Manage Emotions to Reduce Aggression (MERA)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-64
SponsorVA Office of Research and Development

About this trial

PTSD is one of the most prevalent mental health conditions affecting Veterans who have served since 9/11. Veterans with posttraumatic stress disorder (PTSD) report difficulty controlling impulsive aggression (IA). An inability to manage one's emotions (emotion dysregulation) is an underlying mechanism of IA. Reducing IA and increasing use of PTSD evidence-based psychotherapies are two critical missions for the Veterans Health Administration. The proposed research supports these missions by comparing a 3- session emotion regulation treatment (Manage Emotions to Reduce Aggression) to a control group in order to determine if MERA can reduce IA and prepare Veterans for PTSD treatment. By enhancing Veterans' abilities to cope with trauma-related emotions and feel equipped to initiate PTSD treatments, this research aims to help Veterans decrease IA and ultimately recover from PTSD.

Eligibility criteria

Qualifiers

Male and female Veterans who deployed to combat zones since 9/11.

Currently meets criteria for full or subthreshold PTSD, determined by the Clinician-Administered PTSD Scale for DSM-5

Engaged in at least 3 self-reported aggressive acts (e.g., yelling, throwing objects, hitting objects/people) in the last month, measured by the Overt Aggression Scale

Impulsive aggression is his/her primary form of aggression, determined by the Impulsive Premeditated Aggression Scale

Disqualifiers

Currently suicidal with intent of self-harm in the last week.

Currently homicidal with plans to hurt a specific person.

Unable to complete self-report measures.

Meets diagnostic criteria for bipolar disorder or psychotic disorder.

Trial design

Treatments tested in this trial

  • Manage Emotions to Reduce Aggression
  • Present Centered Psychotherapy

Treatment groups

204 Participants
are divided into 2 treatment groups

Sponsors and collaborators

VA Office of Research and Development

Lead sponsor

Michael E. DeBakey VA Medical Center

Collaborator

University of South Florida

Collaborator

VA Boston Healthcare System

Collaborator

University of Houston

Collaborator

Texas A&M University

Collaborator