Trial Outcomes & Findings for Neuroimaging the Impact of Treatment on Neural Substrates of Trust in Post-Traumatic Stress Disorder (PTSD) (NCT NCT01244477)

NCT ID: NCT01244477

Last Updated: 2019-06-27

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

61 participants

Primary outcome timeframe

Pre & post a 12 week treatment group

Results posted on

2019-06-27

Participant Flow

Participant milestones

Participant milestones
Measure
CPT-C
Group Cognitive Processing Therapy-C (CPT-C): Participants who chose to participate in a 12-week CPT-C treatment group.
Treatment-as-Usual
Participants who chose to participate in a 12-week treatment as usual group and offered CPT-C group treatment after 12 weeks.
Overall Study
STARTED
38
23
Overall Study
COMPLETED
18
20
Overall Study
NOT COMPLETED
20
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Neuroimaging the Impact of Treatment on Neural Substrates of Trust in Post-Traumatic Stress Disorder (PTSD)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
CPT-C
n=38 Participants
Participants in group CPT-C Group CPT-C: Participants will be randomly assigned to participate in CPT-C or a 12 week waitlist control group. Waitlist control subjects will participate in CPT-C after the 12 weeks.
Treatment-as-Usual
n=23 Participants
Participants randomly assigned to the Waitlist Control Group (who will participate in CPT-C after 12 weeks).
Total
n=61 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
38 Participants
n=5 Participants
23 Participants
n=7 Participants
61 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
4 Participants
n=7 Participants
11 Participants
n=5 Participants
Sex: Female, Male
Male
31 Participants
n=5 Participants
19 Participants
n=7 Participants
50 Participants
n=5 Participants
Race/Ethnicity, Customized
Black/African American
13 participants
n=5 Participants
5 participants
n=7 Participants
18 participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic or Latino
6 participants
n=5 Participants
5 participants
n=7 Participants
11 participants
n=5 Participants
Race/Ethnicity, Customized
Mixed Race
4 participants
n=5 Participants
1 participants
n=7 Participants
5 participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian or White
15 participants
n=5 Participants
12 participants
n=7 Participants
27 participants
n=5 Participants

PRIMARY outcome

Timeframe: Pre & post a 12 week treatment group

Population: Neural data is not analyzable - scanner technicians changed the parameters of the task fMRI on an unpredictable basis. Project staff and data no longer available.

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Pre & post a 12 week treatment group

Population: We limited this arm to 18 subjects who completed 9+ out of 12 treatment sessions.

The CAPS is considered the gold standard measure of PTSD symptoms. CAPS scores are the sum of 17 questions. Each is question is scored from 0 (best possible outcome) to 8 (worst possible outcome). The lowest possible CAPS score is a 0, indicating no PTSD symptoms reported. The highest possible CAPS score is a 136, indicating the most PTSD symptoms reported.

Outcome measures

Outcome measures
Measure
Arm 1: CPT-C Group
n=18 Participants
Participants in group CPT-C Group CPT-C: Participants will be randomly assigned to participate in CPT-C or a 12 week waitlist control group. Waitlist control subjects will participate in CPT-C after the 12 weeks.
Arm 2: Waitlist Control Group
n=20 Participants
Participants randomly assigned to the Waitlist Control Group (who will participate in CPT-C after 12 weeks).
The Clinician Administered PTSD Scale (CAPS)
Pre-Therapy or before 12 weeks
79.3 CAPS Scores
Standard Deviation 18.6
66.3 CAPS Scores
Standard Deviation 26.2
The Clinician Administered PTSD Scale (CAPS)
Post-Therapy or after 12 weeks
70.3 CAPS Scores
Standard Deviation 24.1
69.5 CAPS Scores
Standard Deviation 22.8

SECONDARY outcome

Timeframe: Pre & post a 12 week treatment group

Population: Veterans with PTSD under 50 years of age

The Investment Ratio (IR) is the amount subjects were willing to invest in a social partner. It is considered a measure of interpersonal trust, and co-operation. It is a ratio ranging from 0 (indicating no willingness to trust a social partner) to 1.0 (willing to totally trust a social partner). It consists of the percentage of total points the subject was willing to invest in a social partner divided by the total points they received for all ten rounds of the trust game. Higher ratio's indicate more trust.

Outcome measures

Outcome measures
Measure
Arm 1: CPT-C Group
n=18 Participants
Participants in group CPT-C Group CPT-C: Participants will be randomly assigned to participate in CPT-C or a 12 week waitlist control group. Waitlist control subjects will participate in CPT-C after the 12 weeks.
Arm 2: Waitlist Control Group
n=20 Participants
Participants randomly assigned to the Waitlist Control Group (who will participate in CPT-C after 12 weeks).
Behavioral Expression of Trust on the Trust Game
Pre-Treatment Investment Ratio
.31 Ratio
Standard Deviation .17
.34 Ratio
Standard Deviation .23
Behavioral Expression of Trust on the Trust Game
Post-Treatment Investment Ratio
.37 Ratio
Standard Deviation .27
.28 Ratio
Standard Deviation .25

SECONDARY outcome

Timeframe: Administered each week at weekly group sessions or pre-post treatment as usual

Population: Veterans under 50 years of age diagnosed with PTSD

An instrument measuring a participants self-reported level of PTSD symptoms. PCL scores are the sum of 17 questions. Each is question is scored from 1 (best possible outcome) to 5 (worst possible outcome). The lowest possible PCL score is a 17, indicating no troublesome PTSD symptoms reported. The highest possible PCL score is a 85, indicating the worst degree of PTSD symptoms reported.

Outcome measures

Outcome measures
Measure
Arm 1: CPT-C Group
n=18 Participants
Participants in group CPT-C Group CPT-C: Participants will be randomly assigned to participate in CPT-C or a 12 week waitlist control group. Waitlist control subjects will participate in CPT-C after the 12 weeks.
Arm 2: Waitlist Control Group
n=19 Participants
Participants randomly assigned to the Waitlist Control Group (who will participate in CPT-C after 12 weeks).
PTSD Checklist (PCL)
Pre-Treatment PCL-M Scores
65.33 PCL Scores
Standard Deviation 11.0
56.83 PCL Scores
Standard Deviation 17.1
PTSD Checklist (PCL)
Post-Treatment PCL-M Scores
58.37 PCL Scores
Standard Deviation 13.48
59.53 PCL Scores
Standard Deviation 11.88

Adverse Events

CPT-C

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Treatment-as-Usual

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Wright Williams, PhD, ABPP

Michael E DeBakey VAMC

Phone: 713-794-7629

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place