Brief Restructuring Intervention Following Trauma Exposure
| Status: | Recruiting |
|---|---|
| Conditions: | Psychiatric, Psychiatric, Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 2/20/2019 |
| Start Date: | March 2015 |
| End Date: | February 2020 |
| Contact: | Michele Bedard-Gilligan, PhD |
| Email: | mab29@u.washington.edu |
| Phone: | 2066164215 |
Developing a Brief Early Cognitive Intervention for PTSD and Alcohol Misuse
The broad aim of this study is to develop and test a brief intervention that can be
implemented in the immediate weeks following sexual assault to decrease likelihood of
developing posttraumatic stress disorder (PTSD) or alcohol misuse. The first phase of the
study will enroll 6 women to complete a brief, cognitive therapy protocol and provide
feedback on the intervention (open trial). The second phase of the study will recruit 76
women to complete either the intervention (38 women) or assessment only (38 women) to test
the effects of the intervention on both PTSD symptoms and alcohol use behavior as compared to
natural recovery following assault.
implemented in the immediate weeks following sexual assault to decrease likelihood of
developing posttraumatic stress disorder (PTSD) or alcohol misuse. The first phase of the
study will enroll 6 women to complete a brief, cognitive therapy protocol and provide
feedback on the intervention (open trial). The second phase of the study will recruit 76
women to complete either the intervention (38 women) or assessment only (38 women) to test
the effects of the intervention on both PTSD symptoms and alcohol use behavior as compared to
natural recovery following assault.
Following sexual assault a substantial number of victims will go on to develop posttraumatic
stress disorder (PTSD) or alcohol use disorders (AUD), and development of these disorders is
costly to both the victim and society as a whole. Intervening early, in the initial weeks
following sexual assault, can provide victims with coping strategies that can decrease the
likelihood of developing chronic symptoms. Cognitive approaches for treating symptoms of PTSD
have strong empirical support with chronic presentation of symptoms. Less is known about
effective strategies for intervening acutely following sexual assault. This project is
designed to adapt existing empirically supported cognitive treatment principles for both PTSD
and AUD symptoms to be delivered acutely (within 10 weeks of assault) in a brief one session
format followed by 4 weekly coaching calls. The first 6 participants enrolled will receive
the intervention and provide us with feedback on strengths and weaknesses of the protocol to
help us improve it (Open Trial). In the next phase, the pilot testing phase, the study will
enroll 38 women to complete the one session intervention followed by 4 once per week coaching
calls. Participants will then be assessed again for symptoms of PTSD and alcohol use behavior
at 3 month follow-up. This brief intervention group will be compared at the 3 month follow-up
to a group of 38 women who receive weekly symptom monitoring only. Thus, this research aims
to provide information on the efficacy of the intervention compared to the natural recovery
process. This research is significant in its potential to use a very brief and easy to access
treatment to decrease the development of chronic psychopathology in a high risk group of
women.
stress disorder (PTSD) or alcohol use disorders (AUD), and development of these disorders is
costly to both the victim and society as a whole. Intervening early, in the initial weeks
following sexual assault, can provide victims with coping strategies that can decrease the
likelihood of developing chronic symptoms. Cognitive approaches for treating symptoms of PTSD
have strong empirical support with chronic presentation of symptoms. Less is known about
effective strategies for intervening acutely following sexual assault. This project is
designed to adapt existing empirically supported cognitive treatment principles for both PTSD
and AUD symptoms to be delivered acutely (within 10 weeks of assault) in a brief one session
format followed by 4 weekly coaching calls. The first 6 participants enrolled will receive
the intervention and provide us with feedback on strengths and weaknesses of the protocol to
help us improve it (Open Trial). In the next phase, the pilot testing phase, the study will
enroll 38 women to complete the one session intervention followed by 4 once per week coaching
calls. Participants will then be assessed again for symptoms of PTSD and alcohol use behavior
at 3 month follow-up. This brief intervention group will be compared at the 3 month follow-up
to a group of 38 women who receive weekly symptom monitoring only. Thus, this research aims
to provide information on the efficacy of the intervention compared to the natural recovery
process. This research is significant in its potential to use a very brief and easy to access
treatment to decrease the development of chronic psychopathology in a high risk group of
women.
Inclusion Criteria:
- Identifies as female
- Age > 18 years
- 2-10 weeks post sexual assault
- PTSD symptoms related to recent sexual assault, specifically defined as a minimum of
1 reexperiencing, 1 avoidance, 2 negative alterations in mood/cognition, or 2
hyperarousal symptoms
- Drinking more than 3 drinks on one occasion in the last month and at least two
reported negative consequences of alcohol use
- Capacity to provide informed consent
- English fluency
- No planned absences that they would be unable to complete 5 weeks of assessments and
coaching calls
- Access to a telephone.
Exclusion Criteria:
- Acutely suicidal with intent/plan
- Exhibit current psychosis
- Previous non-response to an adequate trial (8 or more sessions) of Cognitive
Processing Therapy (CPT)
We found this trial at
1
site
Univ of Washington Founded in 1861 by a private gift of 10 acres in what...
Click here to add this to my saved trials
