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IRCT20180722040555N4 IRCT 2025-06-20 Chaharmahal and Bakhtiari Province Prisons Organization The effectiveness of modern and ultra-modern treatments on anger and aggression in prisoners Comparing the effectiveness of modern and ultra-modern treatments on anger and aggression in Shahrekord prison prisoners 2025-07-23 anticipated 122 Complete https://irct.ir/trial/83713 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, 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 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. N/A Anger and aggression. Intervention 1: 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. Intervention 2: 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. Yes - There is a plan to make this available What will be shared: Some data, such as information related to the main outcome or the like, can be shared after being de-identified. When: Access period starts 6 months after results are published. To whom: محققین شاغل در موسسات دانشگاهی و علمی Conditions: To perform advanced analyses on data and report results Where to obtain: Principal Investigator Zohreh Karimiankakolaki Zohrehkarimian68@gmail.com How to obtain: Send an email to the principal investigator stating the reasons and conditions and respond within one working week. Comments:
public Zohreh Karimiankakolaki
University Street, Islamic Azad University, Shahrekord Branch
Shahrekord Iran (Islamic Republic of) 8813733395 +98 38 3336 1000 zohrehkarimian68@gmail.com Islamic Azad University scientific Zohreh Karimiankakolaki
University Street, Islamic Azad University, Shahrekord Branch
Shahrekord Iran (Islamic Republic of) 8813733395 +98 38 3336 1000 zohrehkarimian68@gmail.com Islamic Azad University Iran (Islamic Republic of) Male prisoners Prison history less than 2 years Consent to enter the study 20 years no limit Male A history of mental disorders based on the prisoner's record, Speech and hearing disorders Use of narcotics or psychotropic drugs Committing serious crimes R45.4 Irritability and anger Behavior Behavior 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. 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. Mean score of anger. Timepoint: Before the intervention and 2 months after the intervention. Method of measurement: Novaco Anger Questionnaire (AI). Mean score of aggression. Timepoint: Before the intervention and 2 months after the intervention. Method of measurement: Bass and Perry Aggression Questionnaire (AQ). Chaharmahal and Bakhtiari Province Prisons Organization Approved 2025-05-17 Ethics Committee of Islamic Azad University, Falavarjan Branch Basij Boulevard, University Boulevard, Islamic Azad University of Falavarjan Falavarjan Isfehan Iran (Islamic Republic of)