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CompletedNCT06357364Updated Apr 9, 2026

Neural Changes Following Cognitive Behavior Therapy for Procrastination

An interventional study of Psychoeducation and cognitive modules and Behavioral module: Starting on Time and Planning Realistically in Procrastination, sponsored by Nencki Institute of Experimental Biology of the Polish Academy of Sciences. Completed at 1 site in Poland. Open to participants aged 18 Years to 26 Years. Per ClinicalTrials.gov, last updated 2026-04-09.

Sponsored by Nencki Institute of Experimental Biology of the Polish Academy of Sciences · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
293
Allocation
Randomized
Ages
18 Years to 26 Years
Sex
All
01

Study summary

The aim of this study is to compare the efficacy of and the neural changes following two cognitive behavior therapy (CBT) protocols for procrastination with a wait-list control group. The interventions will be delivered online in group settings. Both protocols include identical psychoeducation and cognitive modules aiming at identification and modification of dysfunctional automatic thoughts related to procrastination but will differ in the behavioral modules. The behavioral module in the first protocol is focused on timely beginning and realistic planning. The second protocol implements working time restriction. The wait-list control group will receive one of the CBT protocols after a waiting period that will last as long as the CBT intervention and the assessments performed directly after treatment. It is assumed that the interventions will be superior to the wait-list control. Primary (procrastination) and secondary (depression and anxiety) measures will be collected prior to and after the interventions (or waiting period in the wait-list group) and after 6 months in the two active condition groups. Additionally, neuroimaging measurements will be conducted before and after the interventions (or waiting period in the wait-list group). Approximately half of the participants will undergo functional Magnetic Resonance Imaging (fMRI), and another half will undergo electroencephalography (EEG). Both methods are aimed at exploring neural correlates of the expected improvements in participants' self-regulation abilities.

02

Conditions studied

  • Procrastination
03

In context

Lead sponsor

Nencki Institute of Experimental Biology of the Polish Academy of Sciences is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 26 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Bachelor's and Master's university students
  • Self-reported primary difficulties related to chronic and severe procrastination
  • Serious procrastination problem lasting for at least one year as confirmed during clinical interview
  • Having a postponed/procrastinated project to complete in the course of therapy
  • Willing to participate in the study
  • Fluent in Polish language
  • Computer access and stable Internet connection

Exclusion criteria

Exclusion Criteria:

  • Current participation in other psychotherapy
  • Use of psychiatric medication during the last 12 weeks
  • Severe anxiety or affective disorders or any other severe psychiatric disorders that require other types of specialized care and are primary to procrastination problem (e.g. major depressive episode, social phobia, PTSD, etc.)
  • Active suicidality
  • Psychosis, bipolar disorder
  • Alcohol or substance dependence
  • Severe personality disorders (with the exclusion of avoidant, dependent and obsessive-compulsive personality disorders)
  • For Warsaw participants: contradictions for fMRI measurement (metal elements in the body, claustrophobia, neurological conditions, pregnancy etc), non right-handedness.
  • For Poznań participants: neurological conditions (e.g. epilepsy)
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
293 participants (actual)

Study arms

  • Experimental
    Cognitive Behavioral Therapy with Techniques of Starting on Time and Planning Realistically

    5 session (one session a week) online group therapy including psychoeducation and cognitive modules (what is procrastination, role of rewards, work environment, identification of dysfunctional automatic thoughts, cognitive restructuring, relapse prevention) and a behavioral module: realistic planning, timely beginning.

    Behavioral: Psychoeducation and cognitive modules · Behavioral: Behavioral module: Starting on Time and Planning Realistically

  • Experimental
    Cognitive Behavioral Therapy with Technique of Working Time Restriction

    5 session (one session a week) online group therapy including psychoeducation and cognitive modules (what is procrastination, role of rewards, work environment, identification of dysfunctional automatic thoughts, cognitive restructuring, relapse prevention) and a behavioral module: working time restriction.

    Behavioral: Psychoeducation and cognitive modules · Behavioral: Behavioral module: Working Time Restriction

  • No intervention
    Wait-list control group

    no intervention

Interventions

  • BehavioralPsychoeducation and cognitive modules

    Psychoeducation and cognitive modules: what is procrastination, role of rewards, work environment, belief identification, cognitive restructuring, relapse prevention.

  • BehavioralBehavioral module: Starting on Time and Planning Realistically

    Learning of realistic planning, and timely starting of work.

  • BehavioralBehavioral module: Working Time Restriction

    Restriction of allowed time for work, and gradual increase of allowed time, if previous time windows where effectively used.

