Protocol summary

Study aim
This study aims to evaluate the effectiveness of mindfulness-based stress reduction (MBSR) on anxiety sensitivity and problem-solving ability in university students.
Design
This is a randomized, double-blind, parallel-group clinical trial with pre- and post-test design.
Settings and conduct
The study will be conducted at Mashhad University of Medical Sciences, involving volunteer students recruited via announcements. The intervention will be administered by a trained clinical psychologist.
Participants/Inclusion and exclusion criteria
Participants are university students aged 18–35. Inclusion criteria: willingness to participate, moderate to high anxiety sensitivity, and availability. Exclusion criteria: psychiatric medication, psychotherapy, or major psychological disorders.
Intervention groups
Intervention group will receive 8 weekly MBSR sessions (90 minutes each). Control group will receive no intervention during the study but will be offered training afterward.
Main outcome variables
Primary outcomes include anxiety sensitivity (measured by ASI) and problem-solving ability (measured by SPSI-R) assessed at baseline and post-intervention.

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20250523065853N3
Registration date: 2025-06-28, 1404/04/07
Registration timing: prospective

Last update: 2025-06-28, 1404/04/07
Update count: 0
Registration date
2025-06-28, 1404/04/07
Registrant information
Name
zahra saedi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 61 3377 6842
Email address
darya2674@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2025-08-31, 1404/06/09
Expected recruitment end date
2026-03-29, 1405/01/09
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Effectiveness of Mindfulness-Based Stress Reduction on Anxiety Sensitivity and Problem-Solving Ability of Students
Public title
The Impact of Mindfulness-Based Stress Reduction on Anxiety and Problem-Solving in Students
Purpose
Health service research
Inclusion/Exclusion criteria
Inclusion criteria:
University students aged between 18 and 35 years Willingness to participate in the study and provide informed consent Having moderate to high anxiety sensitivity based on the Anxiety Sensitivity Index (ASI) Availability to attend all mindfulness sessions Not currently participating in other psychological or psychiatric interventions Basic literacy and ability to complete self-report questionnaires
Exclusion criteria:
Current diagnosis of severe psychiatric disorders (e.g., psychosis, bipolar disorder) Use of psychiatric medication during the intervention period Participation in other psychological treatment programs concurrently Absence from more than two mindfulness sessions Any physical condition that prevents regular attendance or participation Incomplete response to pre-test questionnaires
Age
From 18 years old to 35 years old
Gender
Both
Phase
N/A
Groups that have been masked
  • Participant
  • Outcome assessor
Sample size
Target sample size: 60
Randomization (investigator's opinion)
Randomized
Randomization description
Participants will be randomly assigned to the intervention or control group using a computer-generated random sequence created by block randomization with a 1:1 allocation ratio. Block sizes will be fixed and generated in advance to ensure balanced group sizes throughout recruitment. Allocation concealment will be ensured using sealed, opaque, and sequentially numbered envelopes. The randomization list will be prepared and maintained by an independent researcher who is not involved in participant recruitment or assessment. This process aims to minimize selection bias and maintain allocation integrity.
Blinding (investigator's opinion)
Double blinded
Blinding description
This study is double-blind. Participants are informed that the study involves two different educational programs and are not told which group is considered the intervention or the control. The sessions are presented as potentially beneficial stress management trainings. Outcome assessors, who administer pre- and post-intervention questionnaires, are not involved in delivering the sessions and are unaware of group assignments. Group codes are used during data collection and analysis to maintain blinding and minimize assessment bias.
Placebo
Not used
Assignment
Parallel
Other design features
This study includes repeated measures with pre- and post-intervention assessments to evaluate changes over time. Random allocation is applied using block randomization to ensure group balance. The study also follows the intention-to-treat principle to maintain the integrity of statistical analysis.

Secondary Ids

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Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of the School of Medicine, Mashhad University of Medical Sciences
Street address
Mashhad University of Medical Sciences, Azadi Square, Mashhad, Iran
City
Mashhad
Province
Razavi Khorasan
Postal code
91778‑99191
Approval date
2025-05-26, 1404/03/05
Ethics committee reference number
IR.MUMS.MEDICAL.REC.1404.133

Health conditions studied

1

Description of health condition studied
This study focuses on anxiety sensitivity, a psychological trait characterized by the fear of anxiety-related sensations due to beliefs that these sensations have harmful consequences. It is commonly associated with anxiety disorders, especially panic disorder.
ICD-10 code
F41.1
ICD-10 code description
Generalized anxiety disorder

Primary outcomes

1

Description
The primary outcome is the change in anxiety sensitivity levels among students after undergoing mindfulness-based stress reduction (MBSR) intervention. Anxiety sensitivity will be measured using a validated questionnaire.
Timepoint
Anxiety sensitivity will be measured at baseline (before the intervention), immediately after the intervention, and at 3 months follow-up.
Method of measurement
Anxiety sensitivity will be assessed using the Anxiety Sensitivity Index (ASI), a validated self-report questionnaire.

