Clinical trial NCT00974402: Psychotherapy Treatment of Deployment-Related PTSD in Primary Care Settings
Official title: Psychotherapy Treatment of Deployment-related PTSD in Primary Care Settings
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Post-Traumatic Stress Disorders
Stress Disorders
Combat Disorders
Keywords: Active duty
Afghanistan
Anger
Anxiety
Avoidance
BAMC
Brooke Army Medical Center
Cognitive Behavioral Therapy
Combat
Combat Disorder
Coping
Counseling
Counselor
Deployment
Depression
Exposure
Fear
Feeling alone
Flashbacks
Guard
Guilt
Hospitalization
Iraq
Mental Health
Military
Military member
Military personnel
Neuroses
Nightmares
OEF
OIF
Prolonged Exposure Therapy
Psychiatric
Psychiatric medication
Psychological distress
Psychotherapy
Reserve
Retired
Sadness
Separated
Sleeplessness
Soldier
Stress
Stress disorder
Stress management
STRONG STAR
Suicidal
Suicide
Therapy
Trauma
Traumatic Event
Trouble Sleeping
Veteran
Veterans
War
WHMC
Wilford Hall Medical Center
PTSD
Posttraumatic Stress Disorders
Lead sponsor: The University of Texas Health Science Center at San Antonio
Sponsor class: OTHER
Collaborators: name: Brooke Army Medical Center
name: 59th Medical Wing
name: South Texas Veterans Health Care System
First posted: 2009-09-10
Enrollment: 35
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The purpose of this study is to evaluate Cognitive-behavioral therapy (CBT) for deployment-related post-traumatic stress disorder (PTSD) that can be used by behavioral health consultants working with Service Members in the primary care clinic. CBT is a well-researched, very effective individual (one-to-one) treatment that is designed to help people to directly deal with traumatic events they have suffered in the past, including combat. Many Service Members prefer to see behavioral health providers in primary care rather than the mental health clinic. The researchers hope to learn if a brief treatment for PTSD in primary care can be just as useful as more traditional treatment given in the mental health clinic. This study will enroll approximately 45 participants overall; with approximately 30 participants at Wilford Hall Medical Center or Brooke Army Medical Center, and 15 participants to be enrolled at the South Texas Veterans Health Care System over a period of one year.


Eligibility criteria: Inclusion Criteria:

* The target population for the study is active duty, reserve, guard, separated, or retired OIF/OEF veterans (minimum age 18 and English speaking) in the primary care population who are symptomatic for deployment-related PTSD and interested in treatment.
* Symptomatic for PTSD will be defined as a minimum score of 32 on the PTSD CheckList - Military (PCL-M).

Exclusion Criteria:

* The exclusion criteria are those that would normally apply for standard of care behavioral health consultation in an integrated primary care clinic.
* These exclusion criteria are moderate to severe suicide risk, current alcohol dependence, psychotic disorder, significant dissociative disorder, and severe brain injury.

Primary outcomes:
measure: PTSD symptomatology
timeFrame: Baseline, post-treatment, 6-month and 12-month
Secondary outcomes:
Other outcomes:
Locations:
city: San Antonio
country: United States
facility: South Texas Veterans Health Care System (STVHCS)
state: Texas
city: San Antonio
country: United States
facility: Brooke Army Medical Center (BAMC)
state: Texas
city: San Antonio
country: United States
facility: Wilford Hall Medical Center
state: Texas
Study officials:
affiliation: University of Texas Health Science Center San Antonio (UTHSCSA), STRONG STAR Consortium Director
name: Alan L Peterson, PhD
role: STUDY_CHAIR
affiliation: U.S. Air Force, 5MDG, Minot Air Force Base
name: Jeffrey Cigrang, Lt Col
role: PRINCIPAL_INVESTIGATOR
affiliation: South Texas Veterans Health Care System (STVHCS)
name: Lisa Kearney, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: U.S. Air Force, Wilford Hall Medical Center (WHMC)
name: Diana Dolan, Capt
role: PRINCIPAL_INVESTIGATOR
affiliation: Brooke Army Medical Center
name: Laura Avila, PhD
role: PRINCIPAL_INVESTIGATOR
References: