- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01357577
Cognitive Behavioral Therapy (CBT) for PTSD in Veterans With Co-Occurring SUDs (CBT)
CBT for PTSD in Veterans With Co-Occurring Substance Use Disorders
With this research, the investigators hope to learn if cognitive behavioral therapy (CBT) for posttraumatic stress disorder (PTSD) works in people who have both PTSD and problems with drugs or alcohol. In the past, people who had problems with drugs and alcohol were not given treatment for their PTSD. It was believed that PTSD treatment would get in the way of their drug and alcohol treatment. Now the investigators believe that the PTSD symptoms may make it harder to avoid using drugs and alcohol, so the investigators want to see if people can get treatment for both problems at the same time.
One hundred-sixty Veterans from 3 sites who have both PTSD and substance use disorders will be in the study. In order to know if the PTSD treatment is helpful, half of the Veterans in this study will receive PTSD treatment and half will continue to get their usual mental health and/or substance abuse treatment. Who gets which treatment will be decided by a random process. The investigators will then compare the 2 groups to see if there are differences in their PTSD symptoms.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Florida
-
Tampa, Florida, United States, 33612
- James A. Haley Veterans' Hospital, Tampa, FL
-
-
New York
-
Syracuse, New York, United States, 13210
- Syracuse VA Medical Center, Syracuse, NY
-
-
Vermont
-
White River Junction, Vermont, United States, 05009-0001
- White River Junction VA Medical Center, White River Junction, VT
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- At least age 18.
- Current SUD diagnosis.
- Score of at least 45 on CAPS.
- Must speak English.
- Must agree to be taped.
Exclusion Criteria:
- Acute psychotic symptoms, if not well connected with appropriate mental health services.
- Severe suicidality.
- Individuals with unstable medical or legal situations that would make completion of the study highly unlikely.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Arm 1: TAU + CBT
The experimental group will receive treatment as usual (TAU) plus cognitive behavioral therapy (CBT).
|
The CBT for PTSD model is based on modern theories of posttraumatic reactions that place a premium on the importance of individuals' appraisals of traumatic events, their own reactions and those of others, and the meaning of the experience in terms of oneself and one's place in the world.
In addition, the model employs cognitive restructuring to teach individuals how to examine and challenge their trauma-related appraisals.
|
NO_INTERVENTION: Arm 2: TAU
The "no intervention" group will receive treatment as usual (TAU).
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
CAPS Total Score Analysis Among Participants Completing at Least One Follow-up Assessment.
Time Frame: Conclusion of treatment (post-treatment occurs approximately 4-months after treatment conclusion) and 6 months follow-up
|
PTSD symptom severity will be measured by the Clinician Administered PTSD Scale (CAPS).
The Clinician Administered PTSD SCALE (CAPS) is the gold standard in PTSD assessment.
It is a structured interview that can be used to: Make current (past month) diagnosis of PTSD and Make lifetime diagnosis of PTSD.
The minimum value is a 0 and the maximum is 135, the higher the score the worse the outcome, i.e. the more severe PTSD.
|
Conclusion of treatment (post-treatment occurs approximately 4-months after treatment conclusion) and 6 months follow-up
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Addiction Severity Index (Alcohol Addiction)
Time Frame: Baseline, Post-Treatment (approximately 4-months after treatment conclusion), and 6-Months
|
The ASI is a standardized, structured interview that assesses past 30 days problem severity in seven areas.
These seven areas include medical, employment, drug, alcohol, legal, family/social and psychiatric status.
Problem severity is rated on a scale of 0.0 - 1.0 with a higher score indicative of more problem severity.
All scales have a range from 0 to 1.0.
|
Baseline, Post-Treatment (approximately 4-months after treatment conclusion), and 6-Months
|
Addiction Severity Index (Drug Use)
Time Frame: Baseline, Post-Treatment (approximately 4-months after treatment conclusion), and 6-Months
|
The ASI is a standardized, structured interview that assesses past 30 days problem severity in seven areas.
These seven areas include medical, employment, drug, alcohol, legal, family/social and psychiatric status.
Problem severity is rated on a scale of 0.0 - 1.0 with a higher score indicative of more problem severity.
All scales have a range from 0 to 1.0.
|
Baseline, Post-Treatment (approximately 4-months after treatment conclusion), and 6-Months
|
PTSD Checklist (PCL)
Time Frame: Baseline, Post-Treatment (approximately 4-months post treatment completion), 6-months
|
A secondary measure of PTSD will be the PCL.
The PCL is a widely used self-report measure that assesses the 17 DSM-IV PTSD symptoms.
Responses to these questions are on a scale of 1 to 5 ("not at all" to "extremely").
A total symptom severity score (range from 17-85) can be calculated, with a higher score indicating higher symptom severity.
|
Baseline, Post-Treatment (approximately 4-months post treatment completion), 6-months
|
Patient Health Questionnaire-9 (PHQ-9)
Time Frame: Baseline, Post-Treatment (approximately 4-months post treatment completion), 6 months
|
Patient Health Questionnaire-9 (PHQ-9): The PHQ-9 is adapted from the PRIME-MD.
It can be used as a screen for depression or as a severity measure.
The investigators used it as a measure of severity.
The PHQ-9 score is on a range of 0 to 27, where a higher score indicates higher severity.
|
Baseline, Post-Treatment (approximately 4-months post treatment completion), 6 months
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- SPLA-01-S09
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
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on PTSD
-
University of PittsburghCompletedPTSD | Non PTSDUnited States
-
Imperial College Healthcare NHS TrustImperial College LondonRecruiting
-
VA Office of Research and DevelopmentUniversity of California, San DiegoRecruiting
-
University of Wisconsin, MadisonNational Institute of Mental Health (NIMH)Active, not recruiting
-
Oregon Health and Science UniversityEnrolling by invitation
-
VA Office of Research and DevelopmentCompleted
-
VA Office of Research and DevelopmentPortland VA Medical CenterActive, not recruiting
-
VA Office of Research and DevelopmentSan Diego Veterans Healthcare SystemCompleted
-
Creighton UniversityCompleted
-
VA Eastern KansasTerminated
Clinical Trials on Cognitive behavioral therapy for PTSD
-
Laval UniversityCompleted
-
VA Office of Research and DevelopmentRecruitingMajor Depressive Disorder | Posttraumatic Stress Disorder | Panic Disorder and AgoraphobiaUnited States
-
University of California, San DiegoNational Institute of Nursing Research (NINR); National Institutes of Health...CompletedInsomnia | Posttraumatic Stress Disorder | NightmaresUnited States
-
Ryerson UniversityNational Institute of Mental Health (NIMH)CompletedPost-traumatic Stress DisorderCanada, United States
-
VA Office of Research and DevelopmentCompleted
-
US Department of Veterans AffairsCompletedPain | Posttraumatic Stress DisorderUnited States
-
Dartmouth-Hitchcock Medical CenterNational Institute on Drug Abuse (NIDA); Brown University; Providence VA Medical...CompletedSubstance-Related Disorders | Stress Disorder, Post-TraumaticUnited States
-
Dartmouth-Hitchcock Medical CenterNational Institute of Mental Health (NIMH)CompletedPost-Traumatic Stress DisorderUnited States
-
Penn State UniversityThe University of Texas Health Science Center at San Antonio; University of... and other collaboratorsRecruitingPosttraumatic Stress DisorderUnited States
-
King's College LondonMedical Research Council; South London and Maudsley NHS Foundation TrustUnknownPost Traumatic Stress DisorderUnited Kingdom