Evidence map›Paper›PMID 29154591›Full record

ArticlePsychological trauma : theory, research, practice and policy2018

The impact of comorbid diagnoses on the course of posttraumatic stress disorder symptoms in residents of battered women's shelters.

Katherine M Fedele, Nicole L Johnson, Jennifer C Caldwell, Yuliya Shteynberg, Sarah E Sanders, Samantha C Holmes, Dawn M Johnson

Open access · hybridAbstract read
In one paragraph

Article in Psychological trauma : theory, research, practice and policy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 23% 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

1 citing paper in PubMed, 10 citations in OpenAlex.

  1. 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

7 authors at 3 institutions in 1 country.

Katherine M FedeleDepartment of Psychology, The University of Akron.
Nicole L JohnsonDepartment of Education, Lehigh University.
Jennifer C CaldwellOhioGuidestone.
Yuliya ShteynbergDepartment of Psychology, University of North Texas.
Sarah E SandersDepartment of Psychology, The University of Akron.
Samantha C HolmesDepartment of Psychology, The University of Akron.
Dawn M JohnsonDepartment of Psychology, The University of Akron.ORCID 0000-0001-5970-895X
University of Akron · USLehigh University · USUniversity of North Texas · US

Funding

Treatment of Battered Women with PTSD in SheltersK23MH067648 · NIMH · SUMMA HEALTH SYSTEM · PI JOHNSON, DAWN M · 2003 to 2007
$590k
National Institute of Mental HealthNIMH NIH HHS K23 MH067648Summa-Kent State Center for the Treatment and Study of Traumatic Stress
6 · The paper itself

Abstract

objectiveThe current investigation sought to explore the impact of the comorbidities of substance use disorder (SUD), major depressive disorder (MDD), and borderline personality disorder (BPD) on the trajectory of intimate partner violence (IPV)-related posttraumatic stress disorder (PTSD) symptoms across a 6-month follow-up period in IPV survivors who seek shelter. Research has found significant comorbidity of SUD, MDD, and BPD with PTSD (see Green et al., 2006; Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995; Pagura et al., 2010); however, little to no research has explored these relationships in this unique population over time.

methodA sample of 147 residents of battered women's shelters completed study measures at baseline, 1 week, and 3 and 6 months following shelter stay. Participants completed measures assessing for demographics, abuse, and Diagnostic and Statistical Manual of Mental Disorders (4th edition, text revision) diagnoses.

resultsResults of latent growth modeling with the time-invariant covariates of SUD, MDD, and BPD yielded a significant effect of SUD (β = .002, p = .007) on the slope of IPV-related PTSD symptoms controlling for IPV victimization. Significant effects were not identified for BPD (β = .001, p > .05) or MDD (β = .002, p > .05). Results suggest IPV survivors with SUD demonstrated less improvement in PTSD symptoms over 6 months after they left shelter as compared to women without SUD.

conclusionFindings emphasize the deleterious effects of SUD, above and beyond MDD and BPD, on IPV-related PTSD and highlight the need for assessment and treatment of SUD and PTSD simultaneously in residents of battered women's shelters. Clinical Impact Statement: Findings suggest the need to go beyond standard shelter services to more effectively address and treat co-occurring SUD-PTSD in IPV survivors. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Indexed as

AdultBattered WomenBorderline Personality DisorderComorbidityCrime VictimsFemaleHumansIntimate Partner ViolenceLongitudinal StudiesMajor Depressive DisorderMiddle AgedResidential FacilitiesStress Disorders, Post-TraumaticSubstance-Related DisordersYoung Adult

Identifiers

PMID29154591
PMCPMC5960595
OpenAlexW2768871029

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.