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

Alexandria University

Status: Completed

Conditions: Delusions; Schizophrenia; Psychosis; Nurse's Role

Treatments: Behavioral: cognitive defusion techniques

Study type: Interventional

Funder types: Other

Identifiers

NCT05759091

IRB00013620/63/9/2022

Details and patient eligibility

About

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.

Enrollment: 70 patients

Sex: Male

Volunteers: No Healthy Volunteers

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.

Exclusion criteria

• Any client in an acute phase or have any neurological disorder that may affect cognitive function were excluded from a study.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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70 participants in 2 patient groups

cognitive defusion interventional group

Experimental group

Description:

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.

Treatment:

Behavioral: cognitive defusion techniques

control group

No Intervention group

Description:

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