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IRCT20250817066892N1 IRCT 2025-10-26 Islamic Azad University A comparative study of two psychological treatment methods on the well-being and adjustment of parents of patients with schizophrenia. ACT-CBT Schizo Parents A comparison of the effectiveness of Acceptance and Commitment Therapy and Cognitive-Behavioral Therapy on emotional adaptation, mental well-being, and psychological flexibility in parents of patients with schizophrenia 2025-11-06 anticipated 60 Complete https://irct.ir/trial/85586 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The process of random allocation of participants to three groups of interventions and control includes both creating a random sequence and concealing the random allocation. Firstly, using the random sequence rule, 60 papers for participants of the interventions and control groups (which will be marked with A, B, and C and will not be defined to avoid bias) will be thrown into a lottery container and then the papers will be removed from the lottery container - without replacement - and the created sequence will be recorded. Then, using the snooze method, 60 envelopes will be prepared and each of the random sequences created will be recorded on a card and will be placed in the envelopes in order, and the envelopes will be also numbered. Then, the envelopes will be given to the participants based on the order of entering the study, so the grouping of each will be determined. N/A Schizophrenia. Intervention 1: Intervention group 1: The intervention that this group will receive is acceptance and commitment therapy. Nine individual 90-minute sessions based on Hayes’ protocol, delivered once per week by a licensed clinical psychologist. The intervention focuses on six core processes: cognitive defusion, acceptance, contact with the present moment, self-as-context, values clarification, and committed action. Sessions are conducted in a private counseling room. Intervention 2: Intervention group 2: The intervention that this group will receive is acceptance and commitment therapy. Nine individual 90-minute sessions, delivered once per week by a licensed clinical psychologist. The sessions include cognitive restructuring, identifying and challenging maladaptive thoughts, behavioral activation, stress management, and problem-solving training. The intervention is based on established CBT principles and guidelines, and sessions are conducted in a private counseling room. Intervention 3: Control group: Participants in this group will not receive any active psychological intervention during the study period and will continue their usual care. After the completion of the trial, they will be provided with an educational package on psychological skills. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Participant privacy and confidentiality will be maintained; individual data will not be shared
public Bahareh Abdollahzadeh
Mehr Counseling Center, No. 76, West 28th Alley, South Allameh Street, West Sarv Street, Saadat Abad, Tehran, Iran
Tehran Iran (Islamic Republic of) 1997763114 +98 21 8868 0901 Bahar.abdh@yahoo.ca Islamic azad university of tonekabon scientific Bahareh Abdollahzadeh
South allameh Ave
No. 76, West 28th Alley, Saadat Abad Avenue, South Allameh Avenue, Tehran, Iran Iran (Islamic Republic of) ۱۹۹۸۷۶۳۱۱۴ +98 21 8868 0901 Bahar.abdh@yahoo.ca Islamic azad university tonekabon branch Iran (Islamic Republic of) Parents of patients with schizophrenia who have an active file at the Tehran Welfare Organization Diagnosing emotional problems, mental well-being, and psychological resilience based on questionnaire scores Ability to read and write no limit 65 years Both Being diagnosed with a mental illness by a psychiatrist Having acute and chronic physical illnesses such as epilepsy, skeletal disorders, and respiratory insufficiency Using psychiatric drugs at the time of study admission Unable to complete questionnaires Failure to attend the initial intervention sessions F20-F29 اختلال اسکیزوفرنی Behavior Behavior N/A Intervention group 1: The intervention that this group will receive is acceptance and commitment therapy. Nine individual 90-minute sessions based on Hayes’ protocol, delivered once per week by a licensed clinical psychologist. The intervention focuses on six core processes: cognitive defusion, acceptance, contact with the present moment, self-as-context, values clarification, and committed action. Sessions are conducted in a private counseling room. Intervention group 2: The intervention that this group will receive is acceptance and commitment therapy. Nine individual 90-minute sessions, delivered once per week by a licensed clinical psychologist. The sessions include cognitive restructuring, identifying and challenging maladaptive thoughts, behavioral activation, stress management, and problem-solving training. The intervention is based on established CBT principles and guidelines, and sessions are conducted in a private counseling room. Control group: Participants in this group will not receive any active psychological intervention during the study period and will continue their usual care. After the completion of the trial, they will be provided with an educational package on psychological skills. Emotional adjustment score. Timepoint: Before intervention (pre-test), after intervention (post-test), 3 months after intervention (follow-up). Method of measurement: Emotional Adjustment Scale by Rabio et al. (2007). Psychological Well-Being score. Timepoint: Before intervention (pre-test), after intervention (post-test), 3 months after intervention (follow-up). Method of measurement: Psychological Well-Being Questionnaire by Goyers and Margamiov (2003). Cognitive flexibility score. Timepoint: Before intervention (pre-test), after intervention (post-test), 3 months after intervention (follow-up). Method of measurement: Cognitive Flexibility Inventory by Denis and Vendral (2010). Islamic Azad University Approved 2025-07-22 Research Ethics Committee of Islamic Azad University, Tonekabon Branch Vali Abad Ave, Khalij Fars Blv, Tonekabon Tonekabon Mazandaran Iran (Islamic Republic of)