The main objective is to investigate the effectiveness of parenting programs addressing family functioning and PTSD within the Dutch veteran population. A secundary objective is to unravel and identify the role of emotion regulation and…
ID
Source
Brief title
Condition
- Other condition
- Psychiatric disorders NEC
- Family issues
Synonym
Health condition
ernstige traumagerelateerde geestelijke gezondheidsproblematiek
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The main study parameter is the difference in family functioning (SCORE-15) and
child functioning (SDQ) between the parenting treatment modality and treatment
as usual.
Secondary outcome
Secondary study parameters are emotion regulation as measured by the
Difficulties in Emotion Regulation Scale (DERS), veteran PTSD symptoms as
measured by PTSD Checklist (PCL-5), parental reflective functioning as measured
by (RFQ), perspective taking as measured by the Barnes-Holmes Protocol (BHP),
and relationship adjustment as measured by The Experiences in Close
Relationships questionnaire (ECR).
Background summary
The negative influence of PTSD and more specifically deployment-related PTSD on
family relationships has been well documented. Despite this fact, there is a
dearth of empirically supported parenting programs addressing family
functioning and PTSD within veteran populations. In particular, Interventions
that are tailored to the needs of veteran families are relatively new and
under-studied.
Study objective
The main objective is to investigate the effectiveness of parenting programs
addressing family functioning and PTSD within the Dutch veteran population. A
secundary objective is to unravel and identify the role of emotion regulation
and mentalisation within these veteran families and therefore within these
interventions.
Study design
In this intervention study we use a controlled trial in a parallel design to
study the effectiveness of both ADAPT (N = 45) and MFT (N = 45) in comparison
to treatment as usual (N = 90), and a controlled trial to study the
effectiveness and change-mechanisms between ADAPT and MFT.
Intervention
After Deployment, Adaptive Parenting Tools (ADAPT) is a program targeting
families of children aged 4-12 with at least one parent who has deployed. ADAPT
targets the improvement of parenting skills and emotion regulation. The
group-based program is delivered in 14 weekly multifamily sessions of 2 hours
each. Multi-family therapy (MFT) is a program targeting families with children
of all ages and aims to elicit behavioural changes in family members through
the restructuring of interactional patterns in families. The mentalization
based model primarily focuses on enhancing mentalizing strengths and
secondarily on emotion regulation. MFT runs for 10 days spread out in blocks of
2-3 days over 4 months.
Study burden and risks
MFT and ADAPT are widely used and considered to be *good practice* Their
effectiveness has been established in a variety of populations. Therefore it is
not likely that this therapy will be counterproductive. Participants in the
wait-list comparison are closely monitored. The administration of
questionnaires into symptoms of PTSD and emotion regulation are brief and
already part of ROM. The administration of additional questionnaires and
interview are not upsetting and well supervised. The risk and burden are
therefore minimal. Participants potentially can benefit from this study as it
immediately increases the availability of a parenting intervention. In the long
term the study adds to the evidence for parenting programs designed for veteran
families and opens the possibility to develop a stepped-care model for family
interventions.
Padualaan 14
Utrecht 3584 CH
NL
Padualaan 14
Utrecht 3584 CH
NL
Listed location countries
Age
Inclusion criteria
1. veteran with symptoms of deployment-related PTSD (score >38 on PCL-5)
2. with a partner and children who experience difficulties caused by the deployment-related PTSD (score > 2,5 on SCORE) and an attribution of the veteran family to the deployment related PTSD.
Exclusion criteria
1. severe alcohol and/or substance dependence, 2. abuse of partner or children, 3. mental retardation, 4. acute psychotic disorder, 5. acute suicidality, 6. severe personality disorders that prevent participation within a group-treatment.
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 | NL60660.041.17 |