Examining the Effectiveness of an Early Psychological Intervention to Prevent Post-Traumatic Stress Disorder
Effects of Early Psychological Intervention to Prevent PTSD
3 other identifiers
interventional
139
1 country
1
Brief Summary
This study will examine the use of prolonged exposure therapy on people who have recently experienced a trauma to prevent them from developing post-traumatic stress disorder.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Apr 2008
Typical duration for phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2008
CompletedFirst Submitted
Initial submission to the registry
May 7, 2009
CompletedFirst Posted
Study publicly available on registry
May 8, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2012
CompletedSeptember 8, 2016
September 1, 2016
3.8 years
May 7, 2009
September 7, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
PTSD Symptom Scale- I (PSS)
Measured 4 and 12 weeks post-trauma
Study Arms (2)
1
NO INTERVENTIONParticipants will receive assessments only.
2
EXPERIMENTALParticipants will receive prolonged exposure therapy.
Interventions
Three PE sessions lasting 1 hour each, delivered 1 week apart
Eligibility Criteria
You may qualify if:
- Presenting to the emergency department of Emory University School of Medicine/Grady Memorial Hospital for rape in the past 72 hours
- Meets DSM-IV diagnostic criterion A in which both of the following are present: (i) The person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury or a threat to the physical integrity of self or others (ii) The person's response involved intense fear, helplessness, or horror
- Speaks and understands spoken English
- Can see the assessment forms, hear instructions, and function at an emotional and intellectual level sufficient to allow accurate completion of all assessment instruments
- No significant traumatic injuries, as determined by the physician
You may not qualify if:
- Current or history of mania, schizophrenia, or other psychoses
- Current (past month) prominent suicidal ideation or recent (past 3 months) parasuicidal behavior or other self-injurious behavior, such as low lethality cutting
- Current (past month) substance dependence; people who meet criteria for current substance abuse but not dependence, or past dependence and have been in remission for at least 1 month are eligible.
- Experienced a loss of consciousness for more than 5 minutes as a result of injuries sustained during the trauma
- Intoxicated, altered, or highly distressed to the degree that accurate completion of the study assessments or participation in study procedures is not possible
- Blood alcohol level above .08, determined by breathalyzer in the emergency department
- Not alert, oriented, and coherent
- In severe pain, active labor, or respiratory distress or hemodynamically compromised in any way
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Emory Universitylead
- National Institute of Mental Health (NIMH)collaborator
Study Sites (1)
Grady Memorial Hospital, Emergency Department
Atlanta, Georgia, 30303, United States
Related Publications (3)
Rothbaum BO, Kearns MC, Reiser E, Davis JS, Kerley KA, Rothbaum AO, Mercer KB, Price M, Houry D, Ressler KJ. Early intervention following trauma may mitigate genetic risk for PTSD in civilians: a pilot prospective emergency department study. J Clin Psychiatry. 2014 Dec;75(12):1380-7. doi: 10.4088/JCP.13m08715.
PMID: 25188543DERIVEDPrice M, Kearns M, Houry D, Rothbaum BO. Emergency department predictors of posttraumatic stress reduction for trauma-exposed individuals with and without an early intervention. J Consult Clin Psychol. 2014 Apr;82(2):336-41. doi: 10.1037/a0035537. Epub 2014 Feb 3.
PMID: 24491070DERIVEDRothbaum BO, Kearns MC, Price M, Malcoun E, Davis M, Ressler KJ, Lang D, Houry D. Early intervention may prevent the development of posttraumatic stress disorder: a randomized pilot civilian study with modified prolonged exposure. Biol Psychiatry. 2012 Dec 1;72(11):957-63. doi: 10.1016/j.biopsych.2012.06.002. Epub 2012 Jul 4.
PMID: 22766415DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Barbara O. Rothbaum, PhD
Emory University
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor in Psychiatry and Associate Vice Chair of Clinical Research
Study Record Dates
First Submitted
May 7, 2009
First Posted
May 8, 2009
Study Start
April 1, 2008
Primary Completion
January 1, 2012
Study Completion
January 1, 2012
Last Updated
September 8, 2016
Record last verified: 2016-09