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Trial registered on ANZCTR
Registration number
ACTRN12607000391471
Ethics application status
Approved
Date submitted
23/07/2007
Date registered
31/07/2007
Date last updated
31/07/2007
Type of registration
Retrospectively registered
Titles & IDs
Public title
Cognitive Behaviour Therapy of Acute Stress Disorder
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Scientific title
A randomised controlled trial to evaluate the effect of prolonged exposure versus cognitive restructuring versus wait-list to prevent posttraumatic stress disorder
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Acute stress disorder (ASD)
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Condition category
Condition code
Mental Health
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention comprises prolonged exposure or cognitive restructuring. Participants are given 5 weekly 90-minute sessions of prolonged exposure (imaginal exposure and in vivo exposure) or 5 weekly 90-minute sessions of cognitive restructuring. Exposure involves repeating trauma memories. Cognitive restructuring involves identification and correction of irrational thoughts.
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Intervention code [1]
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Behaviour
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Comparator / control treatment
The control condition involves patients in the wait list being assessed before treatment and re-assessed 6 weeks later.
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Control group
Active
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Outcomes
Primary outcome [1]
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Severity of posttraumatic stress symptoms measured by the Clinician Adminsitered PTSD Scale
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Assessment method [1]
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Timepoint [1]
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At baseline, posttreatment ,and 6 months after treatment.
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Secondary outcome [1]
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Depression (measured by the Beck Depression Inventory)
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Assessment method [1]
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Timepoint [1]
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Assessed at posttreatment and 6 months after treatment finishes.
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Secondary outcome [2]
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Anxiety (measured by the Beck Anxiety Inventory)
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Assessment method [2]
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Timepoint [2]
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Assessed at posttreatment and 6 months after treatment finishes.
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Eligibility
Key inclusion criteria
Inclusion criteria were that the patient had suffered a motor vehicle accident or nonsexual assault in the previous month and met full criteria for ASD.
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion criteria included history of psychosis, organic brain syndrome, current substance dependence, borderline personality disorder, suicidal risk, inability to converse in English, or aged less than 17 years of age or more than 70 years of age.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation to treatment condition is conducted by a clinician via email who is independent of the study and the hospital site.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Random number generation with stratification by ASD severity, gender, and type of trauma.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
All assessors are blind to treatment condition
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/03/2002
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
90
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Accrual to date
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Final
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
University
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Name
University of New South Wales
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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None
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of New South Wales Committee on Experimental Procedures Involving Human Ethics
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Ethics committee address [1]
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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20/07/1999
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Ethics approval number [1]
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CEPIHS No. 99136
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Summary
Brief summary
Acute Stress Disorder is a psychiatric condition that develops after exposure to a traumatic event, and is strongly predictive of subsequent disorder. Although cognitive behaviour therapy effectively treats ASD, little is known about the optimal intervention strategies for treating ASD. This study will compare 5 weekly sessions of either prolonged exposure, cognitive restructuring, or wait -list to determine the relative efficacies in reducing posttraumatic stress disorder at 6 months follow-up.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Professor Richard Bryant
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Address
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School of Psychology
University of New South Wales
Sydney NSW 2052
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Country
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Australia
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Phone
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+61 2 93853640
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Fax
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+61 2 93853641
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Email
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[email protected]
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Contact person for scientific queries
Name
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Professor Richard Bryant
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Address
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School of Psychology
University of New South Wales
Sydney NSW 2052
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Country
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Australia
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Phone
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+61 2 93853640
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Fax
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+61 2 93853641
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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