No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
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At a Glance
Age
18 and older
Sex
Any
Study type
Interventional
Purpose
Treatment
Participants needed
300 (estimated)
Sponsor
VA Office of Research and Development · Federal
Who this trial is looking for
This trial is looking for Veterans who experience anxiety, depression, or PTSD symptoms. Participants will take part in either a mindfulness class or a problem-solving skills class to see if these help reduce their symptoms.
Are You a Good Fit for This Trial?
You may be able to join if
I am enrolled in VA primary care.
I have significant psychological distress.
You may not be able to join if
I have severe cognitive impairment.
I attempted or wanted to commit suicide in the last month.
I had a psychotherapy appointment outside primary care in the last month.
I had a change in psychiatric medication in the last 2 months.
I prefer to be referred to specialty mental health care.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer three quick questions written from this study's own rules to see if you may qualify. No account needed to find out.
The VA wants to understand what type of integrative and whole health approaches are helpful for Veterans. The study is comparing two primary care based mental health treatments, a mindfulness class that teaches mindfulness meditation and a problem-solving class that teaches problem-solving skills and how to build resilience, for Veterans who are experiencing symptoms of anxiety, depression, and/or…
The VA wants to understand what type of integrative and whole health approaches are helpful for Veterans. The study is comparing two primary care based mental health treatments, a mindfulness class that teaches mindfulness meditation and a problem-solving class that teaches problem-solving skills and how to build resilience, for Veterans who are experiencing symptoms of anxiety, depression, and/or PTSD. The goal of the study is to understand if the classes reduce symptoms of anxiety, depression, and/or PTSD and increase overall functioning.
Trial Locations
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Eligibility Criteria
Inclusion Criteria:
To be eligible, participants must be:
* enrolled in VA primary care through the local VA site
* report clinically significant psychological distress as measured in at least one of three areas:
* PTSD operationalized by 30 on the PCL-5 plus endorsing a criteria A stressor
*…
Inclusion Criteria:
To be eligible, participants must be:
* enrolled in VA primary care through the local VA site
* report clinically significant psychological distress as measured in at least one of three areas:
* PTSD operationalized by 30 on the PCL-5 plus endorsing a criteria A stressor
* depression operationalized as 10 on the PHQ-9
* anxiety operationalized by 10 on the GAD-7
Exclusion Criteria:
Exclusion criteria are minimized to allow inclusion of any primary care patients with psychological distress that would normally receive treatment in primary care. Patients will be excluded if they demonstrate symptoms that would not allow them to actively participate in the interventions:
* gross cognitive impairment
* suicide attempt or desire to commit suicide in the last month
To allow the study to isolate the effects of the intervention and ensure patient treatment preferences are honored, patients will be excluded if they:
* had a psychotherapy appointment outside of primary care within the last month and have future appointment scheduled
* had a change in psychiatric medication outside of VHA primary care in the last 2 months
* voice a preference to be directly referred to specialty mental health care
Veterans with mild TBI, and alcohol/ substance use disorders will not be excluded because these problems commonly co-occur with psychological distress, and individuals with these conditions have previously benefited from mindfulness and problem-solving training. Patients who receive Primary Care Mental Health Integration (PCMHI) services will not be excluded as this is part of the usual primary care services that all Veterans receive.
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