This trial is evaluating whether Resiliency in Stressful Experiences (RISE) Program will improve 2 primary outcomes, 2 secondary outcomes, and 6 other outcomes in patients with Stress Disorders, Traumatic. Measurement will happen over the course of 8 months post release.
This trial requires 402 total participants across 2 different treatment groups
This trial involves 2 different treatments. Resiliency In Stressful Experiences (RISE) Program is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.
Stress disorders are a major health issue that can arise from a variety of external and internal causes, most of which can be related to work or life events. Stress responses have been linked to the physiological changes in the body including mood, body temperature control, heart rate, blood pressure, breathing rate, and digestive enzyme activity. Post-traumatic stress disorder is a psychological disorder that can result from some traumatic event, like rape or murder; can persist over time, resulting in long-lasting effects on a person's life.
Around 2.6 million US adults report having been diagnosed with a stress disorder at least once in the last 12 months. There are 1.3 million newly diagnosed with stress disorders each year alone.
Factors identified as contributing to stress disorders include abuse in childhood, traumatic events in childhood or in adulthood, and coping problems in adolescence or adulthood.
Stress disorder can be treatable and, in the long term, can be cure. However, treatment must begin early enough, before the traumatic episode(s) have occurred. In most cases, prompt treatment is crucial to successful healing.
Stress disorders share a similar underlying etiology and symptoms with PTSD, and they may co-exist throughout individual trauma exposure. There are many effective treatment options available. One of the most common is Cognitive Behavioral Therapy that focuses on improving emotion regulatory skills. Other common treatment options are Supportive Psychotherapy, Trauma Life Intervention (TLI), and Exposure Therapy.
Chronic or unexplained physical or mental pain may be a sign of a psychological disorder. Increased sweating, dizziness and feelings of nervousness may also be signs of a psychological disorder. Stress-related headaches and muscle cramps (myofascial pain) and insomnia as a result of anxiety or depression might also be signs for psychological disorders.\n
Overall this research demonstrates that Rise has shown to be ineffective in preventing the recurrence of symptoms and that it is more effective than placebo when in combination with cognitive-behavioral therapy.
The treatments listed in the paper do not have an adequate proof of efficacy to evaluate if any of them are useful in treating stress. For those who are suffering from anxiety and depressive disorders, there is not enough evidence to evaluate treatments for these patients. More research needs to be conducted.
Recent findings provide evidence to support the concept that stress can have detrimental effects on a person's health, and the people who may benefit most from psychotherapy include those who have had significant life trauma. The findings also suggest that people who have had a history of psychiatric illness may also benefit in clinical trials.
Stress disorder research has been growing rapidly, since many clinicians have begun to recognize its clinical importance. However, the quality of stress disorder research remains substandard - not only in terms of the methodology, but also in the scope. As a result, the relevance of the findings is often unclear to clinicians. Many stress researchers have taken to creating an Assessment Criteria for Stress Disorders (ACSTDs) so that they can better organize and evaluate research on stress and stress disorders. The ACSTDs are now in their third edition.
There are a good number of DSM-IV-TR disorders that are familial in their nature and can be traced back to multiple ancestors. Traumatic experiences such as abuse and conflict can lead to a plethora of stresses in the family system. There is a familial nature to such disorders, suggesting that the family is in an ongoing struggle with some environmental factor, causing them to behave in dysfunctional ways. As long as family members continue to display the behaviors in generations to come, the stress of family-generated anxiety and/or tension can continue to build to such a degree that the entire system can become dysfunctional.
In a recent study, findings comparing posttraumatic stress disorder, stress disorder, and no medical conditions versus traumatic diagnoses, no significant differences occurred regarding the most serious symptoms or hospitalizations between the two conditions, including severity of illness.