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IRCT20251125068103N1 IRCT 2026-02-02 Shahed University The Effect of well-being therapy on level of maladaptive perfectionism and its comparison with cognitive-behavioral therapy and a combined intervention (CBT/WBT) The Effect of well-being therapy on level of maladaptive perfectionism and euthymia and its comparison with cognitive-behavioral therapy and a combined intervention (CBT/WBT) in college students: A randomized controlled trial 2026-02-02 anticipated 48 Complete https://irct.ir/trial/87794 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: After completion of the baseline questionnaires and confirmation of eligibility criteria, eligible participants were assigned sequential identification numbers. Group allocation was then performed using block randomization with variable block sizes (4 and 8) and an equal allocation ratio (1:1:1:1). The random allocation sequence was generated using Random Allocation Software (RAS). Based on this sequence, participants were assigned to three intervention groups (Well-being Therapy, Cognitive Behavioral Therapy, and a combined intervention) and one waitlist control group. The generation of the allocation sequence and the assignment of participants to groups were carried out by an individual independent of the research team. N/A Maladaptive perfectionism and euthymia. Intervention 1: Intervention Group 1: Well-Being Therapy (WBT): This intervention will be delivered individually in eight weekly sessions of 45 minutes each, based on Fava’s Well-Being Therapy protocol (2016). The first session focuses on assessing the level of well-being experienced by the participant. The second session addresses individual barriers to well-being, and the third session focuses on strategies to cope with these barriers. From the fourth session onward, the six dimensions of psychological well-being are introduced, and participants work on identifying personalized strategies to bring these dimensions to a balanced level. Each session concludes with the development of an individualized worksheet designed to support continuation of therapeutic work throughout the week. The total duration of the intervention will be two months. Intervention 2: Intervention Group 2: Cognitive Behavioral Therapy for Perfectionism (CBT-P): This intervention will be delivered in eight weekly 45-minute sessions based on Shafran’s cognitive-behavioral protocol for perfectionism (2010). The first session focuses on understanding perfectionism, its consequences, and its key domains. The second session addresses the developmental origins of perfectionism, the factors that maintain it, and presents an individualized cognitive-behavioral formulation. From the third through the eighth sessions, participants are introduced to techniques targeting perfectionistic thinking patterns (e.g., all-or-nothing thinking), as well as behavioral strategies addressing perfectionism-related behaviors such as procrastination. The later sessions also focus on improving self-esteem and reducing self-criticism. Each session includes a specific worksheet to be completed during the week to reinforce therapeutic progress. The total duration of the intervention will be two months. Intervention 3: Intervention Group 3: Combined Intervention: This combined intervention consists of the first four sessions of Cognitive Behavioral Therapy followed by four intensive sessions of Well-Being Therapy. The program will be delivered individually in eight weekly sessions of 45 minutes each, designed and implemented based on Fava’s Well-Being Therapy framework (2016). During the first four CBT-focused sessions, perfectionism is introduced, its consequences are identified, an individualized cognitive-behavioral formulation is developed, and techniques targeting perfectionistic thoughts are implemented. Beginning with session five, the focus shifts to well-being. Using illustrative examples, participants’ personal experiences of well-being are explored. Subsequent sessions address barriers to well-being and coping strategies, introduce the six dimensions of psychological well-being, and emphasize behaviors that help bring these dimensions to a balanced level. All sessions incorporate structured, pre-designed worksheets to be completed by participants to support ongoing therapeutic work between sessions. The total duration of the intervention will be two months. Intervention 4: Control group: The control group does not receive any treatment during the intervention period, and at the end of the intervention period, the best treatment will be given to them. If there is no difference between the three interventions, the treatment will be given to them at the participant's own choice. No - There is not a plan to make this available Justification or reason for not sharing IPD is In this study, efforts are made to protect the privacy of the participants, as they are university students currently enrolled in academic programs, and the disclosure of personal data may be undesirable and unacceptable for them.
