CClinicalTrials.gg
CompletedNCT05711368Updated Feb 3, 2023

Effect of Distress Tolerance Training on Problematic Internet Use and Psychological Wellbeing Among Faculty Nursing Students

An interventional study of Distress tolerance training in Nurse's Role, sponsored by Alexandria University. Completed at 1 site in Egypt. Open to participants aged 18 Years to 30 Years. Per ClinicalTrials.gov, last updated 2023-02-03.

Sponsored by Alexandria University · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Sep 2022, registered Jan 2023).
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 30 Years
Sex
All
01

Study summary

The Internet is a social environment as well as a tool. In this digital environment, where students interact with each other, live, and generally comprehend their cultures, college students learn information. The Internet has become essential to college students' daily lives and education. The World Health Organization (WHO) has cautioned that increased screen usage and gaming may occur during the COVID-19 pandemic. Due to this, there is an increased chance of Internet and gaming addiction, leading to more distress and concern for students' psychological well-being. Therefore, university students needed an intervention program to overcome these problems. The researchers in the present study will use distress tolerance. Distress tolerance (DT) is defined as one's ability to continue engaging in goal-directed behavior in the face of emotional, cognitive, or physical discomfort. Eventually, the present study aimed to The present study aims to:

Assess the impact of distress tolerance training on problematic internet use and psychological wellbeing among university nursing students.

Research Hypothesis:

Nursing students who receive distress tolerance training will exhibit lower problematic internet use and better psychological wellbeing than those who didn't receive it

02

Conditions studied

  • Nurse's Role

Keywords

  • Distress Tolerance
  • Problematic Internet Use
  • Psychological well being
  • Nursing
03

In context

Lead sponsor

Alexandria University is the lead sponsor of 569 studies on the registry; 125 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 30 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Students that are not participating in any other type of psychotherapy.
  • Students who scored high on Problematic Internet Use Questionnaire (PIU).

Exclusion criteria

Exclusion Criteria:

  • Students who have a history of mental illness.
  • students who are more than 30 years old.
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (actual)

Study arms

  • Active comparator
    interventional group

    Nursing students who participated in distress tolerance training session

    Behavioral: Distress tolerance training

  • No intervention
    control group

    Nursing students not participating in distress tolerance training session

Interventions

  • BehavioralDistress tolerance training

    It consisted of seven sessions. A 90-minute session will be conducted twice a week for four weeks. The first introductory session will be concerned with helping the student learn how to engage in distress tolerance training and define goals of distress tolerance. At the end of the 1st session, a written plan for every session (time, duration and setting) will be scheduled individually with each student.The next six training sessions will cover three core skills which comprised three sets: Crisis Survival Skills, the skills of Reality Acceptance; and the Skills When the Crisis Is Addiction. The distress tolerance training methods will include individualized interactions, demonstration, and rehearsal, psychoeducation, practice exercises and homework assignments. Follow up between sessions will done using telephone calling and messaging in order to encourage performance homework assignments, and provide help and support when needed particularly at the time of stress. .

    Also known as: dialectical behavioral therapy

06

What researchers measure

Primary outcomes

  1. The Problematic Internet Use Questionnaire (PIU)

    The Problematic Internet Use Questionnaire was developed by and it is an 18-item self- report scale that measures the extent of how risky internet usage can be. Items are scored from 1 = never to 5 = always. This test has three factors, i.e., Obsession, Neglect, and Control disorder. Earlier studies showed that PIU subscales have good psychometric properties, with high reliability (αs of .74-.87), high 3-week stability (rs from .76 to .90), and acceptable discriminant validity (e.g., confirmed by negligible associations with alcohol or illicit drug use and significant but weak associations with the use of gaming machines).

    Time frame: up to 16 weeks

  2. Ryff psychological well being scale (PWBS)

    The Ryff psychological well being scale was originally consisted of six 7-item subscales for the assessment of six factors: (1) autonomy; (2) environmental mastery; (3) personal growth; (4) positive relations with others; (5) purpose in life and (6) self-acceptance. Response categories for these items are scored along a seven-point Likert scale ranging from strongly disagree (1) to strongly agree (7). The scores of some items will be reversed as recommended in Ryff's original PWBS. The scores for six subscales were calculated as averages; higher mean scores indicate greater psychological wellbeing. Internal consistency (alpha coefficients) was estimated from a sample of older and middle-aged groups , average alphas were .78, and .77, respectively, for the two groups.

    Time frame: up to 16 weeks

07

Study locations

1 site
  • Faculty of Nursing
    Alexandria, 002, Egypt
08

References and documents

Publications

  • Demetrovics Z, Szeredi B, Rozsa S. The three-factor model of Internet addiction: the development of the Problematic Internet Use Questionnaire. Behav Res Methods. 2008 May;40(2):563-74. doi: 10.3758/brm.40.2.563. PubMed 18522068 ↗
  • Gao J, McLellan R. Using Ryff's scales of psychological well-being in adolescents in mainland China. BMC Psychol. 2018 Apr 20;6(1):17. doi: 10.1186/s40359-018-0231-6. PubMed 29678202 ↗
  • Leyro TM, Zvolensky MJ, Bernstein A. Distress tolerance and psychopathological symptoms and disorders: a review of the empirical literature among adults. Psychol Bull. 2010 Jul;136(4):576-600. doi: 10.1037/a0019712. PubMed 20565169 ↗
  • Gong Z, Wang L, Wang H. Perceived Stress and Internet Addiction Among Chinese College Students: Mediating Effect of Procrastination and Moderating Effect of Flow. Front Psychol. 2021 Jun 28;12:632461. doi: 10.3389/fpsyg.2021.632461. eCollection 2021. PubMed 34262501 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 3, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05711368
Lead sponsor
Alexandria University
Responsible party
ayman el-ashry (lecturer at psychiatric and mental health nursing, faculty of nursing, Alexandria University) — Principal investigator
First posted
Feb 3, 2023
Start date
Sep 1, 2022
Primary completion
Jan 1, 2023
Completion
Jan 15, 2023
Last update
Feb 3, 2023

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion