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PTSDNCT04549493

Effectiveness of Trauma Management Therapy and Prolonged Exposure Therapy

A study testing Exposure Therapy in people with PTSD, run by University of Central Florida at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this requirement is to identify an effective exposure psychotherapy paradigm for the treatment of Post-Traumatic Stress Disorder (PTSD) in active duty service members and veterans by comparing different exposure psychotherapy modalities. Read more about this study

Who is it for?
Ages 18 to 64 yearsHealthy volunteers can take part
Conditions the study is for
PTSD
What is being tested?
Exposure Therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
134 participants
Where
1 siteUnited States
Study dates
12 Feb 2020to 1 May 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 64 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Active duty military personnel with a diagnoses of PTSD
  • Traumatic event must have occurred during military service
  • Military sexual trauma limited to attempted or completed sexual assault.

Who cannot join

  • Acute cardiac difficulties
  • Severe comorbid substance use disorders.
  • Diagnosis of schizophrenia or other psychotic disorders
  • Diagnosis of antisocial personality disorder
  • Moderate or severe traumatic brain injury (TBI)
  • Use of benzodiazepines

Trial locations and contacts

1 site in 1 country.

United States1 site
  • UCF RESTORES, University of Central Florida

    Orlando, Florida, 32816

Other trials in United States

About this study

Official title: Effectiveness of Trauma Management Therapy and Prolonged Exposure Therapy for the Treatment of Post-Traumatic Stress Disorder in an Active Duty Sample: A Comparison Study

The purpose of this requirement is to identify an effective exposure psychotherapy paradigm for the treatment of Post-Traumatic Stress Disorder (PTSD) in active duty service members and veterans by comparing different exposure psychotherapy modalities. The long-term goal of exposure psychotherapy is to improve the mental health of U.S. service members and veterans with military-related PTSD. Recovery from PTSD will reduce the economic burden not only for those persons experiencing PTSD, but also for the health care system and society as a whole (Galovski \& Lyons, 2004).

Read the detailed description

This study will provide an evaluation of performance and suitability of the compressed versions of exposure psychotherapy to support the capability gap for the treatment of active duty service members and veterans with PTSD by comparing different exposure psychotherapy modalities. The overall objective of this study is to determine if compressed psychotherapy can be used as an effective alternative treatment for PTSD and to compare the impact of TMT and PE on social, familial, and occupational impairment. The primary objectives will be to compare 1) 3 week TMT with 12 week PE and 2) 3 week TMT with 2 week PE for the effectiveness of reducing PTSD symptoms in a gated approach or some other method to control for multiplicity. Outcomes will be determined based upon self-report, clinician ratings, as well as other aspects of psychopathology, and social/emotional functioning. The addition of the TMT group component will be assessed in particular to determine its impact on social, familial, and occupational impairment. Blood samples should be collected from participants at baseline and at the end of the treatment period in order to identify PTSD biomarkers, e.g. predictors of response, biological subtypes of PTSD, and therapeutic markers. Collection, storage, and transfer of the blood samples to DoD should be performed according to standardized protocols provided by the DoD. One or more site visits may occur in order to assess adherence to standardized protocols.

Conditions
PTSD
Being tested
Exposure Therapy
Keywords
Trauma Management Therapy, Exposure Therapy, Group Therapy, PTSD, Military
Medical subject headings
Stress Disorders, Post-Traumatic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Exposure TherapyBehavioural

    Exposure Therapy is used to reduce the symptoms of PTSD

Study groups in NCT04549493
Study groupRoleWhat they receive
Trauma Management TherapyActive comparator1. Trauma Management Therapy (TMT; Turner, Beidel, \& Frueh, 2005): TMT is a multicomponent behavioral treatment program designed to target various aspects of chronic PTSD - reducing emotional and physiological reactivity to traumatic cues, reducing intrusive symptoms and avoidance behavior, improving interpersonal skills and emotion modulation (e.g., anger control), and increasing the range of enjoyable social activities. In this investigation and in line with our previous publications, TMT will include virtual-reality augmented exposure (i.e. olfactory stimulation, heart rate, and skin conductance); group therapy to address sleep, anger, depression, and social isolation; homework assignments; and programmed practice. In the 3-week treatment program, each participant receives virtual-reality assisted exposure in the morning followed by in vivo exposure and group therapy (SER) each afternoon for a total of 29 sessions.
Receives: Behavioral: Exposure Therapy
Prolonged ExposureActive comparator2. Standard Prolonged Exposure (PE; Foa, Hembree, \& Rothbaum, 2007) consists of psychoeducation, imaginal exposure to trauma memories, in vivo exposure to situations that are avoided due to their association with the trauma, and emotional processing. The standard protocol consists of 12 imaginal exposure sessions, along with in vivo exposure/homework assignments and listening to a recording of the imaginal sessions at home during the evening.
Receives: Behavioral: Exposure Therapy
Compressed Prolonged ExposureActive comparator3. Compressed PE consists of 10 standard PE sessions delivered on consecutive work days. The imaginal exposure sessions take place in the morning, with in vivo exposures assigned (not therapist accompanied) for the afternoons. Patients are instructed to listen to the recordings of the imaginal exposure each night. Being most concerned with having enough time for in vivo practice, Session 1 does not start on a Monday, allowing for two full weekends in order to maximize in vivo exposures. Both versions of PE average 36 total treatment hours.
Receives: Behavioral: Exposure Therapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from Baseline on the Clinician-Administered PTSD Scale for DSM-5

