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Post-Traumatic Stress DisordersFLOATNCT04368689

The Feasibility and Examination of the Effects of Floatation-based REST on a Community Sample With PTSD

A study testing Floatation-based reduced environmental stimulation therapy in people with Post-Traumatic Stress Disorders, run by Medical College of Wisconsin at 1 site in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This project is being done to explore the effects floating has on individuals who have a history of trauma with stress related symptoms. Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Post-Traumatic Stress Disorders
What is being tested?
Floatation-based reduced environmental stimulation therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
1 siteUnited States
Study dates
18 Jun 2021to Dec 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Has posttraumatic stress disorder (PTSD) as confirmed by the PCL-5
  • 18-60 years of age

Who cannot join

  • History of neurological conditions (e.g., epilepsy, stroke, severe traumatic brain injury, Parkinson's disease, Alzheimer's disease or other forms of dementia)
  • Any skin conditions or open wounds that could cause pain when exposed to saltwater
  • Has floated previously
  • Has Schizophrenia spectrum or other psychotic disorders
  • Refuses to adhere to the Pre-Float Checklist
  • Non-English speaking
Show all 16Show fewer
  • Inability to lay comfortably in a shallow pool of water
  • Refuses participation in the floatation-REST sessions
  • Refuses to sign the Float Liability Waiver prior to floating
  • No Communicable disease (e.g.- HIV, Hepatitis A, B\& C, tuberculosis, or measles)
  • No psychoactive drugs or laxatives within the past week from scheduled float. Psychoactive drugs include, but are not limited to: methylenedioxymethamphetamine (MDMA), lysergic acid diethylamide (LSD), psilocybin, peyote, phencyclidine, ketamine).No recreational drug use (e.g.tetrahydrocannabinol,abuse of prescription medicine) day before or day of study visit. No antihistamine that causes drowsiness and no alcohol the day of the float sessions.
  • Lack of control of bodily functions prior to scheduled float
  • Fresh tattoos that would inhibit ability to float (consult with tattoo artist)
  • Colored/dyed hair less than one week old from scheduled float
  • Body tanning/spay/paint less than one week old from scheduled float
  • Active suicidal ideation

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226-3548

Other trials in United States

About this study

Official title: The Feasibility and Examination of the Effects of Floatation-based Reduced Environmental Stimulation Therapy (REST) on a Community Sample With Posttraumatic Stress Disorder (PTSD)

This project is being done to explore the effects floating has on individuals who have a history of trauma with stress related symptoms.

Read the detailed description

This pilot study looks to further the current floatation-based REST literature by exploring the therapy's effectiveness within a community-based sample of adults with PTSD. This type of sample allows the study the opportunity to recruit both veteran and civilian subjects, two populations that can suffer from this clinical diagnosis and stand to benefit from this therapy. This study will:

  1. Evaluate the psychological effects of floating for a clinical, community sample with PTSD.
  2. Evaluate the physiological effects of floating for a clinical, community sample with PTSD.
  3. Evaluate the subjective effects of floating for a clinical, community sample with PTSD.
Being tested
Floatation-based reduced environmental stimulation therapy
Keywords
Floatation-based Reduced Environmental Stimulation Therapy, PTSD, FLOAT, Trauma
Medical subject headings
Stress Disorders, Post-Traumatic, Wounds and Injuries

What participants receive

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

  • Floatation-based reduced environmental stimulation therapyOther

    Completion of 3 float session that can last for up to 90 minutes each session, each spaced approximately one week apart

Study groups in NCT04368689
Study groupRoleWhat they receive
FloatingExperimentalParticipants have 3 Floatation sessions that last up to 90 minutes. Each spaced about a week apart.
Receives: Other: Floatation-based reduced environmental stimulation therapy

What is being measured

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

  1. Change in Post Traumatic Stress Disorder (PTSD) symptom severity score as measured by Clinician-Administered PTSD Scale for DSM-5 (CAPS-5)

    Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) A clinician-administered structured diagnostic interview that is considered the gold standard for assessing and diagnosing PTSD.

    Measured: Baseline, week 2, week 3

  2. Change in Post Traumatic Stress Disorder (PTSD) symptom severity score as measured by PTSD Checklist for DSM-5

    PTSD Checklist for DSM-5 The PCL-5 consists of 20 items and it takes 5 to 10 minutes to administer. Participants are instructed to answer items based on their experience of symptoms since the trauma (hospitalization) or in the last month (1 month). Each item corresponds to a symptom in the DSM-5.

