Status:

COMPLETED

Neural Markers and Rehabilitation of Executive Functioning in Veterans With Traumatic Brain Injury and Posttraumatic Stress Disorder

Lead Sponsor:

University of North Carolina, Chapel Hill

Collaborating Sponsors:

United States Department of Defense

Foundation of Hope, North Carolina

Conditions:

Traumatic Brain Injury

Posttraumatic Stress Disorder

Eligibility:

All Genders

18-65 years

Phase:

NA

Brief Summary

Up to half of all military service members with combat-related traumatic brain injury (TBI) also suffer from Posttraumatic Stress Disorder (PTSD). TBI and PTSD are each associated with cognitive probl...

Detailed Description

Background: It is estimated that up to half of all military service members with combat-related traumatic brain injury (TBI) also meet criteria for Posttraumatic Stress Disorder (PTSD). TBI and PTSD a...

Eligibility Criteria

Inclusion

  • OIF/OEF Veteran inclusion criteria include:
  • has served in one of the military branches (Army, Navy, Marines, Air Force, National Guard);
  • is between the ages of 18 and 65;
  • has served in Iraq or Afghanistan War since October 2001;
  • has screened positive for TBI and PTSD prior to baseline interview. Definition of TBI: The American Congress of Rehabilitation Medicine (ACRM) (Kay et al., 1993), Center for Disease Control (CDC, 2003), and Military TBI Task Force (http://www.div40.org/pdf/Military\_TBI.pdf) have sought to define criteria for different types of head injuries. In the current DoD application, for both the research registry and pre-screening, criteria for TBI should be defined as a veteran who: 1. reports that during military service, head was hurt/injured in a way that caused problems; AND 2. endorses at least one of the following:
  • loss of consciousness or getting "knocked out."
  • immediately after the injury or upon regaining consciousness, being dazed or "seeing stars."
  • immediately after the injury or upon regaining consciousness, being unable to recall the event.
  • being over one hour after the injury was it before veteran started remembering new things again.
  • needing brain surgery after the injury.
  • Definition of PTSD: For the purposes of the current research, we use the Diagnostic Statistical Manual-IV-TD (DSM-IV-TR) definition of PTSD for the purposes of the current research. Specifically, subjects must report a traumatic event according to DSM criteria and report experiencing re-experiencing, avoidance, and hyperarousal symptoms to qualify for the diagnosis. Study registries define PTSD as having a score above the cut-off of 60 on the Clinical Assessment of PTSD (CAPS). We will re-screen potential participants before enrollment by administering the PTSD Checklist, scores above 50 indicative of PTSD among OIF/OEF veterans. Please note below that the CAPS will be administered as part of the main clinical interview after veterans have signed informed consent.
  • Family member inclusion criteria include: (1) has family member/friend who served in one of the military branches (Army, Navy, Marines, Air Force, National Guard); (2) age 18-65; and (3) has family member who served at least one tour in Iraq or Afghanistan since October 2001 and meets above criteria Inclusion of Women and Minorities in Study: It is anticipated that the distribution of our sample by gender and race/ethnicity will reflect the client population served by the North Carolina healthcare system. No one will be excluded from the study because of gender or racial/ethnic group.

Exclusion

  • Since MRI sessions are a part of the study, subjects should not participant if:
  • They have any foreign metal objects or implants in their body as determined by the safety questionnaires.
  • Veteran is a woman and is pregnant or unwilling to take a pregnancy test.

Key Trial Info

Start Date :

January 1 2012

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 1 2016

Estimated Enrollment :

241 Patients enrolled

Trial Details

Trial ID

NCT01410721

Start Date

January 1 2012

End Date

February 1 2016

Last Update

December 13 2018

Active Locations (1)

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UNC

Chapel Hill, North Carolina, United States, 27599