About this trial
PTSD is one of the most prevalent mental health conditions affecting Veterans who have served since 9/11. Veterans with posttraumatic stress disorder (PTSD) report difficulty controlling impulsive aggression (IA). An inability to manage one's emotions (emotion dysregulation) is an underlying mechanism of IA. Reducing IA and increasing use of PTSD evidence-based psychotherapies are two critical missions for the Veterans Health Administration. The proposed research supports these missions by comparing a 3- session emotion regulation treatment (Manage Emotions to Reduce Aggression) to a control group in order to determine if MERA can reduce IA and prepare Veterans for PTSD treatment. By enhancing Veterans' abilities to cope with trauma-related emotions and feel equipped to initiate PTSD treatments, this research aims to help Veterans decrease IA and ultimately recover from PTSD.
Eligibility criteria
Qualifiers
Male and female Veterans who deployed to combat zones since 9/11.
Currently meets criteria for full or subthreshold PTSD, determined by the Clinician-Administered PTSD Scale for DSM-5
Engaged in at least 3 self-reported aggressive acts (e.g., yelling, throwing objects, hitting objects/people) in the last month, measured by the Overt Aggression Scale
Impulsive aggression is his/her primary form of aggression, determined by the Impulsive Premeditated Aggression Scale
Disqualifiers
Currently suicidal with intent of self-harm in the last week.
Currently homicidal with plans to hurt a specific person.
Unable to complete self-report measures.
Meets diagnostic criteria for bipolar disorder or psychotic disorder.
Trial design
Treatments tested in this trial
- Manage Emotions to Reduce Aggression
- Present Centered Psychotherapy
Treatment groups
Sponsors and collaborators
VA Office of Research and Development
Lead sponsor
Michael E. DeBakey VA Medical Center
Collaborator
University of South Florida
Collaborator
VA Boston Healthcare System
Collaborator
University of Houston
Collaborator
Texas A&M University
Collaborator