Posttraumatic Stress Disorder, PTSD
Conditions
Keywords
Women, PTSD, Group Therapy, Incarceration
Brief summary
The goal of the study is to evaluate the efficacy of a two therapeutic models designed to enhance women's skills for managing reactive emotions in their current lives as well as to educate them about how using these skills can enhance their personal effectiveness and help them to gain control of post-traumatic stress reactions. The interventions adaptations of a manualized psychotherapy that has shown promise with adults with complex Posttraumatic Stress Disorder (PTSD) (Trauma Affect Regulation: Guide for Education and Therapy; TARGET) compared to a supportive group therapy (SGT) that has been found to have modest benefits with women survivors of childhood abuse (Wallis, 2002).
Detailed description
In a randomized treatment design, we will compare offenders receiving skills-based intervention (TARGET) and those receiving a similar amount of supportive intervention (SGT). We will assess the efficacy of treatment by determining if those receiving the TARGET skills training show an improvement in functionality, as compared to those receiving only supportive intervention. We will measure this by analyzing PTSD symptoms, psychological distress, psychosocial functioning, and social/legal adjustment and services using structured interviews, self-report questionnaires and qualitative questions. Questionnaires are listed below in the outcome measure's section. We will collect follow-up data on program participants who successfully finish the program at York. For those offenders who discharge into the community directly from York, we will collect follow-up data on program participants through CDOC Parole or Probation records. Statistically we anticipate a medium effect size difference between the treatment conditions.
Interventions
Sponsors
UConn Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Incarcerated, release not expected within 6 months * Probable PTSD on PC-PTSD screen and PTSD by CAPS interview
Exclusion criteria
* Clinically significant psychopathy (PCL-SV severe range) * Unable to comprehend study materials (Mini-Mental Status Exam Orientation, Attention, and Recall sections total score \<15).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| PTSD | Post-therapy (within 2 weeks) | PTSD symptom severity, Clinician Administered PTSD Scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Emotion Regulation | Post-therapy (within 2 weeks) | Negative Mood Regulation Scale |
| Trauma-related symptoms | Post-therapy (within 2 weeks) | Trauma Symptom Inventory (TSI; Briere, 1995). The TSI is a reliable and validated 100-item measure that generates composite scores for trauma (PTSD symptoms), self (self-regulation problems), and dysphoria (depression, anxiety, anger symptoms). |
| Mental health symptoms, well-being, and self-harm | Post-therapy (within 2 weeks) | CORE-OM is a 34-item self-report measure reliably and validly assessing current psychiatric symptom severity, risk of harm to self or others, social functioning, and subjective well being |
| Trauma-related Symptoms | 3-4 Month Post-therapy Follow-up | Trauma Symptom Inventory |
Countries
United States
Outcome results
None listed