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The Role of Computerized Training in Post-Traumatic Stress Disorder

Primary Purpose

Post-Traumatic Stress Disorder

Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
Cognitive Bias Modification of Appraisals (CBM-App)
Peripheral Vision Task (control condition)
Sponsored by
Ruhr University of Bochum
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Post-Traumatic Stress Disorder

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Primary diagnosis of Post-Traumatic Stress Disorder according to ICD-10 (F43.1), and DSM-5 (as assessed via Clinician Adminstered PTSD Scale for DSM-5)
  • motivated and willing to take part in the study (including questionnaire measures, computer training, filling out questionnaires after discharge)
  • aged 18-60 years, male or female
  • fluent in German

Exclusion Criteria:

  • Substance abuse/ substance dependence currently or in the past six months
  • active suicidal thoughts or intentions
  • psychotic disorder (past or present)
  • learning disability/ intellectual impairment
  • red-green colour blindness

Sites / Locations

  • Clinic for Psychosomatic Medicine and Psychotherapy, LWL University Clinic of Ruhr University of Bochum

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Sham Comparator

Arm Label

Intervention

Control

Arm Description

Computerized Cognitive Bias Modification of Appraisals (CBM-App), developed from that used by Woud et al. (2012,2013). The intervention comprises 8 sessions completed over a period of 2 weeks. The training takes place while participants are also receiving specialized inpatient treatment for PTSD at the Clinic for Psychosomatic Medicine and Psychotherapy, LWL University Clinic of Ruhr University of Bochum.

Computerized Peripheral Vision Task (PVT), developed from that used by Calkins et al. (2015). The intervention comprises 8 sessions completed over a period of 2 weeks. The training takes place while participants are also receiving specialized inpatient treatment for PTSD at the Clinic for Psychosomatic Medicine and Psychotherapy, LWL University Clinic of Ruhr University of Bochum.

Outcomes

Primary Outcome Measures

Dysfunctional trauma-related appraisals as measured using an open-ended ambiguous scenarios task

Secondary Outcome Measures

Dysfunctional trauma-related appraisals as measured using an open-ended ambiguous scenarios task
Post-Traumatic Cognitions Inventory (PTCI)
The PTCI (Foa et al., 1999) is administered asking participants to report on their experience of post-traumatic cognitions in the previous week.
PTSD Checklist for DSM-5 (PCL-5)
The PCL-5 (Weathers et al., 2013; German version by Ehring, Knaevelsrud, Krüger & Schäfer) is administered asking participants to report on their experience of post-traumatic symptoms in the previous week.
Intrusions Questionnaire
The intrusions questionnaire asks participants to report on the frequency and characteristics of intrusive memories of trauma in the preceding week
Trauma Implicit Associations Test (IAT)
As developed by Lindgren et al. (2013)

Full Information

First Posted
February 16, 2016
Last Updated
September 16, 2019
Sponsor
Ruhr University of Bochum
Collaborators
Daimler und Benz Stiftung, Technische Universität Dresden
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1. Study Identification

Unique Protocol Identification Number
NCT02687555
Brief Title
The Role of Computerized Training in Post-Traumatic Stress Disorder
Official Title
The Role of Computerized Training in Post-Traumatic Stress Disorder
Study Type
Interventional

2. Study Status

Record Verification Date
September 2019
Overall Recruitment Status
Completed
Study Start Date
February 2016 (Actual)
Primary Completion Date
January 2019 (Actual)
Study Completion Date
May 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Ruhr University of Bochum
Collaborators
Daimler und Benz Stiftung, Technische Universität Dresden

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine whether a computerized training, "Cognitive Bias Modification" targetting appraisals (CBM-App), can reduce dysfunctional appraisals of trauma in patients with Post-Traumatic Stress Disorder (PTSD), compared to a control condition. Other outcomes measured include symptoms of PTSD and trauma-relevant dysfunctional cognitions. Participants are recruited from inpatients with PTSD admitted to the Clinic for Psychosomatic Medicine and Psychotherapy, LWL University Clinic of Ruhr University of Bochum.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Post-Traumatic Stress Disorder

