Stress Disorders, Post-Traumatic Clinical Trial
Official title:
A Pilot Feasibility Study of a Novel Mind-body Intervention Program for Veterans With PTSD
This pilot project evaluates the efficacy of a mind-body awareness training intervention, Mind-Body Bridging (MBB), in veteran patients with PTSD and comorbid symptoms. Evidence for relative therapeutic benefit will be indicated by the difference in outcomes from pre- to post-intervention for PTSD as the primary outcome.
PTSD is a difficult illness to treat and there is a lack of interventions that effectively
reduce it. In recent years, attention has focused on treating PTSD patients by including a
sleep-focused intervention since those with PTSD, such as military personnel, almost always
report some form of sleep disturbance (Neylan et al. 1998; Lewis et al. 2009). In fact, since
sleep disturbance is so prevalent in PTSD, it is considered a hallmark of PTSD diagnosis
(Ross et al. 1989). Two classical PTSD symptoms, hyperarousal and re-experiencing the
traumatic event, comprise sleep difficulty and nightmares, respectively (Lamarche and De
Koninck 2007). Preliminary evidence suggests that interventions targeting sleep may be
beneficial in the treatment of PTSD (Germain et al. 2007; Swanson et al. 2009; Nakamura et
al. 2011).
This study will evaluate the effectiveness of mind-body bridging (MBB) as a primary group
psychotherapy treatment for reduction of PTSD symptoms among veterans. MBB is an awareness
training program,(Block and Block 2007) which has been recently developed into a workbook
specifically for PTSD (Block and Block 2010). MBB has been used successfully at the George E.
Wahlen Veterans Affairs Medical Center (VAMC) for more than 5 years as an adjunctive
treatment. MBB is well accepted by veterans and anecdotally has been reported to improve mood
as well as PTSD and other anxiety symptoms. Furthermore, published pilot studies have
provided preliminary evidence of its benefits.(Tollefson et al. 2009; Nakamura et al. 2011).
In particular, Nakamura et al.(2011) tested a brief sleep-focused MBB intervention program in
a randomized controlled trial, which demonstrated improved sleep and decreased PTSD symptoms.
Our clinical experience and these preliminary studies indicate that a pilot feasibility study
of MBB as a specific treatment for PTSD is warranted.
The proposed, non-randomized single-group study of MBB will serve as a pilot feasibility
study investigating a 10-week MBB program offered to veterans who are clinically diagnosed to
suffer from PTSD. In this pilot study, we determine whether MBB is a beneficial intervention
program for PTSD and co-morbidities, including insomnia, depression, etc., based on
self-report measures and clinical evaluations.
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