Evaluation of the Effect of Cognitive Behavioral Therapy in Individuals Exposed to Earthquakes

Study Overview
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Brief Summary
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Earthquake is a process that affects the lives of many people. It is very important to evaluate the psychological state of individuals after the earthquake and take appropriate action. When studies conducted after the earthquake were examined, no study was found that evaluated the effect of cognitive behavioral therapy on ruminative thoughts and cognitive distortions in individuals exposed to earthquakes. For this reason, this thesis was conducted to evaluate the effect of cognitive behavioral therapy on ruminative thoughts and cognitive distortions in individuals exposed to earthquakes.

Detailed Description
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Earthquake is a process that affects the lives of many people. It is very important to evaluate the psychological state of individuals after the earthquake and take appropriate action. When studies conducted after the earthquake were examined, no study was found that evaluated the effect of cognitive behavioral therapy on ruminative thoughts and cognitive distortions in individuals exposed to earthquakes. For this reason, this thesis was conducted to evaluate the effect of cognitive behavioral therapy on ruminative thoughts and cognitive distortions in individuals exposed to earthquakes. In this thesis, a mixed design will be used in which quantitative and qualitative research methods will be used together. The quantitative dimension of the research will be carried out in an experimental design with pre-test, post-test control group and repeated measurement, and the qualitative dimension will be carried out with semi-structured questions that have a certain contact with individuals. The population of the research will be individuals in the container city in Osmaniye. The sample size will be determined by power analysis, and equal numbers of individuals will be included in the intervention and control groups. There will be 8-10 sessions for each individual, each session lasting 45-60 minutes. Sessions will be held between November 2023 and December 2023. The 3rd month follow-up will be done in March 2024. In this thesis, quantitative data, Socio-demographic Data Form, ruminative thought style scale and cognitive distortions scale will be used. Qualitative data were collected through semi-structured questions and therapy interviews. will be collected. SPSS Statistics 20 program will be used in the analysis of qualitative data. MAXQDA Analytics Pro 2020 program will be used. Informed consent will be obtained.

Official Title
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Evaluation of the Effect of Cognitive Behavioral Therapy on Ruminative Thoughts and Cognitive Distortions in Individuals Exposed to Earthquakes

Conditions
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Earthquake Victim

Intervention / Treatment
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* Behavioral: Cognitive behavioral therapy
* Other: Placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: being over 18 years old exposure to earthquake living in a container Ability to communicate Exclusion Criteria: Not being able to communicate

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: two groups: therapy group and control group.
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: experimental group<br>Cognitive behavioral therapy will be applied to the individuals in the experimental group who were exposed to the earthquake. | Behavioral: Cognitive behavioral therapy<br>* Earthquake is a process that affects the lives of many people. It is very important to evaluate the psychological state of individuals after the earthquake and take appropriate action. When studies conducted after the earthquake were examined, no study was found that evaluated the effect of cognitive behavioral therapy on ruminative thoughts and cognitive distortions in individuals exposed to earthquakes. For this reason, this thesis was conducted to evaluate the effect of cognitive behavioral therapy on ruminative thoughts and cognitive distortions in individuals exposed to earthquakes.<br>|
| Experimental: Placebo group<br>No intervention will be applied to the control group of individuals exposed to the earthquake. | Other: Placebo<br>* Intervention Description not<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Ruminative Thought Style Questionnaire (RTS) | İt was observed that internal consistency of the questionnaire were high (Cronbach alpha = 0.907). In the principal components and scree plot analysis revealed that the Turkish version of RTS has one component, and these explained %63.43 of total variance. In order to search for the convergent validity of RTS, the correlation between LESS-rumination sub-scale and The Metacognition Questionnaire was examined and meaningful relations were found. For the divergent validity, there appeared meaningful relation in a negative way, between the scores of RTS and LESS- Acceptance of Feelings and Comprehensibility sub-scales. Results: This study shows that Ruminative Thought Style Questionnaire can be used as a valid and reliable scale under Turkey conditions. The score that can be obtained from the scale varies between 20 and 140. There are no reverse items in the scale. The higher the score, the higher the rate of ruminative thoughts. | 2 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| THE COGNITIVE DISTORTIONS SCALE | Turkish and analyze its validity and reliability. Adapting the scale to Turkish, aimed at compliance with culture and the consequence of that in order to get more realistic results. In the scope of this study, different types of cognitive distortions and mental health variables were evaluated. There are no reverse items in the scale. Minimum 20 and maximum 140 points are received. | 2 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Earthquakes, cognitive behavioral therapy, Rumination, Cognitive