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The effect of compassion-focused therapy on self-compassion, self-esteem, and resiliency of women victims of spousal abuse.

Protocol summary

Study aim
The effect of compassion-based therapy on self-compassion, self-esteem, and resilience of women who are victims of spousal abuse will be determined.
Design
A randomized controlled trial, without blinding, using a multi-stage randomization method (stratified, cluster, and simple random sampling), will be conducted on 60 women who have experienced violence. For the simple random sampling, the lottery method will be used.
Settings and conduct
The study population consists of women attending comprehensive health centers in the city of Qom who have a history of spousal violence. For the intervention group, compassion-based therapy based on Gilbert’s approach will be conducted in 8 weekly sessions by the researcher under the supervision of a specialist psychologist, while no intervention will be provided to the control group.
Participants/Inclusion and exclusion criteria
Having Iranian nationality, being married with a permanent marriage, aged between 18 and 55 years, having lived together for at least one year, having experienced domestic violence by the husband at least during the past year, ability to understand and speak Persian, having a minimum education level of high school diploma or higher and scoring below 68 on the Self-Compassion Scale questionnaire.
Intervention groups
The intervention of this study is Compassion-Focused Therapy. Participants in the intervention group will receive Compassion-Focused Therapy in 10-person groups over 8 sessions, based on the model of Paul Gilbert, while participants in the control group will not receive any intervention.
Main outcome variables
Self-compassion will be measured using the Self-Compassion Scale (Neff, 2003); self-esteem will be measured using the Rosenberg Self-Esteem Scale; and resilience will be measured using the Connor-Davidson Resilience Scale before the intervention, immediately after, and two months after the intervention.

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20250718066539N1
Registration date: 2026-03-09, 1404/12/18
Registration timing: registered_while_recruiting

Last update: 2026-03-09, 1404/12/18
Update count: 0
Registration date
2026-03-09, 1404/12/18
Registrant information
Name
Tahereh Khavari
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 25 3725 4604
Email address
tkhavari1376@gmail.com
Recruitment status
recruiting
Funding source
Expected recruitment start date
2025-10-12, 1404/07/20
Expected recruitment end date
2026-07-21, 1405/04/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effect of compassion-focused therapy on self-compassion, self-esteem, and resiliency of women victims of spousal abuse.
Public title
The effect of compassion-focused therapy on self-compassion, self-esteem, and resiliency of women victims of spousal abuse
Purpose
Education/Guidance
Inclusion/Exclusion criteria
Inclusion criteria:
Having Iranian nationality Being married with a permanent marriage Aged between 18 and 55 years Having lived together for at least one year Having experienced domestic violence by the husband at least during the past year (based on the CTS2 questionnaire) Ability to understand and speak Persian, having a minimum education level of high school diploma or higher (due to the ability to understand intervention-related concepts and complete assignments) Not being pregnant or in the postpartum period (up to six months after delivery) No simultaneous participation in a similar intervention Not filing for divorce No experience of severe stressors such as divorce, accidents, or bereavement of relatives in the past six months Scoring below 68 on the Neff Self-Compassion Scale
Exclusion criteria:
Use of psychotropic drugs, including anti-anxiety medications (such as clonazepam, alprazolam, lorazepam), antidepressants (such as fluoxetine, paroxetine, sertraline), antipsychotics (such as chlorpromazine, fluphenazine, haloperidol), mood stabilizers (such as lithium, carbamazepine, sodium valproate), and stimulants (such as amphetamine, dexmethylphenidate, dextroamphetamine) within 6 months prior to participation in the study and during the study. History of hospitalization in a psychiatric or neurology ward Suffering from any underlying and incurable diseases such as cancer or malignant tumors History of alcohol or drug abuse in the participant or their spouse Having impaired consciousness
Age
From 18 years old to 55 years old
Gender
Female
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size: 60
Randomization (investigator's opinion)
Randomized
Randomization description
Sampling is done in a multistage manner. First, all comprehensive health centers in the city of Qom are listed and classified into three groups—good, moderate, and poor—based on their social, economic, and cultural levels (stratified sampling). Then, two centers are randomly selected from each group (cluster sampling), and by simple random sampling (lottery), one center is assigned to the intervention group and one center to the control group. Next, within each center, eligible women who meet the study inclusion criteria are identified and selected through purposive sampling.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Other
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Arak University of Medical Sciences
Street address
The Payambar Azam University Complex, Basij Square, Sardasht
City
Arak
Province
Markazi
Postal code
6341738481
Approval date
2025-10-12, 1404/07/20
Ethics committee reference number
IR.ARAKMU.REC.1404.192

