Determining the effectiveness of compassion-focused cognitive-behavioral therapy on self-critical, intolerance of indecision, and obsessive-compulsive disorder in housewives
Design
A clinical trial with a control group, with randomized factorial groups, on 30 female patients with obsessive-compulsive disorder and a simple randomization method will be used.
Settings and conduct
The study population in this study will include included housewives who were referred to counseling centers and educational psychology, counseling centers of guide Salamat, and Saadat of Sabzevar in the summer of 2021. From them, 30 people will be selected based on the purposive sampling method and then randomly assigned to research groups.
Participants/Inclusion and exclusion criteria
Inclusion criteria:
Having conscious satisfaction
Housewives
Age range 20-40 years
Suffering from the signs and symptoms of obsessive-compulsive disorder
Failure to receive other therapies at the same time
Getting a score higher than the cut-off point in the questionnaires
Exclusion criteria:
Reluctance to continue cooperation in research
Do not attend two or more sessions (for the experimental group)
Biased and incomplete answers to the desired questionnaires
Exacerbation of symptoms and referral to a psychiatrist
Intervention groups
Fifteen participants will receive compassion-focused cognitive-behavioral therapy (experimental group) and 15 participants will not receive any treatment (control group).
Main outcome variables
Self-criticism, intolerance of indecision, symptoms, and signs of obsessive-compulsive disorder
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20220501054716N1
Registration date:2022-05-28, 1401/03/07
Registration timing:retrospective
Last update:2022-05-28, 1401/03/07
Update count:0
Registration date
2022-05-28, 1401/03/07
Registrant information
Name
Sayed saber Mousavi
Name of organization / entity
Mashhad Ferdowsi University
Country
Iran (Islamic Republic of)
Phone
+98 51 3521 6324
Email address
saber.mousavi09240@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2021-11-06, 1400/08/15
Expected recruitment end date
2021-12-01, 1400/09/10
Actual recruitment start date
2021-12-13, 1400/09/22
Actual recruitment end date
2022-01-30, 1400/11/10
Trial completion date
empty
Scientific title
The Effectiveness of Compassion-Focused Cognitive-Behavioral Therapy on Self-Criticism, Uncertainty, and Obsessive-Compulsive Housewives
Public title
Effect of Compassion-Focused Cognitive-Behavioral Therapy on Self-Criticism, Intolerance of Uncertainty, and Obsessive-Compulsive Housewives
Purpose
Prevention
Inclusion/Exclusion criteria
Inclusion criteria:
Having conscious satisfaction
Housewives
Age range 40-20 years
Suffering from the signs and symptoms of obsessive-compulsive disorder
Failure to receive other therapies at the same time
Getting a score higher than the cut-off point in the questionnaires
Exclusion criteria:
Reluctance to continue cooperation in research
Do not attend two or more sessions (for the experimental group)
Biased and incomplete answers to the desired questionnaires
Exacerbation of symptoms and referral to a psychiatrist
Age
From 20 years old to 40 years old
Gender
Female
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
30
Actual sample size reached:
30
Randomization (investigator's opinion)
Randomized
Randomization description
After making the necessary arrangements, among the people who will complete the questionnaires, 30 people will be selected by purposive sampling and then by simple random way so that each of the people numbers 1 and 2, each code number A group is assigned. Then 15 participants will be randomly assigned to the group receiving compassion-based cognitive-behavioral therapy intervention (experimental group) and 15 participants will be assigned to the control group.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Factorial
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Research Ethics Committees of Ferdowsi University of Mashhad
Street address
Iran, Mashhad, Azadi Square, Ferdowsi University of Mashhad
City
Mashhad
Province
Razavi Khorasan
Postal code
۹۱۷۷۹۴۸۹۷۴
Approval date
2021-10-30, 1400/08/08
Ethics committee reference number
IR.UM.REC.1400.376
Health conditions studied
1
Description of health condition studied
Obsessive-compulsive disorder
ICD-10 code
