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IRCT20221024056281N2 IRCT 2025-12-20 Karaj University of Medical Sciences “Comparison of Two Psychological Approaches in Reducing Mental Pain and Feelings of Dissociation in University Students” Comparing the effectiveness of integrated transdiagnostic therapy and acceptance and commitment therapy based on compassion on mental pain and the experience of dissociation in medical students with suicidal thoughts 2025-12-20 anticipated 60 Complete https://irct.ir/trial/87923 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: The sample from the initial selection was allocated into three groups by simple randomization. 2 Suicide. Intervention 1: Intervention Group 1: Integrated Transdiagnostic Therapy (20 participants, eight 90-minute sessions)First session: Increasing motivation, motivational interviewing for participant participation and engagement during treatment, presenting the rationale for treatment and determining treatment goalsSecond session: Recognizing emotion, providing psychological education on the adaptive and functional nature of emotions, and teaching the three-component model of emotional experiencesThird session: Recognizing and tracking emotional experiences, monitoring emotional experiences, introducing ARC emotions, introducing learned emotional response concepts.Fourth session: Teaching arousal, observing experiences, illicit emotional feelings, getting to know the present, performing emotional exercises, training techniques using mood inductionFifth session: Cognitive assessment and reappraisal, introducing thought traps, introducing cognitive assessment, practicing ambiguous imagery, changing cognitive assessmentSixth session: Emotion and types of emotional strategies, how emotions affect emotional experiences, examining and identifying different strategies for thinking about emotion.Seventh session: Emotional behaviors; About exciting behaviors, how EDB affects emotional experiences, identifying and responding to EDBsSession eighth: Understanding physical and possible feelings with, symptom induction test, repeated presence and post-test administration, termination of treatment. Intervention 2: Intervention Group 2: Compassion-Based Acceptance and Commitment Therapy (20 participants, eight 90-minute sessions)First, the goal and content: introducing therapy sessions, conducting a pre-test, introducing and getting to know the group members, stating the group rules and goals, introducing acceptance and commitment therapy based on compassion, suffering, healing, and introducing the causes of human suffering. Homework: Doing self-practice, presenting an assignment to examine behaviors based on self typesSecond goal and content: Efficacy as a measurement criterion, creating creative frustration, introducing emotion regulation systems, introducing types of human suffering, introducing types of human needs, introducing dimensions of compassionThird goal and content: Feedback from the previous session, summarizing past sessions, expressing control as a problem (problem), the conscious brainHomework: Reviewing last week's assignment, presenting the assignment sheet and then reviewing it based on compassionate reasoningFourth goal and content: Using cognitive fault-finding techniques, intervening in the functioning of problematic language chains, weakening good alliances with thoughts and emotionsHomework: Feedback from the previous session, reviewing the assignment from the previous session, presenting the assignment sheet to look mindfully at feelings and stay with feelings, reviewing the assignment and behavioral commitment, practicing receiving kindness from colleagues, performing the assignment to be kind to colleagues, performing the role-playing exercise of being kind to oneselfFifth goal and content: Providing a summary of previous sessions, reviewing the assignments from the previous session, getting feedback from the process of the sessions, weakening the self-concept and expressing oneself as an observer, demonstrating separation between selves, inner experiences and behavior, application of mindfulness techniques, performing imagery, introducing the characteristics of a kind personPresentation of homework: homework sheet including mindfully looking at suffering, compassionate reasoning towards suffering, mindfully seeing emotions and performing imagery while sufferingSixth goal and content: Providing a summary of previous sessions, getting feedback from the session process, modeling exiting the mind, learning to see inner experiences as a process, introducing different dimensions of compassionate attention, introducing non-judgmentalismAssignment: Reviewing the assignments of the previous session, presenting the assignment of listing the positive and negative values of oneself and colleagues and practicing paying attention instead of being drySeventh goal and content of the session: Showing the dangers of focusing on results, discovering practical values in life, retelling the characteristics of a kind person, introducing compassionate behavior, introducing types of compassionate behavior. Assignment: Feedback from the previous session, summary of previous sessions, presenting the assignment of practicing types of compassionate behaviors in everyday behaviors, practicing behaviors one by one at firstEighth goal and content of the session: Determining patterns of action consistent with values, re-introducing compassionate behavior. Assignment: Feedback from the previous session, review of last week's assignment, case-by-case review of behaviors based on the training provided in previous sessions. Intervention 3: Control Group: No intervention (20 participants). No - There is not a plan to make this available Justification or reason for not sharing IPD is Due to confidentiality
public hedieh babakhanzadeh
Mansour Bakht St., Imam Hussein Hospital, Imam Khomeini Blvd., Mohammad Shahr, Karaj
alborz Iran (Islamic Republic of) 3184669519 +98 26 3419 3000 hedieh.khanzadeh@yahoo.com Karaj University of Medical Sciences scientific hedieh.khanzadeh
Mansour Bakht St., Imam Hussein Hospital, Imam Khomeini Blvd., Mohammad Shahr, Karaj
