Accelerated Resolution Therapy (ART) for Psychological Trauma

NCT01559688 | Completed

• 1 other identifier: TATRC-01
• Study Type: interventional
• Target: 63
• Locations: 1 country
• Sites: 1

Brief Summary

Service members and veterans often experience symptoms of psychological trauma following combat deployments. While efforts are being made in the military and at the Veteran's Affairs to meet the large number of soldiers and veterans experiencing symptoms of psychological trauma, there remains a need to evaluate new treatments, particularly those that are designed to be brief in length. A new therapy, known as Accelerated Resolution Therapy (ART), is a type of psychological therapy that is designed for rapid resolution of symptoms of psychological trauma. This approach uses a combination of talking and sets of eye movements guided by the therapist. During therapy, this interactive personal guidance is thought to be helpful in resolving problems (such as bad memories). The purpose of this study is to:

1. 1.Evaluate how effective ART is in treating symptoms of psychological trauma among non-active duty veterans who served in Operation Iraqi Freedom and Operation Enduring Freedom in Iraq and in Afghanistan or other combat conflicts.
2. 2.Learn if there is improvement in symptoms of psychological trauma (such as bad memories, anxiety, depression, and guilt) after receiving Accelerated Resolution Therapy (ART).

Conditions

Psychological Trauma; PTSD

Outcome Measures

Primary Outcomes (1)

• Change in PTSD Checklist (PCL-M) score from baseline to end of treatment

  This questionnaire asks about symptoms in response to "stressful military experiences."

  approximately 2 weeks

Secondary Outcomes (7)

• Change in psychological wellness as measured by Brief Symptom Inventory from baseline to endpoint

  approximately 2 weeks

• Change in trauma-related guilt as measured by Trauma-Related Guilt Inventory from baseline to endpoint

  approximately 2 weeks

• Change in depressive symptoms as measured by the Center for Epidemiologic Depression (CES-D) scale from baseline to endpoint

  approximately 2 weeks

• Change in anxiety symptoms as measured by State-Trait Inventory from baseline to endpoint

  approximately 2 weeks

• Change in anger as measured by Aggression Questionnaire from baseline to endpoint

  approximately 2 weeks

Study Arms (2)

ART therapy group

EXPERIMENTAL

Participants in this arm will receive 2-5 sessions of ART therapy, depending on individual progress. Each session will last 60-90 minutes over a 2-week period.

Behavioral: Accelerated Resolution Therapy (ART)

Waitlist

ACTIVE COMPARATOR

Participants in this group will receive 2 fitness assessment or career counseling sessions. Each session will last 60-90 minutes over a 2-week period. Upon completion of this arm, participants will be offered the choice to start ART therapy.

Behavioral: Waitlist

Interventions

Accelerated Resolution Therapy (ART) BEHAVIORAL

ART is a cognitive based therapy which integrates an eye movement technique while focusing on a problem (traumatic experience) during the therapy session.

ART therapy group

Waitlist BEHAVIORAL

Fitness assessment or career counseling

Waitlist

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Non-active duty U.S. veteran of any prior deployment(s) with recruitment emphasis on those who previously served in Iraq and/or Afghanistan (OIF and OEF).
• At least 18 years of age.
• Symptoms indicative of psychological trauma. This includes a score of \>40 on the PCL-M Checklist, or in the absence of a score \>40, therapist assessment of symptoms of PTSD, as determined from the Checklist for Accelerated Resolution Therapy (ART) Standard Protocol. Individuals with previous treatment for psychological trauma, yet with residual symptoms, will be eligible.
• Ability to read and speak English to complete survey questions.
• Denial of suicidal ideation or intent, including homicidal ideation or intent, and no evidence of psychotic behavior or being in psychological crisis

You may not qualify if:

• Brain injury prohibiting speech, writing, and purposeful actions
• Identified to have current suicidal ideation
• Major psychiatric disorder concomitant to symptoms of psychological trauma
• Currently undergoing substance abuse treatment
• Previous diagnosis of eye movement disorder
• Any medical condition that, in the judgment of the Principal Investigator and/or ART therapist, may place the individual at high risk due to a potential heightened emotional reaction

Sponsors & Collaborators

• University of South Florida: lead
• United States Department of Defense: collaborator

Study Sites (1)

University of South Florida

Tampa, Florida, 33612, United States

Location

Related Publications (2)

• Kip KE, Shuman A, Hernandez DF, Diamond DM, Rosenzweig L. Case report and theoretical description of accelerated resolution therapy (ART) for military-related post-traumatic stress disorder. Mil Med. 2014 Jan;179(1):31-7. doi: 10.7205/MILMED-D-13-00229.

  PMID: 24402982 DERIVED

• Kip KE, Rosenzweig L, Hernandez DF, Shuman A, Sullivan KL, Long CJ, Taylor J, McGhee S, Girling SA, Wittenberg T, Sahebzamani FM, Lengacher CA, Kadel R, Diamond DM. Randomized controlled trial of accelerated resolution therapy (ART) for symptoms of combat-related post-traumatic stress disorder (PTSD). Mil Med. 2013 Dec;178(12):1298-309. doi: 10.7205/MILMED-D-13-00298.

  PMID: 24306011 DERIVED

MeSH Terms

Conditions

Psychological Trauma; Stress Disorders, Post-Traumatic

Interventions

Waiting Lists

Condition Hierarchy (Ancestors)

Stress Disorders, Traumatic; Trauma and Stressor Related Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Appointments and Schedules; Organization and Administration; Health Services Administration

Study Officials

• Kevin Kip, PhD

  University of South Florida

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 19, 2011
• First Posted: March 21, 2012
• Study Start: July 1, 2011
• Primary Completion: October 1, 2013
• Study Completion: October 1, 2013
• Last Updated: July 29, 2020

Record last verified: 2013-10

Locations

US (1)