RecruitingNot ApplicableNCT06433271

Transdiagnostic Behavior Therapy Vs TAU for Adjustment Disorder Following Traumatic Event Exposure

Comparative Effectiveness of Transdiagnostic Behavior Therapy Vs TAU for Adjustment Disorder Following Traumatic Event Exposure

Sponsor

The University of Texas Health Science Center, Houston

Enrollment

150 participants

Start Date

Oct 8, 2024

Study Type

INTERVENTIONAL

Conditions

Mental Disorder Adjustment Disorders

Summary

Adjustment Disorder (AjD) is the most common mental health condition diagnosed in Active Duty personnel, and is diagnosed following an extreme stress event such as traumatic loss of a comrade, serious accident or injury, or other intense stress event. Despite its high prevalence, no evidence based treatment for AjD has been subjected to randomized controlled trials. This study seeks to build on the research team's pilot work across several disorders study to benefit service members and Veterans with AjD, a highly prevalent but frequently inadequately treated condition. The investigators will compare the effects of Transdiagnostic Behavior Therapy (TBT) vs treatment as usual which is Moving Forward Problem Solving Therapy (TAU-PST) on AjD symptom outcomes. The investigators hypothesize that TBT will result in greater overall symptom reduction compared to TAU-PST.

Eligibility

Min Age: 18 Years

Inclusion Criteria3

Adult male or female over the age of 18 that has served, or is currently serving, in the military.
Stable psychotropic medication for at least 4 weeks if applicable
Current DSM-5 diagnosis of Adjustment Disorder

Exclusion Criteria3

Active psychosis
Suicidal ideation with clear intent
Severe substance use

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Interventions

BEHAVIORALTransdiagnostic Behavior Therapy (TBT)

TBT manualized treatment incorporates daily exposure exercises from up to four categories of avoidance that are most characteristic of the emotional disorders (i.e., situational, interoceptive, imaginal, and positive emotional).

BEHAVIORALTreatment as Usual-Problem Solving Therapy (TAU-PST)

PST is an evidence- based psychotherapy implemented in VA Primary Care - Mental Health Integration (PC-MHI), with hundreds of VA providers trained in the intervention nationally. The primary aim of PST is to improve a patient's ability to cope with stressful events by adopting an adaptive perspective to stressors and using goal-focused, problem-solving behaviors to manage the problems associated with the stressors.