NCT06609330

Treatment of Chronic Anger and Aggression Following Military-Related Betrayal

Assessment and Treatment of Chronic Anger and Aggression Following Military-Related Interpersonal and Institutional Betrayal: A Pilot Investigation

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 40 (estimated)
• Sponsor: The University of Texas Health Science Center at San Antonio · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

The goal of this clinical trial is to learn if a treatment designed to deal with anger and aggression from a past betrayal will work. The study will be done on active duty military service members and veterans aged 18 or older. The main questions it aims to answer are: * Will participants be satisfied with the treatment, and is the treatment feasible to do in a military outpatient setting * Will the treatment help with anger and aggression issues. Researchers will compare differences in groups that have different wait times (2-, 3-, or 4-weeks). Participants will complete surveys before, during and after the treatment. The treatment will be 14 modules given twice a week. About 1 month after treatment ends, surveys will be taken again.

Detailed description

Participants will undergo the study procedures described below. The preferred method of assessment and treatment is face-to-face in the STRONG STAR offices at Fort Cavazos. However, there may be circumstances when participants can complete the treatment through telebehavioral health (i.e., by phone or using a HIPAA-compliant video calling platform like Zoom). Decisions will be made on a case-by-case basis as issues arise for individuals (e.g., childcare) and in discussion with the treatment team. If participants do not have internet access they may need to complete assessments in person at the STRONG STAR office or by phone. * During the wait time: * Complete a 5-10 minute assessment twice per week (Monday/Thursday or Tuesday/Friday) to assess level of anger, aggression, and interactions with others since last assessment. * The assigned therapist will call participants once a week for a 10-minute, check-in. * At the end of participants' assigned wait time, they will complete an assessment of level of anger, aggression, interactions with others, mental, and physical health. * During treatment: * Begin treatment within 1 week of last wait time assessment. * Participate in 7-24 (average 14) one-hour bi-weekly (Monday/Thursday or Tuesday/Friday) CART sessions. * Prior to each session, participants will complete the same 5-10 minute assessment to assess level of anger, aggression, and interactions with others since last assessment. * At the final treatment session, participants will be scheduled to complete a 1-month follow-up assessment. * For follow-up: * Complete a 1-month follow up assessment between 4-8 weeks after the final treatment session. * Participants will be sent a link to complete the follow-up assessment. * Complete the same questionnaires completed at pre-treatment plus an exit interview and a brief satisfaction survey.

Conditions

• Anger Problems
• Aggression

Interventions

Type	Name	Description
BEHAVIORAL	Countering Chronic Anger and Aggression Related to Trauma and Transgressions (CART)	Countering Chronic Anger and Aggression Related to Trauma and Transgressions (CART), a novel intervention for reducing chronic anger and aggression and improving interpersonal relationships, in military personnel who have experienced military-related betrayal delivered in 14 treatment modules twice a week.

Timeline

• Start date: 2025-03-17
• Primary completion: 2026-11-01
• Completion: 2027-01-01
• First posted: 2024-09-24
• Last updated: 2026-04-01

Locations

1 site across 1 country: United States