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CTRI Number  CTRI/2024/09/073384 [Registered on: 04/09/2024] Trial Registered Prospectively
Last Modified On: 03/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Behavioral 
Study Design  Single Arm Study 
Public Title of Study   A trial to study the effect of a psychotherapy treatment for PTSD resulting from childhood trauma  
Scientific Title of Study   Imagery Rescripting for Childhood Trauma related PTSD: A Multiple baseline study  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Anju S Nair 
Designation  PhD Scholar 
Affiliation  National Institute of Mental Health and Neurosciences 
Address  Dept of Clinical Psychology, National Institute of Mental Health and Neurosciences, Hosur Rd, near Bangalore Milk Dairy, Hombegowda Nagar, Bengaluru, Karnataka

Bangalore
KARNATAKA
560029
India 
Phone  8281558398  
Fax    
Email  anjusnairresearch2@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Anju S Nair 
Designation  PhD Scholar 
Affiliation  National Institute of Mental Health and Neurosciences 
Address  Dept of Clinical Psychology, National Institute of Mental Health and Neurosciences, Hosur Rd, near Bangalore Milk Dairy, Hombegowda Nagar, Bengaluru, Karnataka

Bangalore
KARNATAKA
560029
India 
Phone  8281558398  
Fax    
Email  anjusnairresearch2@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Anju S Nair 
Designation  PhD Scholar 
Affiliation  National Institute of Mental Health and Neurosciences 
Address  Dept of Clinical Psychology, National Institute of Mental Health and Neurosciences, Hosur Rd, near Bangalore Milk Dairy, Hombegowda Nagar, Bengaluru, Karnataka

Bangalore
KARNATAKA
560029
India 
Phone  8281558398  
Fax    
Email  anjusnairresearch2@gmail.com  
 
Source of Monetary or Material Support  
National Institute of Mental Health and Neurosciences, Hosur Rd, near Bangalore Milk Dairy, Hombegowda Nagar, Bengaluru, Karnataka, 560029 
 
Primary Sponsor  
Name  National Institute of Mental Health and Neurosciences 
Address  National Institute of Mental Health and Neurosciences, Hosur Road, Near Bangalore Milk Dairy, Bengaluru, Karnataka, 560029. 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Manjula M  National Institute of Mental Health and Neurosciences  Department of Clinical Psychology, National Institute of Mental Health and Neurosciences Hosur Rd near Bangalore Milk Dairy Hombegowda Nagar Bengaluru Karnataka 560029
Bangalore
KARNATAKA 
9632603597

drmanjula71@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
NIMHANS Ethics Committee (Behavioural Sciences Division)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F431||Post-traumatic stress disorder (PTSD),  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Imagery Rescripting  Imagery Rescripting involves the individual imagining traumatic experiences with alternate outcomes, thus attempting to fulfill the core unmet needs. This process facilitates a change in the meaning that was earlier attributed to the trauma memory, thus leading to a change in their core beliefs, emotions and behaviors. We are offering 12 to 16 sessions of twice a week Imagery Rescripting for the patients in this trial 
Comparator Agent  nil  nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Individuals with a primary diagnosis of PTSD (according to DSM-5 criteria) as assessed by Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) and those who obtain a score of 33 and above on Post Traumatic Stress Disorder Checklist (PCL-5) or Individuals with a primary diagnosis of CPTSD (according to ICD 11 criteria)
Individuals having experienced the worst traumatic event (defined according to the DSM-5) before the age of 16 and agree that this trauma will be the focus of treatment.
Individuals belonging to the age group of 18-60 years
Individuals who have undergone psychological interventions for PTSD but continue
to fulfill the criteria for the diagnosis of PTSD (Score of 33 and above on PCL-5)
Individuals who can read and write English. 
 
ExclusionCriteria 
Details  Individuals with schizophrenia, bipolar disorder with current episode mania/ severe depression, current substance use/substance dependence/harmful use not in remission for at least 3 months except nicotine use
Individuals with an organic brain disorder, neurodevelopmental disorders, or intelligence below the average category
Individuals with severe symptoms of axis I disorders that might interfere with their engagement in therapy
Individuals with acute suicidal risk or self-harm
Individuals with ongoing trauma 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
PTSD Symptom severity as assessed by PCL-5  5 timepoints- Before baseline, After Baseline, before treatment, after treatment, at follow up which is 3 months after the treatment phase.  
 
Secondary Outcome  
Outcome  TimePoints 
PTSD related cognitions  5 timepoints- Before baseline, After Baseline, before treatment, after treatment, at follow up which is 3 months after the treatment phase.  
Emotional regulation  5 timepoints- Before baseline, After Baseline, before treatment, after treatment, at follow up which is 3 months after the treatment phase.  
Anger  5 timepoints- Before baseline, After Baseline, before treatment, after treatment, at follow up which is 3 months after the treatment phase.  
Guilt  5 timepoints- Before baseline, After Baseline, before treatment, after treatment, at follow up which is 3 months after the treatment phase.  
Shame  5 timepoints- Before baseline, After Baseline, before treatment, after treatment, at follow up which is 3 months after the treatment phase.  
Anxiety  5 timepoints- Before baseline, After Baseline, before treatment, after treatment, at follow up which is 3 months after the treatment phase.  
Depression  5 timepoints- Before baseline, After Baseline, before treatment, after treatment, at follow up which is 3 months after the treatment phase.  
Well-being  5 timepoints- Before baseline, After Baseline, before treatment, after treatment, at follow up which is 3 months after the treatment phase.  
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 1/ Phase 2 
Date of First Enrollment (India)   23/09/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="4"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
The protocol aims to study the efficacy of Imagery Rescripting as a standalone treatment for individuals with PTSD with a history of childhood trauma. Participants will be recruited after screening based on inclusion-exclusion criteria, screening tools, and those who consent to participate in the study. The study follows a multiple baseline design so they will be randomly assigned to any of the 4 baseline periods; 5 weeks, 6 weeks, 7 weeks, and 8 weeks. Upon completion of the respective baselines, participants will enter the exploration phase, which will consist of 5 weekly sessions and then the intervention phase which will consist of 12-16 twice-a-week sessions. The protocol by Arntz (2019) will be used in the intervention phase. The assessments for all primary and secondary outcomes will occur at 5 time points- before baseline, after baseline, before exploration, before intervention, after intervention, and at 3 months follow-up. Assessments using PCL-5 and VAS will take place weekly. 
 
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