Effectiveness of Group-based Positive Psychotherapy and Positive Cognitive Behavioral Therapy in Improving Psychological Distress, Coping Strategies, and Well-being Among Incarcerated Individuals. (GB- PPT&PCBT)

September 26, 2026 updated by: Mahum Azhaar, Bahria University

Effectiveness of Group-based Positive Psychotherapy and Positive Cognitive Behavioral Therapy in Improving Psychological Distress, Coping Strategies, and Well-being Among Incarcerated Individuals

The foremost idea of the proposed research is to highlight the impact of psychological distress and coping strategies on the wellbeing of individuals in incarceration. In Pakistan, there is limited literature available to support the psychological wellbeing of individuals in incarceration. The current research will not only explore the impact of psychological distress and coping strategies on the wellbeing of inmates. In addition, the research will also aim to investigate the effectiveness of group-based interventions, which includes Positive Psychotherapy (PPT) and Positive Cognitive Behavioral Therapy (PCBT) in improving psychological distress, coping strategies, and wellbeing of Incarcerated Individuals.

Study Overview

Study Type

Interventional

Enrollment (Estimated)

180

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Sindh
      • Karachi, Sindh, Pakistan
        • Completed
        • Central Prison and Correctional Facility for Women Karachi
      • Karachi, Sindh, Pakistan
        • Active, not recruiting
        • Central Prison and Correctional Facility Karachi
      • Karachi, Sindh, Pakistan
        • Recruiting
        • District Prison & Correctional Facility Malir Karachi
        • Contact:
      • Karachi East, Sindh, Pakistan
        • Active, not recruiting
        • Youthful Offenders Industrial School (YOIS)

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

13 years to 40 years (Child, Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Individuals with first time offense
  • Minimum duration of incarceration: 3 months.
  • Must have a score falling in the mild to severe range for depression and/or anxiety and a score below 6.4 on the PERMA profiler.
  • Urdu understanding and ability to comprehend measures

Exclusion Criteria:

  • not falling in the age criteria
  • having a history of repeated crime
  • under any pharmacological and psychological treatment.
  • Individuals with types of crimes such as murder and rape were not included.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Positive Psychotherapy (PPT)

The participants in this experimental group will receive intervention; treatment plan based on a strong foundation of positive psychology for enhancing positive emotions, engagement, relationships, meaning, and accomplishment by building up individuals' inner skill sets, including strengths and achievements, to manage their psychological distress to improve their quality of life.

The participants in this experimental group will receive intervention; treatment plan based on a strong foundation of positive psychology for enhancing positive emotions, engagement, relationships, meaning, and accomplishment by building up individuals' inner skill sets, including strengths and achievements, to manage their psychological distress to improve their quality of life.

The intervention plan is designed to employ 8 PPT exercises, including a positive introduction, three good things, using character strengths in a way, positive cognitive reappraisal, active constructive responding, savouring, gratitude letters and forgiveness letters.

Experimental: Positive Cognitive Behavioral Therapy (PCBT)

In this experimental group, the participants will receive an intervention plan based on incorporating positive psychology and solution-focused brief therapy (Bannink & Geschwind, 2021) within the model of cognitive behavioral therapy.

In this experimental group, the participants will receive an intervention plan based on incorporating positive psychology and solution-focused brief therapy (Bannink & Geschwind, 2021) within the model of cognitive behavioral therapy. The 8-week session plan emphasizes on what is better, exploring the existing resources and self-monitoring to improve wellbeing and quality of life.

Other Names:
  • PCBT
Other: Waitlist Control Group

The participants who will be assigned to this group will be on the waitlist during the active research period. Post-test will be collected at the time as the experimental group to compare the results. After the completion of research data, waitlist participants will be offered and invited to enrol for intervention.

Participants allocated to this group will be considered as on the waitlist during the active data collection period. This group will serve as a comparison group to see the effectiveness of PPT and PCBT.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Psychological Distress
Time Frame: Baseline and 8th Week

Depression, Anxiety and Stress Scale DASS-21 is a self-report questionnaire designed to examine three negative emotional states. The scale has 21 items, with 7 items for each subdomain.

Baseline and 8th Week
PERMA Profiler
Time Frame: Baseline and 8th Week

23-item questionnaire for assessing five elements, including positive emotion, engagement, relationships, meaning, accomplishment), along with negative emotion and health.

Baseline and 8th Week
Brief Coping Orientation to Problems Experienced Inventory
Time Frame: Baseline and 8th Week

Self-report 28-item questionnaire to measure coping with sress

Baseline and 8th Week

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Character Strengths
Time Frame: Baseline and 8th week

72-item Character Strength Survey to assess 24 universal character strengths.

Baseline and 8th week

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Mahum Azhaar, Institute of Professional Psychology, Bahria University Karachi

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

December 16, 2025

Primary Completion (Estimated)

December 31, 2026

Study Completion (Estimated)

April 1, 2027

Study Registration Dates

First Submitted

September 26, 2026

First Submitted That Met QC Criteria

September 26, 2026

First Posted (Actual)

October 1, 2026

Study Record Updates

Last Update Posted (Actual)

October 1, 2026

Last Update Submitted That Met QC Criteria

September 26, 2026

Last Verified

September 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • No.IPP/ERC/OM/31315/2025
  • No.IPP/ERC/OM/31315/2025 (Other Identifier: Institute of Professional Psychology, Bahria University Karachi, Pakistan)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

Due to the nature of the research participants and as per the standard operating procedures (SOPs) for research and mental health sessions inside Sindh prison, the researcher has signed to comit full compilance with prison rules and guidelines to ensure confidentiality and data protection.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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