Post-Traumatic Stress Disorder, Depression
Conditions
Keywords
Major Depression, Trauma, Primary Care, Low-Income Patients
Brief summary
This study will assess the acceptability and effectiveness of a six-session, modular, repeating group for low-income women who have symptoms of depression and/or post-traumatic stress disorder following interpersonal trauma exposure.
Detailed description
The aim of this study is to assess the acceptability and effectiveness of a six-session, modular, repeating group for low-income women who have symptoms of depression and/or post-traumatic stress disorder (PTSD) following interpersonal trauma exposure. Group participants will be recruited from public sector/safety net primary care clinics. Study participants will be randomized to immediate or delayed treatment. Participants in both conditions will receive information about PTSD and depression, in the form of a brochures and a DVD about trauma and its emotional consequences. Groups will be comprised of three components at each meeting: psycho-education, current relationship issues, and coping skills. Each group session will focus on a different aspect of education. Next, relationship difficulties typically associated with the symptoms discussed in that module will be addressed, and there will be group discussion about participants' relationship difficulties. Each group will end with the therapist teaching a coping skill that fits with the issues discussed earlier. Participants will be free to attend any of the sessions they missed during the first group when the group repeats. Participants in the delayed condition will be able to attend the groups after a 12-week waiting period. Assessments of PTSD, depression, functioning, and quality of life will be conducted at three time points: baseline (prior to the start of the group), 12 weeks after the start of the group, and 6 months from the start of the group. Gift cards will be sent to the women for completing each of the assessments.
Interventions
BEHAVIORALGroup Intervention for Interpersonal Trauma
Participants will receive information about PTSD and depression, in the form of a brochures and a DVD about trauma and its emotional consequences. Groups will be comprised of three components at each meeting: psycho-education, current relationship issues, and coping skills. Each group session will focus on a different aspect of education. Next, relationship difficulties typically associated with the symptoms discussed in that module will be addressed, and there will be group discussion about participants' relationship difficulties. Each group will end with the therapist teaching a coping skill that fits with the issues discussed earlier.
OTHERInformation only
Participants will receive information about PTSD and depression, in the form of a brochures and a DVD about trauma and its emotional consequences.
Sponsors
National Institute of Mental Health (NIMH)
Georgetown University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Exposure to an interpersonal traumatic event * Diagnosis of depression or PTSD (threshold or subthreshold) * Functional literacy
Exclusion criteria
* Apparent incoherence or disorientation * Apparent intoxication at recruitment * Hearing impairment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| PTSD checklist | Measured at baseline, Week 12, and Month 6 |
| Hamilton Depression Inventory | Measured at baseline, Week 12, and Month 6 |
Secondary
| Measure | Time frame |
|---|---|
| Inventory of Interpersonal Problems | Measured at baseline, Week 12, and Month 6 |
| Health care utilization | Measured at baseline, Week 12, and Month 6 |
Countries
United States
Outcome results
None listed