Neural and Pharmacological Correlates of Intrusions in Patients With Posttraumatic Stress Disorder
NCT01108133 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 13
Last updated 2017-07-02
Summary
There is evidence that glucocorticoids have an impact on intrusive memories in patients with posttraumatic stress disorder (PTSD). Hydrocortisone impairs intrusive memory retrieval whereas dexamethasone should strengthen intrusions in PTSD. We, the investigators, want to investigate (1) the effect of these two glucocorticoids on traumatic memories and (2) assess the neural correlates using the script-driven imagery paradigm in the functional magnetic resonance imaging (fMRI) scanner. We hypothesize that intrusive memories are less intensive under hydrocortisone-administration and more intense under dexamethasone-administration comparing both to a placebo-condition. Regarding the neural activation pattern we expect higher activation in the hydrocortisone condition in the amygdala, the hippocampus and the medial prefrontal cortex compared to the placebo-condition and less activation in the dexamethasone-condition compared to the placebo-condition.
Conditions
Interventions
- DRUG
-
10 mg HydrocortisoneHöchst
10 mg Hydrocortisone Höchst are administered one hour before fMRI scanning
- DRUG
-
2 mg Dexamethasone are administered at 10 pm the day before the fMRI experiment.
- DRUG
-
Placebo
Sponsors & Collaborators
-
Central Institute of Mental Health, Mannheim
lead OTHER
Principal Investigators
-
Christian Schmahl, MD · Central Institute of Mental Health, Dep. of Psychosomatic and Psychotherapeutic Medicine
Study Design
- Allocation
- RANDOMIZED
- Purpose
- BASIC_SCIENCE
- Masking
- TRIPLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Max Age
- 45 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-10-31
- Primary Completion
- 2013-03-31
- Completion
- 2013-03-31
Countries
- Germany
Study Locations
More Related Trials
-
Towards a Post-exposition Pharmacological Prophylaxis for Post-traumatic Stress Disorder
NCT04508166 ·Status: COMPLETED ·Phase: NA
-
Extinction of Fear Memories With Glucocorticoids in Veterans With PTSD
NCT01090180 ·Status: COMPLETED ·Phase: NA
-
Neural Correlates of Stress Hormones
NCT02523664 ·Status: COMPLETED ·Phase: NA
-
Prevention of Posttraumatic Stress Disorder (PTSD) With Early Hydrocortisone Treatment: Pilot
NCT00597857 ·Status: UNKNOWN ·Phase: NA
-
Sleep's Influence on the Treatment of Intrusive Emotional
NCT05678361 ·Status: COMPLETED ·Phase: NA
-
Efficacy of Single Dose IV Hydrocortisone in Post Traumatic Stress Disorder (PTSD) Prevention
NCT00855270 ·Status: UNKNOWN ·Phase: NA
-
Trial of Hydrocortisone for Post-Traumatic Stress Disorder (PTSD)
NCT00706173 ·Status: WITHDRAWN ·Phase: PHASE4
-
Influence of the Noradrenergic System on the Formation of Intrusive Memories
NCT02541071 ·Status: COMPLETED ·Phase: NA
-
A Psychophysiologic Study of Weakening Traumatic Combat Memories With Post-Reactivation Propranolol
NCT00709735 ·Status: COMPLETED ·Phase: PHASE4
-
Low-dose Cortisol in Chronic Posttraumatic Stress Disorder
NCT00362661 ·Status: TERMINATED ·Phase: NA
-
PTSD Prevention Using Oral Hydrocortisone
NCT04924166 ·Status: COMPLETED ·Phase: PHASE2
-
Neurosteroids for PTSD in Veterans
NCT03799562 ·Status: COMPLETED ·Phase: PHASE2
-
Improving Therapeutic Learning for PTSD
NCT04558112 ·Status: UNKNOWN ·Phase: PHASE2
-
Hydrocortisone for Prevention of Post-Traumatic Stress Disorder
NCT02402114 ·Status: WITHDRAWN ·Phase: NA
-
Predicting Responses to PTSD Treatment With Iris and Cardiovascular Tests
NCT03539614 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Short Course Glucocorticoid Treatment for PTSD
NCT00204737 ·Status: COMPLETED ·Phase: PHASE4
-
The Effect of Oxytocin on the Acquisition and Consolidation of Trauma-Associated Memories
NCT03031405 ·Status: COMPLETED ·Phase: NA
-
Post-traumatic Stress Disorder Treatment Using Transcranial Direct Current Stimulation (tDCS) Enhancement of Trauma-focused Therapy : a Two-arm Randomized Controlled Multicentric Study.
NCT02900053 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of Trauma Therapy in Patients With PTSD and Comorbid Psychotic Disorder
NCT04911010 ·Status: UNKNOWN ·Phase: NA
-
Cortisol Augmentation of a Psychological Treatment in Warfighters With Post Traumatic Stress Disorder (PTSD)
NCT01090518 ·Status: UNKNOWN ·Phase: NA
-
Neuromodulation of the Hippocampus to Reduce Intrusive Re-Experiencing in PTSD: A Randomized Controlled Trial
NCT06639061 ·Status: RECRUITING ·Phase: PHASE2
-
Cortisol Augmentation of Prolonged Exposure Therapy
NCT00751855 ·Status: COMPLETED ·Phase: NA
-
Novel Therapeutics in Posttraumatic Stress Disorder (PTSD): A Randomized Clinical Trial of Mifepristone
NCT01739335 ·Status: COMPLETED ·Phase: PHASE2
-
Perception of Stressful Social Stimuli After Trauma Exposure.
NCT03421587 ·Status: COMPLETED
-
Brain Indices of Risk for Posttraumatic Stress Disorder (PTSD) After Mild Traumatic Brain Injury (mTBI)
NCT01625962 ·Status: COMPLETED