A Randomized, Double-Blind, Placebo-Controlled Trial of Doxazosin for Nightmares, Sleep Disturbance, and Non-Nightmare Clinical Symptoms in Post-Traumatic Stress

Abstract

Posttraumatic Stress (PTS) is a condition that may develop after highly stressful life events and affects 8-10 percent of adults in the U.S. civilian population and up to 30 percent of soldiers exposed to combat. We are conducting a randomized, double-blind, placebo-controlled trial design to more definitively demonstrate doxazosins clinical benefits for PTS nightmares, non-nightmare sleep disturbance, and overall PTS symptoms. To assess the effects of doxazosin on the main outcome of interest, PTS nightmares, eligibility will be based on the presence of PTS nightmares in the setting of full- or partial-syndromal PTS. We areusing flexible dose design of doxazosin with a 4-week titration phase followed by a 4-week steady-dose phase. The primary scientific aims of our study are as follows: (1) To assess the effects of doxazosin, in comparison to placebo, on sleep disturbance and clinical symptoms of PTS through measures of nightmares, subjective sleep quality, and non-nightmare PTS symptoms, in adult men and women with chronic PTS; (2) To examine the effects of doxazosin on an objective measure of sleep/wake activity in adult men and women with chronic PTS; (3) To examine the effects of doxazosin, as compared to placebo, on depression symptoms, sexual health, and overall quality of life.

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Document Details

Document Type
Technical Report
Publication Date
Jul 01, 2020
Accession Number
AD1105422

Entities

People

  • Anne Richards

Organizations

  • Northern California Institute for Research and Education

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  • Cardiovascular Physiological Phenomena
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Fields of Study

  • Psychology

Readers

  • Circadian Sleep-Wake Regulation and Chronobiology
  • Mental Health of Military Veterans with Posttraumatic Stress Disorder (PTSD): Risk Factors, Prevalence, Symptoms, and Treatment.