Effect of Applying Cognitive Defusion Techniques on Mindful Awareness, Cognitive Fusion and Believability of Delusions Among Clients With Schizophrenia

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-09-10

Study Completion Date

2023-01-20

Brief Summary

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Schizophrenia causes hallucinations, delusions, and disorganized thinking, resulting in decreased functioning and lifelong therapy.Delusion believability is the degree of belief in the truth of one's subjective experiences as representations of reality. It was unpleasant, typically accompanied by a suspicious, strange tension. Delusional belief is seen as a means of resolving tension and conflict in cognition and experience. Previous studies have shown that cognitive defusion strategies help people become more aware of their surroundings, accept their thoughts and feelings, and become more psychologically adjustable. defusion is crucial in reducing medication-resistant psychotic symptoms such delusions in schizophrenia patients. Therefore, this study aimed to investigate the effects of cognitive defusion techniques on psychological flexibility, mindful awareness, cognitive fusion, and believability of delusions among clients with schizophrenia.

Research Hypothesizes

* Clients who participated in cognitive defusion techniques had more psychological flexibility and mindful awareness than the control group.
* Clients who participated in cognitive defusion techniques had less cognitive fusion and delusional believability than the control group.

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Detailed Description

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Conditions

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Schizophrenia; Psychosis Nurse's Role Delusions

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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cognitive defusion interventional group

patients with schizophrenia who suffer from persistent delusions participated in cognitive defusion techniques on individual base through sex sessions twice weekly with homework assignments between sessions and skills demonstration by simulation and psychodrama.

Group Type EXPERIMENTAL

cognitive defusion techniques

Intervention Type BEHAVIORAL

Defusing from your delusions helps to lessen their negative impact on your behaviour. So defusion is a vital step towards being able to act flexibly, in accordance with core values, instead of being dictated to by inflexible rules, reasons, judgments etc. There are numerous exercises in ACT Companion with a focus on identifying unhelpful thoughts which would benefit from defusion, or building defusion skills, most of which are found in the open up section of the app. Some of these are reading and writing exercises, and some are guided meditation audio recordings.

ACT Companion defusion exercises

1. Letting go
2. Not good enough
3. Thought defusion
4. Observing your thoughts
5. Labelling thoughts and feelings
6. I am having the thought that.....
7. milk.milk.milk exercise
8. silly voice exercise, passenger on the bus, tug of war with a monster

control group

patients with schizophrenia who suffer from persistent delusions participated in usual routine care in the hospital.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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cognitive defusion techniques

Defusing from your delusions helps to lessen their negative impact on your behaviour. So defusion is a vital step towards being able to act flexibly, in accordance with core values, instead of being dictated to by inflexible rules, reasons, judgments etc. There are numerous exercises in ACT Companion with a focus on identifying unhelpful thoughts which would benefit from defusion, or building defusion skills, most of which are found in the open up section of the app. Some of these are reading and writing exercises, and some are guided meditation audio recordings.

ACT Companion defusion exercises

1. Letting go
2. Not good enough
3. Thought defusion
4. Observing your thoughts
5. Labelling thoughts and feelings
6. I am having the thought that.....
7. milk.milk.milk exercise
8. silly voice exercise, passenger on the bus, tug of war with a monster

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Male clients diagnosed with schizophrenia according to the DSM-V
* Diagnosed with schizophrenia With no comorbidity.
* Able to communicate coherently and relevantly.
* Able to read and write.
* Willing to participate in the study
* Duration of illness not exceeding 10 years.