreh Karimiankakolaki
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 38 3336 1047
Email address
zohrehkarimian@ssu.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2025-07-23, 1404/05/01
Expected recruitment end date
2025-10-23, 1404/08/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparing the effectiveness of modern and ultra-modern treatments on anger and aggression in Shahrekord prison prisoners
Public title
The effectiveness of modern and ultra-modern treatments on anger and aggression in prisoners
Purpose
Supportive
Inclusion/Exclusion criteria
Inclusion criteria:
Male prisoners
Prison history less than 2 years
Consent to enter the study
Exclusion criteria:
A history of mental disorders based on the prisoner's record,
Speech and hearing disorders
Use of narcotics or psychotropic drugs
Committing serious crimes
Age
From 20 years old
Gender
Male
Phase
N/A
Groups that have been masked
Participant
Sample size
Target sample size:
122
Randomization (investigator's opinion)
Randomized
Randomization description
A list of participants is prepared and each person is assigned a number. Each number is written on a piece of paper and the papers are placed in a container. Randomly, the number of papers is taken from the container, equal to the sample size, and the people with the selected numbers are assigned to the intervention group 1, and the rest are assigned to the intervention group 2.
Blinding (investigator's opinion)
Single blinded
Blinding description
For blinding, participants are divided into two groups, coded in sealed envelopes (for example, with code 1 or 2), so that the participant does not know which group he is in.
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics Committee of Islamic Azad University, Falavarjan Branch
Street address
Basij Boulevard, University Boulevard, Islamic Azad University of Falavarjan
City
Falavarjan
Province
Isfehan
Postal code
8451731167
Approval date
2025-05-17, 1404/02/27
Ethics committee reference number
IR.IAU.FALA.REC.1404.002
Health conditions studied
1
Description of health condition studied
Anger and aggression
ICD-10 code
R45.4
ICD-10 code description
Irritability and anger
Primary outcomes
1
Description
Mean score of anger
Timepoint
Before the intervention and 2 months after the intervention
Method of measurement
Novaco Anger Questionnaire (AI)
2
Description
Mean score of aggression
Timepoint
Before the intervention and 2 months after the intervention
Method of measurement
Bass and Perry Aggression Questionnaire (AQ)
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: Dialectical behavior therapy group (Intervention group 1) The intervention will be delivered using dialectical behavior therapy based on Linehan’s (1993) Dialectical Behavior Therapy Protocol. The first intervention group will receive 8 two-hour weekly sessions for 4 weeks (presented in groups during the following sessions). Each session will include an introduction to the goals and topics of discussion for that session, in-session discussions and exercises, as well as exercises outside of the session. In addition, from the second session onwards, each session begins with a five-minute mindfulness exercise through breathing and then a review of the exercises related to the previous session: Session 1: Initial introduction and introduction, explanation of the research goals, conclusion of the therapeutic contract, communication and conceptualization of the problem, training in the skill of tolerating turmoil) Basic acceptance and attention-redirecting skills, coping and relaxation. Session 2: Review of basic acceptance forms, training and group practice of conscious breathing, relaxation training, complete focus on the present, identification of thoughts and emotions and the ability to pass or focus on them, moment-to-moment focus of awareness. Session 3: Combining the practice of sign-dependent relaxation with the technique of visualization from a safe place, training in ten types of cognitive distortions, providing a written summary to reduce emotion. Session 4: Training in practical or judgmental mindfulness skills (using the wise mind, recording Negative judgments and the initiating mind, effective work and training an appropriate awareness of attention), training on the five barriers to awareness of attention and ways to deal with them. The fifth session is training in the skills of holistic thinking, planning and creating opposite emotions and action (analyzing behavior and finding solutions and creating changes in facial position and body posture). The sixth session is training in effective communication skills (active and bold listening, making a simple request, saying no skills). The seventh session is training in criticism skills, making a request with high conflict and resistance (obfuscation, checking, bold delaying techniques), negotiation techniques. The eighth session is training in creating long-term positive emotional experiences by working on the three areas of life goals, relationships and comprehensive mindfulness towards positive experiences, training in releasing emotional suffering through accepting emotions and changing negative emotions through acting opposite to the emotion and feedback.