    Measured: Baseline, week 2, week 3

  3. Change in depression symptom severity score as measured by the Center for Epidemiologic Studies Depression Scale - Revised

    Center for Epidemiologic Studies Depression Scale - Revised Diagnostic tool for criteria for a major depressive episode

    Measured: Baseline, week 2, week 3

  4. Change in depressive symptom severity score as measured by Patient Health Questionnaire (PHQ-9)

    Patient Health Questionnaire (PHQ-9) The PHQ-9 is a 9-Item measure for assessing the severity of depressive symptoms over the past 2 weeks. Scores of 1-4 are considered indicative of minimal depression, 5-9 mild depression, 10-14 moderate depression, 15-19 moderately severe depression, and 20-27 severe depression.

    Measured: Baseline, week 2, week 3

  5. Change in stress symptom score

    Perceived Stress Scale The Perceived Stress Scale is a psychological instrument used for measuring an individual's perception of stress.

    Measured: Baseline, week 2, week 3

  6. Change in Sheehan Disability Scale score

    Sheehan Disability Scale How much mental health issues have affected their daily activities: work/school, social/leisure activities, and family life/home responsibilities. Total disability scores range between 0 to 30, with scores ≥ 5 signifying impairment.

    Measured: Baseline, week 2, week 3

  7. Change in perceived happiness score

    Fordyce Happiness Measure Measures emotional well being by perceived happiness

    Measured: Baseline, week 2, week 3

  8. Change in anxiety symptom severity score

    State-Trait Anxiety Inventory 20-item self-report questionnaire designed to assess an individual's level of anxiety.

    Measured: Baseline, week 2, week 3

  9. Change in Positive and Negative Affect

    Positive and Negative Affect Schedule - Expanded Form 20-items survey assessing general states of positive and negative affect using on a 5 point scale

    Measured: Baseline, week 2, week 3

  10. Change in present moment sleepiness

    Karolinska Sleepiness Scale Single item measure of present moment sleepiness

    Measured: Baseline, week 2, week 3

  11. Change in pain score

    Wong-Baker Pain scale Rates current level of pain from 0 to 10.

    Measured: Baseline, week 2, week 3

  12. Change in Visual Analogue Scales score

    Visual Analogue Scales- Relaxation, Muscle tension, Content/Peaceful, Refreshed, Energy \& Overall Well-Being 7 measures rating on a 100-point scale and assessing overall well-being using a bipolar valence scale that goes from "Pretty Bad" to "Pretty Good"

    Measured: Baseline, week 2, week 3

  13. Change in Side effect checklist score

    Side effect checklist 43-item side effect checklist to assess the safety of Floatation- REST, and potential adverse experiences.

    Measured: Baseline, week 2, week 3

  14. Change in Skin Conductance response post float

    Skin Conductance This will be measured using a program called "eSense". eSense (Mindfield Biosystems LLC), an ambulatory system for collecting skin conductance, or sweat gland activity. eSense samples skin conductance at 5 Hz, substantially lower than more traditional (and more expensive) laboratory systems. This will be done during the Trauma Narrative where subjects are asked to describe an event that they consider to be the most traumatic in their life including: who was there, what they were doing, where they were, how things looked, what they heard, etc.

    Measured: Baseline, Week 2, week 3

  15. Change in blood pressure post float

    -Blood Pressure This will be measured using a blood pressure cuff. This is performed before and after each float.

    Measured: Baseline, Week 2, week 3

  16. Change in number of mental health disorder diagnostic criteria met

    -Mini International Neuropsychiatric Interview - Depression (M.I.N.I. 7.0.2) The MINI is a short structured diagnostic interview designed to meet the need for a short but accurate psychiatric interview determining diagnostic criteria for 17 of the most common disorders in mental health. This version is for DSM-5 and ICD-10 diagnoses. The measure's psychometric properties of diagnostic validity and reliability have been determined to be strong

    Measured: Baseline, Week 3

  17. Anxiety sensitivity severity score pre float

    -Anxiety Sensitivity Index (ASI-3) 18-item questionnaire using a 4-point scale and total ASI scores can range from 0 to 72. A meta-analysis [46] found that patient groups with anxiety and depression commonly have a total ASI score above 30, and other studies have used a cutoff score ≥ 30 to recruit individuals with very high levels of anxiety sensitivity.

    Measured: Baseline

  18. Overall Anxiety Severity and Impairment score pre float

    Overall Anxiety Severity and Impairment Scale A 5-item questionnaire that can be used across the different anxiety disorders as a continuous measure of anxiety severity and impairment over the past week. Each item is rated on a 5-point scale and the ratings are summed to obtain a total score ranging from 0 to 20.

    Measured: Baseline

  19. Occurrence of adverse events post float

    Debriefing Interview Occurrence of adverse events and qualitative information about floating. How was your float today? What did you think about while floating? Did anything surprise you? Did you learn anything about yourself?

    Follow-up Questions At the end of your float, how did you feel about the duration? Wanted to get out before/Perfect amount of time/Wish I could have stayed longer.

