]>
IRCT2016022826807N1 IRCT 2017-08-05 Vice chancellor for research, Tehran university of medical Sciences The effectiveness of emotional schema therapy on the modification of emotional schemas and difficulties of emotional regulation with irritable bowel syndrome EST The effectiveness of emotional schema therapy on the modification of emotional schemas and difficulties of emotional regulation in women with irritable bowel syndrome: single-subject design 2015-06-22 anticipated Complete https://irct.ir/trial/22113 interventional Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Single, Purpose: Treatment, Other design features: The method of research is of single-subject design type. It was used A-B schema with stepwise method. Generally, the first position (A) is the basic line, in second position (B) is performed a therapeutic intervention and then, dependent variable is evaluated. In the study, independent variable is emotional schema therapy and dependent variables are therapeutic variations due use of the treatment method on the modification of emotional schemas and emotion regulation difficulty. N/A Condition 1: Irritable bowel syndrome. Condition 2: Irritable bowel syndrome. . It has been presented a summary of content of sessions of emotional schema therapy in Table 1. Table 1: a summary of content of sessions of emotional schema therapy Sessions Content of sessions First session Formation of therapeutic relation, planning of case formulation, presentation of treatment logic and treatment aims, presentation of etiologic model and treatment from emotional schema therapy approach Second session Normal and problematic emotions, consideration of painful emotions of patients and normalization of them, emotion self-awareness, instruction and introduction of emotion, identification and labeling of emotion, differentiation between different emotions, identification of emotion in physical and psychological state Third session Self-evaluation with the aim to recognize own emotion experiences, self-evaluation with the aim to identification of the amount of individuals emotion vulnerability, self-evaluation with the aim to identification of the strategies for emotion regulation, cognitive issues of emotion responses, physiologic issues of emotion responses, behavior outcomes of emotion responses and relation among them, introduction of rage emotion and the ways for dominance on rage Forth session Proceeding identified emotional schemas in patient, verbal challenges and Socratic dialogue Fifth session Proceeding other identified emotional schemas in patient and verbal challenges and Socratic dialogue, instruction of the technique of writing of negative memorabilia with the aim to facility of emotion processing Sixth session prevention of social seclusion and avoidance, instruction of strategy of problem solving, training of interpersonal skills (talking, self-expression and conflict resolution), preliminary introduction of the conception of acceptance and emotion validation Seventh session Helping people for acceptance of own emotion, proceeding intervening emotional schemas in acceptance and experience of painful emotion, presentation of detached mindfulness technique Eighth session Introduction of kinds of negative beliefs about emotions and challenge to them, identification of false evaluation and their effects on the emotion states Ninth session Identification of the amount and the way of using of inhibition strategy and investigation of its emotion outcomes, instruction of emotion expression, encounter, training of abreaction, relaxation Tenth session Discussion about severity of schemas before and after of confrontation, proceeding reminder avoidance of patient Eleventh session Review of sessions and practice of learned skills Twelfth session Work on therapy program (prevention of recurrence), schematization for support sessions, homework, commitment to continuous usage of treatment practices According to the observed therapeutic sessions’ content, therapist used a skill for patients and clarified it with examples of themselves..
