Cognitive Processing Therapy for Combat-related Posttraumatic Stress Disorder (PTSD)
Status: | Completed |
---|---|
Conditions: | Psychiatric |
Therapuetic Areas: | Psychiatry / Psychology |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 5/5/2014 |
Start Date: | September 2008 |
End Date: | December 2014 |
Contact: | Elisa Borah, MSW, PhD |
Email: | Borah@uthscsa.edu |
Phone: | 512-639-8989 |
Cognitive Processing Therapy for Combat-related PTSD
The first purpose of this study is to compare group-administered Cognitive Processing
Therapy-Cognitive-only version (CPT-C), an evidence based treatment for posttraumatic stress
disorder (PTSD), to Present Centered Therapy (PCT) in order to determine whether the results
of CPT exceed those of receiving a therapy that focuses on current problems rather than past
trauma in a group format. A second purpose is to conduct a randomized controlled trial to
compare group and individual CPT-C for the treatment of PTSD in OIF/OEF military personnel.
Therapy-Cognitive-only version (CPT-C), an evidence based treatment for posttraumatic stress
disorder (PTSD), to Present Centered Therapy (PCT) in order to determine whether the results
of CPT exceed those of receiving a therapy that focuses on current problems rather than past
trauma in a group format. A second purpose is to conduct a randomized controlled trial to
compare group and individual CPT-C for the treatment of PTSD in OIF/OEF military personnel.
Estimates indicate that between 100,000 and 300,000 Operation Iraqi Freedom (OIF) and
Operation Enduring Freedom (OEF) veterans are at significant risk for chronic post-traumatic
stress disorder (PTSD), which can become a chronic disorder that impacts all areas of a
person's life. PTSD treatment programs are being developed throughout the Department of
Defense (DoD) and the Veterans Affairs (VA), but because of the large number of Service
Members returning from deployment with PTSD, it is often necessary to provide psychotherapy
in groups. Cognitive Processing Therapy (CPT), an evidence-based treatment for PTSD, was
originally developed as a group-based intervention. However, group-based CPT treatment has
never been systematically compared to other forms of group treatment or to individual CPT
treatment. The public policy implications of the results of this trial are significant. If
both treatment formats are equivalent or if group treatment is better, then group treatment
would be a more efficient and cost-effective therapy modality in most cases. On the other
hand, if individual therapy is found to be superior, the investment of greater resources
into individual therapy will be justified in order to provide the most effective treatment
for PTSD to military personnel. The first purpose of this study is to compare
group-administered CPT-Cognitive-only version (CPT-C) to Present Centered Therapy (PCT) in
order to determine whether the results of CPT exceed those of receiving a therapy that
focuses on current problems rather than past trauma in a group format. A second purpose is
to conduct a randomized controlled trial to compare group and individual CPT-C for the
treatment of PTSD in OIF/OEF military personnel. Four hundred (400) adult male and female
active-duty OIF/OEF military personnel over 18 years of age will be enrolled into this study
over the course of five years. Approximately 98 participants will receive either group PCT
or group CPT-C; the remainder of the participants will be randomized between group and
individual CPT-C.
Operation Enduring Freedom (OEF) veterans are at significant risk for chronic post-traumatic
stress disorder (PTSD), which can become a chronic disorder that impacts all areas of a
person's life. PTSD treatment programs are being developed throughout the Department of
Defense (DoD) and the Veterans Affairs (VA), but because of the large number of Service
Members returning from deployment with PTSD, it is often necessary to provide psychotherapy
in groups. Cognitive Processing Therapy (CPT), an evidence-based treatment for PTSD, was
originally developed as a group-based intervention. However, group-based CPT treatment has
never been systematically compared to other forms of group treatment or to individual CPT
treatment. The public policy implications of the results of this trial are significant. If
both treatment formats are equivalent or if group treatment is better, then group treatment
would be a more efficient and cost-effective therapy modality in most cases. On the other
hand, if individual therapy is found to be superior, the investment of greater resources
into individual therapy will be justified in order to provide the most effective treatment
for PTSD to military personnel. The first purpose of this study is to compare
group-administered CPT-Cognitive-only version (CPT-C) to Present Centered Therapy (PCT) in
order to determine whether the results of CPT exceed those of receiving a therapy that
focuses on current problems rather than past trauma in a group format. A second purpose is
to conduct a randomized controlled trial to compare group and individual CPT-C for the
treatment of PTSD in OIF/OEF military personnel. Four hundred (400) adult male and female
active-duty OIF/OEF military personnel over 18 years of age will be enrolled into this study
over the course of five years. Approximately 98 participants will receive either group PCT
or group CPT-C; the remainder of the participants will be randomized between group and
individual CPT-C.
Inclusion Criteria:
- Adult male and female active duty, activated Reservist, or activated National Guard
OIF/OEF military personnel or OIF/OEF veterans seeking treatment for PTSD
- diagnosis of PTSD determined by a clinician-administered Posttraumatic Stress Scale
(PSSI)
- person has experienced a Criterion A event that is a specific combat-related event or
high magnitude operational experience that occurred during a military deployment in
support of OIF/OEF. The diagnosis of PTSD may be indexed to that event or to another
Criterion A event.
- be over the age of 18
- speak and read English
- be stable on any psychotropic medications they may be taking.
Exclusion Criteria:
- current suicide or homicide risk meriting crisis intervention
- active psychosis
- moderate to severe brain damage (as determined by the inability to comprehend the
baseline screening questionnaires)
We found this trial at
1
site
Click here to add this to my saved trials