The Modum Bad Complex Posttraumatic Stress Disorder Study
Comparison of Treatments for Complex Posttraumatic Stress Disorder -a Randomized Controlled Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Available treatment procedures for PTSD are largely developed within the context of adult trauma (e.g. accidents, natural disasters, rape or combat). The need for additional treatment options targeting dysfunctional affect regulation and interpersonal problems in patients suffering after childhood trauma is debated in research and clinical settings.
96 patients will be recruited from referrals to an in-patient clinic in Norway called Modum Bad. After assessment, patients will be randomly assigned to one of three treatment arms. One-third will receive 10 weeks of Prolonged Exposure, one-third 10 weeks of Skills Training in Affect and Interpersonal Regulation (STAIR), and the last third a phase-based treatment lasting 16 weeks (STAIR + Narrative Therapy).
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Asle Hoffart, PhD.
- Phone Number: 0047 32749700
- Email: asle.hoffart@modum-bad.no
Study Contact Backup
- Name: Terje Tilden, PhD.
- Phone Number: 0047 32749700
- Email: terje.tilden@modum-bad.no
Study Locations
-
-
Buskerud
-
Vikersund, Buskerud, Norway, N-3370
- Modum Bad
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- childhood trauma (e.g. sexual abuse, violence prior to age 18),
- a diagnosis of Posttraumatic Stress Disorder PTSD according to DSM-5
- a diagnosis of Complex PTSD according to the suggested additional criteria for complex PTSD in International Classification of Diseases (ICD-11)
Exclusion Criteria:
- severe psychotic disorder
- dissociative identity disorder (DID)
- active phase substance dependence
- acute suicidality
- major current life crisis
- severely disturbed group functioning
- mental disability
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Prolonged Exposure
Psychotherapy: 10 weeks, Prolonged Exposure (individual sessions) according to the manual developed by Foa et al., adapted for a residential care setting
|
Three established psychotherapeutic models for treatment of complex posttraumatic stress disorders are compared in a residential care setting.
Combination of group and individual sessions.
|
|
Experimental: STAIR
Psychotherapy: 10 weeks, Skills Training in Affect and Interpersonal Regulation (STAIR) (group sessions), according to the manual developed by Cloitre et al., adapted for a residential care setting
|
Three established psychotherapeutic models for treatment of complex posttraumatic stress disorders are compared in a residential care setting.
Combination of group and individual sessions.
|
|
Experimental: STAIR/NT
Psychotherapy: 16 weeks, 10 weeks Skills Training in Affect and Interpersonal Regulation (STAIR) (group sessions), followed by 6 weeks of Narrative Therapy (NT) (individual sessions), according to the manual developed by Cloitre et al., adapted for a residential care setting.
|
Three established psychotherapeutic models for treatment of complex posttraumatic stress disorders are compared in a residential care setting.
Combination of group and individual sessions.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Clinician-Administered PTSD Scale (CAPS-5) for the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
Time Frame: approximately 15 months
|
30 items structured interview corresponding to the definition of PTSD in DSM-5.
20 items correspond to the symptoms for PTSD and are scored on a 0-4 severity scale to establish symptom severity (range 0-40)
|
approximately 15 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The PTSD Checklist for DSM-5 (PCL-5)
Time Frame: approximately 15 months
|
20 items self-report measure for PTSD symptoms corresponding to DSM-5 criteria for PTSD.
Severity is scored on a 0-4 scale (range 0-40)
|
approximately 15 months
|
|
Inventory of Interpersonal Problems (IIP-64)
Time Frame: approximately 15 months
|
64 items self-report measure for interpersonal problems.
Severity is scored on a 0-4 scale (range 0-256)
|
approximately 15 months
|
|
Beck Depression Inventory-Second Edition (BDI-II)
Time Frame: approximately 15 months
|
21 item self-report measure for depressive symptoms.
Severity is scored on a 0-3 scale (range 0-63
|
approximately 15 months
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CPTSD-Peter_Sele
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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