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- Klinische proef NCT00057629
Prolonged Exposure Therapy for Post Traumatic Stress Disorder Following Sexual Assault
Effectiveness of Treatment for PTSD in Community Agencies
Studie Overzicht
Toestand
Conditie
Gedetailleerde beschrijving
PE is a brief cognitive behavioral therapy that can ameliorate symptoms of PTSD, depression, and anxiety in survivors of various types of trauma. PE has been successfully implemented by counselors at a community rape crisis clinic (Women Organized Against Rape [WOAR]) who received extensive training and weekly supervision from PE experts. Such extensive expert involvement is not a practical model for long-term clinical practice in a community-based clinic. Therefore, Part 1 of this study will examine whether counselors at WOAR can maintain their PE implementation success with reduced expert involvement. In Part 2 of this study, PE will be implemented by counselors at another community clinic (Joseph J. Peters Institute [JJPI]) to examine its effectiveness in treating PTSD and to determine the generalizability of training procedures.
Participants in this study are randomly assigned to either PE or to individual and group therapy. Treatment sessions are conducted weekly for 10 to 20 weeks, based on participants' rates of improvement. Participants are assessed before treatment, after 10 weeks, and again in the follow-up phase at 3, 6, 12, and 24 months post-treatment.
Studietype
Inschrijving (Werkelijk)
Fase
- Fase 2
- Fase 3
Contacten en locaties
Studie Locaties
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Pennsylvania
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Philadelphia, Pennsylvania, Verenigde Staten, 19104
- Center for the Treatment and Study of Anxiety, University of Pennsylvania
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Philadelphia, Pennsylvania, Verenigde Staten, 19107
- Women Organized Against Rape (WOAR)
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion Criteria:
- DSM-IV criteria for PTSD at least 12 weeks after sexual assault
- PTSD symptoms that result from sexual assault and not from another traumatic experience
Exclusion Criteria:
- DSM-IV criteria for schizophrenia or delusional disorder
- Unstable bipolar disorder, depression with psychotic features, or depression severe enough to require immediate psychiatric treatment. Clients who are medicated and still meet current criteria for these disorders will be excluded.
- Substance dependence
- Continued intimate relationship with the assailant
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Enkel
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Actieve vergelijker: 1 Prolonged Exposure
Prolonged Exposure (PE) consists of 10 weekly 90-minute treatment sessions, which may be extended up to 20 sessions, depending on client response.
Treatment procedures include education about common reactions to trauma, breathing retraining, prolonged (repeated) exposure to trauma memories, repeated in vivo exposure to situations the client is avoiding due to trauma-related fear, and discussion of thoughts and feelings related to exposure exercises as well as beliefs about self and the world.
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Prolonged Exposure (PE) consists of 10 weekly 90-minute treatment sessions, which may be extended up to 20 sessions, depending on client response.
Treatment procedures include education about common reactions to trauma, breathing retraining, prolonged (repeated) exposure to trauma memories, repeated in vivo exposure to situations the client is avoiding due to trauma-related fear, and discussion of thoughts and feelings related to exposure exercises as well as beliefs about self and the world.
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Actieve vergelijker: 2 Individual and group therapy
TUGT (Treatment as usual group therapy - used in Study 1), delivered in ten weekly sessions, with 5 to 7 members and two counselors per group. There is no formal, structured format for these groups; counselors are sensitive to the participants' needs and follow their lead re content covered in discussions and exercises. Supportive counseling (SC - study 2): individual therapy delivered in 10 weekly, 90 minute sessions. Therapist helps patient identify daily stresses that may or may not be related to traumatic events and discusses them in a supportive non-directive mode with a problem-solving orientation. The goal of this present-focused treatment is to provide support and to help the client to identify problems and stresses of daily living and to help her cope with these. |
TUGT is delivered in ten weekly sessions, with 5 to 7 members and two counselors per group.
There is not a formal, structured format for these groups; the counselors are sensitive to the participants' needs and follow their lead in terms of content covered in discussions and exercises.
TUGT is conceptualized as supportive counseling and is based on the idea that members gain social support and information from one another.
Supportive counseling is an individual therapy delivered in 10 weekly, 90 minute sessions.
During this treatment, the therapist helps the patient identify daily stresses that may or may not be related to traumatic events and discusses them in a supportive non-directive mode with a problem-solving orientation.
The therapist uses active listening, encouragement of expression of feelings, praise, and encouragement.
The goal of this present-focused treatment is to provide support and to help the client to identify problems and stresses of daily living and to help her cope with these.
No instructions for exposure are given.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
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Severity of PTSD, depression, anxiety and general function
Tijdsspanne: Measured pre- and post-treatment
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Measured pre- and post-treatment
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Medewerkers en onderzoekers
Sponsor
Medewerkers
Onderzoekers
- Hoofdonderzoeker: Elizabeth A Hembree, PhD, University of Pennsylvania Faculty
Studie record data
Bestudeer belangrijke data
Studie start
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Schatting)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- R01MH042178 (Subsidie/contract van de Amerikaanse NIH)
- DSIR AT-AS
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Klinische onderzoeken op Prolonged Exposure (PE)
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Sunnybrook Health Sciences CentreOnbekendPost-traumatische stress-stoornisCanada
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University of ZurichBeijing Normal University; Jichi Medical UniversityIngetrokkenLangdurige rouwstoornisZwitserland
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VA Office of Research and DevelopmentVoltooidPosttraumatische stressstoornissen | Chronische slapeloosheidVerenigde Staten
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VA Office of Research and DevelopmentDefense Centers of Excellence for Psychological Health and Traumatic Brain...WervingPost-traumatische stress-stoornisVerenigde Staten
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Harvard School of Public Health (HSPH)Judge Baker Children's CenterVoltooidStemmingsstoornissen | Angst stoornissen | Aandachtstekort en storende gedragsstoornissen | Autistische stoornis | Gedragsstoornis | Oppositioneel opstandige stoornisVerenigde Staten
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Medical University of South CarolinaGeorgia State UniversityVoltooidAngst stoornissen | Stressstoornissen, posttraumatisch | Geestelijke stoornis | Traumatische stressstoornisVerenigde Staten
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Oslo University HospitalVoltooid
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University of BergenHaukeland University Hospital; Bergen University CollegeVoltooid
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Research Foundation for Mental Hygiene, Inc.University of Colorado, Boulder; Harvard UniversityVoltooidPosttraumatische stressstoornis (PTSS)Verenigde Staten
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VA Office of Research and DevelopmentVoltooid