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

12 juni 2026 uppdaterad av: 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.

Studieöversikt

Status

Avslutad

Betingelser

Intervention / Behandling

Detaljerad beskrivning

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.

Studietyp

Interventionell

Inskrivning (Faktisk)

34

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

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

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen

Tar emot friska volontärer

Ja

Beskrivning

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.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Övrig
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: 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.
Beteende: Dialectical Behavior Therapy Skills Training
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.
Inget ingripande: 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.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Cognitive Avoidance
Tidsram: 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
Tidsram: 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.

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Islamic Azad University, Sanandaj

Utredare

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

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

15 september 2024

Primärt slutförande (Faktisk)

15 september 2024

Avslutad studie (Faktisk)

18 december 2024

Studieregistreringsdatum

Först inskickad

9 juni 2026

Först inskickad som uppfyllde QC-kriterierna

12 juni 2026

Första postat (Faktisk)

16 juni 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

16 juni 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

12 juni 2026

Senast verifierad

1 juni 2026

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • I/05/117

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

JA

IPD-planbeskrivning

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.

Tidsram för IPD-delning

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

Kriterier för IPD Sharing Access

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.

IPD-delning som stöder informationstyp

  • STUDY_PROTOCOL
  • ICF
  • ANALYTIC_CODE

Läkemedels- och apparatinformation, studiedokument

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Nej

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Nej

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