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The Effectiveness of Dialectical Behavior Therapy on Rumination and Cognitive Avoidance in Teachers

12 de junio de 2026 actualizado por: Sepideh Navidmanesh, Islamic Azad University, Sanandaj

This randomized controlled trial evaluated the effectiveness of Dialectical Behavior Therapy (DBT) skills training in reducing rumination and cognitive avoidance among middle-school teachers in Isfahan, Iran. Teachers often experience occupational stress that may contribute to maladaptive cognitive and emotional responses. DBT is a skills-based psychological intervention that aims to improve emotional regulation, mindfulness, distress tolerance, and interpersonal effectiveness.

Thirty-four eligible teachers were randomly assigned to either a DBT intervention group or a control group. Participants in the intervention group attended ten group sessions, while the control group received no intervention during the study period. Levels of rumination and cognitive avoidance were assessed at baseline, post-intervention, and two-month follow-up using standardized questionnaires.

The study aimed to determine whether DBT skills training could reduce maladaptive cognitive processes and promote psychological well-being among teachers.

Descripción general del estudio

Estado

Terminado

Descripción detallada

Teachers are exposed to chronic occupational stress that may contribute to maladaptive cognitive processes, including rumination and cognitive avoidance. Dialectical Behavior Therapy (DBT), originally developed for emotion dysregulation, has increasingly been applied as a transdiagnostic and skills-based intervention in non-clinical populations. DBT emphasizes mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness skills that may enhance adaptive coping and psychological resilience.

This randomized controlled trial was conducted to examine the effects of a DBT skills training program among middle-school teachers in Isfahan, Iran. Participants assigned to the intervention group attended ten structured group sessions delivered in a face-to-face format. The program was based on Linehan's DBT skills training model and focused on developing practical strategies for emotional and cognitive self-regulation. Participants in the control group did not receive the intervention during the study period.

The study was designed to evaluate whether a structured DBT-based psychoeducational program could improve cognitive and emotional functioning and contribute to the growing evidence supporting the use of DBT in educational and non-clinical settings.

Tipo de estudio

Intervencionista

Inscripción (Actual)

34

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

    • Isfahan
      • Isfahan, Isfahan, Irán, 8481914411
        • Department of Psychology, Islamic Azad University, Mobarakeh Branch

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

  • Adulto

Acepta Voluntarios Saludables

Sí

Descripción

Inclusion Criteria:

  • Female middle-school teachers from districts 4 and 5 of Isfahan, Iran.
  • Age between 35 and 52 years.
  • Willingness to participate and provide written informed consent.
  • Ability to attend the intervention sessions and complete study assessments.

Exclusion Criteria:

  • Absence from more than two intervention sessions.
  • Withdrawal of consent at any stage of the study.
  • Failure to complete post-intervention or follow-up assessments.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Otro
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: Dialectical Behavior Therapy Skills Training
Participants received ten face-to-face group sessions of Dialectical Behavior Therapy (DBT) skills training. The intervention included mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness skills. Assessments were conducted at baseline, post-intervention, and two-month follow-up.
Participants assigned to the experimental group received a manualized Dialectical Behavior Therapy (DBT) skills training program delivered in a face-to-face group format. The intervention consisted of ten sessions conducted over a five-week period. The program was based on Linehan's DBT model and included training in mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness skills. Sessions involved psychoeducation, group discussion, and practical exercises designed to improve cognitive and emotional self-regulation. Participants in the control group received no intervention during the study period.
Sin intervención: No-Intervention Control
Participants assigned to the control group received no intervention during the study period and completed assessments at baseline, post-intervention, and two-month follow-up.

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Cognitive Avoidance
Periodo de tiempo: Baseline, post-intervention (5 weeks), and 2-month follow-up.
Change in cognitive avoidance scores measured using the Cognitive Avoidance Questionnaire. Total scores range from 25 to 125, with higher scores indicating greater cognitive avoidance and worse outcomes.
Baseline, post-intervention (5 weeks), and 2-month follow-up.
Rumination
Periodo de tiempo: Baseline, post-intervention (5 weeks), and 2-month follow-up.
Change in rumination scores measured using the Ruminative Response Scale. Total scores range from 22 to 88, with higher scores indicating greater rumination and worse outcomes.
Baseline, post-intervention (5 weeks), and 2-month follow-up.

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Investigadores

  • Silla de estudio: Maryam Kadkhodaee, PhD of Psychology, Assistant Professor of Psychology, Department of Psychology, Mo. C., Islamic Azad University, Isfahan, Iran.

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

15 de septiembre de 2024

Finalización primaria (Actual)

15 de septiembre de 2024

Finalización del estudio (Actual)

18 de diciembre de 2024

Fechas de registro del estudio

Enviado por primera vez

9 de junio de 2026

Primero enviado que cumplió con los criterios de control de calidad

12 de junio de 2026

Publicado por primera vez (Actual)

16 de junio de 2026

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

16 de junio de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

12 de junio de 2026

Última verificación

1 de junio de 2026

Más información

Términos relacionados con este estudio

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

SÍ

Descripción del plan IPD

Individual participant data that underlie the results reported in this article, after de-identification, will be made available to qualified researchers upon reasonable request. Supporting documents, including the study protocol and data dictionary, will also be available. Data will be available beginning six months after publication and ending five years after publication. Requests should be directed to the corresponding author. Access will be granted following review of the proposed use of the data and execution of a data access agreement.

Marco de tiempo para compartir IPD

De-identified individual participant data and supporting documents will be available beginning 6 months after publication and ending 5 years after publication.

Criterios de acceso compartido de IPD

Qualified researchers with a methodologically sound proposal will be able to access de-identified individual participant data, the study protocol, informed consent form, and analytic code. Requests should be directed to the corresponding author. Data access will be granted following review of the proposed use and execution of an appropriate data access agreement.

Tipo de información de apoyo para compartir IPD

  • PROTOCOLO DE ESTUDIO
  • CIF
  • CÓDIGO_ANALÍTICO

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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