Randomized Controlled Trial of Sertraline, Prolonged Exposure Therapy and Their Combination in OEF/OIF with PTSD

Abstract

The current proposal aims to directly compare the psychotherapy and medication treatments for PTSD considered to have the most evidence for effectiveness. While both SSRI and PE have demonstrated efficacy, there are significant individual differences in clinical responses to both treatments. To achieve best clinical outcomes and to utilize available treatment most effectively, it is critical to examine how PTSD and related psychopathology and functional impairment change with these treatments alone and in combination. Further, in order to inform clinical practice, we plan to examine psychological and neurobiological predictors of response to treatment and mechanisms of change during treatment (pre to post treatment change) based on previously identified predictors, including emotion regulation and processing with fMRI in response to emotional challenge tasks, DNA and mRNA (pre and post treatment), and cortisol response to awakening. The primary activity and focus this year has been on recruitment and retention. We obtained funding to expand to 2 new CBOCs that are under the coverage of current IRBs. We were also approved for a 1-year no cost extension. Completion of study research and treatment protocol is our primary focus for the coming year. As of 12/21/15, we have recruited and randomized 203 Veterans and 92 Veterans have completed the Week 52 final study assessment visit.

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Document Details

Document Type
Technical Report
Publication Date
Dec 01, 2015
Accession Number
AD1002983

Entities

People

  • A. M. Rogers
  • Anthony P King
  • Benjamin Kovachy
  • Brian Martis
  • Carolyn Allard
  • Hugh Myrick
  • Israel Liberzon
  • Katherine Porter
  • Linette Dubois
  • Luan Phan
  • Margaret R. Venners
  • Mark Hamner
  • Mark West
  • Michelle Pompei
  • Murray B. Stein
  • Naomi Simon
  • Peter W Tuerk
  • Ron Acierno
  • Sheila A. Rauch
  • Sonya B Norman

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Abstracts
  • Afghanistan Conflict
  • Antidepressants
  • Biomedical Research
  • Contracts
  • Cortisol
  • Delivery Of Health Care
  • Department Of Defense
  • Diseases And Disorders
  • Health Services
  • Iraqi-War
  • Law
  • Psychotherapy
  • Public Health
  • Therapy
  • Training
  • Universities

Fields of Study

  • Medicine
  • Psychology

Readers

  • Mental Health of Military Veterans with Posttraumatic Stress Disorder (PTSD): Risk Factors, Prevalence, Symptoms, and Treatment.
  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.