Evidence map›Paper›PMID 25617774›Full record

Trial reportJournal of anxiety disorders2015

Implementation and effectiveness of integrated trauma and addiction treatment for incarcerated men.

Nancy Wolff, Jessica Huening, Jing Shi, B Christopher Frueh, Donald R Hoover, Gregory McHugo

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of anxiety disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 6 pooled it
7.2field-weighted citation impact, top 3% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 6 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
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  7. Trauma and Incarceration: A Latent Class Analysis of Lifetime Trauma Exposures for Individuals in Prison.Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation (ISSD)
    Trial
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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

6 authors at 4 institutions in 1 country.

Nancy WolffCenter for Behavioral Health Services and Criminal Justice Research, Rutgers University, 176 Ryders Lane, New Brunswick, NJ 08901, United States. Electronic address: nwolff@cbhs.rutgers.edu.
Jessica HueningCenter for Behavioral Health Services and Criminal Justice Research, Rutgers University, 176 Ryders Lane, New Brunswick, NJ 08901, United States.
Jing ShiCenter for Behavioral Health Services and Criminal Justice Research, Rutgers University, 176 Ryders Lane, New Brunswick, NJ 08901, United States.
B Christopher FruehDepartment of Psychology, University of Hawaii, 200 W. Kawili St., Hilo, HI 96720, United States; The Menninger Clinic, Houston, TX 12303, United States.
Donald R HooverCenter for Behavioral Health Services and Criminal Justice Research, Rutgers University, 176 Ryders Lane, New Brunswick, NJ 08901, United States.
Gregory McHugoDartmouth Psychiatric Research Center, The Geisel School of Medicine at Dartmouth, United States.
Behavioral Health Services · USDartmouth Psychiatric Research Center · USRutgers, The State University of New Jersey · USUniversity of Hawaii at Hilo · US

Funding

PTSD and Addiction Disorder Screening and Treatment for Incarcerated MenR01MH095206 · NIMH · RUTGERS, THE STATE UNIV OF N.J. · PI WOLFF, NANCY · 2011 to 2013
$2.1M
NIMH NIH HHS R01 MH095206NIMH NIH HHS R01-MH095206
6 · The paper itself

Abstract

A controlled trial of Seeking Safety (SS) and Male-Trauma Recovery Empowerment Model (M-TREM) examined implementation and effectiveness of integrated group therapy for comorbid post-traumatic stress disorder (PTSD) and substance use disorder (SUD) on PTSD and mental health symptoms plus self-esteem and efficacy for incarcerated men. The study sample (n=230) was male inmates 18 years or older who were primarily non-white, high school graduates or equivalents, had childhood trauma histories, committed violent crimes, had serious mental illnesses, and resided in a maximum security prison. Incarcerated men, who screened positive for PTSD and SUD, were assigned randomly (n=142) or by preference (n=88) to receive SS or M-TREM, with a waitlist group of (n=93). Manualized interventions were group-administered for 14 weeks. Primary outcomes were PTSD and other mental health symptoms. Secondary outcomes were self-esteem, coping, and self-efficacy. SUD outcomes cannot be measured in a correctional setting. Implementation feasibility was exhibited by the ability to recruit, screen, assign, and retain participants. Effectiveness findings depended on sample, design, and method for analysis. Using a waitlist control group and no follow-up period, we found no aggregate effect of treatment on PTSD symptoms, although, when disaggregated, M-TREM was found to improve PTSD severity and SS improved general mental health symptoms and psychological functioning. Using intent-to-treat and completer analyses, no significant differences were found in the relative performance between SS and M-TREM on primary or secondary outcomes. When longitudinal data were maximized and modeled in ways that reflect the hierarchical nature of the data, we found that SS and M-TREM performed better than no treatment on PTSD severity and secondary outcomes, and that treatment benefits endured. Findings cautiously support implementing either Seeking Safety or M-TREM to treat incarcerated men with co-morbid PTSD and addiction problems.

Indexed as

Adaptation, PsychologicalAdultCognitive Behavioral TherapyCombined Modality TherapyHumansMaleMental HealthMiddle AgedPatient CompliancePrisonersPsychotherapy, GroupStress Disorders, Post-TraumaticSubstance-Related DisordersTreatment OutcomeViolenceIncarcerated menIntegrated treatmentPTSDSeeking SafetyTrauma Recovery and Empowerment Model (MTREM)

Identifiers

PMID25617774
PMCPMC4620997
OpenAlexW2053827898

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.