Category
Behavior
2
Description
Intervention group: Narrative therapy group (Intervention group 2)The narrative therapy group will prepare a training course based on the White and Epston (1990) treatment plan. The training will be provided in 8 two-hour sessions, one session per week, at the discretion of the psychology professors.First session: Introduction and familiarization with the patient, conducting a pre-test, specifying the goals of the treatment, stating the rules of the session, examining anger and aggression and related problems, introducing narrative therapy, case studies, and explaining problematic stories.Second session: Objectification and externalization of the problem, naming the problem, identifying problematic words, and beginning metaphor-making.Third session: Continuing metaphor-making, examining problematic metaphors and their relationship to the life narrative, and taking a stance toward the problem, beginning deconstruction.Fourth session: Destruction phase: Deconstruction of the problem through life exceptions, narrative analysis, attitude toward the problem, and the mutual effects of the individual and the problem.Session 5: Phase of reconstruction of new metaphors, mental representations of life situations with a new metaphor, creation of reality by the individual and beginning of narrative.Session 6: Enrichment of the new story using unique strategies, examining the story and giving it meaning for the future.Session 7: Consolidation phase: Living in the new story, answering questions and rewriting past stories.Session 8: Examining the meaning of life, external documentation, enrichment and encouraging the individual to continue the story, questions and answers, receiving feedback.
Category
Behavior
Recruitment centers
1
Recruitment center
Name of recruitment center
Shahrekord Central Prison
Full name of responsible person
Mojtaba Khoram
Street address
Shariati Street, Chaharmahal and Bakhtiari Province Prisons Organization
City
Shahrekord
Province
Chahar-Mahal-va-Bakhtiari
Postal code
۸۸۱۷۶۱۳۵۶۵
Phone
+98 38 3224 3191
Email
mojtabakhorram60@gmail.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Chaharmahal and Bakhtiari Province Prisons Organization
Full name of responsible person
Mojtaba Khoram
Street address
Shariati Street, Chaharmahal and Bakhtiari Province Prisons Organization
City
Shahrekord
Province
Chahar-Mahal-va-Bakhtiari
Postal code
۸۸۱۷۶۱۳۵۶۵
Phone
+98 910 383 2248
Email
mojtabakhorram60@gmail.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Chaharmahal and Bakhtiari Province Prisons Organization
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
Industry
Person responsible for general inquiries
Contact
Name of organization / entity
Islamic Azad University
Full name of responsible person
Zohreh Karimiankakolaki
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Health Promotion
Street address
University Street, Islamic Azad University, Shahrekord Branch
City
Shahrekord
Province
Chahar-Mahal-va-Bakhtiari
Postal code
8813733395
Phone
+98 38 3336 1000
Email
zohrehkarimian68@gmail.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Islamic Azad University
Full name of responsible person
Zohreh Karimiankakolaki
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Health Promotion
Street address
University Street, Islamic Azad University, Shahrekord Branch
City
Shahrekord
Province
Chahar-Mahal-va-Bakhtiari
Postal code
8813733395
Phone
+98 38 3336 1000
Email
zohrehkarimian68@gmail.com
Person responsible for updating data
Contact
Name of organization / entity
Islamic Azad University
Full name of responsible person
Zohreh Karimiankakolaki
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Health Promotion
Street address
University Street, Islamic Azad University, Shahrekord Branch
City
Shahrekord
Province
Chahar-Mahal-va-Bakhtiari
Postal code
8813733395
Phone
+98 38 3336 1000
Email
zohrehkarimian68@gmail.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Not applicable
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Not applicable
Data Dictionary
Not applicable
Title and more details about the data/document
Some data, such as information related to the main outcome or the like, can be shared after being de-identified.
When the data will become available and for how long
Access period starts 6 months after results are published.
To whom data/document is available
محققین شاغل در موسسات دانشگاهی و علمی
Under which criteria data/document could be used
To perform advanced analyses on data and report results
From where data/document is obtainable
Principal Investigator
Zohreh Karimiankakolaki
Zohrehkarimian68@gmail.com
What processes are involved for a request to access data/document
Send an email to the principal investigator stating the reasons and conditions and respond within one working week.