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The effectiveness of schema therapy on early maladaptive schemas, cognitive flexibility, and rumination in patients with generalized anxiety disorder

The effectiveness of schema therapy on early maladaptive schemas, cognitive flexibility, and rumination in patients with generalized anxiety disorder

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
IRCT
Registry ID
IRCT20241127063882N1
Enrollment
30
Registered
2025-07-07
Start date
2024-12-21
Completion date
Unknown
Last updated
2025-07-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Generalized anxiety disorder. Anxiety disorder due to known physiological condition

Interventions

Intervention 1: Intervention group: Treatment method: This treatment focuses on identifying and modifying early maladaptive schemas, teaching healthy coping styles, and improving cognitive-emotional f

Sponsors

Islamic Azad University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 55 Years

Inclusion criteria

Inclusion criteria: 1. Diagnosis of Generalized Anxiety Disorder (GAD) based on DSM-5 criteria by a psychiatrist at the counseling center 2. Absence of comorbid psychiatric disorders according to the psychiatrist’s assessment 3. Age between 18 and 55 years 4. Minimum education level of high school diploma 5. Active cooperation and participation throughout the treatment sessions 6. No prior experience of similar psychological treatment in the past six months 7. Willingness to participate and signing the written informed consent form

Exclusion criteria

Exclusion criteria: 1. Continuous use of medications that may interfere with the therapeutic interventions in the study 2. Presence of comorbid psychiatric disorders that hinder effective participation in therapy 3. Lack of cooperation or missing two consecutive therapy sessions 4. Refusal to sign the informed consent form or withdrawal from the study

Design outcomes

Primary

MeasureTime frame
Early maladaptive schemas score after treatment. Timepoint: Before the start of treatment (pre-test), at the end of the intervention period (post-test), at the 3-month follow-up after the end of treatment. Method of measurement: Using the Young Schema Questionnaire – Short Form (YSQ-SF), which includes 75 items rated on a 6-point Likert scale from 1 (completely untrue) to 6 (completely true). Higher scores indicate greater schema dysfunction.

Secondary

MeasureTime frame
Cognitive flexibility score after treatment. Timepoint: Before the start of treatment (pre-test), at the end of the intervention period (post-test), at the 3-month follow-up after the end of treatment. Method of measurement: Using the Cognitive Flexibility Inventory (CFI) by Dennis & Vander Wal, consisting of 20 items on a 7-point Likert scale. Higher scores indicate greater cognitive flexibility.;Rumination score after treatment. Timepoint: Before the start of treatment (pre-test), at the end of the intervention period (post-test), at the 3-month follow-up after the end of treatment. Method of measurement: Using the Ruminative Responses Scale (RRS) by Nolen-Hoeksema & Morrow, consisting of 22 items on a 4-point scale from 1 (almost never) to 4 (almost always). Higher scores reflect more rumination.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactFariba Hafezi and Saman Kroshavi

Islamic Azad University

saman.toonjak@gmail.com+98 913 685 3873

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026