Status:

COMPLETED

Positive Processes and Transition to Health

Lead Sponsor:

Case Western Reserve University

Collaborating Sponsors:

University of Washington

University of Delaware

Conditions:

Major Depressive Disorder

Post Traumatic Stress Disorder

Eligibility:

All Genders

18-65 years

Phase:

NA

Brief Summary

The R61 will be an open trial to determine if Positive Processes and Transition to Health (PATH) engages the proposed targets: unproductive processing, avoidance, and reward deficits in a sample of 45...

Detailed Description

Evidence-based psychotherapies for posttraumatic stress disorder (PTSD) and depression consistently produce strong, clinically meaningful effects for many individuals. However, these interventions als...

Eligibility Criteria

Inclusion

  • Destabilizing life event involving profound loss or threat, with a minimum duration of 12 weeks since the event, but occurred within the last 5 years.
  • Between the ages of 18 and 65.
  • Elevated target: Scores of at least moderate (1 or higher) on at least 2 of the 3 target mechanisms: re- experiencing or ruminative processing of the destabilizing event (PSS-I items: 1, 2, 3, 4 or QIDS-C item 11), avoidance (PSS-I items 6, 7, 8), or reward deficits (PSS-I items 12, 13, or QIDS-C item 13).

Exclusion

  • Current diagnosis of schizophrenia, delusional disorder, or organic mental disorder as defined by DSM-5.
  • Current diagnosis of bipolar disorder, depression with psychotic features, or depression severe enough to require immediate psychiatric treatment (i.e., serious suicide risk with intent and plan).
  • Severe self-injurious behavior or suicide attempt within the previous three months.
  • Unwilling or unable to discontinue current cognitive behavioral psychotherapy.
  • No clear memory of the destabilizing event or event occurred before age 3.
  • Unstable dose of psychotropic medications in prior 3 months.
  • Ongoing intimate relationship with the perpetrator (in assault related event).
  • Current diagnosis of a substance use disorder (DSM-5).

Key Trial Info

Start Date :

October 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 30 2023

Estimated Enrollment :

45 Patients enrolled

Trial Details

Trial ID

NCT04678232

Start Date

October 1 2021

End Date

June 30 2023

Last Update

October 30 2024

Active Locations (3)

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Page 1 of 1 (3 locations)

1

University of Delaware

Newark, Delaware, United States, 19716

2

Case Western Reserve University

Cleveland, Ohio, United States, 44106

3

University of Washington

Seattle, Washington, United States, 98195