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IRCT20260510069338N1 IRCT 2026-05-14 Islamic Azad University Investigating the effectiveness of compassion-based therapy on internalized shame and social anxiety in female students The Effectiveness of Compassion-Based Therapy (CFT) on Internalized Shame and Social Anxiety in Female Students with Body Dysmorphic Disorder in Azad University 2026-05-26 anticipated 30 Complete https://irct.ir/trial/90013 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: The statistical population of the present study consists of all female students at different educational levels of Islamic Azad University, in the second semester of the 2025–2026 academic year who exhibit body dysmorphic symptoms. In this type of effectiveness study, a two-stage approach is typically used: in the sample selection stage, convenience sampling is employed. After selecting the sample to a size of 30 participants based on the study’s inclusion and exclusion criteria, the participants will be randomly assigned to two groups: Compassion-Based Couple Therapy (intervention group) and waiting list (control group). Randomization will be carried out using variable block randomization with block sizes of 4 and 6 by an independent statistician who is not involved in the implementation process. The random allocation list will be generated using the RAND function in Microsoft Excel and then placed in opaque, sealed, and numbered envelopes so that neither the researcher nor the participants will be aware of the allocation sequence (allocation concealment). The envelopes will be opened, and the assigned group will be revealed only at the time each participant enters the study. To ensure the equality of baseline variables, such as anxiety level and age, their distribution across the two groups will be examined during the statistical analysis phase. N/A Body Dysmorphic Disorder Syndrome. Intervention 1: Intervention group:Compassion-Focused Therapy. Session Duration: 60 minutes.Total Sessions: 8 sessions. Session Frequency: Twice per week.Therapeutic Tools Used.This intervention focuses on activating internal compassion resources and reducing self-criticism, incorporating guided therapeutic dialogue, mindfulness exercises, self-compassion imagery, soothing breathing techniques, and compassionate writing exercises.Summary of Session Content: Session 1: Introduction to the therapy, explanation of compassion and shame concepts, pre-test administration. Session 2: Identification of thoughts and behaviors associated with internalized shame and social anxiety. Session 3: Training in compassionate imagery and soothing breathing techniques. Session 4: Mindfulness practice and non-judgmental acceptance of emotions. Session 5: Compassionate letter writing and strengthening self-compassion. Session 6: Examination of factors contributing to self-criticism and shame. Session 7: Training in coping strategies and relaxation techniques. Session 8: Conclusion, review of learned material, post-test administration, and scheduling of follow-up assessment. Intervention 2: Control group: The control group will not receive any intervention during the research, but will receive the intervention after data collection to prevent factors that threaten the internal validity of the research, such as compensatory competition from the control group or demoralization. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Due to the failure to complete the research work and write the article, which is a requirement for publishing the data, I will publish the data after resolving the aforementioned issues.
public Atefeh Shomalzadeh
No. 7, 7th Street, Sadeghieh Alley
Ahvaz Iran (Islamic Republic of) 6177944466 +98 61 3228 0798 atefehshomalzadeh@gmail.com Islamic Azad University scientific Atefeh Shomalzadeh
No. 7, 7th Street, Sadeghieh Alley
Ahvaz Iran (Islamic Republic of) 6177944466 +98 61 3228 0798 atefehshomalzadeh@gmail.com Islamic Azad University Iran (Islamic Republic of) Score above the cut-off point on the Body Dysmorphic Disorder Questionnaire Girls aged 18 to 30 Being a student at Ahvaz Azad University. 18 years 30 years Female F45.22 Body Dysmorphic Disorder Treatment - Other Treatment - Other Intervention group:Compassion-Focused Therapy. Session Duration: 60 minutes.Total Sessions: 8 sessions. Session Frequency: Twice per week.Therapeutic Tools Used.This intervention focuses on activating internal compassion resources and reducing self-criticism, incorporating guided therapeutic dialogue, mindfulness exercises, self-compassion imagery, soothing breathing techniques, and compassionate writing exercises.Summary of Session Content: Session 1: Introduction to the therapy, explanation of compassion and shame concepts, pre-test administration. Session 2: Identification of thoughts and behaviors associated with internalized shame and social anxiety. Session 3: Training in compassionate imagery and soothing breathing techniques. Session 4: Mindfulness practice and non-judgmental acceptance of emotions. Session 5: Compassionate letter writing and strengthening self-compassion. Session 6: Examination of factors contributing to self-criticism and shame. Session 7: Training in coping strategies and relaxation techniques. Session 8: Conclusion, review of learned material, post-test administration, and scheduling of follow-up assessment. Control group: The control group will not receive any intervention during the research, but will receive the intervention after data collection to prevent factors that threaten the internal validity of the research, such as compensatory competition from the control group or demoralization. Internalized Shame. Timepoint: 1. Pre-test (before the start of the intervention) 2. Post-test (immediately after the end of the intervention period) 3. One-month follow-up after the intervention. Method of measurement: The measurement method was David R. Cook's (1987) Internalized Shame Scale. Social Anxiety. Timepoint: 1. Pre-test (before the start of the intervention) 2. Post-test (immediately after the end of the intervention period) 3. One-month follow-up after the intervention. Method of measurement: The measurement method will be the SPIN questionnaire by Kathleen Connor et al. (2000). Body dysmorphic disorder syndrome. Timepoint: 1. Pre-test (before the start of the intervention) 2. Post-test (immediately after the end of the intervention period) 3. One-month follow-up after the intervention. Method of measurement: The measurement method will be the revised Yale-Brown Obsessive-Compulsive Scale for Body Dysmorphic Disorder by Katherine Phillips et al. (1997). Islamic Azad University Approved 2026-04-11 Ethics Committee of Islamic Azad University of Ahvaz Branch Opposite Keshavarz Street, Farhang Shahr, Golestan Highway Ahvaz Khouzestan Iran (Islamic Republic of)