Examining Written Disclosure as a Treatment for Post-Traumatic Stress Disorder
NCT ID: NCT00862498
Last Updated: 2018-02-28
Study Results
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Basic Information
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COMPLETED
NA
48 participants
INTERVENTIONAL
2008-08-31
2011-08-31
Brief Summary
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Detailed Description
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Participation in this study will last 5 weeks, with follow-up assessments continuing until 6 months after treatment. After screening, participants will be assigned to one of three conditions: WD treatment delivered in the clinic, WD treatment delivered via phone, and waitlist. The WD treatment involves five weekly writing sessions. During the first session, trauma reactions and the rationale for WD will be explained to all participants, and then participants will write for 30 minutes about their motor vehicle accident. The next four sessions will involve only writing for 30 minutes. For those receiving treatment in the clinic, a therapist will communicate directions and explanations to participants, and participants will have their heart rate activity recorded continuously for 5 minutes prior to writing and during the 30 minutes of writing. For those receiving treatment over the phone, explanations of the study will be provided in writing, and a study staff member will call participants before and after each writing session to ensure that participants understand the directions and are not experiencing any unexpected negative reactions after writing. Participants in the waitlist condition will not receive treatment for the first 4 months. After that period, they will be offered the WD treatment.
Assessments of all participants will occur at baseline, after treatment, and 3 months after treatment. Participants assigned to receive WD treatment, either in a clinic or via phone, will also be assessed 6 months after treatment. Assessments administered at these points will involve semi-structured clinical interviews, self-report questionnaires, and measures of mood-related symptoms. Participants receiving treatment will also complete self-report measurements of emotional response after each writing session and the Daily Experiences Questionnaire every day during the 5 weeks of treatment. Participants on the waitlist will also undergo assessments of suicidal thoughts and PTSD symptoms every 2 weeks.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Group 1 Treatment in Clinic
Participants will complete the written disclosure treatment in a clinic setting.
Written Disclosure
Five sessions, each spaced 1 week apart, during which participants are asked to write about their motor vehicle accident for 30 minutes. The first session of the intervention also involves a description of common reactions to a motor vehicle accident and the rationale for this treatment.
Group 2 Treatment via telephone
Participants will complete the written disclosure treatment in their homes via telephone.
Written Disclosure
Five sessions, each spaced 1 week apart, during which participants are asked to write about their motor vehicle accident for 30 minutes. The first session of the intervention also involves a description of common reactions to a motor vehicle accident and the rationale for this treatment.
Group 3 Waitlist
Individuals will be placed on a waitlist for a period of 4 months, during which they will receive a phone call every other week to assess their suicidal ideation and post-traumatic stress disorder symptom severity.
No interventions assigned to this group
Interventions
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Written Disclosure
Five sessions, each spaced 1 week apart, during which participants are asked to write about their motor vehicle accident for 30 minutes. The first session of the intervention also involves a description of common reactions to a motor vehicle accident and the rationale for this treatment.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Involved in motor vehicle accident that occurred at least 3 months ago
Exclusion Criteria
* History of psychosis
* Active suicidality or history of two or more suicide gestures or attempts in the past year
* Significant cognitive impairment
* Current participation in a psychosocial treatment, such as individual or group therapy led by a clinician
18 Years
ALL
No
Sponsors
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National Institute of Mental Health (NIMH)
NIH
Boston University
OTHER
Responsible Party
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Denise M. Sloan
Professor of Psychiatry
Principal Investigators
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Denise M. Sloan, PhD
Role: PRINCIPAL_INVESTIGATOR
VA Boston Healthcare System, National Center for PTSD; Boston University School of Medicine
Locations
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VA Boston Healthcare System, National Center for PTSD
Boston, Massachusetts, United States
Countries
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References
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Sloan DM, Marx BP, Bovin MJ, Feinstein BA, Gallagher MW. Written exposure as an intervention for PTSD: a randomized clinical trial with motor vehicle accident survivors. Behav Res Ther. 2012 Oct;50(10):627-35. doi: 10.1016/j.brat.2012.07.001. Epub 2012 Jul 20.
Other Identifiers
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H-27236
Identifier Type: -
Identifier Source: org_study_id
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