Ignite Creation Date:
2024-05-06 @ 3:14 AM
Last Modification Date:
2024-10-26 @ 11:30 AM
Study NCT ID:
NCT02236390
Status:
RECRUITING
Last Update Posted:
2024-07-03
First Post:
2014-09-08
Brief Title:
Integrating Sleep Nightmare and PTSD Treatments
Sponsor:
University of Tulsa
Organization:
University of Tulsa
Study Overview
Official Title:
Integrating Sleep and PTSD Treatment Examining the Role of Emotion Regulation
Status:
RECRUITING
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
CPTERRT
Brief Summary:
The purpose of the proposed pilot study is to extend previous findings regarding the efficacy of a brief treatment for chronic posttrauma nightmares and sleep problems by integrating this treatment with evidence-based treatment for posttraumatic stress disorder PTSD Cognitive processing therapy CPT Resick Schnicke 1996 is a well-established and efficacious evidence-based psychological treatment for PTSD in both civilian and veteran populations Forbes et al 2012 Monson et al 2006 Resick et al 2008 Resick Nishith Weaver Astin Feuer 2002 The US Department of Veterans Affairs VA includes CPT among the first-line treatments for PTSD National Center for PTSD 2012 A modified protocol without the utilization of written exposure CPT-C may be more effective than the original protocol However despite such promising evidence individuals who experience chronic nightmares and sleep problems tend to show smaller gains and persistent nightmares following PTSD treatment Nappi Drummond Hall 2012 Given that nightmares are considered the hallmark of PTSD Ross Ball Sullivan Caroff 1989 and their treatment-resistant nature Davis Wright 2007 specific psychological treatments have been developed to target sleep disturbances and nightmares
Exposure relaxation and rescripting therapy ERRT is a promising psychological intervention developed to target trauma-related nightmares and sleep disturbances Though further evidence is needed ERRT has exhibited strong support in reducing the frequency and intensity of nightmares as well as improving overall sleep quality in both civilian and veteran samples In addition significant decreases in PTSD and depression symptoms have been reported following treatment Davis et al 2011 Davis Wright 2007 Long et al 2011 Swanson Favorite Horin Arnedt 2009 ERRT is currently an evidence-level B suggested treatment Cranston Davis Rhudy Favorite 2011
There is a call to research suggesting the importance of treatment studies which focus on interventions that integrate nightmare and sleep symptom treatment with evidence-based treatment for PTSD Nappi et al 2012 In an effort to respond to this call we propose to tailor ERRT for use in conjunction with CPT and preliminarily test ERRTs additive effect to CPT in treating PTSD in community outpatients We hypothesize that ERRT would increase CPTs treatment efficacy by its specific focus on trauma-related nightmares and sleep disturbances Sleep difficulties are known to increase tension and reduce ones ability to cope adaptively Bonn-Miller Babson Vujanovic Feldner 2010 Hofstetter Lysaker Mayeda 2005 Nishith Resick Mueser 2001 Thus with improved sleep an individual may have additional personal coping resources for which she can use to address the broader trauma issues Nappi et al 2012 To test this integration we will compare ERRT CPT CPT ERRT and CPT alone
Exposure relaxation and rescripting therapy ERRT is a promising psychological intervention developed to target trauma-related nightmares and sleep disturbances Though further evidence is needed ERRT has exhibited strong support in reducing the frequency and intensity of nightmares as well as improving overall sleep quality in both civilian and veteran samples In addition significant decreases in PTSD and depression symptoms have been reported following treatment Davis et al 2011 Davis Wright 2007 Long et al 2011 Swanson Favorite Horin Arnedt 2009 ERRT is currently an evidence-level B suggested treatment Cranston Davis Rhudy Favorite 2011
There is a call to research suggesting the importance of treatment studies which focus on interventions that integrate nightmare and sleep symptom treatment with evidence-based treatment for PTSD Nappi et al 2012 In an effort to respond to this call we propose to tailor ERRT for use in conjunction with CPT and preliminarily test ERRTs additive effect to CPT in treating PTSD in community outpatients We hypothesize that ERRT would increase CPTs treatment efficacy by its specific focus on trauma-related nightmares and sleep disturbances Sleep difficulties are known to increase tension and reduce ones ability to cope adaptively Bonn-Miller Babson Vujanovic Feldner 2010 Hofstetter Lysaker Mayeda 2005 Nishith Resick Mueser 2001 Thus with improved sleep an individual may have additional personal coping resources for which she can use to address the broader trauma issues Nappi et al 2012 To test this integration we will compare ERRT CPT CPT ERRT and CPT alone
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| HR14-127 | OTHER_GRANT | OCAST | None |