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Designing and Evaluating of the Effectiveness of a Positive Cognitive Behavioral Therapy-Based Intervention Package on Pre- Event and Post Event Rumination, Shame, worry, and Social Competence in Student with Social Anxiety Disorder

Protocol summary

Study aim
Designing and Evaluating of the Effectiveness of a Positive Cognitive Behavioral Therapy-Based Intervention Package on Pre- Event and Post Event Rumination, Shame, worry, and Social Competence in Student with Social Anxiety Disorder
Design
A randomized, Clinical trial with one intervention group and one control group will be conducted on 40 patients with Social Anxiety Disorder.
Settings and conduct
After obtaining the ethics code and permission from University of Semnan and the selected sampling universities, the research poster will be distributed across the universities and their virtual groups. Volunteer students who contact the researcher will be selected through purposive sampling. Then, 40 students will be randomly assigned to the experimental and control groups. Therapeutic sessions will be conducted for the experimental group, and the questionnaires will be completed at three stages: pre-test, post-test, and three-month follow-up.
Participants/Inclusion and exclusion criteria
Inclusion criteria: 1. Undergraduate and graduate students at Babol Noshirvani University of Technology, University of Mazandaran, Payame Noor University, Babol Branch, and Mazandaran University of Science and Technology during the 2025–2026 academic year. 2. Obtaining a score above the cut-off point (24 and above) on the Social Phobia Scale (SPS). 3. Not receiving any other psychological treatments simultaneously. Exclusion criteria: 1. Presence of severe comorbid psychiatric disorders (such as bipolar disorder, schizophrenia, and substance use disorders). 2. Use of stable psychiatric medication during the past 2 months. 3. Irregular attendance in treatment sessions (absence of more than two sessions).
Intervention groups
Positive Cognitive-Behavioral Therapy
Main outcome variables
Reducing pre-event and post-event rumination, shame, and worry, and improving social competence

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20260411069047N1
Registration date: 2026-04-24, 1405/02/04
Registration timing: prospective

Last update: 2026-04-24, 1405/02/04
Update count: 0
Registration date
2026-04-24, 1405/02/04
Registrant information
Name
Masoumeh kazempour
Name of organization / entity
The University of Semnan
Country
Iran (Islamic Republic of)
Phone
+98 11 3239 6901
Email address
masoumeh.kazempour@semnan.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2026-05-05, 1405/02/15
Expected recruitment end date
2026-07-06, 1405/04/15
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Designing and Evaluating of the Effectiveness of a Positive Cognitive Behavioral Therapy-Based Intervention Package on Pre- Event and Post Event Rumination, Shame, worry, and Social Competence in Student with Social Anxiety Disorder
Public title
The Effectiveness of a Positive Cognitive Behavioral Therapy-Based Intervention Package on Social Anxiety Disorder
Purpose
Education/Guidance
Inclusion/Exclusion criteria
Inclusion criteria:
Being an undergraduate or graduate student at Noshirvani University of Technology of Babol, Mazandaran University, Payame Noor University (Babol Branch), or the University of Science and Arts of Mazandaran during the academic year 1404–1405. Scoring above the cutoff point (24 or higher) on the Social Phobia Scale (SPS). Confirmation of Social Anxiety Disorder diagnosis based on a semi-structured clinical interview. Not receiving any other psychological treatments simultaneously. Providing informed consent to participate in the research.
Exclusion criteria:
Presence of severe comorbid psychiatric disorders (such as bipolar disorder, schizophrenia, or substance use disorders). Stable use of psychiatric medications during the past three months. Irregular attendance in treatment sessions (absence from more than two sessions). Withdrawal from continued cooperation at any stage of the research.
Age
No age limit
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size: 40
Randomization (investigator's opinion)
Randomized
Randomization description
It will be carried out using the simple randomization method. According to this method, the names of all selected participants as the research sample will be written on pieces of paper and placed in a box for drawing lots. Then, the papers will be drawn one by one, and the first 20 participants (numbers 1 to 20) will be assigned to the positive-oriented cognitive behavioral therapy experimental group, while the second 20 participants (numbers 21 to 40) will be assigned to the control group.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Other
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Semnan University of Medical Sciences
Street address
Basij Blvd
City
Semnan
Province
Semnan
Postal code
3514799442
Approval date
2026-01-19, 1404/10/29
Ethics committee reference number
IR.SEMUMS.REC.1404.296

Health conditions studied

1

Description of health condition studied
Social Anxiety Disorder
ICD-10 code
F40.1
ICD-10 code description
Social phobias

Primary outcomes

1

Description
The score of social anxiety in the social anxiety questionnaire
Timepoint
َAt the beginning of the study, after treatment sessions and at the three-months follow-up after treatment
Method of measurement
The score that the research participants will obtain from the Social Interaction Anxiety Scale (SIAS) by Heimberg et al. (1992) and the Social phobia scale (SPS) by Mattick & Clarke (1989).

2

Description
The score of pre- Event and Post Event Rumination in the Socially Anxious Rumination Questionnaire (SARQ)
Timepoint
َAt the beginning of the study, after treatment sessions and at the three-months follow-up after treatment
Method of measurement
The score that the research participants will obtain from the Socially Anxious Rumination Questionnaire (SARQ) by Donohue et al. (2021).

