Evidence map›Paper›PMID 23587015›Full record

Trial reportHealth and quality of life outcomes2013

Minimal clinically important differences for the EQ-5D and QWB-SA in Post-traumatic Stress Disorder (PTSD): results from a Doubly Randomized Preference Trial (DRPT).

Quang A Le, Jason N Doctor, Lori A Zoellner, Norah C Feeny

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Health and quality of life outcomes, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00127673 (Effectiveness of PTSD Treatment), which is not on this map. Cited by 47 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 4 pooled it
28.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00127673 phase3completednot on this map

Effectiveness of PTSD Treatment: CBT Versus Sertraline

TypeinterventionalSponsorCase Western Reserve UniversityRan2004 to 2011Enrolled200ConditionsPost-Traumatic Stress DisorderArmsSertraline, Cognitive behavioral therapy (CBT)
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 4 syntheses or guidelines pooled it, 91 citations in OpenAlex.

  1. A systematic review of minimum important changes for generic multi-attribute utility instruments and recommendations for their estimation.The European journal of health economics : HEPAC : health economics in prevention and care · 2025
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  7. Long-term safety and clinical performance of kyphoplasty and SpineJack® procedures in the treatment of osteoporotic vertebral compression fractures: a pilot, monocentric, investigator-initiated study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019
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  9. Effects of treatment, choice, and preference on health-related quality-of-life outcomes in patients with posttraumatic stress disorder (PTSD).Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018
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  13. Mapping the NEI-VFQ-25 scores to the EQ-5D-Y-3L and CHU-9D utility values among adolescents with myopia.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Quang A LeDepartment of Pharmacy Administration and Practice, Western University of Health Sciences, Pomona, CA 91766-1854, USA. qle@westernu.edu
Jason N Doctor
Lori A Zoellner
Norah C Feeny
Case Western Reserve University · USUniversity of Southern California · USUniversity of Washington · USWestern University of Health Sciences · US

Funding

Effectiveness of PTSD Treatment: Prolonged Exposure Therapy vs. ZoloftR01MH066347 · NIMH · UNIVERSITY OF WASHINGTON · PI ZOELLNER, LORI A · 2004 to 2014
$4.3M
Effectiveness of PTSD Treatment: PE vs ZoloftR01MH066348 · NIMH · CASE WESTERN RESERVE UNIVERSITY · PI FEENY, NORAH C · 2004 to 2014
$4.3M
NIMH NIH HHS R01 MH066347NIMH NIH HHS R01MH066347NIMH NIH HHS R01 MH066348NIMH NIH HHS R01MH066348
6 · The paper itself

Abstract

objectiveTo determine the minimal clinically important difference (MCID) for the health-utility measures EuroQol-5 dimensions (EQ-5D) and Quality of Well Being Self-Administered (QWB-SA) Scale in PTSD patients. RESEARCH DESIGN AND

methodsTwo hundred patients aged 18 to 65 years with PTSD enrolled in a doubly randomized preference trial (DRPT) examining the treatment and treatment-preference effects between cognitive behavioral therapy and pharmacotherapy with sertraline and completed the EQ-5D and QWB-SA at baseline and 10-week post-treatment. The anchor-based methods utilized a Clinical Global Impression-Improvement (CGI-I) and Clinical Global Impression-Severity. We regressed the changes in EQ-5D and QWB-SA scores on changes in the anchors using ordinary least squares regression. The slopes (beta coefficients) were the rates of change in the anchors as functions of change in EQ-5D and QWB, which represent our estimates of MCID. In addition, we performed receiver operating characteristic (ROC) curve analysis to examine the relationship between the changes in EQ-5D and QWB-SA scores and treatment-response status. The MCIDs were estimated from the ROC curve where they best discriminate between treatment responders and non-responders. The distribution-based methods used small to moderate effect size in terms of 0.2 and 0.5 of standard deviation of the pre-treatment EQ-5D and QWB-SA scores.

resultsThe anchor-based methods estimated the MCID ranges of 0.05 to 0.08 for the EQ-5D and 0.03 to 0.05 for the QWB. The MCID ranges were higher with the distribution-based methods, ranging from 0.04 to 0.10 for the EQ-5D and 0.02 to 0.05 for the QWB-SA.

conclusionsThe established MCID ranges of EQ-5D and QWB-SA can be a useful tool in assessing meaningful changes in patient's quality of life for researchers and clinicians, and assisting health-policy makers to make informing decision in mental health treatment. CLINICAL

trial registrationClinicaltrials.gov; Identifier: NCT00127673.

Indexed as

Cognitive Behavioral TherapyPatient PreferencePsychiatric Status Rating ScalesSurveys and QuestionnairesAdolescentAdultAgedEpilepsy, Post-TraumaticFemaleHealth Status IndicatorsHumansMaleMiddle AgedRegression AnalysisResearch DesignROC CurveSelective Serotonin Reuptake InhibitorsSertraline

Identifiers

PMID23587015
PMCPMC3635945
OpenAlexW2119957201

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.