Post-Traumatic Stress Disorder Clinical Trial
Official title:
Cognitive Behavioral Therapy for Homeless Women With Post-Traumatic Stress Disorder (PTSD)
This study will determine the effectiveness of cognitive behavioral therapy in treating post-traumatic stress disorder in homeless women.
Exposure to traumatic events may lead to mental health problems, such as post-traumatic
stress disorder (PTSD). PTSD is a type of anxiety disorder that is characterized by the
presence of persistent frightening thoughts and memories of the traumatic event.
Additionally, people with PTSD often feel emotionally numb, and they may experience sleep
problems or be easily startled. Homeless people, in particular, are at risk for experiencing
a variety of traumas. Homeless women tend to experience more traumatic events and develop
PTSD at higher rates than housed women. Although effective treatments for PTSD are
available, homeless women are unlikely to seek them out. There is a need for PTSD treatment
approaches that are specifically designed for these women. This study will develop a
cognitive-behavioral therapy treatment that will be adapted to best serve the needs of
homeless women. The study will then determine the therapy's effectiveness in treating a
group of homeless women with PTSD.
This study will consist of three phases. The first phase will be used to gather and analyze
information about PTSD in homeless women and methods of treating the disorder in this
population. Focus groups consisting of homeless women, shelter directors, case managers, and
mental health service providers will be used to obtain the necessary information. Phase two
of this study will consist of developing an adaptation of an existing PTSD treatment manual
to make it relevant to the lives of homeless women. The third and final phase of this study
will recruit 32 homeless women with symptoms of PTSD, and who did not participate in either
of the first two phases of the study. Participants in this 4-week study will be randomly
assigned to receive either the adapted cognitive behavioral therapy treatment or no
treatment at all (assessment-only). The treatment group will attend twice weekly sessions
for a total of 4 weeks. All participants will be evaluated immediately prior to the start of
treatment and 1 week after treatment ends. Outcomes will include PTSD symptoms and
depression symptoms.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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