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IRCT20260802070505N1 IRCT 2026-09-04 Islamic Azad University The effectiveness of cognitive behavioral therapy on competitive anxiety, fear of negative evaluation, and motivation for progress. The effectiveness of cognitive behavioral therapy on competitive anxiety, fear of negative evaluation, and motivation for athletes' progress. 2026-09-20 anticipated 30 Complete https://irct.ir/trial/92904 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: In this study, a simple randomization method is used to assign participants to two experimental and control groups. The randomization unit in this study is female athletes eligible for entry into the study in Izeh County. First, a complete list of volunteers who have been selected based on the study entry criteria is prepared. Then, each participant is assigned a unique numerical identification code. These codes are entered into the Random Number Generator software and a random number is generated for each individual. After generating these numbers, the participants are sorted in ascending order based on the value of the random number. Then, the individuals are assigned to two groups; sequentially, the first 15 people on the list are assigned to the experimental group and the next 15 people to the control group. With this method, the order of entry into the study and the researcher's knowledge of the participants will not play any role in determining the group. To ensure allocation concealment, the person responsible for entering data and performing the randomization process in the software will be independent of the intervention administrators and study evaluators and will not have access to information about the session implementation process or changes in the allocation of individuals. Participant identification codes will also be kept confidential and separate from their other personal information. Therefore, it will not be possible to predict the assigned group for each participant before the randomization process, Blinding description: In order to control bias and enhance the internal validity of the study, this study was designed with a double-blind protocol; in this way, the coaches/interventionists, outcome assessor, and data analyst will be kept unaware of the allocation of female athletes to the experimental and control groups. In this process, the outcome assessor will collect data (competitive anxiety, fear of negative evaluation, and achievement motivation) at all stages of the pretest, posttest, and follow-up, without knowing the participants' assigned group, in order to prevent bias in the measurement; also, all raw data will be provided to the statistical analyst with anonymous codes (such as groups 1 and 2), and the true nature of the groups will not be revealed until the end of the data analysis process. All allocation steps will be performed by an independent person from the research team, and the decoding of the allocation codes will only be done after the final completion of the statistical analyses. N/A Anxiety in athletes. Intervention 1: Intervention group: Cognitive-behavioral therapy sessions will be based on the treatment protocol designed by Khodabakhsh Pirkalani and Rahim Jamarouni (2014). The sessions of this intervention will be conducted in 12 90-minute sessions (one session per week) in a group setting for the experimental group. Cognitive-behavioral therapy and mindfulness-based techniques are an approach that aims to identify and modify dysfunctional cognitive patterns, reduce anxiety, and manage physiological and psychological arousal, helping participants manage their reactions to stressful challenges by replacing thought distortions and irrational beliefs with adaptive responses and being present in the present moment. This approach has main educational axes that lead to the promotion of self-regulation, reduction of anxiety, and improvement of emotional control; These axes include: creating a therapeutic alliance and explaining the principles of cognitive-behavioral approach and mindfulness, teaching the cognitive triangle and how thoughts affect emotions and behaviors, teaching progressive muscle relaxation skills based on the tension-relaxation model, identifying and challenging common cognitive distortions, identifying underlying beliefs with the downward arrow technique, implementing systematic mental desensitization steps in anxiety-provoking situations, teaching mindfulness techniques including body scanning and guiding the wandering mind, cultivating sensory focus in the present through sitting and walking meditation, mindfulness focused on mental events and irrational thoughts, teaching techniques of immersion in uncertainty and the time machine to create a realistic perspective, and finally, comprehensive review, preventing relapse, and establishing independence in mood control. The main emphasis of this therapy is to reduce automatic and anxiety-provoking reactions when faced with stressful situations and replace them with rational cognitive processing, non-judgmental awareness, and active control of one's thoughts and behaviors. Intervention 2: Control group: They do not receive any intervention or treatment. No - There is not a plan to make this available Justification or reason for not sharing IPD is Participant data is completely confidential and I do not intend to publish it.
public Seyedeh Elham Mousavi Gorabi
Kasra Complex, Kasra Alley, Southern Hafez St.
Izeh Iran (Islamic Republic of) 6391979795 +98 916 771 2422 moosavielham51@gmail.com Islamic Azad University scientific Seyedeh Elham Mousavi Gorabi
Kasra Complex, Kasra Alley, Southern Hafez St.
Izeh Iran (Islamic Republic of) 6391979795 +98 916 771 2422 moosavielham51@gmail.com Islamic Azad University Iran (Islamic Republic of) Age between 18 and 35 years. Professional athletes. Minimum of three years of professional experience in the respective sports field. Informed consent to participate in the research. 18 years 35 years Female Presence of physical illnesses that may interfere with the treatment process. Use of psychiatric medications. History of substance or psychotropic drug use. F41.3 Other mixed anxiety disorders Behavior N/A Intervention group: Cognitive-behavioral therapy sessions will be based on the treatment protocol designed by Khodabakhsh Pirkalani and Rahim Jamarouni (2014). The sessions of this intervention will be conducted in 12 90-minute sessions (one session per week) in a group setting for the experimental group. Cognitive-behavioral therapy and mindfulness-based techniques are an approach that aims to identify and modify dysfunctional cognitive patterns, reduce anxiety, and manage physiological and psychological arousal, helping participants manage their reactions to stressful challenges by replacing thought distortions and irrational beliefs with adaptive responses and being present in the present moment. This approach has main educational axes that lead to the promotion of self-regulation, reduction of anxiety, and improvement of emotional control; These axes include: creating a therapeutic alliance and explaining the principles of cognitive-behavioral approach and mindfulness, teaching the cognitive triangle and how thoughts affect emotions and behaviors, teaching progressive muscle relaxation skills based on the tension-relaxation model, identifying and challenging common cognitive distortions, identifying underlying beliefs with the downward arrow technique, implementing systematic mental desensitization steps in anxiety-provoking situations, teaching mindfulness techniques including body scanning and guiding the wandering mind, cultivating sensory focus in the present through sitting and walking meditation, mindfulness focused on mental events and irrational thoughts, teaching techniques of immersion in uncertainty and the time machine to create a realistic perspective, and finally, comprehensive review, preventing relapse, and establishing independence in mood control. The main emphasis of this therapy is to reduce automatic and anxiety-provoking reactions when faced with stressful situations and replace them with rational cognitive processing, non-judgmental awareness, and active control of one's thoughts and behaviors. Control group: They do not receive any intervention or treatment. Competitive anxiety. Timepoint: before performing the intervention and two weeks after completion of the intervention. Method of measurement: Competitive AnxietyMartinez Competitive Anxiety Questionnaire (1997). Fear of negative evaluation. Timepoint: before performing the intervention and two weeks after completion of the intervention. Method of measurement: Watson and Friend Fear of Negative Evaluation Questionnaire (1969). Motivation for progress. Timepoint: before performing the intervention and two weeks after completion of the intervention. Method of measurement: Hermans Achievement Motivation Questionnaire (1977). Islamic Azad University Approved 2026-07-28 Behbahan Islamic Azad University Ethics Committee Shahid Bayani St., Amir Kabir Blvd. بهبهان Khouzestan Iran (Islamic Republic of)