Effectiveness of Compassion Focused Therapy (CFT) for Reducing Self-criticism in Female Patients with Complex PTSD: a Single-case Experimental Study

Status: Recruiting
Location: See location...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

PTSD is a mental disorder including psychological symptoms related to severe traumatic event(s). PTSD can negatively affect people's functioning in several life domains. Several effective therapies for the treatment of PTSD have been developed in recent decades. However, these treatments are not effective for every patient. Several studies show that people suffering from PTSD also experience feelings of trauma-related guilt, shame, self-blame and negative self-evaluation. These emotions may contribute to the maintenance cycle of PTSD or even become worse over time. In particularly in patients with trauma who have been exposed to repeated traumatic experiences within the context of interpersonal relationships including childhood sexual/physical abuse and domestic violence. This type of trauma is known as complex PTSD. cPTSD is marked by severe difficulties in problems with self and emotion-regulation, relationship difficulties and shame. One key factor for reducing self-criticism in individuals might be self-compassion as the antidote to self-criticism and shame. Compassion focused therapy by Paul Gilbert focuses specifically on increasing self-compassion. Although some studies show promising results of CFT in patients with cPTSS, the effectiveness for this group has not yet been sufficiently examined. Therefore, this Single case experimental design study is conducted with the primary objective of examining the effectiveness of CFT in reducing the primary outcome self-criticism. Secondary outcomes that will be examined are CFT reduces PTSD symptoms and shame and increases self-compassion and well-being. This SCED study is a noncurrent multiple baseline across subjects study, consisting of three phases with twice-weekly repeated measurements of self-criticism. First the pre-intervention baseline phase, in which participants are randomly assigned to different baseline lengths (either 5, 6 or 7 weeks). The second phase is the subsequent CFT-intervention, consisting of 12 weeks of weekly CFT group sessions with two-weekly assessments of self-criticism. The third phase is follow up for 5 weeks from the end of the intervention, again including two-weekly assessments of self-criticism. By comparing the baseline phases with the intervention and follow-up phases for individual participants, the effectiveness of the CFT intervention on self-critical beliefs can be determined. Changes that occur within participants can be seen as evidence of intervention effectiveness.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 65
Healthy Volunteers: t
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• The participant is between 18 and 65 years old.

• Diagnosis of cPTSD and severe problems with self criticism (as diagnosed by an experienced clinican).

• The participant gives consent to participate in the study using the online informed consent procedure.

• Sufficient Dutch language proficiency and average intelligence.

• The participant has an e-mail address and is in possession of a smartphone or tablet with access to the internet.

• The participant is willing to complete twice-weekly questionnaires for up to 24 weeks.

Locations
Other Locations
Netherlands
University of Twente
RECRUITING
Enschede
Contact Information
Primary
esther baas
e.baas01@mediant.nl
+31534755755
Backup
jannis kraiss, PhD
j.t.kraiss@utwente.nl
+3153 489 7512
Time Frame
Start Date: 2023-03-19
Estimated Completion Date: 2025-12-31
Participants
Target number of participants: 15
Treatments
Experimental: Compassion-focused therapy (CFT)
Related Therapeutic Areas
Sponsors
Leads: University of Twente

This content was sourced from clinicaltrials.gov

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