Imagery Rescripting for Posttraumatic Nightmares in Rural Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF) Veterans With Posttraumatic Stress Disorder (PTSD)

This study has been terminated.
(Primary investigator is no longer a part of the VA.)
Sponsor:
Information provided by:
Department of Veterans Affairs
ClinicalTrials.gov Identifier:
NCT00837382
First received: February 3, 2009
Last updated: September 28, 2010
Last verified: September 2010

February 3, 2009
September 28, 2010
January 2010
August 2010   (final data collection date for primary outcome measure)
Clinician Administered PTSD Scale (CAPS), Posttraumatic Stress Symptom Scale-Self-Report (PSS-SR) & Beck Depression Inventory-II (BDI-II) [ Time Frame: Baseline & post-treatment ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00837382 on ClinicalTrials.gov Archive Site
  • Posttraumatic Cognitions Inventory (PTCI). [ Time Frame: Baseline & post-treatment ] [ Designated as safety issue: No ]
  • The Pittsburgh Sleep Quality Index-Addendum for PTSD (PSQI) [ Time Frame: Baseline & post-treatment ] [ Designated as safety issue: No ]
  • Trauma Related Nightmare Survey (TRNS). [ Time Frame: Baseline & post-treatment ] [ Designated as safety issue: No ]
  • Mini-International Neuropsychiatric Interview (MINI) [ Time Frame: Baseline ] [ Designated as safety issue: No ]
  • Treatment Evaluation Inventory (TEI) [ Time Frame: Post-treatment ] [ Designated as safety issue: No ]
  • Client Satisfaction Questionnaire (CSQ) [ Time Frame: Post-treatment ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
Imagery Rescripting for Posttraumatic Nightmares in Rural Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF) Veterans With Posttraumatic Stress Disorder (PTSD)
Imagery Rescripting for Posttraumatic Nightmares in Rural Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF) Veterans With Posttraumatic Stress Disorder (PTSD)

Many service members returning from Iraq and Afghanistan have difficulties adjusting back to civilian life. Research shows that symptoms of posttraumatic stress disorder (PTSD) are particularly high in returning Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF) veterans, and that combat-related nightmares and sleep disturbances are common in veterans with PTSD. This is of concern because people with these problems will often use unhealthy ways of coping. Although combat-related nightmares and difficulty sleeping are highly distressing, there are helpful treatments that do not involve taking medication. One of these treatments teaches specific skills to help people improve their sleep habits and to change their nightmares so that they are less upsetting. This treatment can be very helpful and research shows that people experience decreases in the frequency and severity of their nightmares, decreased symptoms of depression and PTSD, and improved sleep quality and quantity after completing treatment. However, because this treatment has only been studied with civilians, it is not clear how well this treatment works for returning veterans. This study tests how well this treatment works in treating combat nightmares in veterans who also have PTSD from experiencing a traumatic event.

Not Provided
Interventional
Not Provided
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
  • Stress Disorders, Post-Traumatic
  • Sleep Disorders
  • Behavioral: MEDVAMC Nightmare Treatment
    Veteran Nightmare Treatment Using Imagery Rescripting
  • Behavioral: Telepsychiatry Nightmare Treatment
    Veteran Nightmare Treatment Using Imagery Rescripting Through Videoconferencing
  • Experimental: 1
    MEDVAMC Nightmare Treatment
    Intervention: Behavioral: MEDVAMC Nightmare Treatment
  • Experimental: 2
    Videoconferencing nightmare Treatment
    Intervention: Behavioral: Telepsychiatry Nightmare Treatment
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Terminated
7
August 2010
August 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

Patients for the open trial will be

  1. OEF/OIF veterans (aged 18-64);
  2. English-speaking;
  3. currently enrolled in the Trauma Recovery Program (TRP) at the Michael E. DeBakey Veteran Affairs Medical Center (MEDVAMC);
  4. reporting at least one combat or war zone associated PTNM in the past week;
  5. have an existing PTSD International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM); and
  6. consenting to be in an open trial for treatment of PTNM. In addition, patients must agree to allow their assessment and therapy sessions to be video/audiotaped for the purposes of supervision.

Pilot Study: Patients for the pilot study will be

  1. OEF/OIF veterans (aged 18-64);
  2. English-speaking;
  3. currently enrolled in the Conroe CBOC for their primary or mental health care;
  4. reporting at least one combat or war zone associated PTNM in the past week;
  5. have an existing PTSD ICD-9-CM diagnosis; and
  6. consenting to be in the pilot study for treatment of PTNM. In addition, patients must agree to allow their assessment and therapy sessions to be video/audiotaped for the purposes of supervision.

Exclusion Criteria:

Patients will be excluded for the following reasons:

  1. current active suicidal/homicidal ideation and intent;
  2. current substance dependence;
  3. a diagnosis of bipolar or psychosis;
  4. active participation in another psychosocial treatment for PTSD;
  5. prescribed the medication Prazosin (a psychotropic medication for the treatment of nightmares).

Patients interested in receiving the intervention will not be excluded if they are taking psychotropic medication (except for Prazosin) and may continue to take their medication as prescribed throughout the study.

Both
18 Years to 64 Years
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00837382
H-24157
No
Long, Mary - Principal Investigator, Department of Veterans Affairs
Department of Veterans Affairs
Not Provided
Principal Investigator: Mary E. Long, PhD Michael E. DeBakey VA Medical Center (152)
Department of Veterans Affairs
September 2010

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP