Group CBT for PTSD



Status:Active, not recruiting
Conditions:Psychiatric
Therapuetic Areas:Psychiatry / Psychology
Healthy:No
Age Range:18 - Any
Updated:2/3/2018
Start Date:July 1, 2012
End Date:June 30, 2018

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Group CBT for Chronic PTSD: RCT With Veterans

The purpose of this study is to examine whether group cognitive behavioral treatment (GCBT)
is efficacious in the treatment of PTSD in a sample of male Veterans. Veterans with a primary
diagnosis of chronic PTSD will be randomly assigned to either GCBT or a supportive group
treatment condition. Both treatments will consist of 14, weekly sessions. Assessment of PTSD
and related symptoms will be conducted at pre-treatment, mid treatment, post-treatment, and
3-, 6-, - and 12-month follow-up.

The mental health needs of Veterans within the VA Healthcare system are notable. With the
substantial increase over the past 10 years in Veterans seeking Posttraumatic Stress Disorder
(PTSD) treatment services, the VA system is straining to accommodate these needs, relying
heavily on group-based treatments. The proposed research will take the next step in the
literature on group psychotherapy for PTSD by examining a group cognitive behavioral
treatment (GCBT) program with promising pilot data. This application supports a randomized
controlled trial, which will compare GCBT with Supportive Group Psychotherapy (SGP). The
trial will involve 196 male Veterans with combat-related PTSD who will be randomly assigned
to GCBT (n= 98) or SGP (n =98) to determine efficacy within a naturalistic care environment.
Outcome data will be collected pre-treatment, mid-treatment, post-treatment, and 3-, 6- and
12-month follow-up. Two aims are included, one focusing on outcome with respect to PTSD
symptom severity, the second focusing on treatment generalization to comorbid emotional
disorders (major depressive disorder, generalized anxiety disorder, and alcohol abuse), and
distress and impairment. Data will be examined using latent growth curve modeling, with
emphasis on determining efficacy and effectiveness. The information provided by the proposed
project could assist in developing more effective care models for individuals with chronic
PTSD from numerous traumatic experiences. Additionally, this project represents an effort to
move the literature on group-based treatments for PTSD ahead, through inclusion of advanced
methodological and analytic approaches.

Inclusion Criteria:

- primary diagnosis of DSM-IV (American Psychiatric Association, 2000) criteria for
chronic, PTSD (symptoms lasting 3 months or more)

- male, Veteran

- be free of psychosis and impaired cognitive function caused by traumatic brain injury
or dementia

Exclusion Criteria:

- a current diagnosis of substance dependence or unstable bipolar disorder

- currently involved in psychosocial treatment for PTSD
We found this trial at
2
sites
Providence, Rhode Island 02908
Phone: 401-273-7100
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Providence, RI
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Boston, Massachusetts 02130
Principal Investigator: Denise M Sloan, PhD
Phone: 857-364-6333
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Boston, MA
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