Trial reportJournal of consulting and clinical psychology2014
Emergency department predictors of posttraumatic stress reduction for trauma-exposed individuals with and without an early intervention.
Trial report in Journal of consulting and clinical psychology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 74 citations in OpenAlex.
- Multiple session early psychological interventions for the prevention of post-traumatic stress disorder.The Cochrane database of systematic reviews · 2019Pooled it
- Sexual assault victimization and psychopathology: A review and meta-analysis.Clinical psychology review · 2017Pooled it
- Cortisol, heart rate, and blood pressure as early markers of PTSD risk: A systematic review and meta-analysis.Clinical psychology review · 2016Pooled it
- A randomized controlled trial of Deep Brain Reorienting: a neuroscientifically guided treatment for post-traumatic stress disorder.European journal of psychotraumatology · 2023Trial
- Reductions in anxiety sensitivity cognitive concerns prospectively mitigate trauma symptom development.Behaviour research and therapy · 2019Trial
- The influence of the dissociative subtype of posttraumatic stress disorder on treatment efficacy in female veterans and active duty service members.Journal of consulting and clinical psychology · 2016Trial
- Dissociation and PTSD in women with a history of childhood sexual abuse: a pilot examination of a specialized inpatient unit.Frontiers in psychiatry · 2026Article
- Amygdala-targeted neurofeedback for dissociative symptoms in PTSD: Converging evidence from three independent studies.Psychiatry research · 2025Article
- Intrapersonal Functions of Nonsuicidal Self-Injury Statistically Mediate the Effect of Posttraumatic Stress Disorder Symptoms on Fearlessness About Death.Traumatology · 2024Article
- Integrating choice points into mindfulness training for the dissociative subtype of PTSD: A case report.Psychiatry research case reports · 2024Article
- Treatment of dissociative identity disorder: leveraging neurobiology to optimize success.Expert review of neurotherapeutics · 2024Review
- Differing associations of depersonalization with physiological response during rest and breath-focused mindfulness in a trauma-exposed female population.Journal of psychiatric research · 2023Article
- DSM-5 alternative model for personality disorders trait domains and PTSD symptoms in a sample of highly traumatized African American women and a prospective sample of trauma center patients.Personality disorders · 2021Article
- Early posttraumatic autonomic and endocrine markers to predict posttraumatic stress symptoms after a preventive intervention with oxytocin.European journal of psychotraumatology · 2020Article
- Peritraumatic Stress among Caregivers of Patients in the Intensive Care Unit.Annals of the American Thoracic Society · 2020Article
- Resolution of Dissociated Ego States Relieves Flashback-Related Symptoms in Combat-Related PTSD: A Brief Mindfulness Based Intervention.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2020Article
- Early Screening for Posttraumatic Stress Disorder and Depression Among Injured Emergency Department Patients: A Feasibility Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2019Article
- PTSD as a Public Mental Health Priority.Current psychiatry reports · 2019Review
- Augmentation of Extinction and Inhibitory Learning in Anxiety and Trauma-Related Disorders.Annual review of clinical psychology · 2019Review
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveRecent data have supported the use of an early exposure intervention to promote a reduction in acute stress and posttraumatic stress disorder (PTSD) symptoms after trauma exposure. The present study explored a comprehensive predictive model that included history of trauma exposure, dissociation at the time of the trauma and early intervention, and physiological responses (cortisol and heart rate) to determine which variables were most indicative of reduced PTSD symptoms for an early intervention or treatment as usual.
methodParticipants (n = 137) were randomly assigned to the early intervention condition (n = 68) or assessment-only condition (n = 69) while receiving care at the emergency department of a Level 1 trauma center. Follow-up assessments occurred at 4 and 12 weeks posttrauma.
resultsFindings suggested that dissociation at the time of the 1st treatment session was associated with reduced response to the early intervention. No other predictors were associated with treatment response. For treatment as usual, cortisol levels at the time of acute care and dissociation at the time of the traumatic event were positively associated with PTSD symptoms.
conclusionsDissociation at the time at which treatment starts may indicate poorer response to early intervention for PTSD. Similarly, dissociation at the time of the event was positively related to PTSD symptoms in those who received treatment as usual.
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What OpenQuestion holds
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.