public Arefeh Erfan
Tehran university of Medical Sciences
Tehran Iran (Islamic Republic of) +98 31 5350 1423 a_erfan@razi.tums.ac.ir Tehran university of Medical Sciences scientific Arefeh Erfan
Tehran university Of Medical Sciences
Tehran Iran (Islamic Republic of) +98 31 5350 1423 a_erfan@razi.tums.ac.ir Tehran university Of Medical Sciences Iran (Islamic Republic of) Inclusion criteria (having ROME III diagnostic criteria confirmed by digestion specialist for differentiation IBS from other functional gastrointestinal disorders, no consumption of psychiatry drugs during three months ago, no participation in psychology interventions session during six months ago, having high school education or higher, dominance on Persian language, have satisfaction for participation) and Exclusion criteria (having symptoms such as gastrointestinal blooding, existence of blood in excretion, fever, losing weight, anemia during six months ago, nnocturnal diarrhea, bellyache that awakes patients from sleep, palpable mass in physical examination , older than 50 and younger than 20, having a family history of colon cancer, having sever psychiatry disease) 20 years 50 years Female k58.0 k58.0 Irritable bowel syndrome with diarrhoea Irritable bowel syndrome with diarrhoea Behavior . It has been presented a summary of content of sessions of emotional schema therapy in Table 1. Table 1: a summary of content of sessions of emotional schema therapy Sessions Content of sessions First session Formation of therapeutic relation, planning of case formulation, presentation of treatment logic and treatment aims, presentation of etiologic model and treatment from emotional schema therapy approach Second session Normal and problematic emotions, consideration of painful emotions of patients and normalization of them, emotion self-awareness, instruction and introduction of emotion, identification and labeling of emotion, differentiation between different emotions, identification of emotion in physical and psychological state Third session Self-evaluation with the aim to recognize own emotion experiences, self-evaluation with the aim to identification of the amount of individuals emotion vulnerability, self-evaluation with the aim to identification of the strategies for emotion regulation, cognitive issues of emotion responses, physiologic issues of emotion responses, behavior outcomes of emotion responses and relation among them, introduction of rage emotion and the ways for dominance on rage Forth session Proceeding identified emotional schemas in patient, verbal challenges and Socratic dialogue Fifth session Proceeding other identified emotional schemas in patient and verbal challenges and Socratic dialogue, instruction of the technique of writing of negative memorabilia with the aim to facility of emotion processing Sixth session prevention of social seclusion and avoidance, instruction of strategy of problem solving, training of interpersonal skills (talking, self-expression and conflict resolution), preliminary introduction of the conception of acceptance and emotion validation Seventh session Helping people for acceptance of own emotion, proceeding intervening emotional schemas in acceptance and experience of painful emotion, presentation of detached mindfulness technique Eighth session Introduction of kinds of negative beliefs about emotions and challenge to them, identification of false evaluation and their effects on the emotion states Ninth session Identification of the amount and the way of using of inhibition strategy and investigation of its emotion outcomes, instruction of emotion expression, encounter, training of abreaction, relaxation Tenth session Discussion about severity of schemas before and after of confrontation, proceeding reminder avoidance of patient Eleventh session Review of sessions and practice of learned skills Twelfth session Work on therapy program (prevention of recurrence), schematization for support sessions, homework, commitment to continuous usage of treatment practices According to the observed therapeutic sessions’ content, therapist used a skill for patients and clarified it with examples of themselves. Emotional schemas. Timepoint: baseline stage tests in baseline as well as third, sixth, ninth and twelfth sessions. Also, at last session each patient was asked to refer once a month for three months. Method of measurement: baseline stage tests in baseline as well as third, sixth, ninth and twelfth sessions. Also, at last session each patient was asked to refer once a month for three months. Emotion regulation difficulty. Timepoint: baseline stage tests in baseline as well as third, sixth, ninth and twelfth sessions. Also, at last session each patient was asked to refer once a month for three months. Method of measurement: Emotion regulation difficulty questionnaire (DERS). Psychological symptom. Timepoint: baseline stage tests in baseline as well as third, sixth, ninth and twelfth sessions. Also, at last session each patient was asked to refer once a month for three months. Method of measurement: DASS. Severity and frequency of physical symptoms. Timepoint: baseline stage tests in baseline as well as third, sixth, ninth and twelfth sessions. Also, at last session each patient was asked to refer once a month for three months. Method of measurement: BSS-FS. Quality of life. Timepoint: baseline stage tests in baseline as well as third, sixth, ninth and twelfth sessions. Also, at last session each patient was asked to refer once a month for three months. Method of measurement: quality of life quation for IBS. Vice chancellor for research, Tehran university of medical Sciences Approved 2017-06-24 University Ethics Committee enghelab tehran university of medical sciences tehran Iran (Islamic Republic of)