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IRCT20260728070403N1 IRCT 2026-08-27 Mashhad University of Medical Sciences The Effect of Motivational Interviewing on Anxiety and Life Satisfaction of Mothers of Children with Mood Disorders The Effect of Motivational Interviewing on Anxiety and Life Satisfaction of Mothers of Children with Mood Disorders 2026-09-23 anticipated 64 Pending https://irct.ir/trial/92207 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Simple Randomization Individual Using Research Randomizer software (www.randomizer.org) To conceal allocation, opaque, numbered, and sealed envelopes were used. The envelopes were kept in a separate room in numerical order. After each mother completed the pretest questionnaires, the envelope corresponding to the same number was opened and the individual was assigned to the intervention or control group. N/A Condition 1: Depressive disorder: F32.9 (unspecified major depression). Condition 2: F33.9 (اختلال افسردگی عودکننده نامشخص). Condition 3: Bipolar disorder: F31.9 (unspecified bipolar disorder). Condition 4: Anxiety. Intervention 1: Intervention group: Motivational Interviewing (MI) is a participatory, goal-oriented, and empathetic counseling approach designed by Miller and Rollnick (2013) that emphasizes strengthening the individual's intrinsic motivation to change harmful behaviors. This method is implemented in a non-judgmental and supportive environment and in the present study, it is held individually and face-to-face with each mother to help her discover and strengthen her intrinsic motivations to manage anxiety and improve her quality of life. Sessions are held in a private and quiet room in the child psychiatry ward of Ibn Sina Hospital in Mashhad, which is equipped with two comfortable chairs, a small table, and adequate lighting. Required forms, including BAI and Diner questionnaires, and a demographic information form, are provided during the sessions. The intervention consists of 4 40-minute sessions, held once a week for 4 consecutive weeks. The first session, titled Building a Therapeutic Relationship, is dedicated to establishing a trusting relationship, explaining the structure of the sessions, exploring the mother's concerns and challenges, expressing empathy, and identifying strengths and past successes. The second session aims to identify and strengthen internal motivations, explore the mother's values ​​and aspirations, use the importance scale, stimulate a conversation about change with the DARN-C technique (desire, ability, reasons, need, commitment), and strengthen self-efficacy. The third session, focusing on examining barriers to change and resolving oscillations, identifies barriers and ambivalence, uses the two-way review technique, and returns to strong motivations for change. Finally, the fourth session, titled Step-by-Step Planning for Stress Management and Improving Quality of Life, includes brainstorming to find practical solutions, developing a SMART (specific, measurable, attainable, realistic, timed) action plan, and strengthening commitment and final summation. The main techniques used in these sessions include open-ended questions, affirmations and praise, simple and complex reflections of feelings and content, summarization, numerical scales of importance and confidence, and mutual consideration of the pros and cons of change. Between sessions, mothers are asked to do simple home exercises such as a daily record of positive and negative feelings, daily diaphragmatic breathing practice for 5 minutes, and a diary of situations in which they successfully managed their emotions, each taking about 5 to 10 minutes a day. Intervention 2: Control group: The control group will receive standard hospital care during the study period (4 weeks), including routine nursing sessions to follow up on the child's medication status and general education for the mother, monthly general consultation with the ward's psychiatric nurse, access to the treatment team to answer questions, and continuation of the child's medication treatment as recommended by the treating psychiatrist, and will not receive any structured motivational interviewing intervention. In order to observe fairness and ethics in the study, after completing the follow-up phase and collecting all data, a summary of the motivational interviewing training will be provided to the control group in the form of a 60-minute individual or group session (depending on the mothers' preference) so that this group can also benefit from this method. Yes - There is a plan to make this available What will be shared: Some data, such as information on the main outcome, can be shared. When: Access begins 6 months after results are published. To whom: Researchers working in academic and scientific institutions Conditions: Allowed Where to obtain: Amir Mohammad Keyvan Shokooh Mobile: 09155615792 Zip Code: 9177943707 Email: a.keivanshokooh@gmail.com Mashhad Medical Sciences Campus How to obtain: Send email. Accept and send after a week. Comments:
