ID

45953

Description

Principal Investigator: Caroline M. Nievergelt, PhD, Department of Psychiatry, University of California, La Jolla, CA, USA MeSH: Stress Disorders, Post-Traumatic https://www.ncbi.nlm.nih.gov/projects/gap/cgi-bin/study.cgi?study_id=phs000864 The Genomic Predictors of Combat Stress Vulnerability and Resilience Study was designed to probe the likely hereditary basis for risk or resilience to develop PTSD and other trauma spectrum disorders. The overall guiding hypothesis was that genomic variation gives rise to risk/susceptibility traits that, when actuated by traumatic environmental stimuli, such as combat, give rise to PTSD and other stress-related phenotypes. Two studies designed to identify risk and resilience factors for combat-induced, stress-related symptoms are being conducted by our group: The Marine Resiliency Study (MRS) is a prospective PTSD study with longitudinal follow-up (pre- and post-exposure to combat stress) of US Marines bound for deployment to Iraq or Afghanistan. Extensive phenotyping includes 3 domains: Psychosocial, Psychophysiologic, and Biophysiologic. The biological and physiological measures collected were chosen in part due to their potential to serve as intermediate phenotypes for stress-related disorders. A second, cross-sectional study involves a cohort of combat-exposed active duty or previously deployed service members (CAVC), including PTSD cases and controls with comparable psychosocial and clinical phenotypes. Little information is available about the factors that explain why some trauma survivors develop stress disorders and some do not. It is hoped that the insights gained from this approach will improve understanding of the genetic contributors to PTSD, and potentially provide novel diagnostic tests and therapeutic approaches to this currently enigmatic and difficult-to-manage condition.

Link

dbGaP study=phs00086

Keywords

  1. 3/16/24 3/16/24 - Madita Rudolph
Copyright Holder

Caroline M. Nievergelt, PhD, Department of Psychiatry, University of California, La Jolla, CA, USA

Uploaded on

March 16, 2024

DOI

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License

Creative Commons BY 4.0

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dbGaP phs000864 Genomic Predictors of Combat Stress Vulnerability and Resilience

Eligibility Criteria

Inclusion and exclusion criteria
Description

Inclusion and exclusion criteria

Alias
UMLS CUI [1,1]
C1512693
UMLS CUI [1,2]
C0680251
*Marine Resiliency Study (MRS)*:
Description

Elig.phs000864.v1.p1.1

Data type

boolean

Alias
UMLS CUI [1,1]
C2348568
Inclusion criteria: all deploying Marines in units selected for the study.
Description

Elig.phs000864.v1.p1.2

Data type

boolean

Alias
UMLS CUI [1,1]
C1512693
Exclusion criterion: none, except that Marines who do not want to participate will not be included.
Description

Elig.phs000864.v1.p1.3

Data type

boolean

Alias
UMLS CUI [1,1]
C0680251
UMLS CUI [1,2]
C0549184
*Active duty or previously deployed service members (CAVC)*:
Description

Elig.phs000864.v1.p1.4

Data type

boolean

Alias
UMLS CUI [1,1]
C3846158
*Inclusion Criteria*: Evidence of combat as defined by the following: (a) a history of deployment to a combat zone, as evidenced by service record (b) a CES score of at least 10 (Keane et. al. 1989), (c) Trauma exposure sufficient to meet Category A of PTSD criteria (Breslau and Kessler 2001). *Case Inclusion Criteria*: Diagnosis of PTSD as determined by Structured Clinical Interview for DSM-IV Axis I Disorders (SCID) diagnosis (Spitzer R.L. and Williams J. 1983).
Description

Elig.phs000864.v1.p1.5

Data type

boolean

Alias
UMLS CUI [1,1]
C1512693
UMLS CUI [1,2]
C1706256
UMLS CUI [1,3]
C1537054
UMLS CUI [1,4]
C0038436
UMLS CUI [1,5]
C0011900
*Control Inclusion Criteria*: A structured Clinical Interview for DSM-IV Axis I Disorders (SCID) with No PTSD diagnosis (Spitzer R.L. and Williams J. 1983).
Description

Elig.phs000864.v1.p1.6

Data type

boolean

Alias
UMLS CUI [1,1]
C1512693
UMLS CUI [1,2]
C0009932
UMLS CUI [1,3]
C1537054
UMLS CUI [1,4]
C0038436
UMLS CUI [1,5]
C1272460
*Exclusion Criteria*:(1) Younger than age 18 or older than 65 years of age; (2) Inability or unwillingness to give informed consent; (3) A primary diagnoses other than PTSD as determined by Structured Clinical Interview for DSM-IV Axis I Disorders (SCID) (Spitzer R.L. and Williams J. 1983).
Description

