- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04393623
Stress, Emotion Regulation, and Alcohol in Women Veterans (SERA)
Understanding and Targeting Stress Reactivity in Women Veterans With Alcohol Misuse
Study Overview
Status
Intervention / Treatment
Detailed Description
Aims for the current study are two-fold: 1. conduct a randomized trial testing the effects of an emotion regulation skill (cognitive reappraisal) on stress-induced drinking among women with alcohol misuse and varying levels of co-occurring PTSD; 2. examine whether progesterone levels and/or severity of co-occurring PTSD - factors which impact women's stress reactivity and emotion regulation - moderate the effectiveness of the cognitive reappraisal in reducing stress-induced drinking.
The proposed study will combine experimental, in-person sessions with daily self-report data from the Veterans to assess the effect of cognitive reappraisal on alcohol craving, cognitive (inhibitory) control, physiological arousal (HRV), and alcohol use. Participation will take place across a period of at least 35 days, to encompass an entire menstrual cycle. All participants complete all sections of the study - the experimental sessions and the longitudinal (35-day) data collection.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Cathryn G Holzhauer, PhD
- Phone Number: (413) 584-4040
- Email: cathryn.holzhauer@va.gov
Study Contact Backup
- Name: Amber N Brown
- Phone Number: 6528 (413) 584-4040
- Email: Amber.Brown8@va.gov
Study Locations
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Massachusetts
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Leeds, Massachusetts, United States, 01053-9764
- Recruiting
- VA Central Western Massachusetts Healthcare System, Leeds, MA
-
Contact:
- Cathryn G Holzhauer, PhD
- Phone Number: (413) 584-4040
- Email: cathryn.holzhauer@va.gov
-
Contact:
- Amber N Brown
- Phone Number: 6528 (413) 584-4040
- Email: Amber.Brown8@va.gov
-
Principal Investigator:
- Cathryn Glanton Holzhauer, PhD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Current alcohol misuse, defined as scoring 3 or higher on the AUDIT-C
- If using other illicit substances, alcohol is their primary substance of use
- Alcohol use in the past 45 days
- Able to write and speak in English
- Served in the U.S. Military
- Willing to provide blood samples at laboratory sessions to assay hormone levels and take urine ovulation tests at home
Exclusion Criteria:
- Psychotic symptoms or uncontrolled Bipolar Disorder (screened for during session 1 using SCID-5 screening modules)
- Brain damage or were in an accident that affects ability to complete the computerized task
- Current (past 3 months) active suicidal ideation or intent
- Current pregnancy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Cognitive Reappraisal Microintervention
The CR microintervention (session 1) is drawn from Barlow & colleagues empirically supported treatment for emotional disorders (the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders).
The microintervention consist of four sections: (1) Introduction to cognitive appraisal; (2) Introducing the idea of "thinking traps" that prevent reappraisal and maintain negative emotion; (3) Describing cognitive reappraisal as a strategy that can help the participant "get out" of such thinking traps; (4) Providing an example of this process (situation> negative appraisal > negative emotion > thinking trap > opportunity for cognitive reappraisal) and have participants provide a personalized example.
|
This cognitive reappraisal microintervention lasts 45-60 minutes.
|
Active Comparator: Psychoeducation (Control)
The manualized psychoeducational control module, serving as an attentional control, is derived from two sources: 1.
The first session of the Women's Health Education Manual, which provides psychoeducation about the basic body systems and their function, with focus on components of the immune system and 2. Fact sheets published by the American College of Obstetricians and Gynecologists(ACOG), providing female-specific facts about cancer and heart health.
None of this psychoeducation discusses potential relevancy of alcohol use, nor will any behavior changes be suggested during the control microintervention.
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This psychoeducational microintervention lasts 45-60 minutes.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Alcohol Craving during Experimental Sessions
Time Frame: Two separate days during the study (ie. on two of the study days, which last up to 75 days)
|
Craving will be measured via the Alcohol Craving Questionnaire - Short Form (ACQ-SF).
