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IRCT20251004067501N1 IRCT 2025-10-25 Islamic Azad University The effect of paradox therapy on anxiety, rumination, and ego strength in adolescents with body dysmorphic symptoms. The effectiveness of paradox therapy on satisfaction, rumination, and ego strength in adolescents with body dysmorphic symptoms. 2025-10-30 anticipated 40 Complete https://irct.ir/trial/86630 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Other, Purpose: Treatment, Other design features: In this study, District 4 was randomly selected from among 22 districts of Tehran. There are approximately 62 girls' high schools in District 4, and among these schools, Sedighe Kobri Girls' High School was randomly selected. In this high school, students who have complaints of body deformity will be identified using purposive sampling.The Yale-Brown Obsessive Compulsive Scale for Body Dysmorphic Disorder (YBOCS-BDD) (Phillips et al., 1997) is used to assess these students. Students diagnosed with body dysmorphic disorder symptoms will be randomly assigned to two experimental and control groups, each group consisting of 20 students.A total of 40 students will participate in this study, Randomization description: In this study, District 4 was randomly selected from among 22 districts of Tehran. There are approximately 62 girls' high schools in District 4, and among these schools, Sedighe Kobri Girls' High School was randomly selected through a lottery. In this high school, students who have complaints of body deformity are identified using voluntary samples.They will be randomly assigned to two experimental and control groups through a lottery, so that each group will consist of 20 people. In total, 40 students will participate in this research. N/A Body dysmorphic disorder. Intervention 1: Control group:Includes 20 female high school students who have body dysmorphic disorder but are not receiving any intervention. Intervention 2: Intervention group: The first intervention group consists of 20 high school female students with body dysmorphic disorder who will undergo paradoxical therapy protocol treatment for one month, 6 sessions, Once every ten days,approximately 3 months. 20 people in the experimental group will receive treatment.Each session will take about 30 to 20 minutes, and each assignment will take about 10 minutes. The first session is a history and assignment, and the subsequent sessions are progress reports and new assignments. Paradox Therapy (PTC) is one of the new and innovative treatments that was introduced, invented, and implemented by Dr. Basharat.This technique includes two techniques: paradox and schedule. Paradox means prescribing the same behavioral cue, and schedule means performing prescribed tasks at specific times.Paradox therapy is a method that, by prescribing the client's own disturbing behaviors or symptoms, changes contradictory and damaging psychological patterns within a specified time frame, and improves the mental state and social relationships of adolescents.Paradox therapy is an individual technique in which the therapist asks the client to visualize their anxiety, rumination, stress, anger, hatred, and weaknesses at certain predetermined times for at least ten minutes in order to make them feel as bad as possible.This short-term treatment method is ethical, cost-effective, non-invasive, and produces profound and lasting changes without relapse. In this treatment protocol, the client kills two birds with one stone because both his problem is quickly reconstructed and solved through the performance of prescribed exercises (prescription) at predetermined times (artificialization) and he becomes the therapist. Yes - There is a plan to make this available What will be shared: Data obtained from the intervention can be shared after de-identifying individuals. When: Access period starts 6 months after results are published. To whom: The data will be available to both researchers working in academic and scientific institutions and people working in industry. Conditions: Use in prospective research that helps maintain adolescent mental health. Where to obtain: Applicants can send a message to the email address: atenafadae79@gmail.com, in the name of Atena Fadaei. How to obtain: After sending a message to the mentioned email, the documents will be sent to the applicants. Comments:
public Atena Fadaee
Unit 1, Block 43, Besharat Street, Phase 2, Imam Hussein University Alley, Hakimieh,
Tehran Iran (Islamic Republic of) 1659756553 +98 21 7700 2062 atenafadaee79@gmail.com Islamic Azad University scientific Atena Fadaee
Unit1, Floor 1, Block 43, Besharat Street, Phase 2 of Imam Hussein University Quarter, Hakimieh
Tehran Iran (Islamic Republic of) 1659756553 +98 21 7700 2062 atenafadaee79@gmail.com Islamic Azad University Iran (Islamic Republic of) Having symptoms of body dysmorphic disorder according to DSM5_TR. Adolescent age between 13 and 18 years. Voluntary consent to participate in research and treatment. 13 years 18 years Female Having severe psychological disorders and a history of medication use and psychiatric hospitalization. The presence of severe congenital or non-congenital physical defects that are visibly visible. Addiction to any stimulant or addictive substance. F42 Obsessive-compulsive disorder Other Other Control group:Includes 20 female high school students who have body dysmorphic disorder but are not receiving any intervention. Intervention group: The first intervention group consists of 20 high school female students with body dysmorphic disorder who will undergo paradoxical therapy protocol treatment for one month, 6 sessions, Once every ten days,approximately 3 months. 20 people in the experimental group will receive treatment.Each session will take about 30 to 20 minutes, and each assignment will take about 10 minutes. The first session is a history and assignment, and the subsequent sessions are progress reports and new assignments. Paradox Therapy (PTC) is one of the new and innovative treatments that was introduced, invented, and implemented by Dr. Basharat.This technique includes two techniques: paradox and schedule. Paradox means prescribing the same behavioral cue, and schedule means performing prescribed tasks at specific times.Paradox therapy is a method that, by prescribing the client's own disturbing behaviors or symptoms, changes contradictory and damaging psychological patterns within a specified time frame, and improves the mental state and social relationships of adolescents.Paradox therapy is an individual technique in which the therapist asks the client to visualize their anxiety, rumination, stress, anger, hatred, and weaknesses at certain predetermined times for at least ten minutes in order to make them feel as bad as possible.This short-term treatment method is ethical, cost-effective, non-invasive, and produces profound and lasting changes without relapse. In this treatment protocol, the client kills two birds with one stone because both his problem is quickly reconstructed and solved through the performance of prescribed exercises (prescription) at predetermined times (artificialization) and he becomes the therapist. A score obtained from the modified Yale-Brown Obsessive Compulsive Disorder Inventory to prevent body deformity. Timepoint: Before the intervention, after the intervention, and two months after the intervention. Method of measurement: Revised Yale-Brown Obsessive Compulsive Disorder Scale. Anxiety score in the Depression, Anxiety, and Stress Scale(DASS21). Timepoint: Before the intervention, after the intervention, and two months after the intervention. Method of measurement: Depression, Anxiety, and Stress Assessment Questionnaire DASS21. Rumination score on the Nalen Hoeksma and Maru Rumination Questionnaire (RSQ). Timepoint: Before the intervention, after the intervention, and two months after the intervention. Method of measurement: Nalen Hoeksma and Maru Rumination Questionnaire (RSQ). Ego Strength Score in Dr. Besharat's Ego Strength Questionnaire (ESS). Timepoint: Before the intervention, after the intervention, and two months after the intervention. Method of measurement: Dr. Besharat's Ego Strength Questionnaire (ESS). -. Timepoint: -. Method of measurement: -. Islamic Azad University Approved 2025-05-24 Ethics Committee of Tehran Azad University of Medical Sciences No. 16 West, Headquarters Building of Islamic Azad University of Medical Sciences, West Gol-Yakh Street, Shahid Paborja Street, Shariati Street, Ayeneh Boulevard, Qolhak Crossroads Tehran Tehran Iran (Islamic Republic of)