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Positive Processes and Transition to Health (PATH)
Sponsor: Case Western Reserve University
Summary
The R33 will be a randomized controlled trial to replicate changes in the targets (unproductive processing, avoidance, reward deficits) from the R61 phase in a larger sample of 135 participants who have experienced a destabilizing life event involving profound loss or threat, report persistent stressor-related symptoms of PTSD and/or depression, and are elevated on symptoms related to 2 of the 3 therapeutic targets. Additionally, this study will examine Positive Processes and Transition to Health (PATH)'s impact on stressor-related psychopathology in comparison to Progressive Muscle Relaxation (PMR). In the R33 phase, the investigators will examine changes in target mechanisms predicting improvements in PTSD and depressive symptoms, as well as feasibility and acceptability. Patients will receive 6 sessions of PATH or PMR (with 2 boosters, if partial responders). Primary targets will be assessed at pre-treatment, week 3, post-treatment, and at 1- and 3-month follow-up; secondary targets at pre-treatment, weekly during treatment, post-treatment, and at 1- and 3-month follow-ups.
Official title: Treatment of Stress-Related Psychopathology: Targeting Maladaptive and Adaptive Event Processing
Key Details
Gender
All
Age Range
18 Years - 65 Years
Study Type
INTERVENTIONAL
Enrollment
135
Start Date
2023-09-12
Completion Date
2026-06-30
Last Updated
2025-07-30
Healthy Volunteers
No
Interventions
Positive Processes and Transition to Health
See arm/group description for details regarding this intervention
Progressive Muscle Relaxation
See arm/group description for details regarding this intervention
Locations (3)
University of Delaware
Newark, Delaware, United States
Case Western Reserve University
Cleveland, Ohio, United States
University of Washington
Seattle, Washington, United States