A Trial of Group Psychotherapy for Veterans and Military Personnel With Post Traumatic Stress Disorder (PTSD)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 115
- 试验地点
- 2
- 主要终点
- Depression
研究概览
简要总结
The purpose of this study is to test the effectiveness of group psychotherapy designed specifically for male veterans and active-duty personnel with Post-traumatic Stress Disorder (PTSD), Major Depressive Disorder (MDD) and with disturbances in their sleep or daily routine.
详细描述
The purpose of this study is to test the effectiveness of a group psychotherapy designed specifically for male veterans and active-duty personnel with Post-traumatic Stress Disorder (PTSD), Major Depressive Disorder (MDD) and with disturbances in their sleep or daily routine. We will compare two group therapies, one of which has been examined in previous studies for veterans with PTSD. Both group therapies have been shown to reduce symptoms of anxiety and depression in some veterans. However, neither group therapy has been proven to be more effective than treatment as usual for PTSD.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •Veteran or active duty military personnel
- •Current posttraumatic stress disorder (PTSD), at least moderate severity
- •Criterion A exposure to trauma occurring after the age of 18
- •Major depressive disorder (MDD), at least moderate severity
- •Disturbances in sleep (primary insomnia, insomnia related to PTSD, or nightmare disorder) or daily routine
排除标准
- •Current or past bipolar disorder
- •Current psychotic disorder
- •Substance abuse/dependence in last 30 days
- •Uncontrolled serious medical condition or neurological disorder
- •Currently working an overnight shift
- •Primary untreated sleep apnea, restless legs syndrome
研究组 & 干预措施
Structured Therapy
Cognitive Behavioral Social Rhythm Group Therapy is designed to improve mood and sleep by stabilizing social rhythms, increasing exposure to ambient light, changing dysfunctional bed/bedtime associations, activating the imagery system by changing nightmare content, and challenging dysfunctional automatic thoughts that might contribute to behavioral inactivation and nonadherence to the therapy protocol. There is no discussion of past traumatic events.
干预措施: Cognitive Behavioral Social Rhythm Group Therapy (Behavioral)
Unstructured Therapy
Present Centered Group Therapy includes education about the typical symptoms and features associated with PTSD and MDD, with a focus on how these symptoms affect interpersonal relationships. It uses the group format to decrease isolation, normalize symptoms, and provide the experience of giving and receiving support. Some relaxation training is provided early in therapy. There is no discussion of past traumatic events.
干预措施: Present Centered Group Therapy (Behavioral)
结局指标
主要结局
Depression
时间窗: post-treatment, at 12 weeks
Hamilton Rating Scale for Depression, 17 item The Hamilton Rating Scale for Depression is an interview assessment of depression symptom severity. Total score range is from 0 (no symptoms of depression) to 52 (maximum symptoms of depression).
次要结局
- PTSD(post-treatment, at 12 weeks)
研究者
Tricia Haynes
Assistant Professor, Dept of Psychiatry
University of Arizona