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A Comparison of Cognitive Processing Therapy (CPT) Versus Present Centered Therapy (PCT)for Veterans

This study is not yet open for participant recruitment.
Verified by Department of Veterans Affairs, July 2008

Sponsored by: Department of Veterans Affairs
Information provided by: Department of Veterans Affairs
ClinicalTrials.gov Identifier: NCT00607815
  Purpose

The purpose of this study is to compare the effectiveness of Cognitive Processing Therapy (CPT) versus Present Centered Therapy (PCT) for male OEF/OIF veterans with combat related PTSD.


Condition Intervention
PTSD
Behavioral: Cognitive Processing Therapy
Behavioral: Present Centered Therapy

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Randomized, Single Blind (Outcomes Assessor), Active Control, Parallel Assignment, Efficacy Study
Official Title:   A Comparison of CPT vs PCT for Veterans

Further study details as provided by Department of Veterans Affairs:

Primary Outcome Measures:
  • PTSD [ Time Frame: Reduction in symptoms at the end of treatment ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Depression [ Time Frame: Reduction in symtoms at the end of treatment ] [ Designated as safety issue: No ]

Estimated Enrollment:   80
Study Start Date:   September 2008
Estimated Study Completion Date:   October 2011
Estimated Primary Completion Date:   June 2011 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
1: Active Comparator
Cognitive Processing Therapy
Behavioral: Cognitive Processing Therapy
CPT is a highly structured protocol in which the client learns the skill of recognizing and challenging dysfunctional cognitions, first about the worst traumatic event and then later with regard to the meaning of the events for current beliefs about self and others.
2: Active Comparator
Present Centered Therapy
Behavioral: Present Centered Therapy
Present centered therapy is a supportive counseling model developed by Drs. Foa and Shea.The treatment is called "present centered therapy" to 1) emphasize the need to focus on the participant's current life and 2) to conceptualize the problems as being caused by PTSD, and in some cases they may have been present for a long period of time. The treatment makes a connection between PTSD and current problems thus making it a more realistic PTSD treatment and still allowing PCT to control for nonspecific therapeutic factors

Detailed Description:

The purpose of this study is to compare the effectiveness of Cognitive Processing Therapy (CPT) versus Present Centered Therapy (PCT) for male OEF/OIF veterans with combat related PTSD.

CPT has been shown to be effective in treating trauma survivors in several treatment outcome studies, but utility with veterans has only been examined with male veterans in one small pilot study. In addition CPT has never been compared to a treatment as usual or supportive psychotherapy condition to control for the specific and nonspecific elements of treatment. Although Cognitive Processing Therapy is one of the main treatment modalities at several VA's, including Cincinnati, it has never been compared to PCT, nor has it been used in a large, randomized study of male OEF/OIF veterans. It is hypothesized that individual receiving CPT will show a larger reduction in posttraumatic stress disorder and related symptoms than those individuals receiving PCT.

All male OEF/OIF veterans will be screened for their appropriateness for the study by phone screen and then by an assessment technician. The veteran will be assessed at pre, post, 3-month, and 1-year follow-up. The veteran will be paid $50 for each assessment. The assessment technicians will be blind to the participant's condition. CPT is a 12 week long individual psychotherapy treatment shown to be effective at reducing PTSD and related symptoms for survivors of various types of traumas, including combat. PCT is a supportive counseling treatment that has been utilized as an alternative to waitlist control in VA cooperative studies of PTSD.

  Eligibility
Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  • PTSD;
  • memory of the trama;
  • able to read/write;
  • must be stable on medication for 3 months

Exclusion Criteria:

  • Psychosis;
  • suicidal/homicidal intent;
  • alcohol/substance dependence;
  • no memory of the trauma;
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00607815

Contacts
Contact: Kathleen Chard, PhD     (513) 861-3100 ext 6741     kathleen.chard@va.gov    
Contact: Ryan Faulkner, PsyD     (859) 572-6238     Ryan.Faulkner@va.com    

Locations
United States, Ohio
VA Medical Center, Cincinnati    
      Cincinnati, Ohio, United States, 45220

Sponsors and Collaborators

Investigators
Principal Investigator:     Kathleen Chard, PhD     Cincinnati VA Medical Center    
  More Information


Responsible Party:   Department of Veterans Affairs ( Chard, Kathleen - Principal Investigator )
Study ID Numbers:   MHBA-007-07F
First Received:   February 4, 2008
Last Updated:   July 9, 2008
ClinicalTrials.gov Identifier:   NCT00607815
Health Authority:   United States: Federal Government

Keywords provided by Department of Veterans Affairs:
PTSD  
OEF/OIF  
Combat  
Treatment  
CPT
PCT
Cognitive

ClinicalTrials.gov processed this record on November 06, 2008




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