Post Traumatic Stress Disorder Clinical Trial
— EIROfficial title:
Early Intervention After Rape to Prevent Post-traumatic Stress Disorder - a Multicenter Randomized Control Trial
NCT number | NCT05489133 |
Other study ID # | 348496 |
Secondary ID | |
Status | Recruiting |
Phase | N/A |
First received | |
Last updated | |
Start date | June 14, 2022 |
Est. completion date | December 2027 |
Rape is a common cause of post-traumatic stress disorder (PTSD) among women, as around 30-50% will develop PTSD in the aftermath of rape. A modified protocol based on Prolonged Exposure Therapy (mPE), has been developed, consisting of three to five once or twice weekly 60 minutes sessions, and studies indicate that if implemented early after rape, mPE may prevent the development of PTSD. The aim of the study is to conduct a multi-site (4 Sexual assault care centers in Norway) randomized control trial (RCT) in which patients are recruited early after rape, and randomized to intervention (mPE) or treatment as usual (TAU).
Status | Recruiting |
Enrollment | 200 |
Est. completion date | December 2027 |
Est. primary completion date | May 2025 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 16 Years and older |
Eligibility | Inclusion Criteria: - Women = 16 years of age - attending after a trauma meeting the DSM V trauma definition criterion "sexual violation" (in this context, characterized by penetration in any body orifice, by penis, finger, foreign body, but also attempted penetration leading to a sufficient mental reaction, helplessness, without control, intense fear etc.) Exclusion Criteria: - Age < 16 years - male biological gender - cognitive disability - acute psychosis - acute suicidal - severe alcohol/drug abuse - current treatment for PTSD - non-Norwegian speaking - total amnesia for the event |
Country | Name | City | State |
---|---|---|---|
Norway | Oslo Emergency Medical Agency (Oslo kommune, Legevakten, Overgrepsmottaket i Oslo) | Oslo | |
Norway | Sandefjord Emergency Medical Agency (Legevakten, Overgrepsmottaket i Vestfold) | Sandefjord | |
Norway | Overgrepsmottaket Sør-Rogaland | Stavanger | In |
Norway | Department of Obstetrics and Gynecology, St. Olavs hospital (Overgrepsmottaket) | Trondheim |
Lead Sponsor | Collaborator |
---|---|
St. Olavs Hospital | National Centre for Emergency Primary Health Care, NORCE, Norwegian University of Science and Technology, Norwegian Women's Public Health Association (Norske Kvinners Sanitetsforening), The Research Council of Norway, UiT The Arctic University of Norway |
Norway,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | PTSD Checklist for DSM-5 (PCL-5) | The PCL-5 is a self-report questionnaire consisting of 20 items corresponding to the 20 symptoms of PTSD as defined by DSM-5. Patients rate their posttraumatic symptoms on a Likert scale from 0-4. The continuous sum score of the PCL-5 will de the primary outcome. | At 3 months follow-up | |
Primary | PTSD Symptom Scale - Interview for DSM-5 (PSS-I-5) | The PSS-I-5 is a clinician-administered diagnostic interview measuring the 20 symptoms of PTSD as defined by DSM-5. | At 3 months follow-up | |
Secondary | Patient Health Questionnaire-9 (PHQ-9) | The PHQ-9 is a self-report questionnaire consisting of nine items measuring the severity of depressive symptoms. | At 6 weeks, 3, 6 and 12 months | |
Secondary | General Anxiety Disorder-7 (GAD-7) | GAD-7 is a self-report questionnaire consisting of seven items measuring the severity of symptoms of anxiety. | At 6 weeks, 3, 6 and 12 months | |
Secondary | Female Sexual Function Index (FSFI) | The FSFI is a multidimensional self-report instrument for the assessment of female sexual function. It contains 19 items divided into six subscales, and gives a total score of 2-36 by multiplying the sum of each subscale with a factor. Mapi Research Trust, a non-profit, full-service provider, promoting the use of Clinical Outcomes Assessments (COAs) have given us permission to use the Norwegian version of the FSFI questionnaire in our study, a version we consider better than the one available on the FHI web-pages. | At 6 weeks, 3, 6 and 12 months | |
Secondary | Bergen insomnia scale (BIS) | Insomnia, questionnaire, quantitative, continous measure. The questionnaire contains 6 items relating to sleep and tiredness. Score 0 -7 (0 means no days during the course of a week, 7 means every day during the course of a week) on each item are summarized.
Diagnostics for Insomnia: score = 3 on at least one of the items 1 -4, and score = 3 on at least one of the items 5-6) vs. No insomnia: score = 2 on all items 1-4 or score = 2 on both items 5-6 |
At 6 weeks, 3, 6 and 12 months | |
Secondary | EQ-5D-5L | Quality of life: five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems (each scored 1-5).
Included also is the EQ VAS that records the patient's self-rated health on a vertical visual analogue scale, where the endpoints are labelled 'The best health you can imagine' and 'The worst health you can imagine' (0-100). The VAS can be used as a quantitative measure of health outcome that reflect the patient's own judgement. |
At 6 weeks, 3, 6 and 12 months | |
Secondary | The Amsterdam Hyperactive Pelvic Floor Scale for Women | Questionnaire, translated and validated Norwegian version: The original questionnaire includes 30 items. Each item deals with one symptom and has a 5-point Likert scale varying from never (score 1) to very often (score 5). 25 of the 30 items are categorized into six different subscales: 1) vulvar pain symptoms; 2) abdominal pain and defecation symptoms; 3) micturition problems; 4) urinary tract infection; 5) rectal problems; and 6) physiological symptoms of general stress/tension.
A total score is given from 6 to 30 where a low score (6,0 - 10,9) means "no hyperactivity" in the pelvic floor muscles, a medium score (11,0 - 12,9) means "mild hyperactivity" in the pelvic floor and a high score (13,0 - 30,0) means "moderate to severe hyperactivity" in the pelvic floor. |
At 6 weeks, 3, 6 and 12 months | |
Secondary | PTSD Checklist for DSM-5 (PCL-5) | The PCL-5 is a self-report questionnaire consisting of 20 items corresponding to the 20 symptoms of PTSD as defined by DSM-5. Patients rate their posttraumatic symptoms on a Likert scale from 0-4. The continuous sum score of the PCL-5 will de the primary outcome. | At 6 weeks, 3, 6 and 12 months | |
Secondary | PTSD Symptom Scale - Interview for DSM-5 (PSS-I-5) | The PSS-I-5 is a clinician-administered diagnostic interview measuring the 20 symptoms of PTSD as defined by DSM-5. | At 6 weeks, 3, 6 and 12 months |
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