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Stress Disorders, Posttraumatic clinical trials

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NCT ID: NCT04651296 Recruiting - Depression Clinical Trials

Compassion Meditation vs. Health Education for Veterans

Start date: January 4, 2022
Phase: Phase 2
Study type: Interventional

Chronic pain (CP) is a major health problem for military Veterans, and CP is often associated with comorbid mental health problems, including posttraumatic stress disorder (PTSD) and depression. CP with psychological comorbidity is associated with increased healthcare costs, medication use, risk of suicide and rates of disability and reduced quality of life. Current empirically supported treatments do not always lead to substantial improvements (up to 50% of patients drop out or are do not respond to treatment). This project was designed to evaluate the efficacy of a novel intervention for addressing these challenges. Compassion meditation (CM), a meditative practice that focuses on the wish to remove suffering, is a contemplative practice that has promise for the amelioration of physical and mental health problems as well as promoting positive affect and improving quality of life. This study will evaluate the efficacy of Cognitively-Based Compassion Training for Chronic Pain with Psychological Comorbidity (CBCT-CP+) compared to Health Education while Living with Pain (H.E.L.P.) control condition, in a sample of among Veterans with CP conditions and psychological comorbidity.

NCT ID: NCT04002050 Completed - Depression Clinical Trials

Creating Resilient Workplaces Study

CReW
Start date: August 10, 2019
Phase: N/A
Study type: Interventional

The proposed study aims to understand the impact of a 5-Class CBTm Course on variables contributing to workplace resilience among Public Safety Personnel (PSP). This involves examining the impact of the CBTm Course on prevention of PTSD and related conditions among PSPs. This research project will be undertaken using a randomized-controlled trial design. Questionnaires will be completed 1) before taking the course, 2) during the course, 3) after the course, and 4) at three-month follow-up.

NCT ID: NCT03642028 Recruiting - Clinical trials for Sleep Initiation and Maintenance Disorders

Suvorexant: A Dual Orexin Receptor Antagonist for Treating Sleep Disturbance in Posttraumatic Stress

Start date: August 30, 2019
Phase: Phase 4
Study type: Interventional

Post-traumatic stress disorder (PTSD) is a common consequence of combat that can result in trauma-related hyperarousal and sleep disturbances. Poor sleep, one of the most common complaints in Veterans with PTSD, can be distressing, impair concentration and memory, and contribute to physical health conditions, such as metabolic syndrome, inflammation, and cardiovascular disease. The orexin neuropeptide system underlies both sleep and stress reactivity. Suvorexant, a drug that reduces orexin, improves sleep in civilians, but has not yet been tested in Veterans with PTSD. This study will test whether suvorexant can improve sleep disturbances and PTSD symptoms in Veterans. Suvorexant may benefit Veterans by improving sleep quickly while also reducing PTSD symptoms over the long term, and with fewer side effects that were common in previous medications used to treat these conditions. Improving Veterans' sleep and PTSD symptoms could lead to better emotional and physical well-being, quality of life, relationships, and functioning.

NCT ID: NCT02226367 Completed - Clinical trials for Alcohol Use Disorders

Prazosin Augmentation of Outpatient Treatment of Alcohol Use Disorders in Active Duty Soldiers With and Without PTSD

Start date: January 2015
Phase: N/A
Study type: Interventional

The purpose of the study is to evaluate if the drug prazosin: - will decrease alcohol use in active duty members of the military who served in Iraq and/or Afghanistan and - determine if presence or absence of posttraumatic stress disorder affects treatment.

NCT ID: NCT01058031 Completed - PTSD Clinical Trials

Neural Correlates of PTSD Prevention With Mindfulness Based Stress Reduction (MBSR) in Iraqi Veterans

Start date: January 2007
Phase: N/A
Study type: Interventional

The purpose of this study is to compare Mindfulness Based Stress Reduction to a supportive therapy control group.

NCT ID: NCT00674570 Completed - Clinical trials for Stress Disorders, Posttraumatic

Veteran Stress and Learning Study

VSL
Start date: January 13, 2009
Phase: Phase 4
Study type: Interventional

This is a research study examining the use of two medications, Hydrocortisone and D-Cycloserine, compared to an inactive substance (placebo), on their ability to reduce fear responses and memory of fear in Veterans with symptoms of Posttraumatic Stress Disorder (PTSD). These responses will be tested using a fear learning and memory task administered by computer.

NCT ID: NCT00625131 Completed - Clinical trials for Tobacco Use Disorder

Nicotine Patch Pretreatment for Smoking Cessation in PTSD

Start date: May 2008
Phase: Phase 0
Study type: Interventional

This study seeks to evaluate the relationship between PTSD, abstinence, and factors associated with relapse in the context of a randomized, clinical smoking cessation trial.

NCT ID: NCT00451282 Completed - Clinical trials for Stress Disorders, Posttraumatic

Stepped Preventive Care to Reduce the Impact of Acute Pediatric Injury

Start date: April 2007
Phase: Phase 3
Study type: Interventional

This study will evaluate the impact of a brief psychosocial intervention delivered to children or adolescents who are hospitalized for an unintentional injury. The intervention is designed to promote psychological recovery and enhance functional outcomes after injury. The study will also provide preliminary data concerning cost-effectiveness of the intervention. The core study hypotheses are that children receiving the intervention will (1) have lower severity of post-traumatic stress disorder (PTSD) and depression symptoms at follow-up; (2) show greater adherence to discharge instructions and better health-related quality of life at follow-up, and (3) have higher rates of attendance at scheduled follow-up appointments and lower rates of emergency room utilization and re-hospitalization in the 6 months post-injury, compared to those receiving usual care.

NCT ID: NCT00373698 Completed - Depression Clinical Trials

Re-Engineering Systems for the Primary Care Treatment for PTSD

RESPECT-PTSD
Start date: March 2008
Phase: Phase 3
Study type: Interventional

The study is an evaluation of a systemic intervention to enhance the delivery of care according to practice guidelines for posttraumatic stress disorder (PTSD). The immediate objectives are to (1) implement three component model (3CM) in VA primary care clinics; and (2) evaluate the effects of 3CM on clinician behavior and patient outcomes. The long-term objectives are to generate information to support implementation research on the RESPECT model for treating PTSD in primary care and ultimately, the implementation of the model in VHA to provide care to veterans with PTSD.