F42
ICD-10 code description
Obsessive-compulsive disorder
Primary outcomes
1
Description
self-critical
Timepoint
Pre-test and post-test
Method of measurement
self-critical scale
2
Description
intolerance of indecision
Timepoint
Pre-test and post-test
Method of measurement
intolerance of indecision scale
3
Description
Symptoms and signs of obsessive-compulsive disorder
Timepoint
Pre-test and post-test
Method of measurement
Moudsley Obsessive Compulsive disorder scale
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: Participants in the experimental group will receive compassion-focused cognitive-behavioral therapy in 15 sessions of 60 minutes per week. The protocol uses techniques such as soothing breathing rhythm and explaining its goals along with compassionate imagery, the practice of playing a compassionate person, mental imagery, the A-B-C model of obsessive-compulsive disorder, challenging dysfunctional thoughts, and cognitive distortions associated with obsessive-compulsive disorder. Gathering evidence to confirm and refute dysfunctional thoughts and cognitive distortions, cognitive reconstruction strategies of obsessive thoughts, exposure and response prevention, activity program to prevent a recurrence, and compassionate self-correction are used. Various psychological therapies have been developed for individuals with obsessive-compulsive disorder. The results of a study showed that cognitive-behavioral therapy is effective in the psychological symptoms of patients with emotional disorders such as depression and obsessive-compulsive disorder (Huntley, Araya, and Salisbury, 2012). But patients with obsessive-compulsive disorder who have personality problems and self-criticism have had a poor response to this treatment. In this regard, compassion-based therapy has been recently used to treat these patients (Gilbert, 2010). Roostaei Alisha and Badiee (2019) showed in a study that self-compassion training is effective on the self-critical self-esteem of middle-aged women (Roostaei Alisha and Badiee, 2019). Alternative rational thoughts in cognitive behavioral-cognitive therapy are analytical and solid. These thoughts were far from inner kindness to some therapists who could not feel the thoughts and images (Gilbert, 2010). In this regard, Asano, Koike, Shinohara, Kamimori, Nakagawa, Iwo, and Shimizu (2017) studied the effectiveness of compassion-based cognitive-behavioral therapy on depressed individuals. In their research, first cognitive techniques and then self-compassion techniques were applied (Asano et al., 2017). However, in the present study, according to previous research (Didrich, Hoffman, Kippers, and Breaking, 2016) and Gilbert's perspective (Gilbert, 2010), due to dealing with cognitive confrontations from a compassionate position, first self-compassion techniques and then cognitive techniques were performed. In addition, the present study used the cognitive-behavioral therapy protocol (Clark, 2006); The effectiveness of this protocol has been confirmed in previous studies for patients with obsessive-compulsive disorder (Rakoshik and McManus, 2010).
Category
Behavior
Recruitment centers
1
Recruitment center
Name of recruitment center
Education Counseling Center
Full name of responsible person
Ahmad Mokhtarifar
Street address
Taleghani Square
City
Sabzevar
Province
Razavi Khorasan
Postal code
9618687152
Phone
+98 51 4465 1886
Email
ahmadmokhtarifar@gmail.com
2
Recruitment center
Name of recruitment center
Tasdighi counseling clinic
Full name of responsible person
Mohsen Tasdighi
Street address
Kashefi North, Kashefi 14
City
Sabzevar
Province
Razavi Khorasan
Postal code
9618689087
Phone
+98 915 171 2477
Email
Mohsentsani@gmail.com
3
Recruitment center
Name of recruitment center
Saadat Counseling Center
Full name of responsible person
Mahmoud Shayan Tabar
Street address
Kashefi North, in front of Kashefi 4
City
Sabzevar
Province
Razavi Khorasan
Postal code
9618675432
Phone
+98 915 857 4676
Email
M.shayan.t@gmail.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Ferdowsi University Mashhad
Full name of responsible person
Dr. Mohammad Kafi
Street address
Iran, Mashhad, Azadi Square, Ferdowsi University of Mashhad
City
Mashhad
Province
Razavi Khorasan
Postal code
۹۱۷۷۹۴۸۹۷۴
Phone
+98 51 3880 2000
Email
m.kafi@um.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?