PTSD Clinical Trial
Official title:
Virtual Reality Treatment for Combat Related PTSD: Is Virtual Azza More Effective Than Traditional Exposure Treatment?
This non inferiority trial will compare Prolonged Exposure with Virtual Reality Exposure Therapy in adult patients with combat related PTSD.
Posttraumatic stress disorder (PTSD) affects a significant number of combat soldiers, with
some studies suggesting 20% have PTSD. PTSD is related to a number of other detrimental
effects, on the individual, such as mood disorders and alcohol abuse, on family members, and
on society at large. Although effective treatments for PTSD exist, primarily types of
cognitive behavior therapy, their uptake is very low. Studies have shown that a variety of
factors act as barriers to care. These include not having the time for therapy, no therapy
being locally available, and general stigma about therapy. In military populations, this
stigma includes worries about the attitudes of unit members and commanding officers. As a
result, many combat veterans do not seek therapy. Recently, it has been suggested that
providing therapy in non-conventional settings might overcome some of these barriers. Studies
over the last decade have shown that using Virtual Reality is a potential option. Virtual
reality is a computer based environment that allows the therapist complete control over its
multimedia components. VR is easily adaptable to exposure based treatments, where patients
gradually come into contact with feared situations. VR for PTSD following combat, terror and
motor vehicle accidents have all shown to be effective treatments. The studies so far are
few, involve a small number of patients, and have often not adhered to gold standards of
controlled trials. In addition, VR for combat in Israel has never been developed or tested.
The current study is a randomized controlled trial, that will compare traditional
face-to-face treatment with Virtual Reality, for combat related PTSD. Blind assessors will
examine levels of PTSD and other disorders before treatment, immediately after treatment, and
at 6 month follow up.
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