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Improving Psychosocial Functioning in Older Veterans With PTSD

Sponsored by VA Office of Research and Development

Phase Quota
Phase 0

The purpose of this project is to develop an intervention to improve psychosocial functioning and quality of life for older Veterans with partial and full PTSD.

Study Start Date: November 2017

Estimated Completion Date: November 2021

Specialties: Internal Medicine: Geriatrics,Psychiatry Nursing: Community Health,Geriatrics,Mental Health Psychiatry: Anxiety Family Medicine: Geriatrics,Psychiatry Nurse Practitioner: Community Health,Geriatrics,Mental Health

Interventions

  • Behavioral: Psychosocial intervention
  • Behavioral: Support group control

Inclusion criteria

  • Focus groups:
    • Veterans need to be at least 60 years old to be eligible to participate in the focus groups
    • Potential participants will be assessed with the PTSD module of the Structured Clinical Interview for DSM Disorders (SCID) prior to being invited to participate
    • Inclusion criteria include endorsement of a military-related criterion A event, at least one intrusion symptom (cluster B), one symptom of avoidance (cluster C), one symptom related to negative alterations in cognit60ion or mood (cluster D), and one symptom related to alterations in arousal or reactivity (cluster E; DSM-5)
  • Pilot:
    • Veterans need to be at least 60 years old to be eligible to participate in the study
    • Potential participants will be assessed with the PTSD questions from the SCID prior to being invited to participate
    • Inclusion criteria include endorsement of a military-related criterion A event, at least one intrusion symptom (cluster B), one symptom of avoidance (cluster C), one symptom related to negative alterations in cognition or mood (cluster D), one symptom related to alterations in arousal or reactivity (cluster E), and report of impairment in functioning (cluster G; DSM-5)
  • Comparison:
    • Veterans need to be at least 60 years old to be eligible to participate in the study
    • For both intervention and support groups, participants (who will be assessed with the PTSD questions from the SCID prior to being invited to participate), must endorse a military-related criterion A event, at least one intrusion symptom (cluster B), one symptom of avoidance (cluster C), one symptom related to negative alterations in cognition or mood (cluster D), one symptom related to alterations in arousal or reactivity (cluster E), and report of impairment in functioning (cluster G; DSM-5)

Exclusion criteria

  • Focus groups:
    • Veterans who are diagnosed with a psychotic disorder or have psychotic symptoms, have been hospitalization for suicidal ideation or psychosis within the past year, or have a diagnosis of dementia or other severe cognitive disorder
    • Potential participants will also be excluded if they do not agree to be audio recorded
  • Pilot:
    • Veterans who are in current treatment for PTSD, are diagnosed with a psychotic disorder or have psychotic symptoms, have been hospitalization for suicidal ideation or psychosis within the past year, or have a diagnosis of dementia or other severe cognitive disorder
    • Veterans will be asked not to join therapy groups or other interventions for the duration of their participation in the study
    • Potential participants will also be excluded if they do not agree to be audio recorded
  • Comparison:
    • Veterans who are in current treatment for PTSD, are diagnosed with a psychotic disorder or have psychotic symptoms, have been hospitalization for suicidal ideation or psychosis within the past year, or have a diagnosis of dementia or other severe cognitive disorder
    • Veterans will be asked not to join therapy groups or other interventions for the duration of their participation in the study
    • Potential participants will also be excluded if they do not agree to be audio recorded
    • In addition, Veterans who participated in the pilot phase of the study will be excluded from participating in the comparison condition phase

Study Locations And Contact Information

  • VA Boston Healthcare System Jamaica Plain Campus Jamaica Plain MA, Boston Massachusetts
    Contact: Maria Higgins 857-364-4802 maria.higgins@va.gov

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