Evidence map›Paper›PMID 30146141›Full record

Trial reportBehavior therapy2018

Homework Completion, Patient Characteristics, and Symptom Change in Cognitive Processing Therapy for PTSD.

Shannon Wiltsey Stirman, Cassidy A Gutner, Michael K Suvak, Abby Adler, Amber Calloway, Patricia Resick

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Behavior therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

23 citing papers in PubMed, 52 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  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

6 authors at 5 institutions in 1 country.

Shannon Wiltsey StirmanNational Center for PTSD and Stanford University. Electronic address: sws1@stanford.edu.
Cassidy A GutnerNational Center for PTSD at VA Boston Healthcare System; Boston University School of Medicine.
Michael K SuvakSuffolk University.
Abby AdlerNational Center for PTSD, VA Boston Healthcare System.
Amber CallowayNational Center for PTSD, VA Boston Healthcare System.
Patricia ResickDuke University Medical Center.
VA Boston Healthcare System · USDuke Medical Center · USStanford University · USSuffolk University · USUniversity School · 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
COGNITIVE PROCESSES IN PTSD--FOCUS ON DOMESTIC VIOLENCER01MH055542 · NIMH · UNIVERSITY OF MISSOURI-ST. LOUIS · PI RESICK, PATRICIA A · 1997 to 1999
–
NIMH NIH HHS K23 MH103396NIMH NIH HHS R01 MH051509NIMH NIH HHS R01 MH055542
6 · The paper itself

Abstract

We evaluated the impact of homework completion on change in PTSD symptoms in the context of two randomized controlled trials of Cognitive Processing Therapy for PTSD (CPT). Female participants (n = 140) diagnosed with PTSD attended at least one CPT session and were assigned homework at each session. The frequency of homework completion was assessed at the beginning of each session and PTSD symptoms were assessed every other session. Piecewise growth models were used to examine the relationship between homework completion and symptom change. CPT version (with vs without the written trauma account) did not moderate associations between homework engagement and outcomes. Greater pretreatment PTSD symptoms predicted more Session 1 homework completion, but PTSD symptoms did not predict homework completion at other timepoints. More homework completion after Sessions 2 and 3 was associated with less change in PTSD from Session 2 to Session 4, but larger pre-to-post treatment changes in PTSD. Homework completion after Sessions 2 and 3 was associated with greater symptom change among patients who had fewer years of education. More homework completion after Sessions 8 and 9 was associated with larger subsequent decreases in PTSD. Average homework completion was not associated with client characteristics. In the second half of treatment, homework engagement was associated with less dropout. The results suggest that efforts to increase engagement in homework may facilitate symptom change.

Indexed as

WritingAdultCognitionCognitive Behavioral TherapyFemaleHumansMaleMiddle AgedPatient ParticipationStress Disorders, Post-TraumaticTreatment Outcomecognitive behavioral therapycognitive processing therapyhomeworkposttraumatic stress disorder

Identifiers

PMID30146141
PMCPMC6112175
OpenAlexW2773667235

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.