NIPH Clinical Trials Search

Resilience through Emotional Support for University Mental well-being and Empowerment through CBT

Basic Information

Recruitment status	Recruiting
Health condition(s) or Problem(s) studied	repetitive negative thoughts (rumination, worry), depression, anxiety
Date of first enrollment	29/01/2024
Target sample size	102
Countries of recruitment
Study type	Interventional
Intervention(s)	Rumination-focused cognitive-behavioral therapy (RFCBT) guided self-help. Each of the four modules is presented in a separate workbook. The first module explores repetitive negative thoughts (RNT) as a maladaptive coping strategy, introducing self-monitoring techniques to identify patterns and functions of RNT. To manage RNT effectively, it emphasizes learning from experience and implementing contingency If-Then plans. The second module differentiates between concrete, specific, process-focused thinking and abstract, overgeneralized thinking styles. It incorporates experiential exercises, including the Why-How experiment, to facilitate this distinction. Additionally, it introduces contingency If-Then plans designed to promote a more concrete and adaptive thinking style. The third module contrasts self-compassionate and self-critical self-talk, integrating experiential exercises to highlight their effects. Participants engage in activities that foster self-compassionate behaviors, and apply contingency If-Then plans to enhance compassionate self-talk and actions. The fourth module focuses on the re-experiencing of absorbing memories and the use of immersive activities as adaptive coping strategies. It includes contingency If-Then plans to facilitate absorption and encourages the incorporation of positive, engaging, absorbing activities into daily life. Each workbook, containing 12-24 pages of text, illustrations, exercises, and checklists, requires approximately one hour to complete, though participants are encouraged to engage with each workbook over 1-2 weeks to thoroughly practice the strategies in their daily lives. Therapist support will be provided through scheduled, in-person individual sessions with each participant upon completion of each workbook.

Outcome(s)

Primary Outcome	Outcome Name: Rumination Method of measurement: Ruminative Responses Scale (RRS) Score Timepoint: 4- and 8-weeks following allocation
Secondary Outcome	Outcome Name: Worry, Depression, Anxiety Method of measurement: Penn State Worry Questionnaire (PSWQ), Patient Health Questionnaire -9 (PHQ-9), Generalized Anxiety Disorder -7 (GAD-7) Timepoint: 4- and 8-weeks following allocation

Key inclusion & exclusion criteria

Age minimum	>= 18age old
Age maximum	<= 30age old
Gender	Female
Include criteria	1. Female university students aged 18-30 years 2. High ruminators/worriers, as measured by the Ruminative Responses Scale (greater or equal to 55; Hasegawa, 2013) and Penn State Worry Questionnaire (greater or equal to 64; Sugiura & Tanno, 2000)
Exclude criteria	1. Students scoring greater or equal to 22 on PHQ-9 (Inoue et al., 2012) 2. Greater or equal to 2 on PHQ-9 item 9 (suicidal ideation) 3. Students who are receiving regular psychiatric treatment or counselling