A Double Blind Trial of Divalproex Sodium for Affective Lability and Alcohol Use Following Traumatic Brain Injury

Abstract

A large and under-recognized sub-set of patients suffer from both traumatic brain injury (TBI) and alcohol abuse/dependence (AA/D). This group appears to use alcohol to self-treat fronto-limbic disinhibition, expressed clinically as affective lability, following TBI. This often results in AA/D and worsens TBI prognosis. The primary study hypothesis states that symptom frequencies of frontolimbic disinhibition, expressed as affective lability, will decrease significantly in TBI subjects treated with divalproex sodium, a mood stabilizing medication, as compared to placebo. To test the primary hypothesis, we propose an 8 week, double-blind, randomized, controlled trial comparing divalproex sodium to placebo in 50 subjects-25 per group--who suffer from both TBI and AA/D. Subjects will be recruited through the initiating site located at the Department of Veterans Affairs Medical Center, Denver. Final approval from multiple review bodies was granted on September 15, 2009, four months longer than anticipated. Active subject recruitment began on that date. There are no results to report at this time.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2009
Accession Number
ADA515168

Entities

People

  • Thomas P. Beresford

Organizations

  • Denver Research Institute

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Anticonvulsants
  • Biomedical Research
  • Brain Injuries
  • Department Of Veterans Affairs
  • Depression
  • Diseases And Disorders
  • Drug Abuse
  • Governments
  • Health Services
  • Iraqi-War
  • Medical Personnel
  • Mood Disorders
  • Physical Disabilities

Fields of Study

  • Medicine

Readers

  • Clinical Trial Research.
  • Materials Science.
  • Neurotrauma and Rehabilitation Medicine.