To examine if trauma exposed adolescents (who are developing their identity) who met the diagnostic criteria for PTSD, compared with trauma exposed adolescents who don*t met those criteria, show a stronger implicit association between the self and…
ID
Source
Brief title
Condition
- Anxiety disorders and symptoms
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Reaction Times (RTs) of the two combined blocks of the Single Target Implicit
Association Test (STIAT).
Secondary outcome
The secondary study parameters (child) are:
- Explicit self-esteem measured by the Rosenberg Self-Esteem Scale (RSES)
- Implicit self-esteem measured by a computerized version of the Name-Letter
Task (NLT).
- Explicit trauma identification measured by the Centrality of Event Scale
(CES)
- Explicit trauma identification measured by the Inclusion of Trauma in the
Self Scale (ITSS)
Background summary
Memory for trauma is central to PTSD. Research has shown that memory for
emotional events are more accessible, better rehearsed, and more vivid than are
memories for neutral events and those vivid memories provide our sense of
identity. Previous research in adults has shown that PTSD patients reported
that they experienced their traumatic experiences as a part of their current
identity. At this moment, the role of this trauma identification in adolescents
is understudied. Although, identity development plays a crucial part during
adolescence. Despite the importance of trauma identification concerning the
development and severity of PTSD symptoms, focussing on trauma identification
is not a regular part of PTSD treatments. However, it could be that
identification with the traumatic experiences predicts poor treatment outcome
or there could be expected that patients, who identifies themselves with the
traumatic experience, will have a bigger change to relapse compared to a
patients that will not identifies themselves with the traumatic experiences.
Traditional methods like self-report questionnaires cannot be used to
investigate the subtle identification because this identification is
unconscious and patients often lack the ability to grasp or report this.
Therefore, in the present study implicit, automatically associations between
the self and trauma will be investigated with the use of an Implicit
Association Test.
Study objective
To examine if trauma exposed adolescents (who are developing their identity)
who met the diagnostic criteria for PTSD, compared with trauma exposed
adolescents who don*t met those criteria, show a stronger implicit association
between the self and the trauma.
Study design
A baseline experiment with Group (trauma exposed and PTSD diagnoses versus
trauma exposed without PTSD diagnoses) as between subject factor.
A post-treatment experiment with Treatment (ITB versus TAU) as between subject
factor and Baseline STIAT score as a covariate.
Intervention
All participants execute a short experiment (Single Target Implicit Association
Test, STIAT), consisting of a compatible and an incompatible block.
Study burden and risks
The burden and risks of the current study are limited. The research is relevant
because there could be expected that patients who identifies themselves with
the traumatic experience, will have a bigger change to relapse compared to a
patients that will not identifies themselves with the traumatic experiences.
This could be especially the case with adolescents (instead of adults) because
a crucial part of identity formation happens in this period of life.
Montessorilaan 3
Nijmegen 6525 HR
NL
Montessorilaan 3
Nijmegen 6525 HR
NL
Listed location countries
Age
Inclusion criteria
(1) Experienced sexual trauma
(2) Age between 12 and 18 years
(3) Of the 128 patients, 64 have current DSM-IV diagnosis of PTSD and, 64 have no current PTSD diagnosis, both established with the PTSD section of the Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version (K-SADS-PL) and the UCLA PTSD Reaction Index (PTSD-RI).
Exclusion criteria
(1) Mental retardation
(2) Insufficient ability to speak and write Dutch
(3) Trauma caused by a caregiver who is part of the current primary care system
(4) Current DSM-IV diagnosis of PTSD of the caregiver
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL40898.091.12 |