public Nasrin Yadegari
Unit 1, No. 57, Safai Street, West Janbazan Street, Sabalan Square
Tehran Iran (Islamic Republic of) 1635797419 +98 21 7784 7735 nasrin.yadegari@shahed.ac.ir Shahed University scientific Nasrin yadegari
Unit 1, No. 57, Safai Street, West Janbazan Street, Sabalan Square
Tehran Iran (Islamic Republic of) 1635797419 +98 21 7784 7735 nasrin.yadegari@shahed.ac.ir Shahed University Iran (Islamic Republic of) The participant must be a student during the period of participation in the research. The participant must be between 18 and 25 years old. Obtaining higher scores on the two main scales of the Frost et al. (1990) Multidimensional Perfectionism Questionnaire 18 years 25 years Both Experiencing symptoms of mental illness or personality disorders. Taking psychotropic drugs Z71.89 Other specified counseling Treatment - Other Treatment - Other Treatment - Other N/A Intervention Group 1: Well-Being Therapy (WBT): This intervention will be delivered individually in eight weekly sessions of 45 minutes each, based on Fava’s Well-Being Therapy protocol (2016). The first session focuses on assessing the level of well-being experienced by the participant. The second session addresses individual barriers to well-being, and the third session focuses on strategies to cope with these barriers. From the fourth session onward, the six dimensions of psychological well-being are introduced, and participants work on identifying personalized strategies to bring these dimensions to a balanced level. Each session concludes with the development of an individualized worksheet designed to support continuation of therapeutic work throughout the week. The total duration of the intervention will be two months. Intervention Group 2: Cognitive Behavioral Therapy for Perfectionism (CBT-P): This intervention will be delivered in eight weekly 45-minute sessions based on Shafran’s cognitive-behavioral protocol for perfectionism (2010). The first session focuses on understanding perfectionism, its consequences, and its key domains. The second session addresses the developmental origins of perfectionism, the factors that maintain it, and presents an individualized cognitive-behavioral formulation. From the third through the eighth sessions, participants are introduced to techniques targeting perfectionistic thinking patterns (e.g., all-or-nothing thinking), as well as behavioral strategies addressing perfectionism-related behaviors such as procrastination. The later sessions also focus on improving self-esteem and reducing self-criticism. Each session includes a specific worksheet to be completed during the week to reinforce therapeutic progress. The total duration of the intervention will be two months. Intervention Group 3: Combined Intervention: This combined intervention consists of the first four sessions of Cognitive Behavioral Therapy followed by four intensive sessions of Well-Being Therapy. The program will be delivered individually in eight weekly sessions of 45 minutes each, designed and implemented based on Fava’s Well-Being Therapy framework (2016). During the first four CBT-focused sessions, perfectionism is introduced, its consequences are identified, an individualized cognitive-behavioral formulation is developed, and techniques targeting perfectionistic thoughts are implemented. Beginning with session five, the focus shifts to well-being. Using illustrative examples, participants’ personal experiences of well-being are explored. Subsequent sessions address barriers to well-being and coping strategies, introduce the six dimensions of psychological well-being, and emphasize behaviors that help bring these dimensions to a balanced level. All sessions incorporate structured, pre-designed worksheets to be completed by participants to support ongoing therapeutic work between sessions. The total duration of the intervention will be two months. Control group: The control group does not receive any treatment during the intervention period, and at the end of the intervention period, the best treatment will be given to them. If there is no difference between the three interventions, the treatment will be given to them at the participant's own choice. Maladaptive perfectionism. Timepoint: Before intervention starts, After the last session of the intervention, Three-month follow-up after the end of the intervention. Method of measurement: The Frost Multidimensional Scale of Perfectionism(1990). Euthymia. Timepoint: Before intervention starts, After the last session of the intervention, Three-month follow-up after the end of the intervention. Method of measurement: Euthymia Scale. Shahed University Approved 2025-11-02 Ethics Committee of the Faculty of Medicine - Shahed University Faculty of Medicine, Shahed University, opposite the Holy Shrine of Imam Khomeini, Persian Gulf Highway. Tehran Tehran Iran (Islamic Republic of)