3

Description
The score of shame in the shame questionnaire
Timepoint
At the beginning of the study, after treatment sessions and at the three-months follow-up after treatment
Method of measurement
The score that the research participants will obtain from Internal and external shame scale (EISS) by Ferreira et al. (2020).

4

Description
The score of worry in the worry questionnaire
Timepoint
At the beginning of the study, after treatment sessions and at the three-months follow-up after treatment
Method of measurement
The score that the research participants will obtain from Pennsylvania state worry questionnaire (PSWQ) by Meyer et al (1990).

5

Description
The score of Social Competence in the Social Competence questionnaire
Timepoint
At the beginning of the study, after treatment sessions and at the three-months follow-up after treatment.
Method of measurement
The score that the research participants will obtain from Social Competence questionnaire (SCQ) by Parandin (2006).

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: In this study, the intervention group will receive positive cognitive-behavioral therapy. The intervention content will be developed through a combination of reviewing reputable scientific sources (books and articles), interviews with specialist therapists, and interviews with individuals diagnosed with social anxiety disorder. This approach, while benefiting from scientific knowledge, will also pay attention to the real-life experiences of individuals. After the initial design, the content will be reviewed and finalized by specialists. The exact number of sessions and detailed components will be determined after this stage. The sessions will be conducted by a therapist specialized in the positive cognitive-behavioral approach
Category
Treatment - Other

2

Description
Control group: During this period, the control group will not receive any intervention and will only participate in the comparative assessment stages.
Category
Treatment - Other

Recruitment centers

1

Recruitment center
Name of recruitment center
Babol Noshirvani University of Technology
Full name of responsible person
Esmaeil Abbasi
Street address
Shariati Ave.
City
Babol
Province
Mazandaran
Postal code
۴۷۱۴۸۷۳۱۱۳
Phone
+98 11 3233 2071
Email
pr@nit.ac.ir
Web page address
https://nit.ac.ir/fa

2

Recruitment center
Name of recruitment center
University of Mazandaran
Full name of responsible person
Fatemeh Malakian
Street address
Pasdaran Ave.
City
Babolsar
Province
Mazandaran
Postal code
47416-13534
Phone
+98 11 3530 2000
Email
info@umz.ac.ir
Web page address
https://umz.ac.ir/

3

Recruitment center
Name of recruitment center
Mazandaran University of Science and Technology
Full name of responsible person
Seyedeh Masoumeh Seyedi Andi
Street address
Sheykh Tabaresi Ave, Sardaran 12 Ave.
City
Babol
Province
Mazandaran
Postal code
0000000000
Phone
+98 11 3219 1209
Email
info@ustmb.ac.ir
Web page address
https://www.ustmb.ac.ir/

4

Recruitment center
Name of recruitment center
Payame Noor University- Babol Branch
Full name of responsible person
Rajabali Mohammadzadeh
Street address
Babol-Qaemshahr Road, Next to Rajeh Industrial Town
City
Babol
Province
Mazandaran
Postal code
4716654849
Phone
+98 11 3225 7793
Email
info@Babol.pnu.ac.ir
Web page address

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
The University of Semnan
Full name of responsible person
Parviz Sabahi
Street address
Basij Ave.
City
Semnan
Province
Semnan
Postal code
35131-19111
Phone
+98 23 3153 0000
Email
pr@semnan.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
The University of Semnan
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
The University of Semnan
Full name of responsible person
Masoumeh Kazempour
Position
Ph.D Student
Latest degree
Master
Other areas of specialty/work
Psychology
Street address
Fajr Gharbi 20 Alley, Basij 11 Ave.
City
Babol
Province
Mazandaran
Postal code
4715845934
Phone
+98 11 3239 6901
Email
Masoumeh.Kazempour@semnan.ac.ir

Person responsible for scientific inquiries

Contact
Name of organization / entity
The University of Semnan
Full name of responsible person
Masoumeh Kazempour
Position
Ph.D Student
Latest degree
Master
Other areas of specialty/work
Psychology
Street address
Fajr Gharbi 20 Alley, Basij 11 Ave
City
Babol
Province
Mazandaran
Postal code
47158459934
Phone
+98 11 3239 6901
Email
Masoumeh.Kazempour@semnan.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
The University of Semnan
Full name of responsible person
Masoumeh Kazempour
Position
Ph.D Student
Latest degree
Master
Other areas of specialty/work
Psychology
Street address
Fajr Gharbi 20 Alley, Basij 11 Ave
City
Babol
Province
Mazandaran
Postal code
47158459934
Phone
+98 11 3239 6901
Email
Masoumeh.Kazempour@semnan.ac.ir

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
No - There is not a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Not applicable
Data Dictionary
Not applicable
Title and more details about the data/document
Part of the data will be published in the student's articles and thesis, and the identity information of the participants will be preserved.
When the data will become available and for how long
Since 1406
To whom data/document is available
Academic and scientific researchers
Under which criteria data/document could be used
After completing the treatment and follow-up sessions and writing a doctrol thesis, research articles will be published in reputable scientific journals.
From where data/document is obtainable
Masoumeh Kazempour
What processes are involved for a request to access data/document
A message containing the request for research documents should be sent to the email of the author of the article.
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