Evidence map›Paper›PMID 29524908›Full record

ArticlePsychiatry research2018

Going direct to the consumer: Examining treatment preferences for veterans with insomnia, PTSD, and depression.

Cassidy A Gutner, Eric R Pedersen, Sean P A Drummond

Open access · bronzeAbstract read
In one paragraph

Article in Psychiatry research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. A Preliminary Evaluation of the Unified Protocol among Trauma-Exposed Adults with and without PTSD.International journal of environmental research and public health · 2021
    Trial
  3. Trial
  4. Trial
  5. Article
  6. Development of a guide for continuous positive airway pressure use - A good fit: Making continuous positive airway pressure work for you.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Postmigration stress and sleep disturbances mediate the relationship between trauma exposure and posttraumatic stress symptoms among Syrian and Iraqi refugees.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Article
  15. Sleep in PTSD: treatment approaches and outcomes.Current opinion in psychology · 2020
    Review
  16. Article
  17. Article
  18. Observational
  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

3 authors at 3 institutions in 2 countries.

Cassidy A GutnerNational Center for PTSD Women's Health Sciences Division, VA Boston Healthcare System, Boston, MA, USA; Boston University School of Medicine, Boston, MA, USA. Electronic address: cgutner@bu.edu.
Eric R PedersenRAND Corporation, Santa Monica, CA, USA.
Sean P A DrummondMonash Institute for Cognitive and Clinical Neuroscience, School of Psychological Sciences, Monash University, Australia.
Monash University · AUNational Center for PTSD · USRAND Corporation · US

Funding

IMPLEMENTATION RESEARCH INSTITUTE FOR MENTAL HEALTH SERVICES IRI-MHSR25MH080916 · NIMH · WASHINGTON UNIVERSITY · PI Byron James Powell · 2009 to 2026
$3.7M
Effectiveness of a unified transdiagnostic treatment in routine clinical careK23MH103396 · NIMH · BOSTON UNIVERSITY MEDICAL CAMPUS · PI GUTNER, CASSIDY AUBIN · 2015 to 2019
$898k
Brief Online Intervention to Reduce Heavy Alcohol Use Among Young Adult VeteransR34AA022400 · NIAAA · RAND CORPORATION · PI PEDERSEN, ERIC R. · 2013 to 2015
$692k
NIAAA NIH HHS R34 AA022400NIMH NIH HHS K23 MH103396NIMH NIH HHS R25 MH080916
6 · The paper itself

Abstract

Inclusion of consumer preferences to disseminate evidence-based psychosocial treatment (EBPT) is crucial to effectively bridge the science-to-practice quality chasm. We examined this treatment gap for insomnia, posttraumatic stress disorder (PTSD), depression, and comorbid symptoms in a sample of 622 young adult veterans through preference in symptom focus, treatment modality, and related gender differences among those screening positive for each problem. Data were collected from veteran drinkers recruited through targeted Facebook advertisements as part of a brief online alcohol intervention. Analyses demonstrated that veterans reported greater willingness to seek insomnia-focused treatment over PTSD- or depression-focused care. Notably, even when participants screened negative for insomnia, they preferred sleep-focused care to PTSD- or depression-focused care. Although one in five veterans with a positive screen would not consider care, veterans screening for both insomnia and PTSD who would consider care had a preference for in-person counseling, and those screening for both insomnia and depression had similar preferences for in-person and mobile app-based/computer self-help treatment. Marginal gender differences were found. Incorporating direct-to-consumer methods into research can help educate stakeholders about methods to expand EBPT access. Though traditional in-person counseling was often preferred, openness to app-based/computer interventions offers alternative methods to provide veterans with EBPTs.

Indexed as

Consumer BehaviorAdultComorbidityDepressionFemaleFollow-Up StudiesHumansMalePatient PreferenceSleepSleep Initiation and Maintenance DisordersStress Disorders, Post-TraumaticVeteransYoung AdultComorbidityDepressionInsomniaPsychosocial treatmentPTSDTreatment preferenceVeteran

Identifiers

PMID29524908
PMCPMC5911221
OpenAlexW2795084431

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.