alborz Iran (Islamic Republic of) 3184669519 +98 26 3419 3000 hedieh.khanzadeh@yahoo.com Karaj University of Medical Sciences Iran (Islamic Republic of) Studying in one of the medical sciences fields of the University of Medical Sciences Age between 18 and 35 years Consent to participate in the study Having suicidal thoughts based on the cut-off score of the Beck Suicidal Thoughts Questionnaire before randomization 18 years 35 years Both Not using antipsychotic medications Withdrawing from the study Missing three or more intervention sessions Having a mental illness or disorder Prevention Prevention Prevention Intervention Group 1: Integrated Transdiagnostic Therapy (20 participants, eight 90-minute sessions)First session: Increasing motivation, motivational interviewing for participant participation and engagement during treatment, presenting the rationale for treatment and determining treatment goalsSecond session: Recognizing emotion, providing psychological education on the adaptive and functional nature of emotions, and teaching the three-component model of emotional experiencesThird session: Recognizing and tracking emotional experiences, monitoring emotional experiences, introducing ARC emotions, introducing learned emotional response concepts.Fourth session: Teaching arousal, observing experiences, illicit emotional feelings, getting to know the present, performing emotional exercises, training techniques using mood inductionFifth session: Cognitive assessment and reappraisal, introducing thought traps, introducing cognitive assessment, practicing ambiguous imagery, changing cognitive assessmentSixth session: Emotion and types of emotional strategies, how emotions affect emotional experiences, examining and identifying different strategies for thinking about emotion.Seventh session: Emotional behaviors; About exciting behaviors, how EDB affects emotional experiences, identifying and responding to EDBsSession eighth: Understanding physical and possible feelings with, symptom induction test, repeated presence and post-test administration, termination of treatment. Intervention Group 2: Compassion-Based Acceptance and Commitment Therapy (20 participants, eight 90-minute sessions)First, the goal and content: introducing therapy sessions, conducting a pre-test, introducing and getting to know the group members, stating the group rules and goals, introducing acceptance and commitment therapy based on compassion, suffering, healing, and introducing the causes of human suffering. Homework: Doing self-practice, presenting an assignment to examine behaviors based on self typesSecond goal and content: Efficacy as a measurement criterion, creating creative frustration, introducing emotion regulation systems, introducing types of human suffering, introducing types of human needs, introducing dimensions of compassionThird goal and content: Feedback from the previous session, summarizing past sessions, expressing control as a problem (problem), the conscious brainHomework: Reviewing last week's assignment, presenting the assignment sheet and then reviewing it based on compassionate reasoningFourth goal and content: Using cognitive fault-finding techniques, intervening in the functioning of problematic language chains, weakening good alliances with thoughts and emotionsHomework: Feedback from the previous session, reviewing the assignment from the previous session, presenting the assignment sheet to look mindfully at feelings and stay with feelings, reviewing the assignment and behavioral commitment, practicing receiving kindness from colleagues, performing the assignment to be kind to colleagues, performing the role-playing exercise of being kind to oneselfFifth goal and content: Providing a summary of previous sessions, reviewing the assignments from the previous session, getting feedback from the process of the sessions, weakening the self-concept and expressing oneself as an observer, demonstrating separation between selves, inner experiences and behavior, application of mindfulness techniques, performing imagery, introducing the characteristics of a kind personPresentation of homework: homework sheet including mindfully looking at suffering, compassionate reasoning towards suffering, mindfully seeing emotions and performing imagery while sufferingSixth goal and content: Providing a summary of previous sessions, getting feedback from the session process, modeling exiting the mind, learning to see inner experiences as a process, introducing different dimensions of compassionate attention, introducing non-judgmentalismAssignment: Reviewing the assignments of the previous session, presenting the assignment of listing the positive and negative values of oneself and colleagues and practicing paying attention instead of being drySeventh goal and content of the session: Showing the dangers of focusing on results, discovering practical values in life, retelling the characteristics of a kind person, introducing compassionate behavior, introducing types of compassionate behavior. Assignment: Feedback from the previous session, summary of previous sessions, presenting the assignment of practicing types of compassionate behaviors in everyday behaviors, practicing behaviors one by one at firstEighth goal and content of the session: Determining patterns of action consistent with values, re-introducing compassionate behavior. Assignment: Feedback from the previous session, review of last week's assignment, case-by-case review of behaviors based on the training provided in previous sessions. Control Group: No intervention (20 participants) Mental pain and the experience of disconnection. Timepoint: Pre-test: Before the start of the intervention - Post-test: After the end of 8 intervention sessions - Follow-up: One month after the intervention. Method of measurement: Beck Suicidal Ideation Scale - Auerbach and Mikulinser Mental Pain Questionnaire - Dissociation Experience Scale. Karaj University of Medical Sciences Approved 2025-09-23 Ethics Committee of Alborz University of Medical Sciences Imam Hossein Educational and Medical Center, Mohammadshahr, Karaj, Alborz karaj Alborz Iran (Islamic Republic of)