Identification of Markers of Post-Traumatic Stress Disorder (PTSD) Relapse

NCT ID: NCT01545505

Last Updated: 2013-02-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-10-31

Study Completion Date

2014-07-31

Brief Summary

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Relapse of post-traumatic stress disorder (PTSD) remains challenging. In addition, factors predicting PTSD relapse are still unknown. The aim of this study is to examine whether clinical and neuropsychological changes (e.g., attentional bias toward aversive cues) that characterized PTSD can be observed in people with past PTSD (children and their families) and whether these persistent changes are predictive of PTSD relapse.

Detailed Description

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One of the great challenges in Psychotraumatology is the high risk (20-40%) of post-traumatic stress disorder (PTSD) relapse, which markers remain understudied. Identification of these markers is of particular interest for the development of strategies to prevent relapse. Based on clinical and experimental data, it appears that (i) the so-called residual clinical symptoms (such as sleep disturbance, irritability) and (ii) the neuropsychological dysfunctions (cognitive difficulties), persisting after remission, may constitute markers of PTSD relapse. Moreover, all of these potential markers have also been linked with dysfunctions, persisting or reoccurring, in the prefrontal cortex after remission.

The main objective of this study is to identify these clinical and neuropsychological markers of PTSD relapse in children and their families. The secondary objective is to demonstrate the link between prefrontal dysfunctions and relapse.

This longitudinal study will include 4 experimental groups:

* 30 children with PTSD
* 30 children with past PTSD (children in remission)
* 30 parents of children with PTSD
* 30 parents of children with past PTSD The first visit is planned during the symptomatic phase (T0). The second visit (T1) is planned at the end of the symptomatic phase (or 6 months later T0). The last visit is planned 3-months after T1.

The psychological assessment will include:

A structured interview with a psychiatrist An assessment of PTSD symptoms (IES-R, CPTS-RI for children) An assessment of the co-morbidity (STAI C and CDI for children, STAI A-B, BDI for adults).

An evaluation of the social life (EAS for children and SAS-SR for adults).

The neuropsychological assessment will include:

An evaluation of the attentional treatment (Go-No / go and visual search) An evaluation of executive functions (TMT A and B) A brief evaluation of the IQ (items memory of figures, matrix and resemblance) An evaluation of the memory (Grober and Buschke) Tests include an adult and children versions that are validated. All studies will be conducted at the Nice University Hospital, Tours University Hospital and Toulouse University Hospital.

Conditions

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Post Traumatic Stress Disorder (PTSD)

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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In remission phase of PTSD

Patients having suffered from PTSD in the past and in remission od PTSD and their parents

Group Type OTHER

Neuropsychological assessment

Intervention Type BEHAVIORAL

A clinical evaluation with Impact of Events Scale-Revised, Child Post-Traumatic Stress Reaction Index, State-Trait Anxiety Inventory for Children, Children Depression Inventory and Emotion, activity and sociability.

A neuropsychological assessment with a emotional Go-No/Go, a visual search task, the Trail Making Test, 3 items of the WISC III ( and the Grober and Buschke Test.

Activ PTSD

patients suffering from PTSD (Post-traumatic Stress Disorder) and their parents

Group Type OTHER

Neuropsychological assessment

Intervention Type BEHAVIORAL

A clinical evaluation with Impact of Events Scale-Revised, Child Post-Traumatic Stress Reaction Index, State-Trait Anxiety Inventory for Children, Children Depression Inventory and Emotion, activity and sociability.

A neuropsychological assessment with a emotional Go-No/Go, a visual search task, the Trail Making Test, 3 items of the WISC III ( and the Grober and Buschke Test.

Interventions

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Neuropsychological assessment

A clinical evaluation with Impact of Events Scale-Revised, Child Post-Traumatic Stress Reaction Index, State-Trait Anxiety Inventory for Children, Children Depression Inventory and Emotion, activity and sociability.

A neuropsychological assessment with a emotional Go-No/Go, a visual search task, the Trail Making Test, 3 items of the WISC III ( and the Grober and Buschke Test.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Children (9/18 years)
* Patients who have lived a traumatic event (physical assault and road accident) and who have a PTSD.
* French speaker.
* Participants must sign the informed consent and they must be affiliated to the social insurance.

Exclusion Criteria

* Children who have a neurological pathology.
* Children who have brain damage or brain-injured
* Subject having participated in a biomedical research in three months preceding the inclusion
Minimum Eligible Age

9 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire de Nice

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michel BENOIT, M.D.,PhD

Role: PRINCIPAL_INVESTIGATOR

Psychiatrie, Hôpital Pasteur, CHU de NICE

Wissam EL HAGE, M.D, PhD

Role: PRINCIPAL_INVESTIGATOR

Psychiatrie, CHU de TOURS

Frédérique JOVER, M.D.

Role: PRINCIPAL_INVESTIGATOR

CAP, Hôpital St ROCH, CHU de NICE

Florence ASKENAZY, M.D.

Role: PRINCIPAL_INVESTIGATOR

Fondation Lenval, NICE

Philippe BIRMES, M.D.

Role: PRINCIPAL_INVESTIGATOR

Psychiatrie, CHU de TOULOUSE

Virginie BUISSE, M.D.

Role: PRINCIPAL_INVESTIGATOR

CAP, Hôpital St Roch, CHU de NICE

Locations

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CHU de NICE

Nice, , France

Site Status RECRUITING

Fondation Lenval

Nice, , France

Site Status RECRUITING

CHU de TOULOUSE

Toulouse, , France

Site Status NOT_YET_RECRUITING

CHU de TOURS

Tours, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Michel BENOIT, PhD

Role: CONTACT

morgane gindt

Role: CONTACT

Facility Contacts

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Michel BENOIT, M.D., PhD

Role: primary

florence Askenazy, M.D.

Role: primary

Other Identifiers

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11-AOI-09

Identifier Type: -

Identifier Source: org_study_id

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