Trial Outcomes & Findings for Management of Chronic Pain and PTSD in Gulf War Veterans With tDCS+Prolonged Exposure (NCT NCT04236284)

NCT ID: NCT04236284

Last Updated: 2023-02-03

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

21 participants

Primary outcome timeframe

Week 0

Results posted on

2023-02-03

Participant Flow

Participant milestones

Participant milestones
Measure
Home-based tDCS + Prolonged Exposure Therapy
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Overall Study
STARTED
21
Overall Study
Completed tDCS
16
Overall Study
Completed Prolonged Exposure Therapy
14
Overall Study
COMPLETED
14
Overall Study
NOT COMPLETED
7

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Management of Chronic Pain and PTSD in Gulf War Veterans With tDCS+Prolonged Exposure

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Age, Continuous
43.3 years
STANDARD_DEVIATION 9.8 • n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
6 Participants
n=5 Participants
Race (NIH/OMB)
White
8 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
Region of Enrollment
United States
16 participants
n=5 Participants

PRIMARY outcome

Timeframe: Week 0

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=21 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Feasibility of Recruitment as Assessed by Number of Participants Enrolled in the Study
21 Participants

PRIMARY outcome

Timeframe: Week 12

Population: Data were not collected for this outcome measure due to COVID restrictions.

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Week 12

Population: Data were not collected for this outcome measure due to COVID restrictions.

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Week 12

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Feasibility of Retention as Assessed by Number of Participants Who Complete at Least 8 Sessions
16 Participants

PRIMARY outcome

Timeframe: Week 12

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Feasibility of Data Collection as Assessed by Percent of Missing Data
0 percentage of missing data

PRIMARY outcome

Timeframe: Week 12

The Charleston Psychiatric Outpatient Satisfaction Scale total score ranges from 13 to 65, with a higher score indicating higher satisfaction.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Feasibility as Indicated by Satisfaction as Assessed by the Charleston Psychiatric Outpatient Satisfaction Scale
42.48 score on a scale
Standard Deviation 4.75

PRIMARY outcome

Timeframe: Week 12

Treatment credibility will be assessed by a scale, with a total score ranging from 0 to 10, with 0 being "not credible, I did not think this treatment would help either my PTSD or Pain symptoms" to 10 being "completely credible, I was very sure this treatment would help both my PTSD and Pain symptoms."

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Feasibility as Indicated by Treatment Credibility as Assessed by a Credibility Scale
8.9 score on a scale
Standard Deviation 0.85

PRIMARY outcome

Timeframe: Week 12

Treatment acceptability will be assessed by a scale, with a total score ranging from 0 to 10, with 0 being "not acceptable, this treatment should not be offered to veterans, those in pain, or those with PTSD" to 10 being "completely acceptable, this treatment is perfectly suited to veterans and others with pain and PTSD symptoms."

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Feasibility as Indicated by Treatment Acceptability as Assessed by an Acceptability Scale
8.9 score on a scale
Standard Deviation 0.85

PRIMARY outcome

Timeframe: Week 0

PROMIS Pain interference 8a assesses self-reported consequences of pain on relevant aspects of one's life in the past 7 days. The measure includes 8-items rating pain from "Not at all" = 1 to "Very much" = 5, therefore the response range is 8-40 with higher scores indicating greater pain interference.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Pain Interference as Assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS) Pain 8a Interference Scale
31.81 score on a scale
Standard Deviation 4.05

PRIMARY outcome

Timeframe: Week 6

PROMIS Pain interference 8a assesses self-reported consequences of pain on relevant aspects of one's life in the past 7 days. The measure includes 8-items rating pain from "Not at all" = 1 to "Very much" = 5, therefore the response range is 8-40 with higher scores indicating greater pain interference.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Pain Interference as Assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS) Pain 8a Interference Scale
28.94 score on a scale
Standard Deviation 7.32

PRIMARY outcome

Timeframe: Week 12

PROMIS Pain interference 8a assesses self-reported consequences of pain on relevant aspects of one's life in the past 7 days. The measure includes 8-items rating pain from "Not at all" = 1 to "Very much" = 5, therefore the response range is 8-40 with higher scores indicating greater pain interference.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Pain Interference as Assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS) Pain 8a Interference Scale
25.75 score on a scale
Standard Deviation 8.69

