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IRCT20260202068746N1 IRCT 2026-04-29 Islamic Azad University Comparing the effectiveness of stress inoculation training and mindfulness skills training Comparing the effectiveness of stress inoculation training and mindfulness skills training on appearance anxiety, self-criticism, metacognitive evaluation of body dysmorphic disorder, and self-acceptance in female students with body image obsessions . 2026-05-10 anticipated 45 Complete https://irct.ir/trial/88952 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: In this study, simple randomization will be used to achieve completely random allocation and eliminate any researcher interference or bias. First, a complete list of the girls referring to the counseling center who meet the inclusion criteria will be prepared. Then, each of these individuals will be assigned an initial numerical identification code. These codes will be entered into the Random Number Generator software. The software will generate a unique random number for each individual. After generating the numbers, the participants will be listed in ascending order based on their random number. Next, sequentially, the first to fifteenth individuals on the list will be assigned to Experimental Group 1, the sixteenth to thirtieth individuals to Experimental Group 2, and the thirty‑first to forty‑fifth individuals to the Control Group. This process is designed so that neither the order of entry nor the researcher’s knowledge of the participants plays any role in the allocation process, and it will not be possible to predict any individual’s group before the randomization is completed, Blinding description: In this study, the researchers, clinical caretakers, and outcome assessors are all blinded to the group assignments, and codes are assigned to the participants. N/A Body image obsession. Intervention 1: First intervention group: Stress inoculation training based on Donald Maikenbaum's standard protocol (1985) and the version translated by Cyrus Mebini (1997), in the form of 9 group sessions, each session lasting 120 minutes, with weekly intervals.Session Summary: Session 1: Introduction, group goals, conceptualization of stress and its symptoms. Session 2: Relaxation and stress relief training. Session 3: Cognitive concepts, the role of thoughts in stress, negative automatic thoughts, cognitive errors.Session 4: Dealing with negative thoughts. Session 5: Training in guided self-talk and the role of negative self-talk. Session 6: Training in focusing thoughts and attention-redirecting techniques. Session 7: Training in problem-solving. Session 8: Training in anger management skills. Session 9: Integrated practice of skills in stressful situations, summarizing and ending. Intervention 2: Second intervention group: Mindfulness-based training based on the standard protocol of Bowen et al. (2011), in the form of 8 group sessions, each session lasting 120 minutes, with weekly intervals .Sessions include mindfulness exercises (body scan, seated meditation, 3-minute breathing space, mindful body movement, mindful walking), non-judgmental awareness of thoughts and feelings, distinguishing thoughts from reality, managing barriers to practice, focusing on pleasant/unpleasant events, and applying skills to prevent relapse and increase well-being. Along with regular homework assignments. Intervention 3: Control group: No intervention was performed. No - There is not a plan to make this available Justification or reason for not sharing IPD is Due to the confidentiality of participant data, we are unable to publish the program.
public Fatameh Asadollah Salmanpoor
No.186, West Esfahan Street, Golestan AVe., Ahvaz Town
Ahvaz Iran (Islamic Republic of) ۶۱۳۶۷۶۳۷۵۹ +98 61 3322 3618 F.salmanpoor@iau.ir Islamic Azad University scientific Fatemeh Sadat Marashian
Islamic Azad University of Ahvaz Branch, Farhangshahr
Ahvaz Iran (Islamic Republic of) 6134937333 +98 61 3334 8420 Fsmarashian@gmail.com Islamic Azad University Iran (Islamic Republic of) Be at least 15 years old and at most 17 years old Female gender Obsessive-compulsive disorder based on a diagnostic interview and a body deformity concern questionnaire (achieving a minimum score of 10 on the test) 15 years 17 years Female Having mental disorders and taking psychiatric medications Having physical problems that interfere with the intervention process F45.22 Body dysmorphic disorder Behavior Behavior Behavior First intervention group: Stress inoculation training based on Donald Maikenbaum's standard protocol (1985) and the version translated by Cyrus Mebini (1997), in the form of 9 group sessions, each session lasting 120 minutes, with weekly intervals.Session Summary: Session 1: Introduction, group goals, conceptualization of stress and its symptoms. Session 2: Relaxation and stress relief training. Session 3: Cognitive concepts, the role of thoughts in stress, negative automatic thoughts, cognitive errors.Session 4: Dealing with negative thoughts. Session 5: Training in guided self-talk and the role of negative self-talk. Session 6: Training in focusing thoughts and attention-redirecting techniques. Session 7: Training in problem-solving. Session 8: Training in anger management skills. Session 9: Integrated practice of skills in stressful situations, summarizing and ending. Second intervention group: Mindfulness-based training based on the standard protocol of Bowen et al. (2011), in the form of 8 group sessions, each session lasting 120 minutes, with weekly intervals .Sessions include mindfulness exercises (body scan, seated meditation, 3-minute breathing space, mindful body movement, mindful walking), non-judgmental awareness of thoughts and feelings, distinguishing thoughts from reality, managing barriers to practice, focusing on pleasant/unpleasant events, and applying skills to prevent relapse and increase well-being. Along with regular homework assignments. Control group: No intervention was performed. Appearance anxiety. Timepoint: Before the intervention, one week after completion of the intervention, one month after completion of the intervention. Method of measurement: Appearance Anxiety Inventory, Veale et al. (2014). Self-criticism. Timepoint: Before the intervention, one week after completion of the intervention, one month after completion of the intervention. Method of measurement: Levels of Self-Criticism Scale, Thompson and Zuroff (2004). Metacognitive assessment of body dysmorphic disorder. Timepoint: Before the intervention, one week after completion of the intervention, one month after completion of the intervention. Method of measurement: Metacognitive Assessment of Body Dysmorphic Disorder Questionnaire, Rabiei et al. (2011). Self-acceptance. Timepoint: Before the intervention, one week after completion of the intervention, one month after completion of the intervention. Method of measurement: Unconditional Self-Acceptance Questionnaire, Chamberlain and Haaga (2001). Islamic Azad University Approved 2026-01-18 Ethics Committee of Islamic Azad University of Ahvaz Branch Ahvaz Azad University, 22 Bahman Street, Farhang Shahr, Golestan Highway Ahvaz Khouzestan Iran (Islamic Republic of)