rTMS-augmented Written Exposure Therapy for PTSD
NCT05149534 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 98
Last updated 2026-01-12
Summary
Post-traumatic stress disorder (PTSD) is prevalent and represents a high healthcare burden among Veterans. Repetitive transcranial magnetic stimulation (rTMS) is a brain-based therapy that may be effective for treating PTSD. The theorized mechanism of rTMS is enhancement of emotional flexibility via the dorsolateral prefrontal cortex node of the brain's cognitive control network. Given this mechanism of action, adding rTMS to an evidence-based psychotherapy (EBP) for PTSD may enhance treatment effects. Written exposure therapy (WET) is a brief EBP for PTSD found to reduce attrition compared to lengthier first line treatments. In this study, the investigators will determine if active rTMS added to WET compared with sham rTMS added to WET results in improved PTSD outcomes. The investigators will also determine if emotional flexibility is a mechanism of symptom improvement. This work will improve upon PTSD intervention and inform the mechanism of treatment effectiveness for Veterans suffering from PTSD.
Conditions
- Post Traumatic Stress Disorder
Interventions
- BEHAVIORAL
-
Written Exposure Therapy
Narrative written disclosure of trauma administered in an evidence-based protocol.
- DEVICE
-
repetitive transcranial magnetic stimulation
Noninvasive magnetic neuromodulation device
Sponsors & Collaborators
-
National Center for PTSD
collaborator FED -
VA Office of Research and Development
lead FED
Principal Investigators
-
Crystal M Lantrip · Central Texas Veterans Health Care System, Temple, TX
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-01-03
- Primary Completion
- 2027-01-29
- Completion
- 2027-01-29
- FDA Device
- Yes
Countries
- United States
Study Locations
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