Investigating the Effectiveness of an Online Religiously-integrated Cognitive Behavioral Therapy-based Intervention on Death Anxiety
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 44
- 试验地点
- 2
- 主要终点
- Turkish Death Anxiety Scale (TDAS)
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
盲法说明
Participants will be blinded to whether they are receiving religiously integrated CBT (RCBT) or classic CBT. Additionally, the outcomes assessor will be blinded to participants' pre- and post-treatment scale scores. However, the therapist conducting the intervention will be aware of the treatment allocation. Therefore, the study follows a single-blind design.
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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.
结局指标
主要结局
Turkish Death Anxiety Scale (TDAS)
时间窗: Baseline (pretest), Week 7 (posttest), 3-month follow-up
The Turkish Death Anxiety Scale consists of 20 items that are divided into three subscales: (a) ambiguity of death, (b) exposure to death, and (c) agony of death. These subscales exhibit strong internal consistency, with Cronbach's alpha values of .91, .94, .76 respectively, adding up to a total of .95). It consists of a five-point Likert (0 = Never to 4 = Always). Subscale scores are determined by summing the individual item scores, and the total scale score is determined by summing the subscale scores. Total scale scores can be between 0 and 80, and the higher the score, the greater the level of DA. A score range of 0-7 indicates very low-level DA, 8-25 indicates low-level DA, 26-44 indicates medium-level DA, 45-63 indicates high-level DA, and 64-80 indicates very high-level DA.
Abdel-Khalek's Death Anxiety Scale (ASDA)
时间窗: Baseline (pretest), Week 7 (posttest), 3-month follow-up
Abdel-Khalek's Death Anxiety Scale is a 20-item questionnaire that measures DA. The scale is one-dimensional. Higher scores indicate a greater degree of DA. It consists of a five-point Likert (1 = No to 5 = Very much). The Turkish reliability and validity of the scale were conducted by Sarıçiçek-Aydoğan et al. in 2015 (Cronbach's alpha = .86).
次要结局
- Generalized Anxiety Disorder-7 (GAD-7)(Baseline (pretest), Week 7 (posttest), 3-month follow-up)
- Patient Health Questionnaire (PHQ-9)(Baseline (pretest), Week 7 (posttest), 3-month follow-up)
研究者
Büşra Kavla
Principal Investigator
Ibn Haldun University