Elig.phs000864.v1.p1.7

Data type

boolean

Alias
UMLS CUI [1,1]
C0680251
UMLS CUI [1,2]
C0001779
UMLS CUI [2,1]
C0680251
UMLS CUI [2,2]
C0021430
UMLS CUI [2,3]
C1299582
UMLS CUI [2,4]
C0558080
UMLS CUI [3,1]
C0680251
UMLS CUI [3,2]
C0277554
UMLS CUI [3,3]
C1705847
UMLS CUI [3,4]
C0038436
UMLS CUI [3,5]
C1537054
Breslau,N, Kessler,RC (2001): The stressor criterion in DSM-IV posttraumatic stress disorder: an empirical investigation. Biol.Psychiatry 50: 699-704.
Description

Elig.phs000864.v1.p1.8

Data type

boolean

Alias
UMLS CUI [1,1]
C3846158
Keane,TM, Fairbank,JA, Caddell JM, Zimering RT, Taylor KI, Mora CA (1989): Brief Reports: clinical evaluation of a measure to assess combat exposure. J consult Clin Psychol 1: 53-55.
Description

Elig.phs000864.v1.p1.9

Data type

boolean

Alias
UMLS CUI [1,1]
C3846158
Spitzer,RL, Williams,J (1983): Instructional Manual for SCID. New York: New York State Psychiatric Institute.
Description

Elig.phs000864.v1.p1.10

Data type

boolean

Alias
UMLS CUI [1,1]
C3846158

Similar models

Eligibility Criteria

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Inclusion and exclusion criteria
C1512693 (UMLS CUI [1,1])
C0680251 (UMLS CUI [1,2])
Elig.phs000864.v1.p1.1
Item
*Marine Resiliency Study (MRS)*:
boolean
C2348568 (UMLS CUI [1,1])
Elig.phs000864.v1.p1.2
Item
Inclusion criteria: all deploying Marines in units selected for the study.
boolean
C1512693 (UMLS CUI [1,1])
Elig.phs000864.v1.p1.3
Item
Exclusion criterion: none, except that Marines who do not want to participate will not be included.
boolean
C0680251 (UMLS CUI [1,1])
C0549184 (UMLS CUI [1,2])
Elig.phs000864.v1.p1.4
Item
*Active duty or previously deployed service members (CAVC)*:
boolean
C3846158 (UMLS CUI [1,1])
Elig.phs000864.v1.p1.5
Item
*Inclusion Criteria*: Evidence of combat as defined by the following: (a) a history of deployment to a combat zone, as evidenced by service record (b) a CES score of at least 10 (Keane et. al. 1989), (c) Trauma exposure sufficient to meet Category A of PTSD criteria (Breslau and Kessler 2001). *Case Inclusion Criteria*: Diagnosis of PTSD as determined by Structured Clinical Interview for DSM-IV Axis I Disorders (SCID) diagnosis (Spitzer R.L. and Williams J. 1983).
boolean
C1512693 (UMLS CUI [1,1])
C1706256 (UMLS CUI [1,2])
C1537054 (UMLS CUI [1,3])
C0038436 (UMLS CUI [1,4])
C0011900 (UMLS CUI [1,5])
Elig.phs000864.v1.p1.6
Item
*Control Inclusion Criteria*: A structured Clinical Interview for DSM-IV Axis I Disorders (SCID) with No PTSD diagnosis (Spitzer R.L. and Williams J. 1983).
boolean
C1512693 (UMLS CUI [1,1])
C0009932 (UMLS CUI [1,2])
C1537054 (UMLS CUI [1,3])
C0038436 (UMLS CUI [1,4])
C1272460 (UMLS CUI [1,5])
Elig.phs000864.v1.p1.7
Item
*Exclusion Criteria*:(1) Younger than age 18 or older than 65 years of age; (2) Inability or unwillingness to give informed consent; (3) A primary diagnoses other than PTSD as determined by Structured Clinical Interview for DSM-IV Axis I Disorders (SCID) (Spitzer R.L. and Williams J. 1983).
boolean
C0680251 (UMLS CUI [1,1])
C0001779 (UMLS CUI [1,2])
C0680251 (UMLS CUI [2,1])
C0021430 (UMLS CUI [2,2])
C1299582 (UMLS CUI [2,3])
C0558080 (UMLS CUI [2,4])
C0680251 (UMLS CUI [3,1])
C0277554 (UMLS CUI [3,2])
C1705847 (UMLS CUI [3,3])
C0038436 (UMLS CUI [3,4])
C1537054 (UMLS CUI [3,5])
Elig.phs000864.v1.p1.8
Item
Breslau,N, Kessler,RC (2001): The stressor criterion in DSM-IV posttraumatic stress disorder: an empirical investigation. Biol.Psychiatry 50: 699-704.
boolean
C3846158 (UMLS CUI [1,1])
Elig.phs000864.v1.p1.9
Item
Keane,TM, Fairbank,JA, Caddell JM, Zimering RT, Taylor KI, Mora CA (1989): Brief Reports: clinical evaluation of a measure to assess combat exposure. J consult Clin Psychol 1: 53-55.
boolean
C3846158 (UMLS CUI [1,1])
Elig.phs000864.v1.p1.10
Item
Spitzer,RL, Williams,J (1983): Instructional Manual for SCID. New York: New York State Psychiatric Institute.
boolean
C3846158 (UMLS CUI [1,1])

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