06

What researchers measure

Primary outcomes

  1. Change in Polish version of the Pure Procrastination Scale (PPS)

    Assessment of procrastination level. The Polish version of PPS consists of 12 items that evaluate procrastination conceptualized as a dysfunctional delay (e.g. "I am continually saying I'll do it tomorrow"; "I delay making decisions until it's too late"). Participants respond on a 5-point scale (1 = "very seldom or not true of me"; 2 = "seldom true of me"; 3 = "sometimes true of me"; 4 = "often true of me"; 5 = "very often true of true of me")

    Time frame: baseline assessment (week 0); mid-treatment assessment (week 3); post-treatment assessment (week 6); follow-up assessment (6 months after post-treatment assessment)

  2. Change in Polish version of the Aitken Procrastination Inventory (API)

    Assessment of academic procrastination level. The Polish version of API consists of 19 items that evaluate the tendency of students to procrastinate in their academic tasks (e.g. "If I had an important project to do, I'd get started on it as quickly as possible", "Getting down to work often takes me a long time."). Participants respond on a 5-point scale (1 = "false"; 2 = "mostly false"; 3 = " sometimes false/sometimes true"; 4 = "mostly true"; 5 = "true").

    Time frame: baseline assessment (week 0); mid-treatment assessment (week 3); post-treatment assessment (week 6); follow-up assessment (6 months after post-treatment assessment)

Secondary outcomes

  1. Change in Polish version of the Patient Health Questionnaire (PHQ-9)

    Assessment of depressive symptoms. The Polish version of PHQ-9 consists of 9 items that evaluate the occurrence of depressive symptoms in the last 2 weeks (e.g. "Little interest or enjoyment of your activities"). Participants respond on a 4-point Likert scale (0 = "not at all"; 1 = "on a few days"; 2 = "on more than half of the days"; 3 = "nearly every day").

    Time frame: baseline assessment (week 0); mid-treatment assessment (week 3); post-treatment assessment (week 6); follow-up assessment (6 months after post-treatment assessment)

  2. Change in Polish version of the Generalized Anxiety Disorder Questionnaire-7 (GAD-7)

    Assessment of anxiety symptoms. The Polish version of GAD-7 consists of 7 items that evaluate the occurrence of anxiety and excessive worry symptoms in the last 2 weeks (e.g. "Feeling afraid as if something awful might happen"). Participants respond on a 4-point Likert scale (0 = "not at all"; 1 = "on a few days"; 2 = "on more than half of the days"; 3 = "nearly every day").

    Time frame: baseline assessment (week 0); mid-treatment assessment (week 3); post-treatment assessment (week 6); follow-up assessment (6 months after post-treatment assessment)

  3. Percentage of completion of a particular project that the participant decided to work on during the training (e.g. a thesis, an essay, a report).

    Before and after therapy they will be asked to assess the percentage of the project that has been completed. The higher the difference between the two assessments the better the outcome.

    Time frame: baseline assessment (week 0); mid-treatment assessment (week 3); post-treatment assessment (week 6)

Other outcomes

  1. Change in Polish version of the Sensitivity to Punishment and Sensitivity to Reward Questionnaire - Short Form (SPSRQ-SF)

    Time frame: baseline assessment (week 0), mid-treatment assessment (week 3), post-treatment assessment (week 6), follow-up assessment (6 months after post-treatment assessment)

  2. Change in Polish version of the Multidimensional-Multiattributional Causality Scale (MMCS)

    Time frame: baseline assessment (week 0), mid-treatment assessment (week 3), post-treatment assessment (week 6), follow-up assessment (6 months after post-treatment assessment)

  3. Change in Polish version of the Performance Failure Appraisal Inventory (PFAI)

    Time frame: baseline assessment (week 0), mid-treatment assessment (week 3), post-treatment assessment (week 6), follow-up assessment (6 months after post-treatment assessment)

  4. Change in Polish version of the Difficulties in Emotion Regulation questionnaire (DERS)

    Time frame: baseline assessment (week 0), mid-treatment assessment (week 3), post-treatment assessment (week 6), follow-up assessment (6 months after post-treatment assessment)

  5. Change in Polish version of the Motivation Diagnostic Test (MDT)

    Time frame: baseline assessment (week 0), mid-treatment assessment (week 3), post-treatment assessment (week 6), follow-up assessment (6 months after post-treatment assessment)

  6. Change in Polish version of the Zimbardo Time Perspective Inventory

    Time frame: baseline assessment (week 0), mid-treatment assessment (week 3), post-treatment assessment (week 6), follow-up assessment (6 months after post-treatment assessment)

