Evidence map›Paper›PMID 27213491›Full record

Trial reportJournal of consulting and clinical psychology2016

Does timing matter? Examining the impact of session timing on outcome.

Cassidy A Gutner, Michael K Suvak, Denise M Sloan, Patricia A Resick

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

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 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
7.8field-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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

  1. Pooled it
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  7. Examining prolonged exposure outcomes when session frequency is limited: Preliminary findings from a Veteran sample.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 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 3 institutions in 1 country.

Cassidy A GutnerWomen's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System.ORCID 0000-0002-9406-6638
Michael K SuvakDepartment of Psychology, Suffolk University.
Denise M SloanBehavioral Science Division, National Center for PTSD, VA Boston Healthcare System.
Patricia A ResickDepartment of Psychiatry, Duke University.
VA Boston Healthcare System · USDuke University · USSuffolk University · US

Funding

COGNITIVE PROCESSES IN PTSD: TREATMENTR01MH051509 · NIMH · UNIVERSITY OF MISSOURI-ST. LOUIS · PI RESICK, PATRICIA A · 1994 to 2004
$1.7M
Effectiveness of a unified transdiagnostic treatment in routine clinical careK23MH103396 · NIMH · BOSTON UNIVERSITY MEDICAL CAMPUS · PI GUTNER, CASSIDY AUBIN · 2015 to 2019
$898k
NIMH NIH HHS K23 MH103396NIMH NIH HHS R01 MH051509
6 · The paper itself

Abstract

objectiveFirst-line treatments for posttraumatic stress disorder (PTSD) are often implemented twice per week in efficacy trials. However, there is considerable variability in the frequency of treatment sessions (e.g., once per week or twice per week) in clinical practice. Moreover, clients often cancel or reschedule treatment sessions, leading to even greater variability in treatment session timing. The goal of the current study is to investigate the impact of PTSD treatment session frequency on treatment outcome.

methodOne hundred thirty-six women (Mage = 32.16 [SD = 9.90]) with PTSD were randomized to receive cognitive processing therapy or prolonged exposure. PTSD symptom outcome was measured using the Clinician-Administered PTSD Scale, and session frequency and consistency were measured using dates of treatment session attendance. Session frequency was operationalized using average days between session, and consistency was defined by the standard deviation of the number of days between treatment sessions.

resultsPiecewise growth curve modeling revealed that higher average days between sessions was associated with significantly smaller PTSD symptom reduction, with more frequent sessions yielding greater PTSD symptom reduction (p < .001, d = .82). Higher consistency was also associated with significantly greater PTSD symptom reduction (p < .01, d = .48). The substantially larger effect size for frequency suggests that average days between treatment sessions impacts treatment outcome more than consistency. Follow-up analyses revealed a longer time interval between Sessions 4 and 5 was associated with smaller reductions in PTSD treatment outcome.

conclusionsMore frequent scheduling of sessions may maximize PTSD treatment outcomes. (PsycINFO Database Record

Indexed as

Outcome and Process Assessment, Health CareAdultCognitive Behavioral TherapyFemaleHumansImplosive TherapyStress Disorders, Post-TraumaticTime FactorsYoung Adult

Identifiers

PMID27213491
PMCPMC5121088
OpenAlexW2399605912

What OpenQuestion holds

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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.