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IRCT20220808055640N1 IRCT 2022-08-30 Shiraz University of Medical Sciences The Effectiveness of Acceptance and Commitment Therapy and Intensive Short-Term Dynamic Psychotherapy on Emotion Regulation, Shame and Perfectionism ACT and ISTDP Comparison of the Effectiveness of Acceptance and Commitment Therapy and Intensive Short-Term Dynamic Psychotherapy on Emotion Regulation, Shame and Perfectionism among Patients with Irritable Bowel Syndrome 2022-10-23 anticipated 36 Complete https://irct.ir/trial/65230 interventional Randomization: Not randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Blinding description: An interventional study with blinding participants is conducted to evaluate the effect of acceptance and commitment therapy and short-term dynamic psychotherapy on emotion regulation, shame and perfectionism in people with irritable bowel syndrome.The method of blinding the patients is that after explaining the research, the treatment is given to the two intervention groups, but the two intervention groups do not know which treatment they will receive.The control group will only receive explanations about the questionnaires and forms that contain the questionnaires used to measure the target variables during the pre-test and post-test. Also, patients do not know the nature of the intervention program implemented for the opposite groups. N/A Irritable bowel syndrome. Intervention 1: Intervention group 1, the group receiving acceptance and commitment therapy: Before the intervention, questionnaires were completed by people in the groups. Ten sessions of acceptance and commitment therapy were followed, one session per week and each session lasting about an hour, in a quiet room and according to a written schedule.In this research, the intervention programs of Hayes, 2008 and Dahl, Stewart, Martel and Kaplan, 2014 were adapted.First, in the form of solving general problems, and then solving specific problems and helping clients to recognize ineffective control strategies and realize their futility, accepting painful personal events without fighting with them, teaching the steps of acceptance, explaining the concept of values, creating motivation. It was done to change and train commitment to action that affect the regulation of emotions, feelings of shame and perfectionism of the subject group.The group had enough opportunity to achieve the goals of the research, and the subjects started with freedom of action and without any pressure from the therapist to express their emotions, feelings of shame and perfectionism. At the end of the training, the group was given a post-test and the questionnaires were filled again. Intervention 2: Intervention group2, The group receiving short-term dynamic psychotherapy: before the implementation of the intervention, the questionnaires were completed by people in the groups. For the second experimental group, which were exposed to the experimental variable of short-term dynamic psychotherapy, ten sessions of a one-hour training program were designed based on the works of Dr. Habib Duvanlu (2000). Each part of the treatment consists of a series of intervention and response, which ultimately leads to the failure of resistance and the therapist and patient entering the dynamic and unconscious core of the disorder.The seven stages of the dynamic sequence are: questioning the patient's problem, pressure, challenge with resistance, manifestation of transference resistance and challenge with it, overcoming the therapeutic contract over resistance and conscious re-opening, analysis of transference and exploration of dynamics in the unconscious. At the end of the training, the group was given a post-test and the questionnaires were filled again. Intervention 3: Control group, no intervention: no intervention was done on people. Questionnaires were filled by people at the beginning of the course and filled again at the end of the course. No - There is not a plan to make this available Justification or reason for not sharing IPD is Considering that the number of patients with irritable bowel syndrome in Fars province is limited, in order to prevent the possible identification of individuals based on their demographic characteristics, the data of these people will be prevented.
public Nooshin Barahimi
Unit 1,No.45, Alley 12/5, Shaid beheshti Blvd.,
Shiraz Iran (Islamic Republic of) 7145894373 +98 71 3627 7079 nooshinbarahimi@yahoo.com Islamic Azad University scientific Nooshin Barahimi
Unit 1,No.45, Alley 12/5, Shaid beheshti Blvd.,
Shiraz Iran (Islamic Republic of) 7145894373 +98 71 3627 7079 nooshinbarahimi@yahoo.com Islamic Azad University Iran (Islamic Republic of) Iran (Islamic Republic of) Diagnosis of Irritable Bowel Syndrome by a gastroenterologist Age group 20 to 45 years 20 years 45 years Female having an addiction Having a psychological disorders Psychiatric drug use having heart and respiratory diseases K90-K93 Other diseases of the digestive system Behavior Behavior N/A Intervention group 1, the group receiving acceptance and commitment therapy: Before the intervention, questionnaires were completed by people in the groups. Ten sessions of acceptance and commitment therapy were followed, one session per week and each session lasting about an hour, in a quiet room and according to a written schedule.In this research, the intervention programs of Hayes, 2008 and Dahl, Stewart, Martel and Kaplan, 2014 were adapted.First, in the form of solving general problems, and then solving specific problems and helping clients to recognize ineffective control strategies and realize their futility, accepting painful personal events without fighting with them, teaching the steps of acceptance, explaining the concept of values, creating motivation. It was done to change and train commitment to action that affect the regulation of emotions, feelings of shame and perfectionism of the subject group.The group had enough opportunity to achieve the goals of the research, and the subjects started with freedom of action and without any pressure from the therapist to express their emotions, feelings of shame and perfectionism. At the end of the training, the group was given a post-test and the questionnaires were filled again. Intervention group2, The group receiving short-term dynamic psychotherapy: before the implementation of the intervention, the questionnaires were completed by people in the groups. For the second experimental group, which were exposed to the experimental variable of short-term dynamic psychotherapy, ten sessions of a one-hour training program were designed based on the works of Dr. Habib Duvanlu (2000). Each part of the treatment consists of a series of intervention and response, which ultimately leads to the failure of resistance and the therapist and patient entering the dynamic and unconscious core of the disorder.The seven stages of the dynamic sequence are: questioning the patient's problem, pressure, challenge with resistance, manifestation of transference resistance and challenge with it, overcoming the therapeutic contract over resistance and conscious re-opening, analysis of transference and exploration of dynamics in the unconscious. At the end of the training, the group was given a post-test and the questionnaires were filled again. Control group, no intervention: no intervention was done on people. Questionnaires were filled by people at the beginning of the course and filled again at the end of the course. Emotion regulation score in Gratz & Roemer questionnaire. Timepoint: At the beginning of the study and 10 weeks after the start of the intervention. Method of measurement: Gratz & Roemer Difficulties in Emotion Regulation Scale. Shame score in Cook's questionnaire and Gross et al.'s questionnaire. Timepoint: At the beginning of the study and 10 weeks after the start of the intervention. Method of measurement: Cook Internalized shame scale, Gross et al. Shame scale. Perfectionism score in the Flett perfectionism scale. Timepoint: At the beginning of the study and 10 weeks after the start of the intervention. Method of measurement: Flett Perfectionism scale. Shiraz University of Medical Sciences Approved 2022-06-08 Ethics committee of Shiraz University of Medical Sciences Zand St., central building of Shiraz University of Medical Sciences Shiraz Fars Iran (Islamic Republic of)