Acceptance and Commitment Therapy Based Group Psychoeducation for Nursing Students

NCT ID: NCT06553703

Last Updated: 2024-10-23

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 54 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-04-18
• Study Completion Date: 2024-09-13

Brief Summary

In this study, the effects of acceptance and commitment therapy-based group psychoeducation applied to nursing students on psychological flexibility and somatic symptoms will be examined. The research will be carried out as a randomized controlled experimental study with a pre-test-post-test and follow-up design.

Detailed Description

The stress factors that nursing students encounter differ from other students. One of the reasons for this is that the nursing curriculum includes working simultaneously in both theoretical and clinical environments. In a study, it was determined that nursing students' lack of stress coping skills caused internal stressors to turn into external stressors. When these individuals cannot cope with situations that cause stress, they can express the stress they experience with somatic symptoms. Somatic symptom disorder is defined as the state of seeking help for mental problems with somatic symptoms. The inability to treat these somatic symptoms of individuals forces them to live with these symptoms for years and sometimes for a lifetime and continue to seek treatment. Acceptance and Commitment Therapy, which provides a new perspective for individuals to cope with stressful life events, aims to gain psychological flexibility, which is the capacity for individuals to experience challenging conditions at the moment they are in and to behave in a way that is compatible with their value areas under these conditions. The opposite of psychological flexibility is psychological inflexibility. Experiential avoidance is one of the basic components of the concept of psychological inflexibility. The state of escape and avoidance and actions that occur when an individual does not want to be in contact with situations that stress them are defined as experiential avoidance. When the relevant literature is examined, it has been reported that somatic symptoms are seen as experiential avoidance behaviors in individuals. The continuity of somatic symptoms as a reaction to stress, their inability to intervene, and their chronicity cause them to turn into a somatic somatic symptom disorder. Since nursing students are a highly stressed group, their reactions to stress should be observed, somatic symptoms in these students should be evaluated, and psychological flexibility should be increased before somatic symptoms turn into disorders and students start their professions, and healthier members of the profession should be trained in terms of mental and physical health. However, psychosocial intervention studies that will help with somatic symptoms continue to be the subject of very little research.

Conditions

Psychological Flexibility; Somatic Symptom

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: SINGLE

Study Groups

Acceptance and commitment therapy based group psychoeducation

Acceptance and commitment therapybased group psychoeducation to be carried out with the experimental group is planned as 8 sessions. The sessions are planned to be held in 3 groups of 9 people each. The duration of a session is planned to be approximately 90 minutes. Group psychoeducation with the experimental group will be carried out face-to-face every week. The appropriate day for the sessions will be decided together with themembers of each group. The same group session will be held on the same day and time every week.

Group Type: EXPERIMENTAL

Acceptance and commitment therapy based group psychoeducation

Intervention Type: OTHER

Acceptance and commitment therapy-based group psychoeducation aimed at increasing nursing students' psychological flexibility and reducing their somatic symptoms.

No Intervention: Waiting list group

After the follow-up tests were completed, it was planned to apply the 8-session group psychoeducation applied to the intervention group in the same way to the control group, upon their request.

Intervention: Acceptance and commitment therapy-based group psychoeducation aimed at increasing students' psychological flexibility and reducing their somatic symptoms.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Acceptance and commitment therapy based group psychoeducation

Acceptance and commitment therapy-based group psychoeducation aimed at increasing nursing students' psychological flexibility and reducing their somatic symptoms.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Volunteering to participate in the study
• No problems understanding and speaking Turkish
• Having moderate and high-level somatic symptoms (Scoring 26 or higher on the Bradford Somatic Inventory)

Exclusion Criteria

• Scoring 25 or less on the Bradford Somatic Inventory
• Having been diagnosed with a chronic/systemic physical illness
• Having been diagnosed with a psychiatric illness
• Being on medication for a current physical or psychiatric illness
• Have received or are receiving individual or group psychotherapy/counseling programs within the last two years
• Being a foreign national
• Being pregnant

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Tugba Yildirim

OTHER

Sponsor Role: lead

Responsible Party

Tugba Yildirim

Research Assistant

Responsibility Role: SPONSOR_INVESTIGATOR

Principal Investigators

Tuğba YILDIRIM

Role: PRINCIPAL_INVESTIGATOR

Cankiri Karatekin University, Cankiri, Turkey, 18200

Locations

Tuğba Yildirim

Merkez, Çankırı, Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

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Reference Type: BACKGROUND

Towsend, M. (2016). Ruh Sağlığı ve Psikiyatri Hemşireliğinin Temelleri Kanıta Dayalı Uygulama Bakım Kavramları. (Çev.Ed: Tangül Özcan, C., Gürhan, N.) Ankara: Akademisyen Kitabevi. 6. Baskı. s: 516-544.

Reference Type: BACKGROUND

Köse,S.,Tekintas, N.S., Durmus,F. B., Akın,E., & Sayar, K. (2017). Reliability, validity,and factorial structure of the Turkish version of the Bradford Somatic Inventory (Turkish BSI-44) in a university student sample. Psychiatry and Clinical Psychopharmacology, 27(1), 62-69.

Reference Type: BACKGROUND

Kotan, Z. (2021).Somatik belirti bozukluğu ve ilişkili bozukluklarda grup terapileri. Coşar B, editör. (Ed: Coşar, B.) Somatik Belirti ve İlişkili Bozukluklar. 1. Baskı. Ankara: Türkiye Klinikleri. s: 68-73.

Reference Type: BACKGROUND

Kabadayı Şahin, E. (2017). Bedensel belirti bozukluğu ve oksidatif stres. Yıldırım Beyazıt Üniversitesi Tıp Fakültesi Ruh Sağlığı ve Hastalıkları Ana Bilim Dalı Tıpta Uzmanlık tezi, Ankara.

Reference Type: BACKGROUND

Ishizu K, Shimoda Y, Ohtsuki T. The reciprocal relations between experiential avoidance, school stressor, and psychological stress response among Japanese adolescents. PLoS One. 2017 Nov 22;12(11):e0188368. doi: 10.1371/journal.pone.0188368. eCollection 2017.

Reference Type: BACKGROUND

PMID: 29166647 (View on PubMed)

Hayes,S.C. (2004). Acceptanceand commitment therapy, relational frametheory and thethird wave of bahavioral and cognitivetherapies. Behavior Therapy, 35, 639-665

Reference Type: BACKGROUND

Hartman,T., Blankenstein. N., Molenaar. B., & Al.E. N.H.G.(2013). Guideline on medically unexplained symptoms (MUS). Huisarts Wet, 56(5):2-18.

Reference Type: BACKGROUND

Crary P. Beliefs, behaviors, and health of undergraduate nursing students. Holist Nurs Pract. 2013 Mar-Apr;27(2):74-88. doi: 10.1097/HNP.0b013e318280f75e.

Reference Type: BACKGROUND

PMID: 23399707 (View on PubMed)

Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, Waltz T, Zettle RD. Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behav Ther. 2011 Dec;42(4):676-88. doi: 10.1016/j.beth.2011.03.007. Epub 2011 May 25.

Reference Type: BACKGROUND

PMID: 22035996 (View on PubMed)

Arch, J. J., & Craske, M. G. (2008). Acceptance and commitment therapy and cognitive behavioral therapy for anxiety disorders: Different treatments, similar mechanisms? Clinical Psychology: Science and Practice, 15(4), 263-279.

Reference Type: BACKGROUND

Other Identifiers

Tuğba YILDIRIM

Identifier Type: -

Identifier Source: org_study_id