PRIMARY outcome

Timeframe: Week 0

PROMIS Pain intensity 3a is a self-report measure that assesses how much a person hurts (intensity or severity) in the past 7 days. The measure includes three items rating pain from "Had no pain" = 1 to "Very severe" = 5, therefore the response range is 3-15 with higher scores indicating greater pain intensity. Raw scores are reported.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Pain Intensity as Assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS) Pain 3a Intensity Scale
11.19 score on a scale
Standard Deviation 1.76

PRIMARY outcome

Timeframe: Week 6

PROMIS Pain intensity 3a is a self-report measure that assesses how much a person hurts (intensity or severity) in the past 7 days. The measure includes three items rating pain from "Had no pain" = 1 to "Very severe" = 5, therefore the response range is 3-15 with higher scores indicating greater pain intensity. Raw scores are reported.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Pain Intensity as Assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS) Pain 3a Intensity Scale
10.50 score on a scale
Standard Deviation 1.86

PRIMARY outcome

Timeframe: Week 12

PROMIS Pain intensity 3a is a self-report measure that assesses how much a person hurts (intensity or severity) in the past 7 days. The measure includes three items rating pain from "Had no pain" = 1 to "Very severe" = 5, therefore the response range is 3-15 with higher scores indicating greater pain intensity. Raw scores are reported.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Pain Intensity as Assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS) Pain 3a Intensity Scale
10.25 score on a scale
Standard Deviation 2.29

PRIMARY outcome

Timeframe: Week 0

Total possible scores on the CAPS-5 scale range from 0 to 80, with a higher score indicating greater PTSD intensity.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
PTSD Intensity as Assessed by the Clinician-Administered PTSD Scale 5 (CAPS-5)
38.88 score on a scale
Standard Deviation 9.01

PRIMARY outcome

Timeframe: Week 6

Total possible scores on the CAPS-5 scale range from 0 to 80, with a higher score indicating greater PTSD intensity.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
PTSD Intensity as Assessed by the Clinician-Administered PTSD Scale 5 (CAPS-5)
33.93 score on a scale
Standard Deviation 11.52

PRIMARY outcome

Timeframe: Week 12

Total possible scores on the CAPS-5 scale range from 0 to 80, with a higher score indicating greater PTSD intensity.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
PTSD Intensity as Assessed by the Clinician-Administered PTSD Scale 5 (CAPS-5)
28.19 score on a scale
Standard Deviation 14.05

SECONDARY outcome

Timeframe: Week 0

PCL-5 score ranges from 0 to 80, with a higher score indicating greater PTSD.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
PTSD as Assessed by the PTSD Checklist-5 (PCL-5)
57.69 score on a scale
Standard Deviation 12.67

SECONDARY outcome

Timeframe: Week 6

PCL-5 score ranges from 0 to 80, with a higher score indicating greater PTSD.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
PTSD as Assessed by the PTSD Checklist-5 (PCL-5)
51.23 score on a scale
Standard Deviation 14.20

SECONDARY outcome

Timeframe: Week 12

PCL-5 score ranges from 0 to 80, with a higher score indicating greater PTSD.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
PTSD as Assessed by the PTSD Checklist-5 (PCL-5)
38.33 score on a scale
Standard Deviation 20.61

SECONDARY outcome

Timeframe: Week 0

The PHQ-9 score ranges from 0 to 27, with a higher score indicating greater depression.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Depression as Assessed by the Patient Health Questionnaire-9 (PHQ-9)
17.75 score on a scale
Standard Deviation 4.77

SECONDARY outcome

Timeframe: Week 6

The PHQ-9 score ranges from 0 to 27, with a higher score indicating greater depression.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Depression as Assessed by the Patient Health Questionnaire-9 (PHQ-9)
17.31 score on a scale
Standard Deviation 4.96

SECONDARY outcome

Timeframe: Week 12

The PHQ-9 score ranges from 0 to 27, with a higher score indicating greater depression.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Depression as Assessed by the Patient Health Questionnaire-9 (PHQ-9)
13.47 score on a scale
Standard Deviation 6.37

SECONDARY outcome

Timeframe: Week 0

There are 4 domains on the WHOQOL-BREF, listed below, and for all domains a higher score indicates a greater quality of life. * physical health domain (7 items) - total score ranges from 7 to 35 * psychological health domain (6 items) - total score ranges from 6 to 30 * social relationships domain (3 items) 3 - total score ranges from 3 to 15 * environmental health domain (8 items) - total score ranges 8 to 40

