Trial reportJournal of consulting and clinical psychology2016
The influence of the dissociative subtype of posttraumatic stress disorder on treatment efficacy in female veterans and active duty service members.
Trial report in Journal of consulting and clinical psychology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 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
32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 76 citations in OpenAlex.
- An Evidence Map of the Women Veterans' Health Literature, 2016 to 2023: A Systematic Review.JAMA network open · 2025Pooled it
- Limited and inconclusive effects of computer-based neurocognitive training on PTSD, comorbid depression and executive functioning: a systematic review and meta-analysis.Frontiers in psychology · 2025Pooled it
- Psychosocial interventions for conversion and dissociative disorders in adults.The Cochrane database of systematic reviews · 2020Pooled it
- Present-centered therapy (PCT) for post-traumatic stress disorder (PTSD) in adults.The Cochrane database of systematic reviews · 2019Pooled it
- Evaluating the attitudes of mental health professionals towards trials of MDMA: a randomised vignette trial.BMJ open · 2022Trial
- Latent Profiles of Comorbid Depression as Predictors of PTSD Treatment Outcome.Behavior therapy · 2021Trial
- Amygdala-targeted neurofeedback for dissociative symptoms in PTSD: Converging evidence from three independent studies.Psychiatry research · 2025Article
- What is latent about trauma exposure? Commentary on the use of latent class analysis for identifying trauma subtypes.Journal of mood and anxiety disorders · 2025Article
- Post-traumatic stress disorder: evolving conceptualization and evidence, and future research directions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025Article
- Treatment of dissociative identity disorder: leveraging neurobiology to optimize success.Expert review of neurotherapeutics · 2024Review
- Treatment of Posttraumatic Stress Disorder: A State-of-the-art Review.Current neuropharmacology · 2024Review
- Neurobiological and genetic correlates of the dissociative subtype of posttraumatic stress disorder.Journal of psychopathology and clinical science · 2023Article
- The PTSD Symptom Presentation and the Effect of Polytrauma on PTSD Symptom Clusters Among Young People Who Have Experienced Commercial Sexual Exploitation and Trafficking.Journal of child & adolescent trauma · 2023Article
- The role of dissociation-related beliefs about memory in trauma-focused treatment.European journal of psychotraumatology · 2023Article
- Somatoform Dissociative Symptoms Have No Impact on the Outcome of Trauma-Focused Treatment for Severe PTSD.Journal of clinical medicine · 2021Article
- Childhood maltreatment type and severity predict depersonalization and derealization in treatment-seeking women with posttraumatic stress disorder.Psychiatry research · 2020Article
- Impact of dissociation on the effectiveness of psychotherapy for post-traumatic stress disorder: meta-analysis.BJPsych open · 2020Article
- Psychometric Properties of the Dissociative Subtype of PTSD Scale: Replication and Extension in a Clinical Sample of Trauma-Exposed Veterans.Behavior therapy · 2019Article
- Autonomic responses to fear conditioning among women with PTSD and dissociation.Depression and anxiety · 2019Article
- Augmentation of Extinction and Inhibitory Learning in Anxiety and Trauma-Related Disorders.Annual review of clinical psychology · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
objectiveA dissociative subtype of posttraumatic stress disorder (PTSD) was recently added to the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; American Psychiatric Association, 2013) and is thought to be associated with poor PTSD treatment response.
methodWe used latent growth curve modeling to examine data from a randomized controlled trial of prolonged exposure and present-centered therapy for PTSD in a sample of 284 female veterans and active duty service members with PTSD to test the association between the dissociative subtype and treatment response.
resultsIndividuals with the dissociative subtype (defined using latent profile analysis) had a flatter slope (p = .008) compared with those with high PTSD symptoms and no dissociation, such that the former group showed, on average, a 9.75 (95% confidence interval [-16.94, -2.57]) lesser decrease in PTSD severity scores on the Clinician Administered PTSD Scale (Blake et al., 1995) over the course of the trial. However, this effect was small in magnitude. Dissociative symptoms decreased markedly among those with the subtype, though neither treatment explicitly addressed such symptoms. There were no differences as a function of treatment type.
conclusionsResults raise doubt about the common clinical perception that exposure therapy is not effective or appropriate for individuals who have PTSD and dissociation, and provide empirical support for the use of exposure treatment for individuals with the dissociative subtype of PTSD.
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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.