400 Participants NeededMy employer runs this trial

Psychotherapy for Trauma-Related Distress

AT
Overseen ByAnthony T. Vesco, PhD
Age: < 65
Sex: Any
Trial Phase: Academic
Sponsor: Anthony Vesco
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores two types of therapy to assist young people who have experienced trauma and have ongoing medical conditions. The researchers aim to determine whether group sessions, individual sessions, or a combination of these therapies best reduce trauma symptoms and improve daily life. Participants will begin with group therapy and may transition to individual sessions if they require additional support. This trial suits youth who have previously participated in group settings, such as school or therapy sessions, and are not currently in individual therapy. As an unphased trial, it provides a unique opportunity for participants to contribute to innovative research that could shape future therapeutic approaches.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your healthcare provider.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that both Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS) and the Unified Protocol (UP) are safe and well-tolerated treatments. SPARCS, a type of group therapy, aids young people who have faced long-term stress or trauma. It has improved emotional and social skills without causing significant side effects. Similarly, the Unified Protocol is a flexible therapy that helps children manage their emotions more effectively. Studies indicate its effectiveness and general safety, with no major side effects reported. Both therapies are evidence-based, with research supporting their effectiveness and safety in treating emotional issues in children and teens.12345

Why are researchers excited about this trial?

Researchers are excited about these psychotherapy treatments for trauma-related distress because they offer a flexible, tailored approach for young people experiencing chronic stress or emotional disorders. Unlike traditional therapies that may focus on a single diagnosis, both the Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS) and the Unified Protocol (UP) are designed to address a range of emotional issues in children and adolescents. These treatments start with group sessions and adapt to individual needs if necessary, ensuring a personalized path to improvement. This adaptability and focus on multi-diagnosis treatment make them potentially more effective for diverse emotional challenges faced by young people today.

What evidence suggests that this trial's therapies could be effective for trauma-related distress?

Research has shown that Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS), which participants in this trial may receive, helps teens improve their emotions, social skills, school performance, and behavior when dealing with long-term stress. Studies indicate that SPARCS reduces trauma symptoms and enhances coping skills.

Similarly, the Unified Protocol (UP), another treatment option in this trial, effectively treats emotional issues like anxiety and depression in young people. Research finds that UP reduces trauma symptoms and improves overall mental health. Both therapies have strong evidence supporting their ability to significantly help youth experiencing trauma-related distress.12467

Are You a Good Fit for This Trial?

This trial is for youth ages 8-18 with chronic medical conditions and trauma-related distress, who can participate in group therapy and are not currently in individual therapy. Participants must speak English or Spanish, have a parent/guardian able to consent, and cannot have severe psychiatric symptoms or need immediate higher-level care.

Inclusion Criteria

Youth and parent/legal guardian are willing and able to provide informed consent/assent for randomization
My child and I can speak and understand English or Spanish.
Youth is not currently engaged in individual therapy at the time of enrollment (per patient/parent report)
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Exclusion Criteria

Wards of the state or DCFS youth in care
I do not have symptoms that would prevent me from taking part in group therapy.
Regular use of alcohol or other substances that interfere with participation or disrupt the group process
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Group Therapy

Participants receive either SPARCS or UP group therapy sessions

12 weeks
Weekly sessions

Individual Therapy

Participants who do not show sufficient improvement after group therapy receive additional individual therapy using either SPARCS or UP

12 weeks
Weekly sessions

Follow-up

Participants are monitored for safety and effectiveness after treatment

24 weeks
Assessments every 12 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Structured Psychotherapy for Adolescents Responding to Chronic Stress
  • Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents

Trial Overview

The study compares two types of talk therapies—SPARCS and Unified Protocol (UP)—delivered first in groups, then individually if needed. Youth are randomly assigned to each approach to see which sequence best improves trauma symptoms and daily functioning over about one year.

How Is the Trial Designed?

4

Treatment groups

Experimental Treatment

Group I: Unified Protocol Group Therapy [Stage 1 Randomization]Experimental Treatment1 Intervention
Group II: UP Individual Therapy for Non-Responders [Stage 2 Randomization]Experimental Treatment1 Intervention
Group III: SPARCS Individual Therapy for Non-Responders [Stage 2 Randomization]Experimental Treatment1 Intervention
Group IV: SPARCS Group Therapy [Stage 1 Randomization]Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Anthony Vesco

Lead Sponsor

Northwestern University

Collaborator

Trials
1,674
Recruited
989,000+

Substance Abuse and Mental Health Services Administration (SAMHSA)

Collaborator

Trials
31
Recruited
23,300+

Northwestern University Feinberg School of Medicine

Collaborator

Trials
42
Recruited
15,500+

Citations

SPARCS

SPARCS is a 16-session manually-guided and empirically-supported group treatment designed to improve the emotional, social, academic, and behavioral ...

Comparative Effectiveness of SPARCS and Unified ...

The study evaluates two evidence-based cognitive-behavioral therapies - Structured Psychotherapy for Adolescents Responding to Chronic Stress ( ...

SPARCS: Structured Psychotherapy

Igniting SPARCS of change: Structured psychotherapy for adolescents responding to chronic stress. In J. Ford, R. Pat-. Horenczyk & D. Brom (Eds.), Treating ...

Evidence Base Update for Psychosocial Treatments for ... - PMC

This article updates the evidence base on psychosocial treatments for child and adolescent trauma exposure completed for this journal by Silverman et al. (2008 ...

Structured Psychotherapy for Adolescents Responding to ...

SPARCS is a 16-session manually-guided and empirically-supported group treatment designed to improve the emotional, social, academic, and behavioral ...

Your Role as Principal The Importance of SPARCS ... - | dcps

SPARCS is a 16-week group counseling program that will require your commitment to allow your social worker protected time, one hour per week for implementation.

School Safety: Large, Metropolitan District Tests Various ...

Two particular types of evidence-based treatments, dialectical behavior therapy and structured psychotherapy for adolescents responding to ...