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Quality of Life as Assessed by the World Health Organization Quality of Life - Short Form (WHOQOL-BREF)
physical health domain
19.25 score on a scale
Standard Deviation 2.67
Quality of Life as Assessed by the World Health Organization Quality of Life - Short Form (WHOQOL-BREF)
psychological health domain
15.33 score on a scale
Standard Deviation 4.29
Quality of Life as Assessed by the World Health Organization Quality of Life - Short Form (WHOQOL-BREF)
social relationships domain
6.50 score on a scale
Standard Deviation 2.91
Quality of Life as Assessed by the World Health Organization Quality of Life - Short Form (WHOQOL-BREF)
environmental health domain
25.18 score on a scale
Standard Deviation 5.47

SECONDARY outcome

Timeframe: Week 6

Population: Data were not collected for this outcome measure.

There are 4 domains on the WHOQOL-BREF, listed below, and for all domains a higher score indicates a greater quality of life. * physical health domain (7 items) - total score ranges from 7 to 35 * psychological health domain (6 items) - total score ranges from 6 to 30 * social relationships domain (3 items) 3 - total score ranges from 3 to 15 * environmental health domain (8 items) - total score ranges 8 to 40

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 12

There are 4 domains on the WHOQOL-BREF, listed below, and for all domains a higher score indicates a greater quality of life. * physical health domain (7 items) - total score ranges from 7 to 35 * psychological health domain (6 items) - total score ranges from 6 to 30 * social relationships domain (3 items) 3 - total score ranges from 3 to 15 * environmental health domain (8 items) - total score ranges 8 to 40

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Quality of Life as Assessed by the World Health Organization Quality of Life - Short Form (WHOQOL-BREF)
physical health domain
20.50 score on a scale
Standard Deviation 3.03
Quality of Life as Assessed by the World Health Organization Quality of Life - Short Form (WHOQOL-BREF)
psychological health domain
16.83 score on a scale
Standard Deviation 3.16
Quality of Life as Assessed by the World Health Organization Quality of Life - Short Form (WHOQOL-BREF)
social relationships domain
8.00 score on a scale
Standard Deviation 3.38
Quality of Life as Assessed by the World Health Organization Quality of Life - Short Form (WHOQOL-BREF)
environmental health domain
27.64 score on a scale
Standard Deviation 5.45

SECONDARY outcome

Timeframe: Week 0

There are 13 subscales of the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI), with each subscale ranging in score from 0 to 6, with a higher score indicating a greater degree of the domain assessed by the subscale.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Pain Interference
4.73 score on a scale
Standard Deviation 0.80
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Support
4.21 score on a scale
Standard Deviation 1.70
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Pain Severity
4.54 score on a scale
Standard Deviation 0.83
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Perception of Control
3.31 score on a scale
Standard Deviation 1.16
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Affective Distress
4.21 score on a scale
Standard Deviation 0.91
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Negative Responses
2.50 score on a scale
Standard Deviation 1.34
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Solicitous Responses
2.42 score on a scale
Standard Deviation 1.36
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Distracting Responses
2.38 score on a scale
Standard Deviation 1.72
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Household Chores
3.10 score on a scale
Standard Deviation 1.65
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Outdoor Work
2.03 score on a scale
Standard Deviation 1.58
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Activities away from Home
2.00 score on a scale
Standard Deviation 0.90
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Social Activities
2.13 score on a scale
Standard Deviation 0.99
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
General Activity
2.34 score on a scale
Standard Deviation 0.93

SECONDARY outcome

Timeframe: Week 6

Population: Data were not collected for this outcome measure.

There are 13 subscales of the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI), with each subscale ranging in score from 0 to 6, with a higher score indicating a greater degree of the domain assessed by the subscale.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 12

There are 13 subscales of the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI), with each subscale ranging in score from 0 to 6, with a higher score indicating a greater degree of the domain assessed by the subscale.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Pain Interference
4.09 score on a scale
Standard Deviation 1.34
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Support
3.75 score on a scale
Standard Deviation 1.35
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Pain Severity
3.75 score on a scale
Standard Deviation 0.94
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Perception of Control
3.31 score on a scale
Standard Deviation 1.46
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Affective Distress
3.50 score on a scale
Standard Deviation 0.73
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Negative Responses
2.81 score on a scale
Standard Deviation 1.27
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Solicitous Responses
3.17 score on a scale
Standard Deviation 0.97
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Distracting Responses
3.25 score on a scale
Standard Deviation 1.69
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Household Chores
2.68 score on a scale
Standard Deviation 1.44
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Outdoor Work
2.53 score on a scale
Standard Deviation 1.52
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Activities away from Home
2.47 score on a scale
Standard Deviation 1.52
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
Social Activities
2.47 score on a scale
Standard Deviation 1.36
Pain as Assessed by the West Haven-Yale Multidimensional Pain Inventory (WHYMPI/MPI)
General Activity
2.54 score on a scale
Standard Deviation 1.30

