Virtual Reality and D-Cycloserine in Combat Related Psycological Trauma in Burn Service Members
| Status: | Archived |
|---|---|
| Conditions: | Hospital, Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology, Other |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 7/1/2011 |
| Start Date: | May 2009 |
| End Date: | April 2011 |
A Pilot Study Using Gradual Virtual Reality Exposure Therapy and D-Cycloserine (DCS) for Treatment of Combat Related Psychological Trauma in Burn Service Members
The purpose of this pilot study is to begin the examination of the feasibility of using
Gradual Virtual Reality Exposure Therapy and D-Cycloserine (DCS) in the management of
posttraumatic psychological symptoms in burned OIF/OEF military combatants.
The purpose of a feasibility study is to determine if there is clinical utility in this
proposed treatment and to establish effective and safe treatment procedures. Given current
literature, the following hypotheses are generated:
Hypothesis 1: Virtual Reality Exposure and D-Cycloserine medication (VRE + DCS learning
pill) will result in clinically meaningful PTSD symptom reduction.
1. SMs will attain scores that are lower than initial measures for symptoms of PTSD
2. By the completion of VRE, Ss will attain scores in the sub-clinical range for measures
of clinical depression Hypothesis 2: SMs will report greater life satisfaction
following completion of VR+DCS treatment, as measured by scores on the Quality of Life
Inventory (QOLI) when compared to pre-treatment scores
The purpose of this study is to establish systematic observations about the feasibility of
using gradual exposure virtual reality treatment and D-Cycloserine (VRE + DCS) with service
members receiving medical care for burns attained during combat. The rational for this study
comes from the need to establish with this population, when and how VRE + DCS might be
delivered in a safe and systematic fashion. This would be done in preparation for the
potential of a future controlled study to address the efficacy of VRE + DCS in comparison to
each component and control group.
This study seeks to establish methods of applying VRE + DCS in relation to medical viability
as an attempt to clarify at what stage of medical care a service member is able to give
informed consent, follow the proscribed instructions, and participate in VRE+ DCS process to
include reasonable attention and capacity for immersion. Other areas that will be examined
include medication suitability, expected course of medical treatment that would allow for
reasonable completion of twelve sessions within twenty weeks, and assessed stability in
social support.
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