RecruitingNot ApplicableNCT06296589

Trauma-Informed Guilt Reduction Therapy Compared to Prolonged Exposure

Clinical Effectiveness and Implementation of Trauma-Informed Guilt Reduction Therapy Compared to Prolonged Exposure (TrIGR)


Sponsor

Veterans Medical Research Foundation

Enrollment

158 participants

Start Date

Dec 1, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this clinical trial is to learn if receiving Trauma-Informed Guilt Reduction (TrIGR) Therapy is as effective as receiving Prolonged Exposure Therapy among veterans with PTSD and trauma related guilt. The main questions it aims to answer are: Will TrIGR be comparable to PE in terms of PTSD symptom reduction? Will it TrIGR be comparable to PE in improving functioning and reducing depression symptoms? Will it be superior in improving trauma-related guilt and shame?


Eligibility

Min Age: 18 Years

Inclusion Criteria5

  • U.S. Veterans age 18 or older who served in the military since the start of Operation Enduring Freedom/Operation Iraqi Freedom; OEF/OIF)
  • meets diagnostic criteria for PTSD;
  • a score of 2 or higher ("true" to "extremely true") on feeling trauma-related guilt much or all of the time or scoring 3 or higher ("very true" or "extremely true") on at least one guilt cognition factor (hindsight bias/responsibility, wrongdoing, or lack of justification) on the Trauma Related Guilt Inventory
  • not currently receiving trauma-focused treatment such as PE or CPT
  • willingness to attend psychotherapy and assessment sessions

Exclusion Criteria5

  • current risk of suicidal/homicidal behavior that requires immediate intervention
  • current severe substance use disorder (in the past two months) based on DSM-5 criteria
  • current unmanaged psychosis or mania
  • life threatening or unstable medical illness
  • inability to read

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Interventions

BEHAVIORALTrauma Informed Guilt Reduction Therapy

Behavioral therapy for trauma related guilt and shame

BEHAVIORALProlonged Exposure Therapy

Behavioral exposure therapy for PTSD


Locations(3)

Little Rock Veterans Health Care System (LRVHCS)

Little Rock, Arkansas, United States

Southeast Louisiana Veterans Health Care System (SLVHCS)

New Orleans, Louisiana, United States

William S. Middleton Memorial Hospital

Madison, Wisconsin, United States

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NCT06296589


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