2

Description
The secondary outcome is the change in problem-solving ability among students after mindfulness-based stress reduction intervention.
Timepoint
Problem-solving ability will be measured at baseline, immediately after the intervention, and at 3 months follow-up.
Method of measurement
Problem-solving ability will be assessed using a standardized and validated problem-solving inventory questionnaire.

Secondary outcomes

1

Description
The secondary outcome is the change in problem-solving ability of students following the mindfulness-based stress reduction intervention.
Timepoint
Measured at baseline, immediately after the intervention, and 3 months after the intervention.
Method of measurement
Problem-solving ability will be assessed using a validated problem-solving inventory questionnaire.

2

Description
The secondary outcome is the change in perceived stress levels of students after mindfulness-based stress reduction intervention.
Timepoint
Measured at baseline, immediately after the intervention, and at 3 months follow-up.
Method of measurement
Perceived stress will be assessed using the Perceived Stress Scale (PSS), a validated self-report questionnaire.

Intervention groups

1

Description
Intervention group: Participants in this group will attend an eight-week Mindfulness-Based Stress Reduction (MBSR) program. The program includes weekly 90-minute group sessions. The content involves practical training in mindfulness practices such as body scan, breathing awareness, seated meditation, and mindful movement. Participants are instructed to perform daily home practice for 45 minutes. Audio files and written educational materials are provided. The sessions will be delivered by a trained and experienced instructor in mindfulness-based interventions.
Category
Behavior

2

Description
Control group: Control group: Participants in this group will not receive any psychological intervention during the study period. They will be placed on a waiting list and offered the same MBSR training program after completing the post-intervention assessment.
Category
N/A

Recruitment centers

1

Recruitment center
Name of recruitment center
Mashhad University of Medical Sciences
Full name of responsible person
Zahra Saedi
Street address
University Blvd, Azadi Square, Mashhad, Razavi Khorasan Province
City
Mashhad
Province
Razavi Khorasan
Postal code
9177658954
Phone
+98 916 604 6877
Email
darya2674@gmail.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Dr. Mohsen Tafaghodi
Street address
School of Medicine, Department of Psychology, Mashhad University of Medical Sciences, Azadi Square, Mashhad, Razavi Khorasan, Iran
City
Mashhad
Province
Razavi Khorasan
Postal code
09166046877
Phone
+98 916 604 6877
Email
darya2674@gmail.com
Grant name
Mashhad University of Medical Sciences
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Mashhad University of Medical Sciences
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
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Zahra Saedi
Position
Principal Investigator
Latest degree
Subspecialist
Other areas of specialty/work
Psychology
Street address
Department of Psychology, School of Medicine, Pardis Daneshgah, Azadi Blvd, Mashhad, Iran
City
Mashhad
Province
Razavi Khorasan
Postal code
9177948564
Phone
+98 916 604 6877
Email
darya2674@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Zahra Saedi
Position
Principal Investigator
Latest degree
Subspecialist
Other areas of specialty/work
Physiology
Street address
Department of Psychology, School of Medicine, Pardis Daneshgah, Azadi Blvd, Mashhad, Iran
City
Mashhad
Province
Razavi Khorasan
Postal code
9177948564
Phone
+98 916 604 6877
Email
darya2674@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Zahra Saedi
Position
Principal Investigator
Latest degree
Subspecialist
Other areas of specialty/work
Psychology
Street address
School of Medicine, Department of Psychology, Azadi Square, Mashhad, Iran
City
Mashhad
Province
Razavi Khorasan
Postal code
9177948564
Phone
+98 916 604 6877
Email
darya2674@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
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
All the deidentified individual participant data, along with the study protocol, statistical analysis plan, informed consent form, clinical study report, analytic code, and data dictionary will be shared with qualified researchers upon reasonable request. Data will be available after publication of main results for a period of 3 years. Requests should be sent via email to the principal investigator at. Data will be provided via institutional secure file-sharing platforms under appropriate ethical and legal agreements.
When the data will become available and for how long
The deidentified individual participant data (IPD) and related documents will be made available 6 months after publication of the main study results. The data will be available for a period of 3 years after that.
To whom data/document is available
The data will be shared with qualified researchers working in academic institutions, governmental organizations, or non-profit research centers. Researchers affiliated with industry may also apply under specific conditions.
Under which criteria data/document could be used
Data may be used only for scientific research purposes, such as secondary analysis, meta-analysis, and validation studies. Applicants must submit a research proposal, ethical approval, and sign a Data Use Agreement (DUA). All requests will be evaluated by a Data Access Committee (DAC).
From where data/document is obtainable
Requests should be sent to the following contact: Dr. Zahra Saeedi Mashhad University of Medical Sciences School of Medicine, Department of Psychology Mashhad, Razavi Khorasan, Iran Phone: +98 916 604 6877 Email: darya2674@gmail.com
What processes are involved for a request to access data/document
Applicants must submit: A detailed research proposal Ethical committee approval A signed Data Use Agreement (DUA) Requests will be reviewed by the Data Access Committee (DAC) within 4–6 weeks. If approved, data will be shared via secure digital transfer.
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