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
80 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Intervention
Arm Type
Experimental
Arm Description
Computerized Cognitive Bias Modification of Appraisals (CBM-App), developed from that used by Woud et al. (2012,2013). The intervention comprises 8 sessions completed over a period of 2 weeks. The training takes place while participants are also receiving specialized inpatient treatment for PTSD at the Clinic for Psychosomatic Medicine and Psychotherapy, LWL University Clinic of Ruhr University of Bochum.
Arm Title
Control
Arm Type
Sham Comparator
Arm Description
Computerized Peripheral Vision Task (PVT), developed from that used by Calkins et al. (2015). The intervention comprises 8 sessions completed over a period of 2 weeks. The training takes place while participants are also receiving specialized inpatient treatment for PTSD at the Clinic for Psychosomatic Medicine and Psychotherapy, LWL University Clinic of Ruhr University of Bochum.
Intervention Type
Behavioral
Intervention Name(s)
Cognitive Bias Modification of Appraisals (CBM-App)
Intervention Type
Behavioral
Intervention Name(s)
Peripheral Vision Task (control condition)
Primary Outcome Measure Information:
Title
Dysfunctional trauma-related appraisals as measured using an open-ended ambiguous scenarios task
Time Frame
Post-intervention (~ 2 weeks post-baseline)
Secondary Outcome Measure Information:
Title
Dysfunctional trauma-related appraisals as measured using an open-ended ambiguous scenarios task
Time Frame
Baseline, Mid-intervention (~1 week post-baseline), End of inpatient admission (~6 weeks post-baseline), 6 weeks post-discharge, 3 months post-discharge
Title
Post-Traumatic Cognitions Inventory (PTCI)
Description
The PTCI (Foa et al., 1999) is administered asking participants to report on their experience of post-traumatic cognitions in the previous week.
Time Frame
Baseline, Mid-intervention (~1 week post-baseline), Post-intervention (~2 weeks post-baseline), End of inpatient admission (~6 weeks post-baseline), 6 weeks post-discharge, 3 months post-discharge
Title
PTSD Checklist for DSM-5 (PCL-5)
Description
The PCL-5 (Weathers et al., 2013; German version by Ehring, Knaevelsrud, Krüger & Schäfer) is administered asking participants to report on their experience of post-traumatic symptoms in the previous week.
Time Frame
Baseline, Mid-intervention (~1 week post-baseline), Post-intervention (~2 weeks post-baseline), End of inpatient admission (~6 weeks post-baseline), 6 weeks post-discharge, 3 months post-discharge
Title
Intrusions Questionnaire
Description
The intrusions questionnaire asks participants to report on the frequency and characteristics of intrusive memories of trauma in the preceding week
Time Frame
Baseline, Mid-intervention (~1 week post-baseline), Post-intervention (~2 weeks post-baseline), End of inpatient admission (~6 weeks post-baseline), 6 weeks post-discharge, 3 months post-discharge
Title
Trauma Implicit Associations Test (IAT)
Description
As developed by Lindgren et al. (2013)
Time Frame
Baseline, Post-intervention (~2 weeks post-baseline)
Other Pre-specified Outcome Measures:
Title
Hair Cortisol Concentration
Time Frame
Baseline, End of inpatient admission (~6 weeks post-baseline), 3 months post-discharge
Title
Participant Feedback Questionnaire
Time Frame
3 months post-discharge

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Primary diagnosis of Post-Traumatic Stress Disorder according to ICD-10 (F43.1), and DSM-5 (as assessed via Clinician Adminstered PTSD Scale for DSM-5) motivated and willing to take part in the study (including questionnaire measures, computer training, filling out questionnaires after discharge) aged 18-60 years, male or female fluent in German Exclusion Criteria: Substance abuse/ substance dependence currently or in the past six months active suicidal thoughts or intentions psychotic disorder (past or present) learning disability/ intellectual impairment red-green colour blindness
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Marcella L Woud, PhD
Organizational Affiliation
Ruhr University of Bochum
Official's Role
Principal Investigator
Facility Information:
Facility Name
Clinic for Psychosomatic Medicine and Psychotherapy, LWL University Clinic of Ruhr University of Bochum
City
Bochum
State/Province
North Rhine-Westphalia
ZIP/Postal Code
44791
Country
Germany

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
It is planned to make individual participant data available on publication of the associated study results, via a publically-available data repository such as Open Science Framework. Data made available will be the research data reported in the publication, with the exception of any data that could compromise participant anonymity.
Citations:
PubMed Identifier
29961004
Citation
Woud ML, Blackwell SE, Cwik JC, Margraf J, Holmes EA, Steudte-Schmiedgen S, Herpertz S, Kessler H. Augmenting inpatient treatment for post-traumatic stress disorder with a computerised cognitive bias modification procedure targeting appraisals (CBM-App): protocol for a randomised controlled trial. BMJ Open. 2018 Jun 30;8(6):e019964. doi: 10.1136/bmjopen-2017-019964.
Results Reference
derived

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The Role of Computerized Training in Post-Traumatic Stress Disorder

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