    PTSD symptoms rating scale (severity and frequency) administered by blinded clinician

    Measured: 1 week posttreatment

  2. Change from Baseline on the Clinician-Administered PTSD Scale for DSM-5

    PTSD symptoms rating scale (severity and frequency) administered by blinded clinician

    Measured: 3 months posttreatment

  3. Change from Baseline on the Clinician-Administered PTSD Scale for DSM-5

    PTSD symptoms rating scale (severity and frequency) administered by blinded clinician

    Measured: 6 months posttreatment

Secondary outcomes (48)
  1. Change from Baseline on the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5)

    Patient Self Report of PTSD symptoms

    Measured: 1 week posttreatment

  2. Change from Baseline on the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5)

    Patient Self Report of PTSD symptoms

    Measured: 3 months posttreatment

  3. Change from Baseline on the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5)

    Patient Self Report of PTSD symptoms

    Measured: 6 months posttreatment

  4. Change from Baseline on the Traumatic Life Events Questionnaire (TLEQ)

    self-report measure assessing lifetime history of 22 traumatic events

    Measured: 1 week posttreatment

  5. Change from Baseline on the Traumatic Life Events Questionnaire (TLEQ)

    self-report measure assessing lifetime history of 22 traumatic events

    Measured: 3 months posttreatment

  6. Change from Baseline on the Traumatic Life Events Questionnaire (TLEQ)

    self-report measure assessing lifetime history of 22 traumatic events

    Measured: 6 months posttreatment

  7. Change from Baseline on the Trauma-Related Guilt Inventory (TRGI)

    32-item measure rating 3 domains of trauma-related guilt cognitions (Global Guilt, Distress, and Guilt Cognitions)

    Measured: 1 week posttreatment

  8. Change from Baseline on the Trauma-Related Guilt Inventory (TRGI)

    32-item measure rating 3 domains of trauma-related guilt cognitions (Global Guilt, Distress, and Guilt Cognitions)

    Measured: 3 months posttreatment

  9. Change from Baseline on the Trauma-Related Guilt Inventory (TRGI)

    32-item measure rating 3 domains of trauma-related guilt cognitions (Global Guilt, Distress, and Guilt Cognitions)

    Measured: 6 months posttreatment

  10. Change from Baseline on the Posttraumatic Cognitions Inventory (PTCI)

    36-item measure assessing 3 domains of trauma-related cognitions (Negative Cognitions about Self, Negative Cognitions about the World, and Self-Blame)

    Measured: 1 week posttreatment

  11. Change from Baseline on the Posttraumatic Cognitions Inventory (PTCI)

    36-item measure assessing 3 domains of trauma-related cognitions (Negative Cognitions about Self, Negative Cognitions about the World, and Self-Blame)

    Measured: 3 months posttreatment

  12. Change from Baseline on the Posttraumatic Cognitions Inventory (PTCI)

    36-item measure assessing 3 domains of trauma-related cognitions (Negative Cognitions about Self, Negative Cognitions about the World, and Self-Blame)

    Measured: 6 months posttreatment

  13. Change from Baseline on the Moral Injury Event Scale (MIES)

    patient-report measure assessing psychological distress associated with violations of moral standards.

    Measured: 1 week posttreatment

  14. Change from Baseline on the Moral Injury Event Scale (MIES)

    patient-report measure assessing psychological distress associated with violations of moral standards.

    Measured: 3 months posttreatment

  15. Change from Baseline on the Moral Injury Event Scale (MIES)

    patient-report measure assessing psychological distress associated with violations of moral standards.

    Measured: 6 months posttreatment

  16. Change from baseline on the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0)

    patient report of impairment in six domains: cognition, mobility, self-care, getting along with people, life activities (at home and work), and participation in society

    Measured: 1 week posttreatment

  17. Change from baseline on the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0)

    patient report of impairment in six domains: cognition, mobility, self-care, getting along with people, life activities (at home and work), and participation in society

    Measured: 3 months posttreatment

  18. Change from baseline on the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0)

    patient report of impairment in six domains: cognition, mobility, self-care, getting along with people, life activities (at home and work), and participation in society

    Measured: 6 months posttreatment

  19. Change from baseline on the Quality of Life Scale (QOLS)

    Patient report of 6 domains of life: independence, recreation, personal development and fulfillment, material and physical well-being, relationships with others, and community and civic involvement

    Measured: 1 week posttreatment

  20. Change from baseline on the Quality of Life Scale (QOLS)

    Patient report of 6 domains of life: independence, recreation, personal development and fulfillment, material and physical well-being, relationships with others, and community and civic involvement

    Measured: 3 months posttreatment

  21. Change from baseline on the Quality of Life Scale (QOLS)

    Patient report of 6 domains of life: independence, recreation, personal development and fulfillment, material and physical well-being, relationships with others, and community and civic involvement