Health conditions studied

1

Description of health condition studied
Intimate partner violence
ICD-10 code
ICD-10 code description

Primary outcomes

1

Description
Women whose Neff Self-Compassion Scale score is less than 68.
Timepoint
Before the start of the intervention, immediately after the end of the intervention, and two months after the end of the intervention
Method of measurement
Neff Self-Compassion Scale

2

Description
Self-Esteem score on the Rosenberg Scale
Timepoint
Before the start of the intervention, immediately after the end of the intervention, and two months after the end of the intervention
Method of measurement
Rosenberg Self-Esteem Scale

3

Description
Resilience score in the Connor and Davidson Scale
Timepoint
Before the start of the intervention, immediately after the end of the intervention, and two months after the end of the intervention
Method of measurement
Connor and Davidson Resilience Scale

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: It Includes 30 women. Compassion-Focused Therapy based on Paul Gilbert's approach will be held for 8 weekly 90-minute sessions for the intervention group.
Category
Behavior

2

Description
Control group: It includes 30 women. No intervention is provided for them.
Category
Behavior

Recruitment centers

1

Recruitment center
Name of recruitment center
Comprehensive health centers in Qom
Full name of responsible person
Tahereh Khavari
Street address
Shahid Lavasani Street (Saheli) - Qom University of Medical Sciences and Health Services
City
Qom
Province
Ghoum
Postal code
3713649373
Phone
+98 25 3107 1111
Email
info@msbqom-iau.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Arak University of Medical Sciences
Full name of responsible person
Dr. Behzad Khansari Nejad
Street address
Arak University of Medical Sciences, Prophet Muhammad (PBUH) University Complex, Basij Square ,
City
Arak
Province
Markazi
Postal code
3819693345
Phone
+98 86 3313 6055
Email
info@arakmu.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Arak University of Medical Sciences
Proportion provided by this source
1
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
Arak University of Medical Sciences
Full name of responsible person
Tahereh Khavari
Position
Student
Latest degree
Bachelor
Other areas of specialty/work
Midwifery
Street address
NO. 36, Alley 22, Shaikh hassan mosleh St, Jamkaran
City
Qom
Province
Ghoum
Postal code
3747116934
Phone
+98 25 3725 4604
Fax
Email
tkhavari1376@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Arak University of Medical Sciences
Full name of responsible person
Sakineh Taherkhani
Position
assistant professor
Latest degree
Ph.D.
Other areas of specialty/work
Midwifery
Street address
The Payambar Azam University Complex, Basij Square, Sardasht
City
Arak
Province
Markazi
Postal code
6341738481
Phone
+98 86 3313 6055
Fax
Email
sakinehtaherkhani@yahoo.com

Person responsible for updating data

Contact
Name of organization / entity
Arak University of Medical Sciences
Full name of responsible person
Tahereh Khavari
Position
Student
Latest degree
Bachelor
Other areas of specialty/work
Midwifery
Street address
NO. 49, Alley 22, Shaikh hassan mosleh St, Jamkaran
City
Qom
Province
Ghoum
Postal code
3747116934
Phone
+98 25 3725 4604
Fax
Email
tkhavari1376@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
No - There is not a plan to make this available
Justification/reason for indecision/not sharing IPD
Data will be shared upon request by the reviewer.
Study Protocol
No - There is not a plan to make this available
Statistical Analysis Plan
No - There is not a plan to make this available
Informed Consent Form
No - There is not a plan to make this available
Clinical Study Report
No - There is not a plan to make this available
Analytic Code
No - There is not a plan to make this available
Data Dictionary
No - There is not a plan to make this available
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