AzTrials
AzTrials

Posttraumatic Stress DisorderNCT02586064

Comparative Effectiveness of Two Treatments for Veterans With PTSD

A study testing Interpersonal Therapy for PTSD and Prolonged Exposure in people with Posttraumatic Stress Disorder, run by VA Office of Research and Development at 2 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Interpersonal problems such as relationship conflict and social isolation are common among Veterans with PTSD and serve as barriers to successful posttraumatic adjustment. The main interventions for PTSD at VA facilities, i.e., Prolonged Exposure, Cognitive Processing Therapy, and Trauma-Focused CBT, do not directly… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Posttraumatic Stress Disorder
What is being tested?
Interpersonal Therapy for PTSD and Prolonged Exposure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
115 participants
Where
2 sitesUnited States
Study dates
1 Sep 2016to 31 Mar 2020
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Veterans age 18 or older
  • Experienced trauma while deployed to a war zone
  • Meet DSM-5 criteria for PTSD and a minimum CAPS-5 score of 23
  • Have at least one area of relationship dysfunction
  • Consent to be randomized

Who cannot join

  • Current severe substance use disorder
  • Current psychotic symptoms
  • Current mania or un-medicated Bipolar Disorder
  • Imminent threat of suicide or homicide
  • Victim or perpetrator of severe domestic violence in the past 12 months
  • Currently receiving Cognitive Behavioral Therapy for PTSD
  • Psychotropic medication start or dosage change within the prior 4 weeks

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Southeast Louisiana Veterans Health Care System, New Orleans, LA

    New Orleans, Louisiana, 70112

  • Providence VA Medical Center, Providence, RI

    Providence, Rhode Island, 02908

Other trials in United States

About this study

Official title: Interpersonal Therapy for Veterans With PTSD

Interpersonal problems such as relationship conflict and social isolation are common among Veterans with PTSD and serve as barriers to successful posttraumatic adjustment. The main interventions for PTSD at VA facilities, i.e., Prolonged Exposure, Cognitive Processing Therapy, and Trauma-Focused CBT, do not directly target these relationship difficulties and many Veterans do not complete these treatments. Couple and family approaches for PTSD address relationship problems, but logistical problems make it difficult for couples to attend sessions and these approaches do not involve Veterans who are socially isolated or unmarried. There is accumulating evidence that Interpersonal Psychotherapy (IPT) for PTSD may be effective in reducing symptoms and improving interpersonal functioning. This study, a randomized controlled trial, aims to provide evidence regarding whether IPT for PTSD could be a useful addition to current treatments delivered at the VA.

Read the detailed description

The strong relationship between posttraumatic stress disorder (PTSD) and interpersonal problems is well documented. PTSD is highly associated with relationship discord, increased intimate partner violence, and difficulties in connecting with others, leading to social isolation. These types of conflicts, as well as the social withdrawal that is common among Veterans with PTSD, diminish the Veteran's opportunities for interaction with supportive others, and serve as a barrier to successful posttraumatic adjustment. Treatments that have been "rolled out" nationally in VAMCs, e.g., Prolonged Exposure, Cognitive Processing Therapy, and Trauma-Focused CBT, do not directly target these relationship difficulties. Furthermore, data show that only a limited number of Veterans has fully engaged with these interventions. Evidence-based interventions of couples therapy are available, but are not logistically feasible for many couples and do not address the problems of those who are socially isolated. This application proposes a randomized clinical trial of Interpersonal Psychotherapy (IPT-PTSD) as a treatment for Veterans with PTSD and relationship problems. Pilot data suggest that this type of treatment may provide a useful alternative strategy for Veterans who would prefer an individual, relationship-focused approach. The investigators propose comparing IPT-PTSD with Prolonged Exposure (PE), an evidence based treatment for PTSD used in the VHA system. The investigators hypothesize that IPT-PTSD will be statistically equivalent to PE in reducing PTSD symptom severity, and superior to PE in improving interpersonal functioning. IPT-PTSD is also hypothesized to be more effective than PE in improving social adjustment and quality of life. Exploratory analyses will examine whether IPT-PTSD is more effective than PE in reducing suicidal ideation, and will examine hypothesized mediators of improvement in PTSD symptoms in IPT-PTSD.