The ACQ-SF comprises 12 items and is used to assess alcohol cravings among alcohol users in the current moment.
Participants are asked to rate how much they agree or disagree with each statement, each regarding how they feel or think about alcohol in the moment.
Each item is scored on a 7-point Likert scale that reflects their agreement on a scale of "strongly disagree" to "strongly agree".
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Two separate days during the study (ie. on two of the study days, which last up to 75 days)
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Change in Inhibitory Control during Experimental Sessions
Time Frame: Two separate days during the study (ie. on two of the study days, which last up to 75 days)
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Inhibitory Control, a measure of behavioral impulsivity, will be assessed with a computerized task (a stop-signal task, STOP-IT).
Participants' stop signal reaction time (SSRT) reflects varying levels of inhibitory control (lower SSRT reflects better inhibitory control).
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Two separate days during the study (ie. on two of the study days, which last up to 75 days)
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Change in Heart Rate Variability (HRV) during Experimental Sessions
Time Frame: Two separate days during the study (ie. on two of the study days, which last up to 75 days)
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Heart rate variability (HRV), a physiological measure of arousal and shown to be a measure of stress reactivity and impacted by successful emotion regulation, will be assessed with a Biopac MP160 data acquisition unit with an ECG amplifier that allows for the measurement of HRV.
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Two separate days during the study (ie. on two of the study days, which last up to 75 days)
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Change in frequency of alcohol use prior to and through study completion
Time Frame: Retrospectively for 45 days prior to study enrollment, and through study completion (up to 75 days post-baseline)
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The Alcohol Timeline Follow Back (TLFB) assesses frequency/quantity of drinking.
The TLFB will be used at all laboratory sessions to fill in any potentially missing data from the daily logs
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Retrospectively for 45 days prior to study enrollment, and through study completion (up to 75 days post-baseline)
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in intensity of daily negative affect
Time Frame: Daily, through study completion (up to 75 days post-baseline)
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The Positive and Negative Affect Schedule (PANAS) is a 10 item questionnaire that measures self reported positive and negative affect.
Each item is rated on a 5-point scale of 1 (not at all) to 5 (very much).
Scores range from 10-50.
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Daily, through study completion (up to 75 days post-baseline)
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Change in depression symptoms from baseline to study completion, un to 75 days
Time Frame: Baseline, end of study (up to 75 days)
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Beck Depression Inventory II (BDI-II) is a self-report questionnaire assessing depression symptoms over the prior two weeks (scores range 0-63) and higher scores indicate greater depression symptomatology.
All item scores are summed to attain a total score.
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Baseline, end of study (up to 75 days)
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Change in depression symptoms from baseline to study completion, un to 75 days
Time Frame: Baseline, end of study (up to 75 days)
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PTSD Checklist for DSM-5 with Life Events checklist and Criterion A (PCL-5) is a 20-item self-report questionnaires assessing current symptoms of PTSD, used to assess current (past 30 days) PTSD severity.
Total scores are calculated by summing all values.
Scores on the PCL-5 range from 0-80 and reflect a global PTSD severity score, with higher scores indicating greater severity.
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Baseline, end of study (up to 75 days)
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Change in use of adaptive and maladaptive emotion regulation strategies
Time Frame: weekly, through study completion (up to 75 days post-baseline)
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Emotion Regulation Questionnaire (ERQ) is 10-item questionnaire measuring emotion regulation.
Items are rated on a 7-point Likert-scale ranging from 1 (strongly disagree) to 7 (strongly agree).
Specifically, the measure assesses use of the strategies cognitive reappraisal and emotional suppression, which are separate subscales.
Higher scores reflect greater use of each type of emotion regulation strategy.
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weekly, through study completion (up to 75 days post-baseline)
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Collaborators and Investigators
Investigators
- Principal Investigator: Cathryn Glanton Holzhauer, PhD, VA Central Western Massachusetts Healthcare System, Leeds, MA
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
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
- MHBB-017-18F
- DVA/CSR&D CDA-2 CX001951 (Other Grant/Funding Number: Veterans Health Administration, Office of Research)
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.
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