Pilot Study of CART Treatment for Chronic Anger and Aggression After Military Betrayal in Active Duty and Veterans

What this Trial Is About

Researchers are evaluating a new treatment designed to address anger and aggression stemming from military-related betrayal among active duty military service members and veterans aged 18 and older. This study aims to determine whether participants find the treatment satisfactory and if it is practical to deliver in a military outpatient setting. The study will compare groups with different wait times before treatment to explore how timing affects outcomes. Participants will be randomly assigned to one of three groups with wait times of 2, 3, or 4 weeks before starting the treatment. The treatment, called Countering Chronic Anger and Aggression Related to Trauma and Transgressions CART, involves 14 therapy modules delivered twice a week. Sessions are conducted face-to-face at the STRONG STAR offices or through secure telebehavioral health methods when necessary. During the wait period, participants complete brief assessments twice weekly and have weekly check-in calls with their therapist. During treatment, participants continue regular assessments before each session to measure anger, aggression, and social interactions. After treatment, they complete follow-up surveys and interviews about a month later. The study measures outcomes including satisfaction with the treatment, levels of anger and aggression, interpersonal problems, and psychosocial functioning. Participation may last from the initial wait period through about 18 weeks after starting the study.

Treatment of Chronic Anger and Aggression Following Military-Related Betrayal