Evidence map›Paper›PMID 27703762›Full record

ArticleBJPsych open2016

Patient characteristics as a moderator of post-traumatic stress disorder treatment outcome: combining symptom burden and strengths.

Marylene Cloitre, Eva Petkova, Zhe Su, Brandon Weiss

Abstract read
In one paragraph

Article in BJPsych open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. The effectiveness of trauma-focused psychotherapy for complex post-traumatic stress disorder: A retrospective study.European psychiatry : the journal of the Association of European Psychiatrists · 2022
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. The promise of machine learning in predicting treatment outcomes in psychiatry.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2021
    Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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.

Marylene Cloitre, PhD, National Center for PTSD Dissemination and Training Division, VA Palo Alto Health Care System, Menlo Park, California, USA; NYU Langone Medical Center, New York, USA.
Eva Petkova, PhD, Department of Child & Adolescent Psychiatry, NYU Langone Medical Center; Nathan Kline Institute for Psychiatric Research, New York State Office of Mental HealthH, New York, New York, USA.
Zhe Su, MA, Department of Child & Adolescent Psychiatry, NYU Langone Medical Center, New York, New York, USA.
Brandon Weiss, PhD, National Center for PTSD Dissemination and Training Division, VA Palo Alto Health Care System, Menlo Park, California, USA; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, California, USA.

Funding

Characterizing Placebo ResponseR01MH099003 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI PETKOVA, EVA, TARPEY, THADDEUS · 2013 to 2021
$4.5M
NIMH NIH HHS R01 MH099003
6 · The paper itself

Abstract

backgroundPost-traumatic stress disorder (PTSD) psychotherapy research has failed to identify patient characteristics that consistently predict differential outcome.

aimsTo identify patient characteristics associated with differential outcome via a statistically generated composite moderator among women with childhood abuse-related PTSD in a randomised controlled trial comparing exposure therapy, skills training and their combination.

methodSix baseline patient characteristics were combined in a composite moderator of treatment effects for PTSD symptoms across the three treatment conditions through a 6-month follow-up.

resultsThe optimal moderator was the combined burden of all symptoms and emotion regulation strength. Those with high moderator scores, reflecting high symptom load relative to emotion regulation, did least well in exposure, moderately well in skills and best in the combination.

conclusionsA clinically meaningful moderator, which combines patient symptom burden and strengths, was identified. Assessment at follow-up may provide a more accurate indicator of variability in outcome than that obtained immediately post-treatment. DECLARATION OF INTEREST: None. COPYRIGHT AND USAGE: © The Royal College of Psychiatrists 2016. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.

Identifiers

PMID27703762
PMCPMC4995554

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.