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| Name | Class |
|---|---|
| University of Bergen | OTHER |
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Post-traumatic stress disorder (PTSD) is a prevalent and disabling condition. Trauma-focused psychotherapy, including cognitive behavioural therapy (CBT), are among the recommended first-line treatment alternatives. However, a substantial proportion of patients decline, drop-out or do not respond to current psychotherapies. Previous research suggests that intensive or concentrated formats of trauma-focused psychotherapy can lead to faster recover and lower attrition, but there are currently few studies of these approaches. The current study will investigate the acceptability. treatment satisfaction and preliminary changes in symptoms after four consecutive days of concentrated CBT for PTSD.
The study will investigate the research questions in three stages. In the first stage four patients will be treated individually. In the second stage two groups of four patients will be treated, with at least a 1:1 ratio between therapists and patients per group. In the third stage 30 patients will be treated in groups of about four patients per group, with at least a 1:1 ratio between therapists and patients per group. The primary outcome measure is changes in PTSD-related symptoms as measured using the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5). Acceptability will be measured as the proportion of patients accepting treatment when offered, while attrition is measured as the proportion of patients that withdraw from treatment after it has started. Several other measures will be collected to measure treatment satisfaction, related symptoms, and functional impairment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Individual therapy over four consecutive days | Treatment will be delivered individually over four consecutive days |
| |
| Combined Individual and group therapy over four consecutive days | Treatment will be delivered in a mix of individual and group sessions over four consecutive days |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Concentrated cognitive behavioral therapy | Behavioral | A psychological intervention consisting of psychoeducation and exposure therapy with the goal of changing the tolerability and negative interpretations of post-traumatic symptoms. The treatment is tailored to the individual patient through all stages, including relapse prevention and planning how to use treatment principles in daily life |
| Measure | Description | Time Frame |
|---|---|---|
| Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) | Clinician-administered interview to diagnose and the severity of PTSD | Change in scores from before treatment to one week after treatment |
| Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) | Clinician-administered interview to diagnose and the severity of PTSD | Change in scores from one week after treatment to three months after treatment |
| Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) | Clinician-administered interview to diagnose and the severity of PTSD | Change in scores from three months after treatment to twelve months after treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Client Satisfaction Questionnaire 8 (CSQ-8) | Patient-rated questionnaire of treatment satisfaction | One week after treatment |
| Client Satisfaction Questionnaire 8 (CSQ-8) | Patient-rated questionnaire of treatment satisfaction |
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Inclusion Criteria:
Exclusion Criteria:
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Adult patients with PTSD recruited from clinics and popular media referred to Clinic for 4-Day Treatment at Haukeland University Hospital, Bergen, Norway
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Anders L Thorsen, PhD | Contact | 90367617 | +47 | anders.lillevik.thorsen@helse-bergen.no |
| Name | Affiliation | Role |
|---|---|---|
| Anders L Thorsen, PhD | Haukeland University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Haukeland University Hospital | Recruiting | Bergen | Vestland | 5021 | Norway |
Sharing of IPD is not planned
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| ID | Term |
|---|---|
| D013313 | Stress Disorders, Post-Traumatic |
| ID | Term |
|---|---|
| D040921 | Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D013812 | Therapeutics |
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| Three months after treatment |
| Client Satisfaction Questionnaire 8 (CSQ-8) | Patient-rated questionnaire of treatment satisfaction | Twelve months after treatment |