Post-traumatic stress disorder (PTSD)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Pathologically confirmed GI malignancy (stage I–III), age 18–75 yrs, KPS>=70, scheduled for elective surgery; 2. CAPS-5 total score=23 (moderate or greater PTSD symptoms); 3. Psychiatric medication stable=3 months if applicable; 4. Able to use electronic follow-up devices; 5. Signed informed consent, voluntary participation.
Exclusion criteria
Exclusion criteria: 1. Refusal to participate; 2. Allergy to amide local anesthetics; 3. Pregnancy or lactation; 4. SGB contraindications: coagulopathy, local infection, severe COPD, acute MI, glaucoma, etc.; 5. Anatomical abnormalities: cervical deformity, prior neck surgery/trauma, tumor involvement near SG; 6. Undergoing SGB; 7. Previous SGB without response; 8. Schizophrenia or other severe psychiatric disorders; 9. Moderate-to-severe traumatic brain injury; 10. Moderate-to-severe substance use disorder within 30 days.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recruitment completion rate;Intervention completion rate;12-week follow-up rate;Treatment-related SAE rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Change in CAPS-5 Total Symptom Severity Score (TSSS);Response Rate (MCID);Remission Rate (Primary Definition);Group Differences in CAPS-5 TSSS;Depression (BDI-II);Anxiety (GAD-7);Quality of Life (WHOQOL-BREF);Sleep Quality (PSQI);Social Functioning (SASS);Remission Rate (Exploratory Threshold);Incidence of Horner’s sign;Incidence of all adverse events; | — |
Countries
China
Contacts
The First Affiliated Hospital of Fujian Medical University