Adjustment Disorders Clinical Trial
Official title:
Post-traumatic Stress Disorders in Police, Correctional Service Officers, and 911 Operators: A Cost-effectiveness and Efficacy Comparison of Treatment as Usual and a Novel Intervention
NCT number | NCT03152175 |
Other study ID # | PRPL-007 |
Secondary ID | |
Status | Recruiting |
Phase | Phase 2 |
First received | |
Last updated | |
Start date | March 30, 2017 |
Est. completion date | March 2023 |
Police officers, correctional service officers, and 911-operators are at increased risk for suffering from trauma-related disorders due to their direct and indirect exposure to life-threatening events, such as shootings, violent assaults, or car accidents, among others. Typical treatments for post-traumatic stress disorders include psychotherapy and pharmacological therapies (i.e., antidepressants). Although these interventions are effective for many sufferers, they all have limitations. Thus, the investigators propose to explore the usefulness of a new therapeutic technique, reconsolidation blockade, which involves reactivating the trauma memory while under the influence of propranolol. Objectives and hypotheses: To explore the efficacy and cost-effectiveness of reconsolidation blockade therapy as an adjunct treatment for trauma- and stressor-related disorders as defined in the Diagnostic and Statistical Manual Mental Disorders-5. The investigators hypothesize that, compared to the control group, 5 weekly trauma-memory reactivations under propranolol treatment will confer a significant reduction in trauma-related symptoms and significantly more health-related economic benefits. Stress symptoms and health-related costs will be assessed at 7, 26 and 52 weeks after study inclusion. In this study, the investigators will also explore the effects of reconsolidation blockade with propranolol on various neuropsychological functions.
Status | Recruiting |
Enrollment | 64 |
Est. completion date | March 2023 |
Est. primary completion date | March 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: - Understands and reads French - Currently or previously worked for the Quebec City Police Department, or the 911 dispatch for Quebec City, or another police department or 911 dispatch in the province of Quebec, or for the Quebec Ministry of Public Security as a correctional service officer - Meets criteria for a trauma-and stressor-related disorder, such as: Acute Stress Disorder, Posttraumatic Stress Disorder, Adjustment Disorder, Other Trauma- and Stressor-Related Disorder, as defined by the Diagnostic and Statistical Manual for Mental Disorders, 5th edition. - The trauma-and stressor-related disorder must be due to a work-related event. - A score of at least 4 (moderately ill) on the Clinical Global Impressions-Severity Scale. - Participants who are currently taking a Selective Serotonin Reuptake Inhibitors or Selective Norepinephrine Reuptake Inhibitors (antidepressants) must accept to skip their morning dose on the days that they receive the study's intervention. Exclusion Criteria: - Systolic blood pressure < 100mm Hg (millimeter of mercury) at visit 0. - Heart rate < 55 bpm (beats per minute) at visit 0. - Medical conditions that contraindicate propranolol administration, as determined by the treating physician. - Previous diagnosis of a traumatic brain injury (TBI). - Previous adverse reaction or non-compliance with a beta-blocker. - Medications that can have an dangerous interaction with propranolol. - Fertile women who are not using an adequate contraceptive methods. - Pregnant women. - Nursing women. - The following psychiatric conditions: past or present bipolar disorder, past or present psychotic disorder, present substance abuse or dependence, actively suicidal, past or present neurological disorder, complex posttraumatic stress disorder. |
Country | Name | City | State |
---|---|---|---|
Canada | Douglas Mental Health University Institute | Montreal | Quebec |
Lead Sponsor | Collaborator |
---|---|
Douglas Mental Health University Institute | Institut de Recherche Robert-Sauvé en Santé et en Sécurité du Travail |
Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Social Functioning Questionnaire (SFQ) | Measure of psycho-social functional | Change from baseline (week 0) to weeks 7, 26, and 52. | |
Other | Rey's 15-Item Memory test | Measure of verbal learning and memory | Change from baseline (week 0) to weeks 7 and 52. | |
Other | The Logical Memory subtest of the Wechsler Memory Scale - III | Measure of verbal learning and memory | Change from baseline (week 0) to weeks 7 and 52. | |
Other | Trail Making Test | Measure of mental flexibility | Change from baseline (week 0) to weeks 7 and 52. | |
Other | Color-Word Interference Test of the Delis-Kaplan Executive Function System | Measure of selective attention | Change from baseline (week 0) to weeks 7 and 52. | |
Other | Coding subtest of the Wechsler Adult Intelligence Scale-IV | Measure of working memory | Change from baseline (week 0) to weeks 7 and 52. | |
Other | Attention subtest of the Paced Auditory Serial Addition Test (PASAT) | Measure of working memory, divided attention, and information processing speed | Change from baseline (week 0) to weeks 7 and 52. | |
Other | D2 Test of attention | Measure of selective and sustained attention | Change from baseline (week 0) to weeks 7 and 52. | |
Other | Verbal Fluency Test | Measure of verbal ability and executive control | Change from baseline (week 0) to weeks 7 and 52. | |
Other | Subjective Units of Distress Scale | Measure of subjective distress from exposure to an event | Changes from week 1 to weeks 2, 3, 4 and 5. | |
Primary | EuroQol five dimensions questionnaire with five-level scale | This questionnaire is a standardized instrument for measuring generic health status | The weighted average of the questionnaire responses will be calculated over a 12 month period | |
Secondary | Post-traumatic Checklist for the Diagnostic and Statistical Manual for Mental Disorders - 5th edition (PCL-5) | Measure of trauma and stressor related symptoms | Change from baseline (week 0) to weeks 1, 2, 3, 4 , 5, 7, 26, and 52. | |
Secondary | Hopkins Symptom Checklist - 25 (HSCL - 25). | Measure of depression and anxiety symptom severity | Change from baseline (week 0) to weeks 1, 2, 3, 4 , 5, 7, 26, and 52. | |
Secondary | Operational Police Stress Questionnaire (PSQ-OP) | Measure of severity of occupational stress | Change from baseline (week 0) to weeks 7, 26, and 52. |
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