Effectiveness of an Online Religiously-integrated Cognitive Behavioral Therapy-based Intervention on Death Anxiety

Официальное название

Investigating the Effectiveness of an Online Religiously-integrated Cognitive Behavioral Therapy-based Intervention on Death Anxiety

Обзор

There has been growing awareness of the importance of death anxiety (DA) in pathological anxiety. DA is defined as a persistent and unreasonable fear of death and thoughts, fears, and emotions associated with the end of life. DA has been suggested as a core fear that underpins the emergence and perseverance of numerous anxiety disorders. However, previous DA-based treatment studies focus on the elderly, the patients, or health professionals who care for the terminally ill. Therefore, there is a need to examine the effect of psychological interventions on DA and current disorder symptoms in a clinical sample through randomized controlled trials. The current study aims to develop a novel Religiously Integrated Cognitive Behavioral Therapy (RCBT)-based intervention on DA in individuals diagnosed with an anxiety disorder and to compare the effectiveness of RCBT-based intervention with classical CBT-based intervention.

Подробное описание

Religion facilitates the pursuit of symbolic immortality by providing individuals with purpose and hope in both life and death. Those who believe in an afterlife also see their world as fairer, which results in lower levels of psychiatric symptoms. Previous CBT-based death anxiety interventions did not consider the assumption of an afterlife. RCBT is an approach that integrates spiritual or religious beliefs into the therapeutic process. RCBT is an approach that recognizes the importance of spirituality or religion in a client's life and aims to use these beliefs and practices positively within the context of evidence-based CBT. Briefly, no intervention studies have investigated the effect of RCBT on DA. This will be the first study to develop an RCBT-based intervention for DA.

Вмешательства

• Другое Religiously-integrated Cognitive Behavioral Therapy
  This study aims to assess the efficacy and feasibility of a newly developed online intervention for death anxiety based on Religiously Integrated Cognitive Behavioral Therapy (RCBT). Building upon the framework of Furer and Walker's 2008 intervention protocol, this adaptation incorporates beliefs in an afterlife, aligning with Turkish society's cultural and religious values. The RCBT intervention consists of seven structured group therapy sessions, each lasting 90 minutes. The program is design
• Другое Classical Cognitive Behavioral Therapy
  The standard CBT intervention follows the structured protocol developed by Furer and Walker (2008), which targets cognitive distortions, avoidance behaviors, and excessive safety-seeking behaviors contributing to death anxiety. The researcher has adapted the session content to fit the protocol's core components while maintaining fidelity to the original intervention model. Sessions last 90 minutes and are conducted in an online group format. Session Structure: Session 1: Treatment Rationale, Se

Первичные конечные точки

• Turkish Death Anxiety Scale (TDAS) [Срок оценки: Baseline (pretest), Week 7 (posttest), 3-month follow-up]
• Abdel-Khalek's Death Anxiety Scale (ASDA) [Срок оценки: Baseline (pretest), Week 7 (posttest), 3-month follow-up]

Вторичные конечные точки (2)

• Generalized Anxiety Disorder-7 (GAD-7) [Срок оценки: Baseline (pretest), Week 7 (posttest), 3-month follow-up]
• Patient Health Questionnaire (PHQ-9) [Срок оценки: Baseline (pretest), Week 7 (posttest), 3-month follow-up]

Критерии участия

Критерии включения

• Aged 18-65
• A score of > 26 on the Turkish Death Anxiety Scale
• Diagnosed with one of the anxiety disorders
• Believing in life after death

Критерии исключения

• Diagnosed with schizophrenia, schizophreniform disorder, schizoaffective disorder, and delusional disorder
• Being in an active manic episode
• Possessing a mental disorder that interferes with completing measures or understanding the exercises conducted during sessions
• Extreme symptoms of depression (score of > 20 on the Patient Health Questionnaire (PHQ-9), and >1 on the item assessing suicidality)
• Currently receiving therapy.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Двойное слепое

Основная цель

Лечение

Центры проведения

Turkey (Türkiye) · 1 центр

• Ibn Haldun University — Istanbul

Публикации

• Saricicek Aydogan A, Gulseren S, Ozturk Sarikaya O, Ozen C. Reliability and Validity of the Turkish Version of Abdel-Khalek's Death Anxiety Scale among College Students. Noro Psikiyatr Ars. 2015 Dec;52(4):371-375. doi: 10.5152/npa.2015.8820. Epub 2015 Dec 1. PMID 28360742
• Abdel-Khalek AM. A general factor of death distress in seven clinical and non-clinical groups. Death Stud. 2004 Nov;28(9):889-98. doi: 10.1080/07481180490491040. PMID 15493083

Идентификаторы

NCT: NCT06876103 · 2024/04-14

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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