Being tested
Interpersonal Therapy for PTSD, Prolonged Exposure
Keywords
posttraumatic stress disorder, Veterans, Psychotherapy, Randomized Controlled Trial, Treatment
Medical subject headings
Stress Disorders, Post-Traumatic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Interpersonal Therapy for PTSDBehavioural

    Relationally focused treatment that focuses on relationship problems that may be caused or maintained by PTSD symptoms. Consists of 12 individual weekly sessions of 45 to 50 minutes. Includes psycho-education, assessing which relationships (or lack of) are causing problems for the Veteran, and addressing the problem areas identified through specific strategies (e.g. communication analysis, decision analysis, role play). Final 2 sessions focus on consolidating what has been learned, what issues remain, identifying types of relationship triggers that could reactivate symptoms, and addressing feelings about termination.

  • Prolonged ExposureBehavioural

    Aim is to allow Veterans to re-experience traumatic events experienced during military service in a safe and supportive environment, and to re-engage in activities they have been avoiding. 12 individual weekly sessions of 90 minutes. Consists of psychoeducation, breathing retraining, imaginal exposure (repeated imaginal recall of the trauma including sensory details, and associated thoughts and feelings experienced during the trauma), and with trauma, and in vivo exposure (systematically confronting feared and avoided places and activities).

Study groups in NCT02586064
Study groupRoleWhat they receive
Interpersonal Psychotherapy for PTSDExperimentalRelationally-focused intervention addressing PTSD symptoms and relationship dysfunctions, 12 weekly sessions
Receives: Behavioral: Interpersonal Therapy for PTSD
Prolonged ExposureActive comparatorExposure based intervention including exposure to memories and avoided places and activities
Receives: Behavioral: Prolonged Exposure

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Clinician Administered PTSD Scale (CAPS-5)

    Structured interview for assessment of DSM-5 PTSD symptoms.

    Scores range from a minimum value of 0 to a maximum value of 80, higher scores mean a worse outcome.

    Measured: Baseline, week 12 (end of treatment), 3 and 6 months posttreatment. End of Treatment assessment conducted following the last treatment session participant attended ideally after week 12 but could range from 9 to 20 weeks

  2. Change in Inventory of Interpersonal Functioning (IIP-32)

    Self-report measure of Veterans' interpersonal difficulties.

    Scores range from a minimum value of 0 to a maximum value of 128, higher scores mean a worse outcome.

    Measured: Baseline, 4 weeks, 8 weeks, 12 weeks (end of treatment), 3 and 6 months post-treatment. End of Treatment assessment conducted following the last treatment session participant attended ideally after week 12 but could range from 9 to 20 weeks

Secondary outcomes (12)
  1. Change in PTSD Checklist for DSM-5 Military Version (PCL-M)

    Self report measure of DSM-5 PTSD symptoms.

    Scores range from a minimum value of 0 to a maximum value of 80, higher scores mean a worse outcome.

    Measured: Baseline, week 12 (end of treatment), 3 and 6 months posttreatment. End of Treatment assessment conducted following the last treatment session participant attended ideally after week 12 but could range from 9 to 20 weeks

  2. Change in Patient Health Questionnaire (PHQ)

    Self report measure of mood and anxiety symptoms.

    Scores range from a minimum value of 0 to a maximum value of 27, higher scores mean a worse outcome.

    Measured: Baseline, 4 weeks, 8 weeks, 12 weeks (end of treatment), 3 and 6 months post-treatment. End of Treatment assessment conducted following the last treatment session participant attended ideally after week 12 but could range from 9 to 20 weeks

  3. Change in Multidimensional Scale of Perceived Social Support (MSPSS) - Significant Other

    Self-report measure of a participant's subjective social support with regards to a participant's significant other.

    For each subscale, the mean of items is reported therefore for the Significant Other Subscale: Sum across items 1, 2, 5, \& 10, then divide by 4.Range can be from 1 - 7. Lower scores mean a worse outcome.

    Measured: Baseline, week 12 (end of treatment), 3 and 6 months posttreatment. End of Treatment assessment conducted following the last treatment session participant attended ideally after week 12 but could range from 9 to 20 weeks

  4. Change in Multidimensional Scale of Perceived Social Support (MSPSS) - Family

    Self-report measure of a participant's subjective social support with regards to a participant's family.

    For each subscale, the mean of items is reported therefore for the Family Subscale: Sum across items 3, 4, 8, \& 11 then divide by 4.Range can be from 1 - 7. Lower scores mean a worse outcome.

    Measured: Baseline, week 12 (end of treatment), 3 and 6 months posttreatment. End of Treatment assessment conducted following the last treatment session participant attended ideally after week 12 but could range from 9 to 20 weeks

  5. Change in Multidimensional Scale of Perceived Social Support (MSPSS) - Friends

    Self-report measure of a participant's subjective social support with regards to a participant's family.