    Measured: 6 months posttreatment

  22. Change from baseline on the Connor-Davidson Resilience Scale (CD-RISC)

    Patient report of coping ability

    Measured: 1 week posttreatment

  23. Change from baseline on the Connor-Davidson Resilience Scale (CD-RISC)

    Patient report of coping ability

    Measured: 3 months posttreatment

  24. Change from baseline on the Connor-Davidson Resilience Scale (CD-RISC)

    Patient report of coping ability

    Measured: 6 months posttreatment

  25. Change from baseline on the Patient Health Questionnaire-9 (PHQ-9)

    Patient report measure of depression symptoms

    Measured: 1 week posttreatment

  26. Change from baseline on the Patient Health Questionnaire-9 (PHQ-9)

    Patient report measure of depression symptoms

    Measured: 3 months posttreatment

  27. Change from baseline on the Patient Health Questionnaire-9 (PHQ-9)

    Patient report measure of depression symptoms

    Measured: 6 months posttreatment

  28. Change from baseline on the Generalized Anxiety Disorder-7 (GAD-7)

    Patient report measure of general anxiety symptoms

    Measured: 1 week posttreatment

  29. Change from baseline on the Generalized Anxiety Disorder-7 (GAD-7)

    Patient report measure of general anxiety symptoms

    Measured: 3 months posttreatment

  30. Change from baseline on the Generalized Anxiety Disorder-7 (GAD-7)

    Patient report measure of general anxiety symptoms

    Measured: 6 months posttreatment

  31. Change from baseline on the Dimensions of Anger Reactions-5 (DAR-5)

    Patient report measure of anger

    Measured: 1 week posttreatment

  32. Change from baseline on the Dimensions of Anger Reactions-5 (DAR-5)

    Patient report measure of anger

    Measured: 3 months posttreatment

  33. Change from baseline on the Dimensions of Anger Reactions-5 (DAR-5)

    Patient report measure of anger

    Measured: 6 months posttreatment

  34. Change from baseline on the Clinical Global Impressions Scales (CGI)

    Clinician rated scales to evaluate the severity of pretreatment psychopathology and treatment change

    Measured: 1 week posttreatment

  35. Change from baseline on the Clinical Global Impressions Scales (CGI)

    Clinician rated scales to evaluate the severity of pretreatment psychopathology and treatment change

    Measured: 3 months posttreatment

  36. Change from baseline on the Clinical Global Impressions Scales (CGI)

    Clinician rated scales to evaluate the severity of pretreatment psychopathology and treatment change

    Measured: 6 months posttreatment

  37. Sleep actigraphy - change from baseline in total sleep time

    Objective assessment of sleep

    Measured: 1 week posttreatment

  38. Sleep actigraphy - change from baseline in total sleep time

    Objective assessment of sleep

    Measured: 3 months posttreatment

  39. Sleep actigraphy - change from baseline in total sleep time

    Objective assessment of sleep

    Measured: 6 months posttreatment

  40. Sleep actigraphy - change from baseline in sleep onset latency

    Objective assessment of sleep (# of minutes to sleep onset after getting into bed)

    Measured: 1 week posttreatment

  41. Sleep actigraphy - change from baseline in sleep onset latency

    Objective assessment of sleep (# of minutes to sleep onset after getting into bed)

    Measured: 3 months posttreatment

  42. Sleep actigraphy - change from baseline in sleep onset latency

    Objective assessment of sleep (# of minutes to sleep onset after getting into bed)

    Measured: 6 months posttreatment

  43. Sleep actigraphy - change from baseline in sleep efficiency

    Objective assessment of sleep (% of time in bed spent sleeping)

    Measured: 1 week posttreatment

  44. Sleep actigraphy - change from baseline in sleep efficiency

    Objective assessment of sleep (% of time in bed spent sleeping)

    Measured: 3 months posttreatment

  45. Sleep actigraphy - change from baseline in sleep efficiency

    Objective assessment of sleep (% of time in bed spent sleeping)

    Measured: 6 months posttreatment

  46. Sleep actigraphy - change from baseline in wake minutes after sleep onset

    Objective assessment of sleep (# of minutes awake after falling asleep)

    Measured: 1 week posttreatment

  47. Sleep actigraphy - change from baseline in wake minutes after sleep onset

    Objective assessment of sleep (# of minutes awake after falling asleep)

    Measured: 3 months posttreatment

  48. Sleep actigraphy - change from baseline in wake minutes after sleep onset

    Objective assessment of sleep (# of minutes awake after falling asleep)

    Measured: 6 months posttreatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Sep 2020
  2. Study start12 Feb 2020
  3. Primary completion20 Dec 2023
  4. Study completion1 May 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
134 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04549493
Sponsor's protocol ID
W81XWH18C0331
Status last verified
Dec 2023
First submitted
22 May 2020
Last updated
10 May 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Exposure Therapy in people with PTSD, run by University of Central Florida at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from Baseline on the Clinician-Administered PTSD Scale for DSM-5 (time frame: 1 week posttreatment). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 May 2024.

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