Presence of PTSD and Emotion Dysregulation Among Inpatients With Substance Use Disorder

NCT ID: NCT06345053

Last Updated: 2024-04-03

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

RECRUITING

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-01

Study Completion Date

2025-10-01

Brief Summary

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There are high rates of co-occurring posttraumatic stress disorder (PTSD) among patients receiving treatment for substance use disorder (SUD). PTSD and SUD should be treated simultaneously, but adults in SUD treatment are often not assessed for PTSD nor offered PTSD-based interventions. One of the reasons for reluctance in offering trauma focused treatment is increased risk of drop out. PTSD and related emotion dysregulation are related to elevated psychological burden, higher dropout rates and increased risk of relapse. this is a feasibility study, where the plan is to integrate a combination of Dialectical Behaviour Therapy for Substance Use Disorder (DBT-SUD skills) a therapy targeting difficulties in emotion regulation and Narrative Exposure Therapy (NET) a trauma focused therapy, for patients with co-occurring PTSD symptoms into standard SUD treatment . The plan is to assess its potential benefits by assessing whether adding this combination to standard SUD treatment is relevant, feasible, acceptable, and safe. Treatment outcomes are 1) Prevalence of PTSD, suicidal behaviour, and self-harm, as well as the severity of difficulties in emotion regulation and emotional avoidance among patients (N approx. = 100) in inpatient treatment for SUD. 2) Change post-treatment and at 3 and 12 months follow up, from baseline in PTSD symptom severity, depressive symptoms, emotion regulation, emotion avoidance, and experience of shame. 3) Rates of dropout and relapse compared to previous rates.

This project can increase knowledge about psychological mechanisms in co-occurring PTSD and SUD and improve the quality of treatment for this vulnerable patient population.

Detailed Description

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Conditions

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Post Traumatic Stress Disorder Substance Use Disorders Emotion Regulation Suicide Self-harm

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

This is a repeated measures follow-up feasibility study without control group.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Trauma fit inclusion / accept participation in DBT-SUD skills NET

All patients with relevant will be offered to participate in DBT-SUD skills training and or NET.

Group Type EXPERIMENTAL

Narrative Exposure Therapy

Intervention Type BEHAVIORAL

The intervention period will be from (May 2021- October 2024). All patients will participate in standard treatment at MBS. Dialectical Behaviour Therapy -Substance Use Disorder skills training (DBT-SUD skills) will be offered to all patients at MBS in the project period that experience difficulties in emotion regulation and manage to commit to participating in the DBT- skills training evaluated by their DBT therapist. Narrative Exposure Therapy (NET) will be offered to all patients with relevant traumatic experience and symptoms of PTSD depending on clinical evaluation.

Interventions

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Narrative Exposure Therapy

The intervention period will be from (May 2021- October 2024). All patients will participate in standard treatment at MBS. Dialectical Behaviour Therapy -Substance Use Disorder skills training (DBT-SUD skills) will be offered to all patients at MBS in the project period that experience difficulties in emotion regulation and manage to commit to participating in the DBT- skills training evaluated by their DBT therapist. Narrative Exposure Therapy (NET) will be offered to all patients with relevant traumatic experience and symptoms of PTSD depending on clinical evaluation.

Intervention Type BEHAVIORAL

Other Intervention Names

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Dialectical Behaviour Therapy

Eligibility Criteria

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Inclusion Criteria

2. Speak Scandinavian (Norwegian, Danish and/or Swedish).
3. Be willing to sign a consent.


1. Experience of an aversive event that fits criteria A for PTSD as defined by Diagnostic and Statistical Manual of Mental Disorders-V (DSM-V) (American Psychiatric Association \[APA\], 2013).
2. Experience symptoms of PTSD as defined by the DSM-V (APA, 2013), or subthreshold PTSD (Grubaugh et al., 2005), or experience clinically relevant symptoms as evaluated by a NET therapist.

1. Subthreshold PTSD is defined as having experienced a traumatic event (Criteria A), meeting Criteria B (re-experiencing symptoms), Criteria E (one-month symptom duration), and Criteria F (significant distress or functioning impairment) and either Criteria C (avoidance or numbing symptoms) or Criteria D (hyper arousal symptoms).


1. Experience difficulties in emotion regulation evaluated by an assigned DBT therapist.
2. Manage to commit to participating in the DBT- skills training.

Exclusion Criteria

1. Have a clinically significant low cognitive- and/or linguistic functioning that hinders the patient in understanding and answering the questions on the self-rapport instruments.


1. Being actively psychotic.
2. Have a Body Mass Index (BMI) under 17.
3. Severe dissociation.
4. An ongoing traumatic contact with the perpetrator.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Møre og Romsdal Hospital Trust

OTHER

Sponsor Role collaborator

Oslo University Hospital

OTHER

Sponsor Role collaborator

Norwegian University of Science and Technology

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Egil Jonsbu

Role: STUDY_DIRECTOR

Norwegian University of Science and Technology

Johanna Vigfusdottir

Role: PRINCIPAL_INVESTIGATOR

Norwegian University of Science and Technology

Edvard Breivik

Role: PRINCIPAL_INVESTIGATOR

Norwegian University of Science and Technology

Erlend Mork

Role: STUDY_CHAIR

Oslo University Hospital

Lars Lien

Role: STUDY_CHAIR

National Competence Center for Co-Occurring Addictive and Psychiatric Disorders

Håkon Stenmark

Role: STUDY_CHAIR

Regional Center for Violence and Traumatic Stress and St. Olavs Hospital

Locations

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Molde Treatment Center, Møre and Romsdal Hospital Trust

Molde, Møre and Romsdal, Norway

Site Status RECRUITING

Countries

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Norway

Central Contacts

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Johanna Vigfusdottir

Role: CONTACT

+4746746154

Edvard Breivik

Role: CONTACT

+4793032613

Facility Contacts

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Edvard Breivik

Role: primary

+4793032613

Johanna Vigfusdottir

Role: backup

+4746746154

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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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203428

Identifier Type: -

Identifier Source: org_study_id

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