Evidence map›Paper›PMID 28743198›Full record

ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2018

Do Acute Benefits of Interpersonal Psychotherapy for Posttraumatic Stress Disorder Endure?

John C Markowitz, Tse-Hwei Choo, Yuval Neria

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00739765 (Psychotherapies for Chronic Post-Traumatic Stress Disorder), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
7.1field-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.

NCT00739765 nacompletednot on this map

Psychotherapies for Chronic Post-Traumatic Stress Disorder

TypeinterventionalSponsorNew York State Psychiatric InstituteRan2008 to 2014Enrolled110ConditionsPost-Traumatic Stress DisorderArmsInterpersonal Psychotherapy, Prolonged Exposure Therapy, Relaxation Therapy
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. 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

3 authors at 2 institutions in 1 country.

John C Markowitz1 New York State Psychiatric Institute, New York, NY, USA.
Tse-Hwei Choo2 Columbia University College of Physicians & Surgeons, New York, NY, USA.
Yuval Neria1 New York State Psychiatric Institute, New York, NY, USA.
New York Psychoanalytic Society and Institute · USColumbia University · US

Funding

Psychotherapies for Chronic Posttraumatic Stress DisorderR01MH079078 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI MARKOWITZ, JOHN C · 2008 to 2012
$3.1M
NIMH NIH HHS R01 MH079078
6 · The paper itself

Abstract

objectiveThe Psychotherapies for Chronic PTSD randomised trial found that three 14-week psychotherapies acutely benefitted patients with chronic posttraumatic stress disorder (PTSD). Previous research has reported sustained follow-up benefits for prolonged exposure (PE) and relaxation therapy (RT), but few comparable data exist for interpersonal psychotherapy (IPT). We describe 3-month follow-up for acute responders to all 3 treatments.

methodAcute responders, defined a priori as ≥30% improved from baseline, were reevaluated after 3-month no-treatment follow-up by independent evaluators using the Clinician-Administered PTSD Scale (CAPS).

resultsFifty of 110 initial study entrants met acute responder status at week 14. Forty-three (86%) responders entered follow-up: 23 remitters (CAPS ≤20) and 20 responders. At week 26, 27 had achieved remission status, 10 remained responders, and 6 had relapsed. Of week 14 remitters, 8 of 9 PE, all 8 IPT, and 4 of 6 RT patients remained remitted. Relapse rates were 7% (1/9) for PE, 10% (2/20) for IPT, and 33% (3/9) for RT. At week 26, PE showed greater improvement on CAPS than RT ( P = 0.048) and a trend for superiority over IPT ( P = 0.098), with no significant difference between IPT and RT. Depressive symptoms remained low during follow-up.

conclusionsThese are the first systematic data on follow-up responder status and persistence of acute treatment benefits in patients receiving individual IPT for chronic PTSD. Patients generally maintained gains across treatments, fluctuating most in RT. Study limitations include small sample size and brief follow-up interval. PTSD research should employ response and remission criteria.

Indexed as

Interpersonal RelationsOutcome Assessment, Health CareAcute DiseaseAdultCognitive Behavioral TherapyFemaleFollow-Up StudiesHumansImplosive TherapyMaleMiddle AgedRelaxation TherapyStress Disorders, Post-Traumaticcognitive behaviour therapyfollow-upinterpersonal psychotherapy (IPT)posttraumatic stress disorder (PTSD)relaxation therapyresponse/remission

Identifiers

PMID28743198
PMCPMC5788122
OpenAlexW2738934420

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.