Behavioral Treatments for Acute Stress Disorder In Firefighters

This study has been completed.
Sponsor:
Collaborator:
National Institute of Mental Health (NIMH)
Information provided by:
Boston University
ClinicalTrials.gov Identifier:
NCT00183508
First received: September 13, 2005
Last updated: December 11, 2015
Last verified: December 2015

September 13, 2005
December 11, 2015
Not Provided
December 2005   (final data collection date for primary outcome measure)
Accute stress disorder symptoms [ Time Frame: Measured pre- and post-treatment and at follow-up assessments 1 and 3 months after the intervention ] [ Designated as safety issue: No ]
ASD symptoms
Complete list of historical versions of study NCT00183508 on ClinicalTrials.gov Archive Site
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Behavioral Treatments for Acute Stress Disorder In Firefighters
Developing Group Treatments for Acute Stress Disorder
This study will develop a treatment for firefighters experiencing symptoms of acute stress disorder (ASD). Effective treatments may reduce immediate symptoms and prevent the development of more chronic conditions, such as post-traumatic stress disorder (PTSD).

Exposure to traumatic events has reached unprecedented proportions in American society, and the rates of PTSD have risen significantly, particularly among populations with repetitive exposure to critical incidents. The continued threat of attacks against Americans warrants development of preventive interventions to reduce the occurrence of PTSD and its precursor, ASD. This study will determine the effectiveness of a preventive treatment in urban firefighters who have experienced a traumatic event.

Firefighters will undergo an initial assessment that will include an interview and self-report questionnaires to measure depression, anxiety, coping skills, social support, physical health, and work functioning. Following the occurrence of a traumatic work-related event, firefighters will be reassessed. The post-incident assessment will consist of self-report questionnaires that assess ASD symptoms.

Participants who display ASD symptoms will be randomly assigned to one of two groups: the first group will learn cognitive behavioral strategies for symptom reduction, and the second group will receive psychoeducation regarding common reactions to traumatic events. Participants' treatment will last for 12 weeks. Participants will have follow-up assessments 1 and 3 months after the interventional part of the study. Assessments will include clinical scales and interviews.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Stress Disorders, Post-Traumatic
  • Behavioral: Cognitive behavioral therapy
    Participants will learn cognitive behavioral strategies for symptom reduction
  • Behavioral: Psychoeducation
    Participants will receive psychoeducation regarding common reactions to traumatic events
  • Experimental: 1 Cognitive behavioral therapy
    Intervention: Behavioral: Cognitive behavioral therapy
  • Experimental: 2 Psychoeducation
    Intervention: Behavioral: Psychoeducation
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
169
May 2009
December 2005   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Currently an active duty, nonofficer member of a Boston area fire department
  • Willing and able to comply with all study requirements

Exclusion Criteria:

  • Pregnancy or plan to become pregnant during the study
  • Plan to relocate within 2 months of study entry
  • Psychotic symptoms within 30 days prior to study entry
  • Experiencing severe depression at study entry OR having suicidal thoughts within 30 days prior to study entry
  • Evidence of severe organic impairment that would interfere with participation in the study
  • Current alcohol or substance dependence
  • Currently awaiting outcome of a court case involving exposure to traumatic events through the fire department
Both
21 Years to 65 Years   (Adult)
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00183508
R21MH064584, R21MH064584, DATR AD-TS
Not Provided
Not Provided
Not Provided
Rose T. Zimering, PhD, Boston Veterans Healthcare System
Boston University
National Institute of Mental Health (NIMH)
Principal Investigator: Rose T. Zimering, PhD Boston Veterans Healthcare System
Boston University
December 2015

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