    Other techniques tried to help relax and feel less anxious and stressed? anti-anxiety medication/psychotherapy/massage/exercise/alcohol/breathing techniques/cigarettes/marijuana/progressive muscle relaxation/meditation/yoga/other Experience during and after today's float session compared to the other relaxation techniques tired? More relaxation with others/Equally as good as the others/More relaxation with floating than any others Interested in floating again in the future and thoughts on specialized pools being effective therapy for reducing symptom severity? Yes/No/Maybe

    Measured: Week 3

Timeline

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

  1. First posted30 Apr 2020
  2. Study start18 Jun 2021
  3. Primary completionDec 2027 (estimated)
  4. Study completionDec 2027 (estimated)

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
30 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04368689
Sponsor's protocol ID
PRO00032660
Acronym
FLOAT
Status last verified
Jan 2026
First submitted
1 Apr 2020
Last updated
21 Jan 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Feinstein JS, Khalsa SS, Yeh HW, Wohlrab C, Simmons WK, Stein MB, Paulus MP. Examining the short-term anxiolytic and antidepressant effect of Floatation-REST. PLoS One. 2018 Feb 2;13(2):e0190292. doi: 10.1371/journal.pone.0190292. eCollection 2018.

    PubMed 29394251
  • Feinstein JS, Khalsa SS, Yeh H, Al Zoubi O, Arevian AC, Wohlrab C, Pantino MK, Cartmell LJ, Simmons WK, Stein MB, Paulus MP. The Elicitation of Relaxation and Interoceptive Awareness Using Floatation Therapy in Individuals With High Anxiety Sensitivity. Biol Psychiatry Cogn Neurosci Neuroimaging. 2018 Jun;3(6):555-562. doi: 10.1016/j.bpsc.2018.02.005. Epub 2018 Mar 9.

    PubMed 29656950
  • Fine TH, Turner JW Jr. The effect of brief restricted environmental stimulation therapy in the treatment of essential hypertension. Behav Res Ther. 1982;20(6):567-70. doi: 10.1016/0005-7967(82)90035-3. No abstract available.

    PubMed 7159352
  • Forgays, D. G., & Belinson, M. J. (1986). Is flotation isolation a relaxing environment?. Journal of Environmental Psychology, 6(1), 19-34.

  • Jacobs GD, Heilbronner RL, Stanley JM. The effects of short term flotation REST on relaxation: a controlled study. Health Psychol. 1984;3(2):99-112. doi: 10.1037//0278-6133.3.2.99.

    PubMed 6399246
  • Kjellgren A, Sundequist U, Norlander T, Archer T. Effects of flotation-REST on muscle tension pain. Pain Res Manag. 2001 Winter;6(4):181-9. doi: 10.1155/2001/768501.

    PubMed 11854763
  • Koula, G. M., Kemp, J. C., Keane, K. M., & Belden, A. D. (1990). Replication of a clinical outcome study on a hospital-based stress management and behavioral medicine program utilizing flotation REST and biofeedback. In Restricted Environmental Stimulation (pp. 202-209). Springer, New York.

  • Lilly, J.C. & Shurley, J.T. (1961).

  • O'Leary, D. S., & Heilbronner, R. L. (1990). Flotation REST and information processing: A reaction time study. In Restricted Environmental Stimulation (pp. 113-124). Springer New York.

  • Pudvah, M. B., & Rzewnicki, R. (1990). Six months in the tank: Long-term effects of flotation isolation on state anxiety, hostility, and depression. Restricted Environmental Stimulation: Theoretical and empirical developments in flotation REST, 169-173.

  • Schulz P, Kaspar CH. Neuroendocrine and psychological effects of restricted environmental stimulation technique in a flotation tank. Biol Psychol. 1994 Mar;37(2):161-75. doi: 10.1016/0301-0511(94)90029-9.

    PubMed 8003591
  • Shurley, J. T. (1960). Profound experimental sensory isolation. American Journal of Psychiatry, 117(6), 539-545.

  • Turner Jr, J., Gerard, W., Hyland, J., Nieland, P., & Fine, T. (1993). Effects of wet and dry flotation REST on blood pressure and plasma cortisol. In Clinical and Experimental Restricted Environmental Stimulation (pp. 239-247). Springer New York.

Questions about this trial

What is this clinical trial studying?

A study testing Floatation-based reduced environmental stimulation therapy in people with Post-Traumatic Stress Disorders, run by Medical College of Wisconsin at 1 site 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 2 inclusion and 16 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: under way, not looking for participants, as of the sponsor's last update on 21 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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?

This study is still under way. Results are not available in the source record yet.

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 Post Traumatic Stress Disorder (PTSD) symptom severity score as measured by Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) (time frame: Baseline, week 2, week 3). The study lists 19 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04368689, which also lists 13 linked publications.

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 21 Jan 2026.

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