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IRCT20240609062065N4 IRCT 2025-12-01 Shahid Beheshti University of Medical Sciences Comparing the effectiveness of cognitive behavioral group therapy and optimism training in hemodialysis patients Comparing the effectiveness of cognitive behavioral group therapy and optimism training on depression, anxiety, optimism, and hope in hemodialysis patients 2025-12-22 anticipated 75 Complete https://irct.ir/trial/87761 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Other, Randomization description: At first, the participants will be selected through convenience sampling and then will be assigned to three groups of cognitive behavioral group therapy, optimism training, and control groups, 25 individuals per group). Using a randomized block design (6-individual blocks, www.randomizer.org), random sequences of letters A, B, and C will be created, which will assign the samples to one of the three desired groups. All participants will receive sealed, opaque, sequentially numbered envelopes to conceal the allocation sequence, Blinding description: In this study, the patients will not be aware of their allocation into the control or intervention group. N/A Chronic kidney disease. Intervention 1: Intervention group: Patients in the intervention groups will receive training for 8 90-minute sessions (one session per week for 8 consecutive weeks). The content of training in cognitive behavioral group therapy includes training in recognizing negative automatic thoughts in difficult and unfortunate situations, reframing exercises for negative thoughts, analyzing negative thoughts and coping strategies, and a guide to self-treatment and relapse prevention. In the optimism training group, it will include insight into optimism and its monitoring, optimism and growth after injury, positive interpretation of the previous complication and the logic of addressing it, seeing the positive characteristics of each phenomenon, optimism in social relationships, optimism over time, optimistic explanations of events, and turning optimism into a habit. Intervention 2: Control group: Patients in the control group will receive routine hospital education. 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 There is no further information
public Amir Mohamad Nazari
Valiasr Street
Tehran Iran (Islamic Republic of) 1985717443 +98 916 095 7427 nazari.amir7009@gmail.com Shahid Beheshti University of Medical Sciences scientific Amir Mohamad Nazari
Valiasr street
Tehran Iran (Islamic Republic of) 1985717443 +98 916 095 7427 nazari.amir7009@gmail.com Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) A documented diagnosis of hemodialysis Willingness to participate in the research no limit no limit Both Non-consumption of psychotropic medications Excessive disability that would prevent participation in the classes N18 Chronic kidney disease (CKD) Other Other Intervention group: Patients in the intervention groups will receive training for 8 90-minute sessions (one session per week for 8 consecutive weeks). The content of training in cognitive behavioral group therapy includes training in recognizing negative automatic thoughts in difficult and unfortunate situations, reframing exercises for negative thoughts, analyzing negative thoughts and coping strategies, and a guide to self-treatment and relapse prevention. In the optimism training group, it will include insight into optimism and its monitoring, optimism and growth after injury, positive interpretation of the previous complication and the logic of addressing it, seeing the positive characteristics of each phenomenon, optimism in social relationships, optimism over time, optimistic explanations of events, and turning optimism into a habit. Control group: Patients in the control group will receive routine hospital education. Depression. Timepoint: Before the intervention, immediately after the intervention, and two months later. Method of measurement: Hospital Anxiety and Depression Scale (HADS). Anxiety. Timepoint: Before the intervention, immediately after the intervention, and two months later. Method of measurement: Hospital Anxiety and Depression Scale (HADS). Optimism. Timepoint: Before the intervention, immediately after the intervention, and two months later. Method of measurement: Life Orientation Test (LOT). Hope. Timepoint: Before the intervention, immediately after the intervention, and two months later. Method of measurement: Schneider's Hope Scale. Shahid Beheshti University of Medical Sciences Approved 2024-07-02 Ethics Committee of Shahid Beheshti University of Medical Sciences Koodakyar deadend, Daneshjou Boulevard, Yaman street, Shahid Chamran Highway Tehran Tehran Iran (Islamic Republic of)