Posttraumatic Stress Disorder
Conditions
Keywords
Dialectical Cognitive Therapy, Clinical Psychology
Brief summary
The purpose of this study is to determine whether Dialectical Cognitive Traumatherapy is effective in the treatment of severe and chronic Posttraumatic Stress Disorder (PTSD) following childhood sexual abuse.
Detailed description
Most studies on psychological treatments for PTSD exclude patients with severe, co-occurring psychopathology. We designed a new treatment (Dialectical Cognitive Trauma Therapy, or DCT) specifically to treat these patients. DCT includes elements of emotion regulation, mindfulness exercises, cognitive and exposure treatment, as well as new elements. This randomized controlled study evaluates the effect of inpatient DCT on these patients.
Interventions
Dialectical Behavior Therapy in Combination with Traumafocused CBT
Sponsors
Study design
Eligibility
Inclusion criteria
* Female * Minimum age of 17 * Childhood sexual abuse * Posttraumatic Stress Disorder (criteria of SCID) * At least one of the following diagnoses: Anorexia Nervosa, or Bulimia Nervosa, or substance abuse, or substance dependence, or major depression or at least 4 out of 9 criteria for Borderline Personality Disorder
Exclusion criteria
* Diagnosis of schizophrenia * Mental retardation * Body Mass Index lower than 16.5 * Acute delirium * Perilous selfharming behaviour during the last 4 month * Suicide attempt with the distinct intention to die during the last 4 month * Unstability (e.g. homelessness, acute victimisation by offender) * Pretreatment by DCT
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| PTSD Symptoms (CAPS, SCID, PDS, IESR) | 1.5 years |
Secondary
| Measure | Time frame |
|---|---|
| general psychopathology | 1.5 years |
| change of pain threshold | 1.5 years |
| fMRI: activity of the amygdala | 6 months |
Countries
Germany