<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20251227068462N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2026-01-04</date_registration>
      <primary_sponsor>Khorasan Institute of Higher Education</primary_sponsor>
      <public_title>The effectiveness of brief Dialectical Behavior Therapy on internalized shame and social comparisonon Individuals with problematic social media use</public_title>
      <acronym></acronym>
      <scientific_title>The effectiveness of Brief Dialectical Behavior Therapy on internalized shame and social comparison among female students with problematic social media use</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2026-01-10</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>24</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/88353</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Not randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Blinding description: The data analyst was blinded to participants’ group allocation.</study_design>
      <phase>3</phase>
      <hc_freetext>Avoidant personality disorder.</hc_freetext>
      <i_freetext>Intervention 1: Twelve individuals who meet the study inclusion criteria will be randomly assigned to the intervention group. Prior to the commencement of the intervention, complete information regarding the objectives, procedures, and implementation of the treatment sessions will be provided to the participants in the experimental group, and written informed consent will be obtained from all research participants. Subsequently, participants will attend twelve 90-minute Dialectical Behavior Therapy (DBT) sessions, held twice a week. The sessions will be conducted in person in one of the classrooms at Khorasan University, and all stages of the study will be carried out in accordance with research ethical principles.The group sessions are designed based on the educational content and exercises of Linehan’s Dialectical Behavior Therapy Skills Training Manual (2018 Persian edition) and will be implemented as a short-term program as follows:Introduction and orientation to therapy, session rules, and introduction to mindfulness skillsPractice of mindfulness skills: observing, describing, and participatingAdvanced mindfulness skills: reasonable mind, emotional mind, and wise mindIntroduction to distress tolerance, the STOP skill, and practicing coping with crisesApplication of self-soothing skills and radical acceptanceIntroduction to emotion regulation skills: understanding emotions and reducing emotional vulnerabilityIncreasing positive emotions, identifying barriers, and enhancing emotional awarenessControlling negative impulses and maintaining calm in challenging situationsIntroduction to interpersonal effectiveness skills: assertiveness and effective requestingMaintaining relationships, saying no, and practicing mutual respectIntegration of skills and combined application of DBT skills in daily life situationsSummary, evaluation of progress, and planning for continued practice. Intervention 2: The control group will not receive any training.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is no plan</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Akram Shariati</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Amouzegar 82 Street, Mashhad</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9179733178</zip>
        <telephone>+98 915 157 6017</telephone>
        <email>shariatii.a@gmail.com</email>
        <affiliation>Khorasan Institute of Higher Education</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Akram Shariati</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Amuzegar82</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9189863113</zip>
        <telephone>+98 51 3502 8601</telephone>
        <email>shariatii.a@gmail.com</email>
        <affiliation>Khorasan Institute of Higher Education</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Undergraduate and graduate students currently enrolled
Individuals who scored above 100 on the Cook Internalized Shame Scale, above 30 on the Social Comparison Orientation Scale by Gibbons and Buunk, and above 5 on the Problematic Social Media Use Questionnaire by van den Eijnden
Absence of severe psychiatric disorders or use of psychotropic medications (based on self-report or an initial interview)
Completion and written submission of an informed consent form to the researcher
Ages 20 to 30</inclusion_criteria>
      <agemin>20 years</agemin>
      <agemax>30 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>During the course of the study, participants who were absent from more than two weekly Dialectical Behavior Therapy (DBT) sessions would be excluded from the study
Receiving concurrent psychological treatments</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Behavior</i_code>
      <i_code>Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Twelve individuals who meet the study inclusion criteria will be randomly assigned to the intervention group. Prior to the commencement of the intervention, complete information regarding the objectives, procedures, and implementation of the treatment sessions will be provided to the participants in the experimental group, and written informed consent will be obtained from all research participants. Subsequently, participants will attend twelve 90-minute Dialectical Behavior Therapy (DBT) sessions, held twice a week. The sessions will be conducted in person in one of the classrooms at Khorasan University, and all stages of the study will be carried out in accordance with research ethical principles.The group sessions are designed based on the educational content and exercises of Linehan’s Dialectical Behavior Therapy Skills Training Manual (2018 Persian edition) and will be implemented as a short-term program as follows:Introduction and orientation to therapy, session rules, and introduction to mindfulness skillsPractice of mindfulness skills: observing, describing, and participatingAdvanced mindfulness skills: reasonable mind, emotional mind, and wise mindIntroduction to distress tolerance, the STOP skill, and practicing coping with crisesApplication of self-soothing skills and radical acceptanceIntroduction to emotion regulation skills: understanding emotions and reducing emotional vulnerabilityIncreasing positive emotions, identifying barriers, and enhancing emotional awarenessControlling negative impulses and maintaining calm in challenging situationsIntroduction to interpersonal effectiveness skills: assertiveness and effective requestingMaintaining relationships, saying no, and practicing mutual respectIntegration of skills and combined application of DBT skills in daily life situationsSummary, evaluation of progress, and planning for continued practice</i_keyword>
      <i_keyword>The control group will not receive any training.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Reduction of Internalized Shame. Timepoint: Before the intervention – immediately after the intervention – one month after the end. Method of measurement: Internalized Shame Questionnaire.</prim_outcome>
      <prim_outcome>Reduction of Social Comparison. Timepoint: Before the intervention – immediately after the intervention – one month after the end. Method of measurement: Social Comparison Questionnaire.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Khorasan Institute of Higher Education</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2025-12-04</approval_date>
        <contact_name>Ethics Committee for Biomedical Research of Ferdowsi University</contact_name>
        <contact_address>Unit 2, No. 10, Doostkam 13, Iqbal Lahouri 9 Street, Vakilabad Boulevard مشهد Razavi Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