SECONDARY outcome

Timeframe: Week 0

Total score ranges from 17 - 68. A score of 17 is the lowest possible score, and indicates no kinesiophobia (that is, fear of pain with movement) or negligible kinesiophobia. A score of 68 is the highest possible score and indicates extreme kinesiophobia.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Kinesiophobia as Assessed by the Tampa Scale of Kinesiophobia-Revised (TSK-R)
46.64 score on a scale
Standard Deviation 9.43

SECONDARY outcome

Timeframe: Week 6

Population: Data were not collected for this outcome measure.

Total score ranges from 17 - 68. A score of 17 is the lowest possible score, and indicates no kinesiophobia (that is, fear of pain with movement) or negligible kinesiophobia. A score of 68 is the highest possible score and indicates extreme kinesiophobia.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 12

Total score ranges from 17 - 68. A score of 17 is the lowest possible score, and indicates no kinesiophobia (that is, fear of pain with movement) or negligible kinesiophobia. A score of 68 is the highest possible score and indicates extreme kinesiophobia.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Kinesiophobia as Assessed by the Tampa Scale of Kinesiophobia-Revised (TSK-R)
46.46 score on a scale
Standard Deviation 11.78

SECONDARY outcome

Timeframe: Week 0

Total scores ranges from 0 to 52, with a higher score indicating greater Pain Catastrophizing.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Pain Catastrophizing as Assessed by the Pain Catastrophizing Scale (PCS)
33.42 score on a scale
Standard Deviation 11.27

SECONDARY outcome

Timeframe: Week 6

Population: Data were not collected for this outcome measure.

Total scores ranges from 0 to 52, with a higher score indicating greater Pain Catastrophizing.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 12

Total scores ranges from 0 to 52, with a higher score indicating greater Pain Catastrophizing.

Outcome measures

Outcome measures
Measure
Home-based tDCS + Prolonged Exposure Therapy
n=16 Participants
Home-based tDCS: tDCS is a non-invasive neuromodulation technique that has been used to improved cognitive functions. It will be administered with a constant current intensity of 2 mA57 for 20 min per session/ 10 sessions total daily for 2 weeks (Monday to Friday). The device is a Soterix 1x1 tDCS mini-CT Stimulator (Soterix Medical Inc., NY) with headgear and 5 \_ 7 cm saline-soaked surface sponge electrodes. Prolonged Exposure Therapy: Prolonged Exposure Therapy is a treatment for PTSD that includes the following components: a) psycho-education about the common reactions to traumatic events and presentation of the treatment rationale (sessions 1 and 2), b) repeated in vivo exposure to traumatic stimuli (in vivo exercises are assigned as homework during sessions 3 through 11), c) repeated, prolonged, imaginal exposure to traumatic memories (imaginal exposure is implemented during sessions 3 through 11; patients listen to session audiotapes for homework between sessions), and d) relapse prevention strategies and further treatment planning (session 12).
Pain Catastrophizing as Assessed by the Pain Catastrophizing Scale (PCS)
29.42 score on a scale
Standard Deviation 15.03

SECONDARY outcome

Timeframe: Week 0

Population: Data were not collected for this outcome measure due to COVID restrictions.

Salivary levels of the biomarker panel (cortisol, substance P, DHEA, IL-1, and IL-6) using enzyme-linked immunosorbent assays (ELISA).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 6

Population: Data were not collected for this outcome measure due to COVID restrictions.

Salivary levels of the biomarker panel (cortisol, substance P, DHEA, IL-1, and IL-6) using enzyme-linked immunosorbent assays (ELISA).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Week 12

Population: Data were not collected for this outcome measure due to COVID restrictions.

Salivary levels of the biomarker panel (cortisol, substance P, DHEA, IL-1, and IL-6) using enzyme-linked immunosorbent assays (ELISA).

Outcome measures

Outcome data not reported

Adverse Events

Home-based tDCS + Prolonged Exposure Therapy

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

Melba Hernandez Tejada, PhD, DHA

The University of Texas Health Science Center at Houston

Phone: 7134862729

Results disclosure agreements

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