RecruitingNot ApplicableNCT06609330

Treatment of Chronic Anger and Aggression Following Military-Related Betrayal

Assessment and Treatment of Chronic Anger and Aggression Following Military-Related Interpersonal and Institutional Betrayal: A Pilot Investigation


Sponsor

The University of Texas Health Science Center at San Antonio

Enrollment

40 participants

Start Date

Mar 17, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this clinical trial is to learn if a treatment designed to deal with anger and aggression from a past betrayal will work. The study will be done on active duty military service members and veterans aged 18 or older. The main questions it aims to answer are: * Will participants be satisfied with the treatment, and is the treatment feasible to do in a military outpatient setting * Will the treatment help with anger and aggression issues. Researchers will compare differences in groups that have different wait times (2-, 3-, or 4-weeks). Participants will complete surveys before, during and after the treatment. The treatment will be 14 modules given twice a week. About 1 month after treatment ends, surveys will be taken again.


Eligibility

Min Age: 18 Years

Inclusion Criteria4

  • Adult active duty military service members and veterans aged 18 or older.
  • Endorses a history of military-related betrayal (on the Modified Moral Injury Questionnaire)
  • Endorses problematic anger in the past month (as evidenced by a score of 12 or above on the Dimensions of Anger Reactions; DAR-5)
  • Engaged in at least 1 self-reported act of aggression in the past 1 month (on the Overt Aggression Scale-Modified; OAS-M)

Exclusion Criteria6

  • Participated in an anger management or trauma-focused intervention within the past 3 months as assessed by self-report.
  • Acute suicidality requiring immediate intervention, such as hospitalization as assessed by the Depressive Symptoms Index-Suicidality Subscale (DSI-SS) combined with follow up clinical interview for elevated scores.
  • Is currently homicidal with plans and intent to hurt a specific person and requiring immediate intervention as measured by self-report and follow-up with clinician if screened positive.
  • Moderate to severe brain injury as measured by inability to comprehend the informed consent document or baseline assessments.
  • Has severe alcohol consumption patterns as evidenced by a score of 19 or above on the Alcohol Use Disorders Identification Test (AUDIT).
  • Experiencing active psychosis or mania as measured by the Prodromal Questionnaire-Brief Version and the Mood Disorders Questionnaire.

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Interventions

BEHAVIORALCountering Chronic Anger and Aggression Related to Trauma and Transgressions (CART)

Countering Chronic Anger and Aggression Related to Trauma and Transgressions (CART), a novel intervention for reducing chronic anger and aggression and improving interpersonal relationships, in military personnel who have experienced military-related betrayal delivered in 14 treatment modules twice a week.


Locations(1)

Carl R. Darnall Army Medical Center (CRDAMC) at Fort Cavazos

Fort Cavazos, Texas, United States

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NCT06609330


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