Mindfulness and Present Centered Therapies for PTSD: Efficacy and Mechanisms

This study has been completed.
Sponsor:
Collaborator:
VA Ann Arbor Healthcare System
Information provided by (Responsible Party):
Anthony King, University of Michigan
ClinicalTrials.gov Identifier:
NCT01347749
First received: April 27, 2011
Last updated: November 14, 2014
Last verified: November 2014
  Purpose

This project will study whether a new therapy that includes the practice of forms of meditation is helpful for combat veterans returning from deployments in Iraq or Afghanistan suffering with posttraumatic stress disorder (PTSD). "Mindfulness meditation" cultivates present-focused, non-judgmental attention to ones body, emotions, and thoughts, and is proposed to lead to a greater sense of well-being and acceptance and better tolerance of painful and distressing emotions. "Compassion" and "loving-kindness" meditations help stabilize positive emotions like love and compassion, and may also be helpful for chronic pain, and possibly depression and PTSD.

This study will compare a 16 week psychotherapy group for PTSD involving Mindfulness and Self-compassion meditation, with a more standard form of group psychotherapy known as "Present-centered group therapy". Both therapies will be conducted at the VA Ann Arbor PTSD clinic by VA psychotherapists. (The study is also approved by the IRB of the VA Ann Arbor). Combat veterans will be randomly assigned to either the Meditation or the standard group psychotherapy. All patients will also receive fMRI brain scans before and after the therapy, as well as assessment interviews before, at 8 weeks, and immediately post-therapy, and at 3 mo and 6 mo follow-ups. Saliva cortisol and measures of attention will also be obtained at each assessment.


Condition Intervention
Posttraumatic Stress Disorder
Behavioral: Mindfulness & Compassion Meditation-based Exposure Therapy
Behavioral: Present Centered Therapy for PTSD

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Mindfulness and Self-Compassion Meditation for Combat Posttraumatic Stress Disorder: Randomized Controlled Trial and Mechanistic Study

Resource links provided by NLM:


Further study details as provided by University of Michigan:

Primary Outcome Measures:
  • Clinician Administered PTSD Scale [ Time Frame: pre-therapy, and post-therapy (week 16) ] [ Designated as safety issue: No ]
    is an interview measure of PTSD severity and the primary outcome measure for the study. Current PTSD will be assessed in relation to the OEF/OIF war-zone trauma that is currently most upsetting. The CAPS has excellent psychometrics. Completion requires about 45 minutes.


Secondary Outcome Measures:
  • PTSD Checklist (PCL-C) [ Time Frame: pre-therapy, and post-therapy (week 16) ] [ Designated as safety issue: No ]
    is a 17-item self-report assessment of PTSD severity using a 5-point scale, from 1 (not at all) to 5 (very often). It has good reliability and validity.

  • Posttraumatic Cognitions Inventory (PTCI) [ Time Frame: pre-therapy, and post-therapy (week 16) ] [ Designated as safety issue: No ]
    PTCI is a 36-item assessment of negative thoughts about the self, negative thoughts about the world, and self-blame. It has good psychometrics and has been related to change in PTSD symptoms with treatment


Enrollment: 65
Study Start Date: March 2011
Study Completion Date: November 2013
Primary Completion Date: November 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Mindfulness & Compassion Meditation-based Exposure Therapy
A 16 week group psychotherapy intervention involving PTSD psychoeducation, breathing exercises and relaxation, and Mindfulness and Self-compassion meditation exercises in session and daily at home, and Mindfulness-based in vivo exposure exercises.
Behavioral: Mindfulness & Compassion Meditation-based Exposure Therapy
A 16 week group psychotherapy intervention involving PTSD psychoeducation, breathing exercises and relaxation, and Mindfulness and Self-compassion meditation exercises in session and daily at home, and Mindfulness-based in vivo exposure exercises.
Other Name: Mindfulness-based Exposure therapy
Active Comparator: Present Centered Therapy for PTSD
This is a more standard from of group psychotherapy (talk therapy) which focusses on current symptoms and stressors
Behavioral: Present Centered Therapy for PTSD
This 16 week, active group psychotherapy involves PTSD psychoeducation, supportive listening, and focusses on current stressors and PTSD symptoms.
Other Name: Present Centered Group Therapy

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   21 Years to 50 Years
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Combat veteran serving in Iraq or Afghanistan Has PTSD (CAPS score > 40)

Exclusion Criteria:

  • Suicidality Substance dependence not in treatment Personality disorder taking medications that interfere with stress hormone measures
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01347749

Locations
United States, Michigan
University of Michigan
Ann Arbor, Michigan, United States, 48109
VA Ann Arbor Healthcare System
Ann Arbor, Michigan, United States, 48105
Sponsors and Collaborators
University of Michigan
VA Ann Arbor Healthcare System
  More Information

No publications provided

Responsible Party: Anthony King, Research Assistant Professor, University of Michigan
ClinicalTrials.gov Identifier: NCT01347749     History of Changes
Other Study ID Numbers: W81XWH-08-2-0208
Study First Received: April 27, 2011
Last Updated: November 14, 2014
Health Authority: United States: Institutional Review Board

Keywords provided by University of Michigan:
Meditation
Mindfulness
Compassion
Group Psychotherapy
Emotional Regulation
fMRI

Additional relevant MeSH terms:
Stress Disorders, Post-Traumatic
Stress Disorders, Traumatic
Anxiety Disorders
Mental Disorders

ClinicalTrials.gov processed this record on July 05, 2015