Randomized Controlled Trial of Sertraline, Prolonged Exposure Therapy and their Combination in OEF/OIF Combat Veterans 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. Start-up activities were completed in 2012Q1 and the primary activity and focus is this year has been on recruitment. To date, we have recruited and randomized 45 Veterans.

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Document Details

Document Type
Technical Report
Publication Date
Dec 01, 2012
Accession Number
ADA568163

Entities

People

  • Andrew Defever
  • Antony King
  • Brian Martis
  • Carolyn Allard
  • Israel Liberzon
  • Luan Phan
  • Margaret R. Venners
  • Murray B. Stein
  • Rebecca Mayer
  • Sheila A. Rauch

Organizations

  • University of Michigan

Tags

DTIC Thesaurus Topics

  • Afghanistan Conflict
  • Anxiety Disorders
  • Biomedical Research
  • Delivery Of Health Care
  • Department Of Defense
  • Diseases And Disorders
  • Health Services
  • Iraqi-War
  • Laboratory Procedures
  • Monitoring
  • Psychotherapy
  • Public Health
  • Reliability
  • Therapy
  • Training
  • Traumatic Stress Disorder
  • 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.