RecruitingNot ApplicableNCT05423444

Neural Connectivity During Therapy for Adolescent PTSD

Neural Connectivity Before and After Each of the Three Treatment Phases of Trauma-focused Therapy for Adolescent Posttraumatic Stress


Sponsor

The University of Texas Health Science Center at San Antonio

Enrollment

180 participants

Start Date

Nov 29, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

Posttraumatic stress disorder in adolescence impairs neurobiological networks underlying cognitive, social and emotional skills. Neuroimaging research that seeks to identify the neural mechanisms of treatments for PTSD could lead to novel treatments, but progress has been slow using current methods. The proposed study uses an innovative approach to identify neural mechanisms of specific phases of trauma-focused therapy for youth with PTSD, allowing a new understanding of brain changes associated with the process of therapy.


Eligibility

Min Age: 12 YearsMax Age: 17 Years

Inclusion Criteria3

  • ages 12-17 and Tanner stage 2 or above
  • history of interpersonal trauma
  • PTSD symptoms with a rating of '2' or higher on at least one symptom from each of the 4 clusters, using the Clinician-Administered PTSD Scale for Children and Adolescents, and having a duration of at least one month

Exclusion Criteria11

  • current or past use of psychiatric medications
  • severe suicidal/homicidal ideation
  • current hospitalization
  • other current psychotherapy or previous treatment with TF-CBT
  • history of head injury with loss of consciousness for \>5 minutes
  • IQ\<85
  • major medical illness
  • MRI contraindications (metal in body; braces on teeth)
  • psychosis, bipolar 1, autism, developmental disorder, panic disorder
  • first-degree family member with diagnosis of psychosis or bipolar I disorder
  • substance dependence within the past 3 months or current drug use that is frequent

Interventions

BEHAVIORALTF-CBT

evidence-based psychotherapy for trauma in youth

BEHAVIORALTAU

treatment as usual


Locations(1)

UT Health Department of Psychiatry

San Antonio, Texas, United States

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NCT05423444


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