Identifying Biobehavioral Predictors and Targeting Mechanisms of Intervention in Adolescent Posttraumatic Stress Disorder
Medical University of South Carolina
Summary
This study examines how adolescents with trauma-related symptoms respond to stress and strong emotions. The study assesses brain activity, physiological responses, and behavior during experimental tasks that involve responding to potential threats, regulating emotions, and repeatedly imagining details of a personally experienced stressful or traumatic event using a script-driven imagery task. The study evaluates whether repeated imaginal exposure is associated with changes in anxiety and physiological responses across sessions, and whether baseline patterns of threat reactivity and emotion regulation are associated with individual differences in response to the exposure task. Outcomes include self-reported anxiety, subjective distress ratings, and psychophysiological indices such as heart rate, skin conductance, and electromyographic activity. The goal of this research is to improve understanding of biobehavioral processes related to trauma exposure in adolescents and to identify potential predictors of response to exposure-based intervention components relevant to posttraumatic stress disorder (PTSD).
Eligibility
- Age range
- 14–18 years
- Sex
- All
- Healthy volunteers
- No
Adolescent Inclusion Criteria: 1. Adolescent of any sex, race, or ethnicity; between the ages of 14 and 18 years old. 2. Accompaniment by a caregiver willing to participate. Note: Adolescents aged 18 years old are able to provide their own consent though still require caregiver participation to be eligible for study participation. 3. Ability to comprehend English. Rationale: Public census data indicates that the overwhelming majority of youth in the local community are English-speaking (\>98%), inclusive of multi-lingual households. 4. Endorsement of exposure to one or more potentially trauma…
Interventions
- BehavioralRepeated imaginal exposure: Script Driven Imagery (SDI) task
Repeated administration (5 repetitions) of a script including details of the individual's exposure to a traumatic event.
Location
- Medical University of South CarolinaCharleston, South Carolina