Effectiveness of Stress Management Training Program For Expressed Emotions in Caregivers of Drug Induced Psychosis Patients Specially Methamphetamine
The main purpose of this study is to evaluate the effectiveness of a Stress Management Training (SMT) program in reducing stress levels among caregivers of individuals suffering from methamphetamine ("ice") addiction and methamphetamine-induced psychosis. Caregivers of patients with severe substance use disorders often experience high levels of chronic emotional, psychological, and physical stress, which can lead to severe burnout.
Participants in this study will be randomly assigned to either an active intervention group or a control group. The intervention group will participate in structured, multi-session stress management training sessions. The training program focuses on equipping caregivers with practical coping strategies, cognitive restructuring techniques, and relaxation skills based on established stress management modules.
Caregiver stress levels will be measured and compared before and after the training program using a standardized assessment tool to determine if the intervention successfully reduces psychological distress.
調査の概要
状態
条件
詳細な説明
Background and Rationale Caring for individuals with methamphetamine ("ice") addiction specially those who experience methamphetamine induced psychosis places an extraordinary psychological and emotional burden on family caregivers. Except the high prevalence of caregiver burnout and chronic distress in this population, accessible psychological support remains limited. This study aims to address this gap by evaluating a O'Connor model of Stress Management Training (SMT) to support caregivers who face geographic, financial, or logistical barriers to receiving in-person psychological services.
Study Objectives The primary objective of this experimental study is to investigate the efficacy of a Stress Management Training module in reducing perceived stress and improving coping mechanisms among caregivers of patients with methamphetamine addiction.
Methodology & Intervention Protocol Research Design: This is an experimental, randomized pre-test/post-test control group design.
Intervention Program: The active treatment group will undergo a structured Stress Management Training program adapted from the O'Connor Stress Management Training module. The training sessions will be delivered physically at Allied 2 hospital Faislabad.
Control Group: Participants in the control group will be placed on a wait list and will be offered the stress management training program upon the completion of the active study period.
Key Intervention Components:
Psychoeducation regarding caregiver stress and the cycle of addiction. Cognitive restructuring and identifying negative cognitive distortions. Practical coping skills, emotional regulation strategies, and problem-solving techniques.
Guided progressive muscle relaxation (PMR) and mindfulness-based breathing exercises.
Outcome Measures and Data Collection Data collection will occur at two primary intervals: baseline (pre-intervention) and post-intervention (immediately following the final training session). The primary outcome measure for assessing perceived psychological distress will be the standardized Perceived Stress Scale-10 (PSS-10), utilized in its validated Urdu version to ensure linguistic and cultural appropriateness for the target population.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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Punjab Province
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Faisalabad、Punjab Province、パキスタン、38000
- Government college university Faislabad
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参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
Inclusion Criteria Caregivers of patients aged 18 to 65 years. Must have been actively providing care to the patient for at least the last three months.
Must possess the ability to understand and respond to the study questionnaires. Agree to take part in the study and provide informed consent. Must be directly responsible for the daily care of the patient.
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Exclusion Criteria:
Giving care to the patient for less than three months. Caregivers of patients who live entirely alone (since direct caregiving interactions are required).
Caregivers who decline or refuse to participate in the study.
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：支持療法
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：Stress Management Training Group (experimental group)
Participants in this arm will receive the O'Connor Stress Management Training program.
The intervention consists of structured sessions focusing on stress education, cognitive restructuring, coping mechanisms, and relaxation techniques.
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A 3-session, group-based stress management program.
Session 1 focuses on recognizing stress and its signs, introducing abdominal breathing relaxation techniques.
Session 2 covers coping strategies, cognitive reframing, and relaxation.
Session 3 focuses on practicing coping in groups, guided imagery, and gratitude-based emotion stabilization.
Each session lasts 45 minutes, administered weekly.
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介入なし：Control Group
Participants in this arm will not receive the active training during the primary study period.
They will complete the pre and post-intervention assessments at the same time intervals as the experimental group.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Burden Scale for Family Caregivers - Short Version (BSFC-s)
時間枠：Baseline (pre-intervention) and post-intervention (immediately following the completion of the training program).
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The Burden Scale for Family Caregivers - Short Version (BSFC-s) is a 10-item self-report questionnaire used to assess the subjective burden experienced by family caregivers of individuals with substance use disorders.
Each item is rated on a 4-point Likert scale: Strongly Agree (3), Agree (2), Disagree (1), and Strongly Disagree (0).
Total scores range from 0 to 30, with higher scores indicating a more severe subjective caregiver burden.
A score of 0-4 indicates no increased risk of physical complaints ; 5-14 indicates an increased risk of physical complaints; and 15-30 indicates a greatly increased risk of physical complaints.
The study utilizes the validated Urdu version.
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Baseline (pre-intervention) and post-intervention (immediately following the completion of the training program).
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Perceived Stress Scale-10 (PSS-10)
時間枠：Baseline (pre-intervention) and post-intervention (immediately following the completion of the training program)
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A 10 item self-report questionnaire used to measure the degree to which situations in life are appraised as stressful by caregivers.
Items are rated on a 5-point Likert scale from 0 (never) to 4 (very often).
Total scores range from 0 to 40, with higher scores indicating higher levels of perceived stress.
The Urdu version of the scale will be utilized
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Baseline (pre-intervention) and post-intervention (immediately following the completion of the training program)
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Family Questionnaire (FQ)
時間枠：Baseline (pre-intervention) and post-intervention (immediately following the completion of the training program)
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The Family Questionnaire (FQ) is a 20-item self-report scale designed to assess the level of Expressed Emotion (EE) among caregivers, specifically focusing on two core domains: Critical Comments (CC; 10 items) and Emotional Over-Involvement (EOI; 10 items).
Each item is scored on a 4-point Likert scale ranging from 1 (never/very rarely) to 4 (very often).
Total scores range from 20 to 80, with higher scores indicating a higher level of expressed emotion, criticism, and emotional over-involvement toward the patient.
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Baseline (pre-intervention) and post-intervention (immediately following the completion of the training program)
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General Health Questionnaire-12 (GHQ-12)
時間枠：Baseline (pre-intervention) and post-intervention (immediately following the completion of the training program)
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A 12 item self-administered screening tool used to evaluate overall psychological distress and general mental health.
Each item is rated on a 4-point scale.
Using the Likert scoring method (0-1-2-3), the total score ranges from 0 to 36, with higher scores indicating worse psychological distress and lower general health status.
The validated Urdu version of the scale is utilized in this study.
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Baseline (pre-intervention) and post-intervention (immediately following the completion of the training program)
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協力者と研究者
捜査官
- 主任研究者：Dr. Asma Riaz、Government college university Faislabad
出版物と役立つリンク
一般刊行物
- Zuanny, I. P., & Husna, M. (2023). Stress management intervention in caregivers of people with schizophrenia at Puskesmas X Yogyakarta. Psikoislamedia: Jurnal Psikologi, 8(2), 132-146.
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- Mah Noor
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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