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Behavioral Treatments for Acute Stress Disorder In Firefighters
This study is ongoing, but not recruiting participants.
First Received: September 13, 2005   Last Updated: July 31, 2006   History of Changes
Sponsored by: National Institute of Mental Health (NIMH)
Information provided by: National Institute of Mental Health (NIMH)
ClinicalTrials.gov Identifier: NCT00183508
  Purpose

This study will develop a treatment for firefighters experiencing symptoms of acute stress disorder (ASD). Effective treatments may reduce immediate symptoms and prevent the development of more chronic conditions, such as post-traumatic stress disorder (PTSD).


Condition Intervention
Stress Disorders, Post-Traumatic
Behavioral: Cognitive behavioral therapy
Behavioral: Psychoeducation

MedlinePlus related topics: Post-Traumatic Stress Disorder
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Official Title: Developing Group Treatments for Acute Stress Disorder

Further study details as provided by National Institute of Mental Health (NIMH):

Primary Outcome Measures:
  • ASD symptoms

Estimated Enrollment: 200
Detailed Description:

Exposure to traumatic events has reached unprecedented proportions in American society, and the rates of PTSD have risen significantly, particularly among populations with repetitive exposure to critical incidents. The continued threat of attacks against Americans warrants development of preventive interventions to reduce the occurrence of PTSD and its precursor, ASD. This study will determine the effectiveness of a preventive treatment in urban firefighters who have experienced a traumatic event.

Firefighters will undergo an initial assessment that will include an interview and self-report questionnaires to measure depression, anxiety, coping skills, social support, physical health, and work functioning. Following the occurrence of a traumatic work-related event, firefighters will be reassessed. The post-incident assessment will consist of self-report questionnaires that assess ASD symptoms.

Participants who display ASD symptoms will be randomly assigned to one of two groups: the first group will learn cognitive behavioral strategies for symptom reduction, and the second group will receive psychoeducation regarding common reactions to traumatic events. Participants' treatment will last for 12 weeks. Participants will have follow-up assessments 1 and 3 months after the interventional part of the study. Assessments will include clinical scales and interviews.

  Eligibility

Ages Eligible for Study:   21 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Currently an active duty, nonofficer member of a Boston area fire department
  • Willing and able to comply with all study requirements

Exclusion Criteria:

  • Pregnancy or plan to become pregnant during the study
  • Plan to relocate within 2 months of study entry
  • Psychotic symptoms within 30 days prior to study entry
  • Experiencing severe depression at study entry OR having suicidal thoughts within 30 days prior to study entry
  • Evidence of severe organic impairment that would interfere with participation in the study
  • Current alcohol or substance dependence
  • Currently awaiting outcome of a court case involving exposure to traumatic events through the fire department
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00183508

Locations
United States, Massachusetts
Boston Veterans Healthcare System
Boston, Massachusetts, United States, 02114
Sponsors and Collaborators
Investigators
Principal Investigator: Rose T. Zimering, PhD Boston Veterans Healthcare System
  More Information

No publications provided

Study ID Numbers: R21 MH64584, DATR AD-TS
Study First Received: September 13, 2005
Last Updated: July 31, 2006
ClinicalTrials.gov Identifier: NCT00183508     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Institute of Mental Health (NIMH):
PTSD
Occupational Health
Trauma
Job
CBT

Study placed in the following topic categories:
Anxiety Disorders
Mental Disorders
Wounds and Injuries
Stress Disorders, Post-Traumatic
Stress
Stress Disorders, Traumatic, Acute
Stress Disorders, Traumatic

Additional relevant MeSH terms:
Pathologic Processes
Disease
Anxiety Disorders
Mental Disorders
Stress Disorders, Post-Traumatic
Stress
Stress Disorders, Traumatic, Acute
Stress Disorders, Traumatic

ClinicalTrials.gov processed this record on May 07, 2009