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IRCT20160815029377N4 IRCT 2025-03-05 Yasouj University of Medical Sciences Exploring the impact of the Adaptive Disclosure technique on reducing the severity of post-traumatic stress disorder symptoms in veterans: a randomized controlled trial Exploring the impact of the Adaptive Disclosure technique on reducing the severity of post-traumatic stress disorder symptoms in veterans: a randomized controlled trial 2025-02-19 anticipated 58 Complete https://irct.ir/trial/81129 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Randomized block assignment will be carried out using the online platform Sealedenvelope. For this purpose, considering the total sample size of 58 participants and the existence of two groups (intervention and control), the block sizes will be multiples of two (either 2 or 4). Therefore, based on the number of blocks, the resulting sequence, and the predefined code, participants will be allocated to the two groups: intervention (A) and control (B). N/A Post-traumatic stress disorder. Intervention 1: Intervention group: After obtaining the ethical approval code, clinical trial registration code, and other necessary permissions from Yasuj University of Medical Sciences, the researcher will visit Shahid Rajaee Hospital and Salman Hospital in Yasuj to collect data. Following coordination with hospital and department authorities, and providing adequate information regarding the nature of the research, as well as necessary explanations about the relevant questionnaire, the questionnaire will be distributed among veterans with post-traumatic stress disorder (PTSD) who meet the inclusion criteria and give informed consent. The completed questionnaires will be collected by the researcher.For the intervention group, the adaptive disclosure technique will be implemented in six weekly sessions, each lasting one and a half hours. In the first session, the patient's current symptoms will be assessed, a detailed history will be collected, and trauma exposure will be reviewed. In the second session, the patient’s experiences with veterans' traumatic events will be explored in-depth, along with addressing “hot cognitions” that negatively affect emotions, interpersonal communication in decision-making, and problem-solving abilities. In the third session, harmful thought patterns will be addressed, effective coping strategies will be developed, and the trauma narrative will be constructed. In the fourth session, core beliefs and challenges will be identified, the impact of the trauma will be further explored, and healthier ways of thinking will be introduced. In the fifth session, new and positive goals will be set, self-esteem will be enhanced, and new behavioral patterns will be reinforced. The final session will focus on strengthening new behavioral patterns and assisting the patient in adapting to life after trauma. Through this session, the therapist will address any persistent symptoms or destructive behaviors while helping the patient develop a sense of self-efficacy and increase their ability to manage PTSD symptoms. The therapist will also guide the patient in anticipating and coping with potential difficulties, as well as provide resources for long-term support. During this period, no intervention will be provided to the control group. Immediately after the intervention, both groups will complete the research questionnaire again, and the collected data will be analyzed. Intervention 2: Control group: During the intervention period, no intervention will be provided to the control group. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No more information available
public Mohammad Malekzadeh
Yasuj, Mehran, Abu Zar Boulevard, Eram Boulevard, Research and Technology Department, Yasuj University of Medical Sciences.
Yasuj Iran (Islamic Republic of) 7591741417 +98 74 3334 6078 mzh541@yahoo.com Yasouj University of Medical Sciences scientific Mohammad Malekzadeh
Yasuj, Mehran, Abu Zar Boulevard, Eram Boulevard, Research and Technology Department, Yasuj University of Medical Sciences.
Yasuj Iran (Islamic Republic of) 7591741417 +98 74 3334 6079 mzh541@yahoo.com Yasouj University of Medical Sciences Iran (Islamic Republic of) Age 18 years or older Psychiatric veterans with a diagnosis of post-traumatic stress disorder (co-occurring disorders such as depression, anxiety, or treated substance abuse or dependency problems are permitted.) Have sufficient insight to receive the adaptive disclosure technique through the Mental State Examination (MSE) Have informed consent to enter the study 18 years no limit Both Lack of interest in continuing participation in the study. Suicidal behavior or homicide, requiring urgent or emergency evaluation or treatment within the past three months. Serious Axis I mental disorders such as psychotic disorders or Bipolar I disorder are not eligible. Simultaneous enrollment in any cognitive-behavioral therapy, group therapy, or any other treatment involving systematic disclosure of disturbing memories related to the establishment. Loss of self-insight. Inability to communicate. F43.1 Post-traumatic stress disorder (PTSD) Treatment - Other Treatment - Other Intervention group: After obtaining the ethical approval code, clinical trial registration code, and other necessary permissions from Yasuj University of Medical Sciences, the researcher will visit Shahid Rajaee Hospital and Salman Hospital in Yasuj to collect data. Following coordination with hospital and department authorities, and providing adequate information regarding the nature of the research, as well as necessary explanations about the relevant questionnaire, the questionnaire will be distributed among veterans with post-traumatic stress disorder (PTSD) who meet the inclusion criteria and give informed consent. The completed questionnaires will be collected by the researcher.For the intervention group, the adaptive disclosure technique will be implemented in six weekly sessions, each lasting one and a half hours. In the first session, the patient's current symptoms will be assessed, a detailed history will be collected, and trauma exposure will be reviewed. In the second session, the patient’s experiences with veterans' traumatic events will be explored in-depth, along with addressing “hot cognitions” that negatively affect emotions, interpersonal communication in decision-making, and problem-solving abilities. In the third session, harmful thought patterns will be addressed, effective coping strategies will be developed, and the trauma narrative will be constructed. In the fourth session, core beliefs and challenges will be identified, the impact of the trauma will be further explored, and healthier ways of thinking will be introduced. In the fifth session, new and positive goals will be set, self-esteem will be enhanced, and new behavioral patterns will be reinforced. The final session will focus on strengthening new behavioral patterns and assisting the patient in adapting to life after trauma. Through this session, the therapist will address any persistent symptoms or destructive behaviors while helping the patient develop a sense of self-efficacy and increase their ability to manage PTSD symptoms. The therapist will also guide the patient in anticipating and coping with potential difficulties, as well as provide resources for long-term support. During this period, no intervention will be provided to the control group. Immediately after the intervention, both groups will complete the research questionnaire again, and the collected data will be analyzed. Control group: During the intervention period, no intervention will be provided to the control group. قبل The severity of post-traumatic stress disorder (PTSD) symptoms is measured using the Post-Traumatic Stress Disorder Checklist (PCL), with a score range of 17 to 85. The score is obtained by summing the responses to 17 items based on a Likert scale. The cutoff score for diagnosing PTSD is set at 50 for military personnel samples and has been validated exclusively for military populations. Timepoint: Before the intervention begins and immediately after the intervention ends. Method of measurement: Post-Traumatic Stress Disorder Checklist (PCL). Yasouj University of Medical Sciences Approved 2023-07-09 Research Ethics Committees of Yasuj University of Medical Sciences Yasuj University of Medical Sciences, Research Deputy of Yasuj University of Medical Sciences Yasuj Kohgilouyeh-va-Boyrahmad Iran (Islamic Republic of)