Modular Patient Centred CBT for Danish Veterans With Complex PTSD (MPC)
Complex Post-Traumatic Stress Disorder
About this trial
This is an interventional treatment trial for Complex Post-Traumatic Stress Disorder focused on measuring CBT; Modular therapy; pilot randomized controlled study
Eligibility Criteria
Inclusion Criteria:
- Meets the diagnostic criteria for CPTSD, assessed with the ITQ
- Danish veteran (cf. the Veteran Policy of Denmark )
- Seeks help at the Military Psychology Department, Danish Veterans Centre, for deployment-related psychological issues
Exclusion Criteria:
- Severely suicidal
- Current alcohol or drug abuse that prevents treatment
- Blast injuries or current severe attention disorder
- Has received psychotherapeutic treatment in the past three months
- Is participating in another research project that interferes with this study
Sites / Locations
- Danish Veterans Centre, Aalborg KasernerRecruiting
- Danish Veterans Centre, Garderkasernen
- Danish Veterans Centre, Svanemoellen KaserneRecruiting
- Danish Veterans Centre, Ryes KaserneRecruiting
- Danish Veterans Centre; Ringsted KaserneRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Modular Patient Centred CBT (MPC) for CPTSD
Modular CBT for CPTSD without co-decision
MPC (Folke, Friis, Thomsen & Roitmann, 2020) is a treatment programme consisting of up to 32 therapy sessions broken down by five treatment modules (each consisting of six sessions). Prior to the treatment modules, the client completes an intro module (two sessions) focusing on psyhoeducation on CPTSD, individual case formulation and introduction to the further treatment programme. After the intro module (and after each treatment module), the client and therapist jointly decide which treatment module to proceed with based on 'co-decision'. The treatment modules directly address the symptoms of CPTSD: 1) Affect dysregulation, 2) Disturbed relationships, 3) Negative self-concept, 4) PTSD symptoms, and 5) Insomnia and trauma-related nightmares. Each treatment module is structured in such a way that it can be offered alone and independently of the other modules.
Because the study investigates a potentially beneficial effect of including the client directly in treatment decisions (by having the client determine the order of treatment modules together with the therapist), the patient-centred version of the treatment is compared with a control treatment, where the five treatment modules are delivered in a predefined order. The control treatment thus consists of the same treatment components as described above. It is only the aspect of co-decision that has been taken out. Instead, the therapist will just inform the client about the order of treatment modules in the programme. The order of treatment modules in the control treatment will be: 1) Affect dysregulation (6 sessions), 2) Disturbed relationships (6 sessions), 3) Negative self-concept (6 sessions), 4) PTSD symptoms (6 sessions) and 5) Insomnia and trauma-related nightmares (6 sessions).