Feasibility of Compassionate Mind Program on Reduction of Self Silencing and Identity Distress among Adolescents: Randomized Controlled Trial

Last registered on May 18, 2026

Pre-Trial

Trial Information

General Information

Title
Feasibility of Compassionate Mind Program on Reduction of Self Silencing and Identity Distress among Adolescents: Randomized Controlled Trial
RCT ID
AEARCTR-0018666
Initial registration date
May 18, 2026

Initial registration date is when the trial was registered.

It corresponds to when the registration was submitted to the Registry to be reviewed for publication.

First published
May 18, 2026, 8:31 AM EDT

First published corresponds to when the trial was first made public on the Registry after being reviewed.

Locations

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Primary Investigator

Affiliation
Foundation University School of Science and Technology Rawalpindi

Other Primary Investigator(s)

PI Affiliation
Foundation University Islamabad

Additional Trial Information

Status
On going
Start date
2026-04-09
End date
2026-11-02
Secondary IDs
Prior work
This trial does not extend or rely on any prior RCTs.
Abstract
Adolescence is a critical developmental stage characterized by identity formation and increased sensitivity to interpersonal relationships. During this period, individuals may engage in self-silencing, which is the repression of ideas, feelings, and personal needs in order to preserve harmony in relationships, may occur during this time (Jack & Dill, 1992). Self-silencing is connected to negative psychological effects, such as identity discomfort, anxiety, and depression, even though it may have short-term social benefits (Cramer & Thoms, 2003; Harper & Welsh, 2007). When adolescents struggle to develop a cohesive sense of self, a crucial developmental task outlined in Erik Erikson's psychosocial theory, identity difficulty arises (Erikson, 1968). Compassion-based interventions, particularly the Compassionate Mind Program (CMP), have demonstrated effectiveness in improving emotional regulation and psychological well-being (Gilbert, 2009). However, research examining their impact on adolescents, especially in non-Western contexts, remains limited (Leaviss & Uttley, 2015). The aim of this study is to investigate whether an eight-week CMP will assist adolescents who suffer from identity discomfort and self-silencing. 60 adolescents who's ages of 13 and 18 years will selected from higher secondary schools will participate in a pre-test–post-test randomized controlled trial. Participants who score high on the Silencing the Self Scale (STSS) and identity distress scale will be randomized to either the experimental group (n = 30) or the control group (n = 30). Identity distress will be measured using the Identity Distress Scale (IDS). The intervention will consist of weekly 40–45 minute sessions incorporating psycho-education, compassionate imagery, self-compassion training, and emotional expression techniques From the pre-test to the post-test, the experimental group is expected to show a significant reduction in identity discomfort and self-silencing. Additionally, females are expected to report higher baseline levels of self-silencing and identity distress compared to males. By evaluating a culturally appropriate school-based intervention to support adolescent Self Silencing and identity development, this study seeks to close a significant gap.
Keywords: Self Silencing, Identity Distress, Compassionate Mind Program
External Link(s)

Registration Citation

Citation
Ali, Waheed and Iffat Rohail. 2026. "Feasibility of Compassionate Mind Program on Reduction of Self Silencing and Identity Distress among Adolescents: Randomized Controlled Trial." AEA RCT Registry. May 18. https://doi.org/10.1257/rct.18666-1.0
Experimental Details

Interventions

Intervention(s)
Intervention Start Date
2026-09-01
Intervention End Date
2026-10-26

Primary Outcomes

Primary Outcomes (end points)
reduction in Self Silencing and Identity Distress
Primary Outcomes (explanation)
Compassionate Self of adolescent

Secondary Outcomes

Secondary Outcomes (end points)
Females will exhibit higher levels of self-silencing and identity distress at pre-test compared to males.
Secondary Outcomes (explanation)
Female are most leads to Self Silencing

Experimental Design

Experimental Design
Pre-test and post-test experimental designs will be used in this Randomized Controlled Trial study.
Experimental Design Details
Not available
Randomization Method
Computer based
Randomization Unit
Schools
Was the treatment clustered?
No

Experiment Characteristics

Sample size: planned number of clusters
2
Sample size: planned number of observations
100
Sample size (or number of clusters) by treatment arms
50% control group and 50% intervention
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
Supporting Documents and Materials

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IRB

Institutional Review Boards (IRBs)

IRB Name
Foundation University Islamabad
IRB Approval Date
2026-05-18
IRB Approval Number
N/A