Telemedicine for Improved Delivery of Psychosocial Treatments for Post Traumatic Stress Disorder
| Status: | Completed |
|---|---|
| Conditions: | Anxiety, Depression, Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 7/11/2015 |
| Start Date: | May 2009 |
| End Date: | June 2012 |
| Contact: | Steven R Thorp, Ph.D. |
| Email: | sthorp@ucsd.edu |
| Phone: | 619-400-5193 |
The objective of the proposed study is to conduct a systematic comparison of post traumatic
stress disorder (PTSD) outcomes for veterans receiving exposure therapy via telemedicine
versus in-person care. The primary aim is to determine feasibility: whether telemedicine
can be used as a tool to extend effective, specialized mental health services, such as
Prolonged Exposure therapy (PE; a therapy designed to help clients face fears related to a
traumatic event), to veterans with limited access to care. A secondary aim is to determine
if therapy delivered by telemedicine affects the quality of care in terms of clinical
outcomes and the quality of patient-therapist interaction. A tertiary aim is to examine
whether results from neuropsychological testing predict treatment outcomes.
stress disorder (PTSD) outcomes for veterans receiving exposure therapy via telemedicine
versus in-person care. The primary aim is to determine feasibility: whether telemedicine
can be used as a tool to extend effective, specialized mental health services, such as
Prolonged Exposure therapy (PE; a therapy designed to help clients face fears related to a
traumatic event), to veterans with limited access to care. A secondary aim is to determine
if therapy delivered by telemedicine affects the quality of care in terms of clinical
outcomes and the quality of patient-therapist interaction. A tertiary aim is to examine
whether results from neuropsychological testing predict treatment outcomes.
Inclusion Criteria:
- Primary diagnosis of chronic PTSD due to combat; comorbid mood and anxiety disorders
are expected, and will be permitted (to maximize generalizability) if PTSD symptoms
are judged to be predominant based on primacy and severity of symptoms
- Age 18 or older
- English literacy
Exclusion Criteria:
- Unmanaged psychosis or manic episodes in past year
- Concurrent psychotherapies targeting PTSD or depression or that entail exposure
therapy [veterans who are engaged in treatment for non-PTSD symptoms (e.g., 12-step
programs for substance problems) will be eligible]
- Severe cardiovascular or respiratory disease that would make it difficult to ensure
regular attendance at psychotherapy sessions
- Probable dementia; OR
- Head trauma resulting in loss of consciousness longer than 20 minutes. Potential
participants who have had changes in the type and dosage of psychotropic medications
in the preceding two months will be asked to wait until their medication regimen has
stabilized to minimize treatment confounds.
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