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IRCT20260511069364N1 IRCT 2026-05-14 Islamic Azad University Evaluating the effectiveness of cognitive behavioral therapy in reducing anxiety in girls with panic disorder The Effectiveness of Cognitive Behavioral Therapy (CBT) in Reducing Anxiety Symptoms in Female Patients with Panic Disorder Referring to Counseling Centers 2026-05-31 anticipated 30 Complete https://irct.ir/trial/90068 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: The statistical population consists of all female patients with panic disorder (aged 18 to 30) who refer to the Counseling and Psychological Services Center during June 2026. In this type of effectiveness study, a two‑stage approach is typically used. In the sampling stage, convenience sampling is applied. After selecting a sample of 30 participants based on the study’s inclusion and exclusion criteria, the participants will be randomly assigned to two groups: the “Cognitive‑Behavioral Therapy intervention group and the “waiting list” control group. Randomization will be performed using variable block sizes (4 and 6 participants) by an independent statistician who is not involved in the implementation process. The random allocation list will be generated using the RAND function in Excel and then placed in opaque, sealed, and numbered envelopes to ensure that neither the researcher nor the participants are aware of the allocation sequence (allocation concealment). The envelopes will be opened, and group assignment will be revealed only at the time each participant enters the study. To ensure baseline equivalence of variables (such as anxiety level, age), their distribution across the two groups will be examined during statistical analysis. N/A Panic Disorder. Intervention 1: Intervention group: Cognitive Behavioral Therap .Duration of each session: 90 minutes; Total number of sessions: 8 sessions; Session sequence: twice a week.Therapeutic tools used:This intervention focuses on education about panic disorder, identifying and correcting maladaptive beliefs associated with panic symptoms, and most importantly, gradual and controlled exposure to physical symptoms and avoided situations. The main tools include psychoeducation, cognitive restructuring, breathing exercises, relaxation techniques, and exposure protocols (interoceptive and situational).Session content:Session 1: Introduction, administration of the pre-test, and initial education about panic disorder and its cycle.Session 2: Identifying catastrophic thoughts and training in cognitive restructuring.Session 3: Continuation of cognitive restructuring and diaphragmatic breathing training.Session 4: Initiation of interoceptive exposure to physical symptoms.Session 5: Continuation of interoceptive exposure and preparation of a hierarchy of feared situations.Session 6: Initiation of situational exposure to avoided situations.Session 7: Continuation of situational exposure and skill consolidation.Session 8: Conclusion, relapse prevention, post-test, and follow-up. Intervention 2: Control group: The control group will not receive any intervention during the research, but will receive the intervention after data collection to prevent factors that threaten the internal validity of the research, such as compensatory competition from the control group or demoralization. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Due to the lack of completion of the research work, and as a result, the failure to write the article, which is a requirement for publishing the data, I will publish the data as soon as possible after resolving the aforementioned issues.
public Kowsar Kowsarinezhad
No. 120, Pasdar Street, Azadegan Alley
Dezful Iran (Islamic Republic of) 6461646917 +98 61 4242 1383 kosar.kosari1378@gmail.com Islamic Azad University scientific Kowsar Kowsarinezhad
No. 120, Pasdar Street, Azadegan Alley
Dezful Iran (Islamic Republic of) 6461646917 +98 61 4242 1383 kosar.kosari1378@gmail.com Islamic Azad University Iran (Islamic Republic of) Definite diagnosis of panic disorder based on DSM-5-TR criteria by a psychiatrist or psychologist at the center Having a minimum average score (above 16) on the Beck Anxiety Inventory (BAI) Girls between the ages of 18 and 30 18 years 30 years Female Unwillingness to participate in the research Suffering from severedisorders such as schizophrenia Simultaneous participation in other counseling or psychotherapy courses. F41.0 Panic disorder [episodic paroxysmal anxiety] without agoraphobia Treatment - Other Treatment - Other Intervention group: Cognitive Behavioral Therap .Duration of each session: 90 minutes; Total number of sessions: 8 sessions; Session sequence: twice a week.Therapeutic tools used:This intervention focuses on education about panic disorder, identifying and correcting maladaptive beliefs associated with panic symptoms, and most importantly, gradual and controlled exposure to physical symptoms and avoided situations. The main tools include psychoeducation, cognitive restructuring, breathing exercises, relaxation techniques, and exposure protocols (interoceptive and situational).Session content:Session 1: Introduction, administration of the pre-test, and initial education about panic disorder and its cycle.Session 2: Identifying catastrophic thoughts and training in cognitive restructuring.Session 3: Continuation of cognitive restructuring and diaphragmatic breathing training.Session 4: Initiation of interoceptive exposure to physical symptoms.Session 5: Continuation of interoceptive exposure and preparation of a hierarchy of feared situations.Session 6: Initiation of situational exposure to avoided situations.Session 7: Continuation of situational exposure and skill consolidation.Session 8: Conclusion, relapse prevention, post-test, and follow-up. Control group: The control group will not receive any intervention during the research, but will receive the intervention after data collection to prevent factors that threaten the internal validity of the research, such as compensatory competition from the control group or demoralization. Anxiety. Timepoint: 1. Pre-test (before the start of the intervention) 2. Post-test (immediately after the end of the intervention period) 3. One-month follow-up after the intervention. Method of measurement: The measurement method will be the Beck Anxiety Inventory Epstein et al. (1988). Panic Disorder. Timepoint: 1. Pre-test (before the start of the intervention) 2. Post-test (immediately after the end of the intervention period) 3. One-month follow-up after the intervention. Method of measurement: The method of measurement will be the Panic Disorder Severity Scale by Shear et al. Islamic Azad University Approved 2026-04-15 Ethics Committee of Islamic Azad University of Ahvaz Branch Opposite Keshavarz Street, Farhang Shahr, Golestan Highway Ahvaz Khouzestan Iran (Islamic Republic of)