Post Traumatic Stress Disorder and Neural Mechanisms Involved in Its Treatment

Public Assistance-Hospitals of Marseille (AP-HM)

Status: Completed

Conditions: Post Traumatic Stress Disorders

Treatments: Other: resonance magnetic imaging (fMRI),

Study type: Interventional

Funder types: Other

Identifiers

NCT00893568

2009/01

2009-A00193-54

Details and patient eligibility

About

The post traumatic stress disorder PTSD arises when the physiological response to stress does not come to its term. This study aims to explore the cognitive, psycho physiological and cerebral mechanisms involved in PTSD, in fear conditioning and face matching tasks, before and after treatment.PTSD patients will be recruited by Pr Jean-Claude Samuelian in his service at the Conception Hospital and by Pr Jean-Michel Azorin in his service at the Sainte Marguerite Hospital (Marseille) and will undergo either CBT or EMDR within those same services. The tasks they will be asked to perform will study the psycho physiological, cognitive and central mechanisms involved in PTSD and its treatment. All in all, 17 healthy controls will be recruited as well as 17 PTSD patients for each of the two treatment group.In terms of perspectives, this study would help isolate neural systems functionally involved in PTSD and its treatment. A better knowledge of those mechanisms would set room for the optimization of the current PTSD treatment.

Enrollment: 62 patients

Sex: All

Ages: 18 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• French speakers
• Not hospitalized grown-up patients suffering from a post-traumatic stress disorder ( PTSD) connected to one event.
• Subjects Controls: grown-up, mated with the patients in age (18 - 50 years; 4 years maximum of difference of age between a patient and his control), in sex and educational level (schooling of the 3rd level, at the level Bac+8; 3 years maximum of difference of educational level between a patient and his control)

Exclusion criteria

• Pregnancy
• Feeding
• Nobody under guardianship and grown-up persons being the object of a legal protective measure or not able to express their assent
• Alcoholic or addicted to drugs (including medicines)
• Other neurological disorders or psychiatric that post-traumatic stress disorder (for patients)
• Claustrophobia and contraindications in the IRMf
• Subjects controls, no known psychiatric or neurological pathology, as well as no psychiatric history.
• Persons private of freedom by a court or administrative order, persons hospitalized without assent
• Unability to read French

Trial design

Primary purpose: Basic Science

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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62 participants in 3 patient groups

Healthy volunteers

Active Comparator group

Description:

Healthy volunteers without treatment

Treatment:

Other: resonance magnetic imaging (fMRI),

CBT

Experimental group

Description:

Psychotraumatized patients treated by Cognitive and Behavioral Therapies (CBT)

Treatment:

Other: resonance magnetic imaging (fMRI),

EMDR

Experimental group

Description:

Psychotraumatized patients treated by Eye Movement Desensitization and Reprocessing (EMDR)

Treatment:

Other: resonance magnetic imaging (fMRI),