Psychophysiologic Predictors of Post-deployment Mental Health Outcomes
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Purpose
The primary objectives of this proposal are to develop objective pre-deployment predictors of PTSD and test two pre-deployment resiliency interventions.
| Condition | Intervention |
|---|---|
|
Post-traumatic Stress Disorder |
Device: heart rate variability biofeedback Device: Cognitive bias modification training Device: Sham Comparator |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | Identification of and At-Risk Interventions for Pre-deployment Psychophysiologic Predictors of Post-deployment Mental Health Outcomes |
- post-traumatic stress symptom severity [ Time Frame: 3- and 12-months post-deployment ] [ Designated as safety issue: No ]
- Depression symptom severity [ Time Frame: 3- and 12-month post-deployment ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 500 |
| Study Start Date: | September 2008 |
| Estimated Study Completion Date: | June 2013 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Biofeedback training
Heart rate variability biofeedback training and iPod with Breath Pacer app
|
Device: heart rate variability biofeedback
Heart rate variability biofeedback, 3 session plus handheld device
|
|
Experimental: Cognitive bias modification training
Cognitive bias modification training and iPod with cognitive bias training app
|
Device: Cognitive bias modification training
Cognitive bias modification training - 3 session plus handheld device
|
|
Sham Comparator: Control Group
No additional resilience training and iPod with no resilience training apps
|
Device: Sham Comparator
Subjects received iPod without a study app and no additional resilience training
|
Detailed Description:
The primary objectives of this proposal are to develop objective pre-deployment predictors of PTSD and test two pre-deployment resiliency interventions. The objective predictors will be based on: 1) physiologic reactivity (heart rate, heart rate variability, eye blink startle, skin conductance) to virtual reality (VR) environments depicting common Operation Iraqi Freedom (OIF) or Operation Enduring Freedom (OEF) combat scenarios and 2) cognitive bias assessment using a recognition memory paradigm. We hypothesize that a model combining physiologic reactivity and cognitive bias predictors will be superior to either the physiologic reactivity or cognitive bias model alone for predicting post-deployment PTSD. We also will test two pre-deployment resiliency interventions: heart rate variability biofeedback and cognitive bias modification training that we have designed to target physiologic and cognitive responses to stress, respectively. We will compare the prevention interventions to a no intervention control group. We hypothesize that the prevalence of post-deployment PTSD will be lower in the intervention groups compared to the control group.
Eligibility| Ages Eligible for Study: | 18 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Army National Guard members who are scheduled to deploy for OIF/OEF operations within the next 12 months, age 18 to 60, and willing to provide the name and phone number of at least one person to help locate the member for the follow-up assessments if necessary.
Exclusion Criteria:
- Implantable pacemaker or cardiac defibrillator
- Unable to wear a virtual reality headset
Contacts and Locations| United States, Virginia | |
| Virginia Army National Guard | |
| Blackstone, Virginia, United States, 23824 | |
| Principal Investigator: | Jeffrey M Pyne, MD | Central Arkansas Veterans Healthcare System |
More Information
No publications provided
| Responsible Party: | Jeffrey Pyne, Research Scientist, Biomedical Research Foundation |
| ClinicalTrials.gov Identifier: | NCT00838006 History of Changes |
| Other Study ID Numbers: | PT074626 |
| Study First Received: | February 4, 2009 |
| Last Updated: | February 6, 2013 |
| Health Authority: | United States: Federal Government |
Keywords provided by Biomedical Research Foundation:
|
post-traumatic stress disorder post-deployment prediction prevention |
Additional relevant MeSH terms:
|
Stress Disorders, Post-Traumatic Stress Disorders, Traumatic Anxiety Disorders Mental Disorders |
ClinicalTrials.gov processed this record on June 18, 2013