public Tayebe pourghaznein
Vakil Abad Blvd
mashhad Iran (Islamic Republic of) ١٣٩۴۴٩١٣٨٨ +98 51 3841 2081 PourghazneinT@mums.ac.ir Mashhad University of Medical Sciences scientific saeed vagheei
Vakil Abad Blvd
mashhad Iran (Islamic Republic of) ١٣٩۴۴ ٩١٣٨٨ +98 51 3841 2081 vaghees@mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) Mother of a child aged 10-19 with mood disorders Living with a child with mood disorders Anxiety score greater than 8 on the BAI Willingness to participate No history of mental disorder or psychotropic medication No substance or alcohol abuse no limit no limit Female Drug and alcohol abuser Having a history of mental disorder and use of psychotropic F32.9 F33.9 F31.9 F06.4 Major depressive disorder, single episode, unspecified Major depressive disorder, recurrent, unspecified Bipolar disorder, unspecified Anxiety disorder due to known physiological condition Behavior N/A Intervention group: Motivational Interviewing (MI) is a participatory, goal-oriented, and empathetic counseling approach designed by Miller and Rollnick (2013) that emphasizes strengthening the individual's intrinsic motivation to change harmful behaviors. This method is implemented in a non-judgmental and supportive environment and in the present study, it is held individually and face-to-face with each mother to help her discover and strengthen her intrinsic motivations to manage anxiety and improve her quality of life. Sessions are held in a private and quiet room in the child psychiatry ward of Ibn Sina Hospital in Mashhad, which is equipped with two comfortable chairs, a small table, and adequate lighting. Required forms, including BAI and Diner questionnaires, and a demographic information form, are provided during the sessions. The intervention consists of 4 40-minute sessions, held once a week for 4 consecutive weeks. The first session, titled Building a Therapeutic Relationship, is dedicated to establishing a trusting relationship, explaining the structure of the sessions, exploring the mother's concerns and challenges, expressing empathy, and identifying strengths and past successes. The second session aims to identify and strengthen internal motivations, explore the mother's values ​​and aspirations, use the importance scale, stimulate a conversation about change with the DARN-C technique (desire, ability, reasons, need, commitment), and strengthen self-efficacy. The third session, focusing on examining barriers to change and resolving oscillations, identifies barriers and ambivalence, uses the two-way review technique, and returns to strong motivations for change. Finally, the fourth session, titled Step-by-Step Planning for Stress Management and Improving Quality of Life, includes brainstorming to find practical solutions, developing a SMART (specific, measurable, attainable, realistic, timed) action plan, and strengthening commitment and final summation. The main techniques used in these sessions include open-ended questions, affirmations and praise, simple and complex reflections of feelings and content, summarization, numerical scales of importance and confidence, and mutual consideration of the pros and cons of change. Between sessions, mothers are asked to do simple home exercises such as a daily record of positive and negative feelings, daily diaphragmatic breathing practice for 5 minutes, and a diary of situations in which they successfully managed their emotions, each taking about 5 to 10 minutes a day. Control group: The control group will receive standard hospital care during the study period (4 weeks), including routine nursing sessions to follow up on the child's medication status and general education for the mother, monthly general consultation with the ward's psychiatric nurse, access to the treatment team to answer questions, and continuation of the child's medication treatment as recommended by the treating psychiatrist, and will not receive any structured motivational interviewing intervention. In order to observe fairness and ethics in the study, after completing the follow-up phase and collecting all data, a summary of the motivational interviewing training will be provided to the control group in the form of a 60-minute individual or group session (depending on the mothers' preference) so that this group can also benefit from this method. Anxiety. Timepoint: 6 weeks. Method of measurement: Beck Anxiety Inventory. Satisfaction with life. Timepoint: 6 weeks. Method of measurement: Satisfaction with life scale. Mashhad University of Medical Sciences Approved 2026-08-10 Ethics committee of Mashhad University of Medical Sciences Vakil Abad Blvd Mashhad Razavi Khorasan Iran (Islamic Republic of)