Epigenetics of Posttraumatic Stress Disorder and Somatoform Disorders in the Course of Psychotherapy (TREPS)
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Purpose
This reported observational clinical study aims at identifying epigenetic markers in a sample of patients undergoing high dose inpatient psychotherapy suffering from a variety of psychiatric/psychosomatic diseases such as somatoform disorders, posttraumatic stress disorder (PTSD), depression, anxiety disorders and eating disorders.
The exact epigenetic markers that will be traced are yet to define.
The investigators believe that
- Epigenetic patterns found in the group of psychiatric patients show differences from healthy controls
- Different diagnosis show differences in epigenetic patterns as well
- Epigenetic patterns correlate to the severity of the psychosocial disorder as measured in interviews or psychometric ratings
- Epigenetic patterns can change under inpatient high dose psychotherapy
- Changes correlate to clinical psychometric variables.
| Condition | Intervention |
|---|---|
|
Psychiatric Disorder Somatoform Disorders PTSD |
Behavioral: psychotherapy |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
whole blood
| Estimated Enrollment: | 300 |
| Study Start Date: | January 2011 |
| Estimated Study Completion Date: | September 2012 |
| Estimated Primary Completion Date: | January 2012 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
in- and out-patient psychotherapy patients
All included patients are highly selected in- and outpatients in a department of psychosomatic medicine (Germany) undergoing high dose psychotherapy (e.g. group therapy, creative therapy, cbt and psychodynamic psychotherapy).
|
Behavioral: psychotherapy
"multimodal complex psychotherapy"
Other Name: all patients in the department are primarily included. There are no parallel groups.
|
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
The present study includes all patients selected for multi-modal inpatient or day-clinic treatment in the department of psychosomatic medicine (as part of the centre of psychiatry)of the hannover medical school - given the informed consent of the patients. The patients treated in this unit are first seen in primary care and sent to us because of e.g. depression, somatization, eating-disorders, panic disorders, PTSD, or other psychiatric diseases commonly refered to as "psychosomatic" in Germany. They are subject to at least 2 diagnostic sessions in which further treamtment options are assessed.
For about one third of the patients with grave psychiatric disorders, intensive "multimodal" psychotherapy in an inpatient or day-clinic setting is recommended.
Inclusion Criteria:
- informed consent given by the patient
- adulthood to 65 years
- stabel physical health
- at least fluent in German language (as it is a group-therapy)
Exclusion Criteria:
- psychiatric disorder such as substance addiction, psychosis, schizophrenia.
- insufficient understanding of the terms and conditions of the study
- insufficient emotional stability to fill out the psychometric forms required for the study.
Contacts and Locations| Germany | |
| HannoverMS | Recruiting |
| Hannover, Lower Saxony, Germany, 30625 | |
| Contact: Stefan M Henniger, MD 49 511 532 ext 6446 Henniger.Stefan@MH-Hannover.de | |
| Contact: Frieling, Prof. 49 511 532 ext 6840 Frieling.Helge@mh-hannover.de | |
More Information
No publications provided
| Responsible Party: | Stefan Martin Henniger, MD., Department of Psychosomatic Medicin and Psychotherapy, Hannover Medical School, Hannover, Germany |
| ClinicalTrials.gov Identifier: | NCT01391897 History of Changes |
| Other Study ID Numbers: | MHH-EK-5689 |
| Study First Received: | July 8, 2011 |
| Last Updated: | July 11, 2011 |
| Health Authority: | no national or international authority involved: Germany Local ethics-committee is supervising and has given approval: Germany |
Keywords provided by Hannover Medical School:
|
somatoform disorders PTSD epigenetics psychotherapy psychosomatics |
Additional relevant MeSH terms:
|
Mental Disorders Somatoform Disorders Stress Disorders, Post-Traumatic Stress Disorders, Traumatic Anxiety Disorders |
ClinicalTrials.gov processed this record on May 21, 2013