]>
IRCT20170326033144N2 IRCT 2023-09-24 Iran University of Medical Sciences The effect of Acceptance and Commitment Therapy on eating disorders in adolescents. The Effectiveness of Acceptance and Commitment Therapy in Adolescents with Eating Disorders 2023-08-23 anticipated 44 Complete https://irct.ir/trial/71987 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Participants will be randomly assigned to either the intervention group (receiving acceptance and commitment therapy) or the control group (receiving psychoeducation for eating disorders) using the simple randomization method. Simple randomization is based on a single sequence of random assignments. At first, each participant will be given a number code. Then, using the randomization software of the website https://www.sealedenvelope.com/, the participants are randomly and consecutively assigned to two groups A and B (intervention and control groups), Blinding description: Blinding will be applied to the evaluator and statistical analyst, which means that the factors that can cause deviation of the test result will be hidden from the statistical analyst and the evaluator. Due to the nature of the research, the participants are not blinded to the research process, and due to reasons such as the fact that the therapists perform the treatments, it is practically impossible to blind the therapist. N/A Eating disorders. Intervention 1: The intervention group receives acceptance and commitment therapy for adolescents with eating disorders in eight weekly, one-hour sessions. the intervention procedures include the Session 1: Establishing a therapeutic contract, introducing treatment, and writing about the harms and consequences of eating disorders. Session 2: Introducing creative hopelessness using the metaphor of "tug of war with a monster." Sessions 3 and 4: Introducing control as a problem, as well as using the "milk, milk, milk exercise" for cognitive defusion and introducing acceptance using the metaphor of "bus passengers." Sessions 5 and 6: Continuing cognitive defusion exercises, mindfulness exercises, and self-as-context exercises. Sessions 7 and 8: Explaining the values of each participant and increasing behavioral commitment for a more sustainable life. Finally, the therapist assists the participant in applying the learned exercises such as acceptance, contacting the present moment, cognitive defusion, self-as-context, and engaging in meaningful activities to prevent the return of symptoms. Intervention 2: The control group also receives the psychoeducational protocol for eating disorders in 8 weekly one-hour sessions. Procedures of the protocol include introducing eating disorders, prevalence and consequences of etiology of eating disorders, risk factors, prevention of relapse, and introduction of standard treatments of eating disorders. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information
public Mohammad Javad Shabani
School of Behavioral Sciences and Mental Health Shahid Mansouri Street, Niyayesh Street, Satarkhan Avenue, Tehran, Iran
Tehran Iran (Islamic Republic of) 1445613111 +98 21 6655 1655 shabani.mjavad@gmail.com Iran University of Medical Sciences scientific Mohammad Javad Shabani
School of Behavioral Sciences and Mental Health Shahid Mansouri Street, Niyayesh Street, Satarkhan Avenue, Tehran, Iran
Tehran Iran (Islamic Republic of) 1445613111 +98 21 6655 1655 shabani.mjavad@gmail.com Iran University of Medical Sciences Iran (Islamic Republic of) Presence of eating disorder diagnosis based on DSM-5 criteria Age between 10 and 19 years Not taking psychiatric drugs or taking anti-depressants and anti-anxiety drugs for at least two months before the intervention, the drug dose must be constant, and the patient must agree to the drug dose remaining constant during the study. 10 years 19 years Both The presence of severe psychiatric disorders (psychotic disorders, bipolar disorder, and bipolar disorder with psychotic features) Having serious suicidal thoughts Organic brain disorder based on self-report Substance use disorder The presence of cognitive disabilities such as mental retardation Having a history of incurable physical illness such as cancer Receiving psychological treatment interventions in the last year and at the time of the research The need to change, stop or increase the drug dose or start a new drug after pre-test evaluations F50 Eating disorders Treatment - Other Treatment - Other The intervention group receives acceptance and commitment therapy for adolescents with eating disorders in eight weekly, one-hour sessions. the intervention procedures include the Session 1: Establishing a therapeutic contract, introducing treatment, and writing about the harms and consequences of eating disorders. Session 2: Introducing creative hopelessness using the metaphor of "tug of war with a monster." Sessions 3 and 4: Introducing control as a problem, as well as using the "milk, milk, milk exercise" for cognitive defusion and introducing acceptance using the metaphor of "bus passengers." Sessions 5 and 6: Continuing cognitive defusion exercises, mindfulness exercises, and self-as-context exercises. Sessions 7 and 8: Explaining the values of each participant and increasing behavioral commitment for a more sustainable life. Finally, the therapist assists the participant in applying the learned exercises such as acceptance, contacting the present moment, cognitive defusion, self-as-context, and engaging in meaningful activities to prevent the return of symptoms. The control group also receives the psychoeducational protocol for eating disorders in 8 weekly one-hour sessions. Procedures of the protocol include introducing eating disorders, prevalence and consequences of etiology of eating disorders, risk factors, prevention of relapse, and introduction of standard treatments of eating disorders. Eating disorder symptoms. Timepoint: Before and after interventions and three month follow-up. Method of measurement: Eating Disorder Examination Questionnaire (EDE-Q). Body mass index. Timepoint: Before and after interventions and three month follow-up. Method of measurement: weight with kilograms on a scale, height with meters with the use of a rubber meter. Inflexibility of body image. Timepoint: Before and after interventions and three month follow-up. Method of measurement: Body-Image Acceptance and Action Questionnaire (BA-AAQ). Values living. Timepoint: Before and after interventions and three month follow-up. Method of measurement: Valuing Questionnaire (VQ). Self-esteem. Timepoint: Before and after interventions and three month follow-up. Method of measurement: Rosenberg self-esteem scale (RSES). Experiential avoidance. Timepoint: Before and after interventions and three month follow-up. Method of measurement: Avoidance and Fusion Questionnaire for Youth (AFQ-Y). Psychological symptoms ( Depression, Anxiety, Stress). Timepoint: Before and after interventions and three month follow-up. Method of measurement: Depression Anxiety Stress Scales – Youth Version (DASS-Y). Therapeutic alliance. Timepoint: Before and after interventions and three month follow-up. Method of measurement: Therapeutic Alliance Scale for Children: Youth Version. Iran University of Medical Sciences Approved 2023-08-09 Ethics committee of Iran University of Medical Sciences Iran University of Medical Sciences, Shahid Hemmat Highway Tehran Tehran Iran (Islamic Republic of)