Can Imagination Change Upsetting Memories of Trauma?

NCT ID: NCT03607630

Last Updated: 2018-07-31

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

PHASE1/PHASE2

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-08-03

Study Completion Date

2020-06-01

Brief Summary

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Research suggests that imagination is a powerful tool to change images inside our heads (e.g. memories) and make them less upsetting. It is thought that this occurs through changing the meaning attached to the memory (e.g. I am weak), therefore making it less upsetting to remember.

Research has also linked some people's experience of psychosis to distressing trauma memories. Despite this, little is known about whether using imagination to change memories is helpful for people with psychosis. This project will look at whether a talking therapy that uses imagination to change trauma memories helps people with psychosis. This project will specifically look at whether this therapy helps; change the meaning linked to memory, make the memory less upsetting and frequent, and increase sense of control over the memory.

This project will recruit six to twelve people with psychosis. Participants will be recruited from services within South London and the Maudsley NHS Foundation Trust's Psychosis Clinical Academic Group. Participants will first be interviewed about their posttraumatic stress difficulties, experiences of psychosis, mental health, and wellbeing. In this appointment, participants will also identify a traumatic memory to focus on during the talking therapy. Four questions about the trauma memory will be asked every day for the remainder of the project.

Participants will then wait between one to three weeks before they receive three therapy sessions. Comparing participants to themselves for different periods of time makes sure that their memories do not become less upsetting over time, without therapy.

After therapy, participants will continue daily measures for two weeks, with an appointment in the middle (i.e. one week post therapy). This appointment will include questions about posttraumatic stress difficulties, wellbeing and satisfaction with therapy. Participation will last between 6-8 weeks. Participants will be reimbursed for their time

Detailed Description

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Conditions

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Psychosis

Keywords

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Imagery rescripting case series ImRs Psychosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Multiple Baseline Case Series - randomization for how long participants wait pre-intervention
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Waiting Pre-Intervention Control

Participant completes measures for 1-3 weeks (randomly chosen) before they complete the intervention. Participants act as their own controls

Group Type NO_INTERVENTION

No interventions assigned to this group

Imagery Rescripting

3 Sessions of Imagery Rescripting

Group Type EXPERIMENTAL

Imagery Rescripting

Intervention Type OTHER

psychological therapy

Interventions

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Imagery Rescripting

psychological therapy

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of a Schizophrenia-spectrum disorder or mood disorder with psychotic features
* Able to identify an intrusive traumatic memory occurring at least twice in the past week, as assessed by the Post Traumatic Stress Diagnostic Scale.
* Sufficient English to participate in the project

Exclusion Criteria

* Concurrent trauma-focused psychological therapy
* Primary diagnosis of learning disability, substance use or organic disorder
* Acute suicide risk
* Lack of capacity to provide informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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South London and the Maudsley NHS Foundation Trust

UNKNOWN

Sponsor Role collaborator

King's College London

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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South London and the Maudsley NHS Foundation Trust

London, , United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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Rachel J Clarke

Role: CONTACT

Phone: 07486854611

Email: [email protected]

Facility Contacts

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Jennifer Liebscher

Role: primary

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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18/LO/0684

Identifier Type: -

Identifier Source: org_study_id