    For each subscale, the mean of items is reported therefore for the Friends Subscale: Sum across items 6, 7, 9, \& 12 then divide by 4.Range can be from 1 - 7. Lower scores mean a worse outcome.

    Measured: Baseline, week 12 (end of treatment), 3 and 6 months posttreatment. End of Treatment assessment conducted following the last treatment session participant attended ideally after week 12 but could range from 9 to 20 weeks

  6. Change in Concise Health Risk Tracking Scale - Total (CHRT)

    Self report measure of suicidal ideation and related symptoms.

    Our study used a response scale of 1 to 5. The CHRT has 12 items, and the total score has a possible range of 12 to 60. Higher scores indicate more suicidal ideation and risk.

    Measured: Baseline, week 12 (end of treatment), 3 and 6 months posttreatment. End of Treatment assessment conducted following the last treatment session participant attended ideally after week 12 but could range from 9 to 20 weeks

  7. Change in Concise Health Risk Tracking Scale (CHRT) - Propensity

    The propensity subscale score includes 9 items assessing, hopelessness, self-worth and perceived social support, and the possible range for our study is 9 to 45

    Higher scores indicate worse outcome.

    Measured: Baseline, week 12 (end of treatment), 3 and 6 months posttreatment. End of Treatment assessment conducted following the last treatment session participant attended ideally after week 12 but could range from 9 to 20 weeks

  8. Change in Concise Health Risk Tracking Scale (CHRT) - Suicidal Thoughts

    The CHRT Suicidal Thoughts subscale includes 3 items and has a possible range in our study from 3 to 15. Higher scores indicate higher suicidal thoughts.

    Measured: Baseline, week 12 (end of treatment), 3 and 6 months posttreatment. End of Treatment assessment conducted following the last treatment session participant attended ideally after week 12 but could range from 9 to 20 weeks

  9. Change in Work and Social Adjustment Scale (WSAS)

    Self report measure of functional impairment in five areas of functioning (work, home management, social leisure, personal leisure, close relationships.

    Scores range from a minimum value of 0 to a maximum value of 40, higher scores mean a worse outcome.

    Measured: Baseline, week 12 (end of treatment), 3 and 6 months posttreatment. End of Treatment assessment conducted following the last treatment session participant attended ideally after week 12 but could range from 9 to 20 weeks

  10. Change in WHO Short Form Quality of Life Measure (WHOQOL-BREF) - Item 1 Quality of Life

    Measure of four domains related to quality of life: physical health, psychological, social relationships and environment. Data presented from Item 1 (Quality of Life)

    Scores range from a minimum value of 1 to a maximum value of 5, lower scores mean a worse outcome.

    Measured: Difference between Baseline and End of Treatment means. End of Treatment assessment conducted following the last treatment session participant attended ideally after week 12 but could range from 9 to 20 weeks.

  11. Change in WHO Short Form Quality of Life Measure (WHOQOL-BREF) - Item 2 Satisfaction With Health

    Measure of four domains related to quality of life: physical health, psychological, social relationships and environment. Data presented from Item 2 (Satisfaction with Health).

    Scores range from a minimum value of 1 to a maximum value of 5, lower scores mean a worse outcome.

    Measured: Difference between Baseline and End of Treatment means. End of Treatment assessment conducted following the last treatment session participant attended ideally after week 12 but could range from 9 to 20 weeks.

  12. GAD - 7 Generalized Anxiety Disorder

    Measure of generalized anxiety amongst participants over time.

    Scores range from a minimum value of 0 to a maximum value of 21, higher scores mean a worse outcome.

    Measured: Baseline to 6 months posttreatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Oct 2015 (estimated)
  2. Study start1 Sep 2016
  3. Primary completion31 Mar 2020
  4. Study completion31 Mar 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
115 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02586064
Sponsor's protocol ID
D1783-R
Other IDs
I01RX001783
Status last verified
Jun 2021
First submitted
20 Oct 2015
Last updated
7 Jul 2021
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: not developed yet

Questions about this trial

What is this clinical trial studying?

A study testing Interpersonal Therapy for PTSD and Prolonged Exposure in people with Posttraumatic Stress Disorder, run by VA Office of Research and Development at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 Jul 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 7 Jul 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Clinician Administered PTSD Scale (CAPS-5) (time frame: Baseline, week 12 (end of treatment), 3 and 6 months posttreatment. End of Treatment assessment conducted following the last treatment session participant attended ideally after week 12 but could range from 9 to 20 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Jul 2021.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in