  7. Change in Polish version of the Metacognitive Beliefs about Procrastination Questionnaire (MBPQ)

    Time frame: baseline assessment (week 0), mid-treatment assessment (week 3), post-treatment assessment (week 6), follow-up assessment (6 months after post-treatment assessment)

  8. Change in Polish version of the Impulsivity Scale (UPPS-P)

    Time frame: baseline assessment (week 0), mid-treatment assessment (week 3), post-treatment assessment (week 6), follow-up assessment (6 months after post-treatment assessment)

  9. Change in Polish version of the Self-control Scale (NAS-50)

    Time frame: baseline assessment (week 0), mid-treatment assessment (week 3), post-treatment assessment (week 6), follow-up assessment (6 months after post-treatment assessment)

  10. Change in Polish version of the Procrastination Diagnostic Criteria Questionnaires (PDCQ)

    Time frame: baseline assessment (week 0), mid-treatment assessment (week 3), post-treatment assessment (week 6), follow-up assessment (6 months after post-treatment assessment)

  11. Change in Polish version of Positive and Negative Affect Schedule (PANAS) in relation to a project that the participant decided to work on during the training (e.g. a thesis, an essay, a report)

    Time frame: baseline assessment (week 0), mid-treatment assessment (week 3), post-treatment assessment (week 6

  12. Polish version of the Group Session Rating Scale (GSRS)

    Time frame: During the intervention: at the end of every psychotherapy session (weeks 1-5)

  13. Several items concerning homework compliance (cf. Kazantzis et al., 2005).

    Time frame: after sessions 2-5 (weeks 3-6) and at follow-up (6 months after post-treatment assessment)

  14. Polish version of the Credibility Expectancy Questionnaire (CEQ)

    Time frame: After the first session (week 1)

  15. Polish version of the Negative Effects Questionnaire (NEQ)

    Time frame: Post-treatment (week 6)

  16. Polish version of the Client Satisfaction Questionnaire (CSQ)

    Time frame: Post-treatment (week 6)

  17. fMRI measurements

    Participants from Warsaw, prior to and after the interventions will undergo fMRI measurements, consisting of resting state and two cognitive tasks. In the first task participants will read sentences representing three conditions: sentences related to academic duties, sentences presenting negative events or situations, and sentences presenting neutral events or situations. The second task will be a monetary go/no-go task in two conditions: neutral condition, where participants will get some amount of money for each task block, regardless of their performance, and punishment condition, where participants will be given some amount of money prior to each task block, and will lose a fraction of the money each time when they respond to NoGo signal, or when they don't respond to Go signal or respond to it too slow.

    Time frame: baseline assessment (week 0), post-treatment assessment (week 6)

  18. Electroencephalography (EEG) measurements

    Participants from Poznań before and after the interventions will undergo electroencephalography (EEG) measurements, during two emo-cognitive tasks. In the first task, participants will passively view single words related to three conditions: academic procrastination, negative emotions, neutral words. The second task will be a classic go/no-go task. In the posttest, there will be an additional negative norm-referenced feedback condition, where participants will be informed that their current performance in the go/no-go task is lower than a certain percentage of people who were tested. The EEG examination will utilize the Event-Related Potential (ERP) technique to measure the brain's electrical activity in response to specific events (stimuli and responses). This study will particularly focus on attentional processing and monitoring components, such as the P300, and Error Related Negativity (ERN) and Error Positivity (Pe).

    Time frame: baseline assessment (week 0), post-treatment assessment (week 6)

07

Study locations

1 site
  • Nencki Institute of Experimental Biology, Polish Academy of Sciences
    Warsaw, 02-093, Poland
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06357364
Lead sponsor
Nencki Institute of Experimental Biology of the Polish Academy of Sciences
Collaborators
SWPS University of Social Sciences and Humanities, Institute of Psychology, Polish Academy of Sciences
Responsible party
Sponsor
First posted
Apr 10, 2024
Start date
Apr 8, 2024
Primary completion
Jan 15, 2026
Completion
Jan 15, 2026
Last update
Apr 9, 2026

Study contacts

Marek Wypych, PhD, DSc
principal investigator · Nencki Institute of Experimental Biology, Polish Academy of Sciences
Jarosław Michałowski, Prof.
principal investigator · SWPS University of Social Sciences and Humanities
Joachim Kowalski, PhD
principal investigator · Institute of Psychology, Polish Academy of Sciences

Oversight

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

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