Evidence map›Paper›PMID 30589882›Full record

ArticlePloS one2018

Veterans' compensation claims beliefs predict timing of PTSD treatment use relative to compensation and pension exam.

Anne C Black, Sarah Meshberg-Cohen, Andric C Perez-Ortiz, Thomas A Thornhill, Marc I Rosen

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01597856 (Evaluation and Treatment of Substance Use in Veterans With PTSD Disability Claims), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.4field-weighted citation impact, top 17% 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.

NCT01597856 nacompletednot on this map

Evaluation and Treatment of Substance Use in Veterans With PTSD Disability Claims

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2013 to 2017Enrolled346ConditionsAttendance at Treatment, PTSD, Substance Use, and Attendance at TreatmentArmsSBIRT
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. 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

5 authors at 1 institution in 1 country.

Anne C BlackDepartment of Psychiatry, Yale University, New Haven, CT, United States of America.ORCID 0000-0003-0295-7351
Sarah Meshberg-CohenDepartment of Psychiatry, Yale University, New Haven, CT, United States of America.
Andric C Perez-OrtizSchool of Public Health, Yale University, New Haven, CT, United States of America.
Thomas A ThornhillDepartment of Psychiatry, Yale University, New Haven, CT, United States of America.ORCID 0000-0003-4632-5890
Marc I RosenDepartment of Psychiatry, Yale University, New Haven, CT, United States of America.
Yale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn this study we developed the Disability Beliefs Scale to assess Veterans' beliefs that engaging in treatment, as well as other behaviors, would affect the likelihood of a Veteran's being awarded disability-related benefits. We posited that Veterans with stronger beliefs that attending mental health treatment would facilitate a service-connection award would be more likely to attend PTSD treatment before their compensation and pension examinations for PTSD.

methodsElectronic health records for 307 post-9/11-era Veterans applying for compensation and pension for service-connected PTSD and engaging in a clinical trial of a treatment-referral intervention were analyzed for PTSD-specific and more general mental health treatment use around the time of their compensation examinations. All participants completed the Disability Beliefs Scale and other baseline assessments. Multilevel models assessed change in treatment use as a function of time relative to the C&P exam, compensation examination status (before or after), and the interaction between examination status and beliefs about treatment benefits.

resultsNo main effects of time or examination status were observed. As hypothesized, beliefs about treatment benefits moderated the effect of examination status on PTSD treatment use. Veterans believing more strongly that mental health treatment would help a claim differentially attended PTSD treatment before the examination than after. The effect was not observed for general mental health treatment use.

conclusionThe association between Veterans' use of PTSD treatment and their service-connection examination status was moderated by beliefs that receiving treatment affects the service-connection decision. This suggests that factors reported to motivate seeking service-connection-finances, validation of Veterans' experiences, and the involvement of significant others-might also help motivate Veterans' use of effective PTSD treatments. However, the results reflect correlations that could be explained in other ways, and service-connection was one of many factors impacting PTSD treatment engagement.

Indexed as

Compensation and RedressVeterans Disability ClaimsAdultCultureDisability EvaluationElectronic Health RecordsFemaleHumansMaleMental HealthPensionsPersons with DisabilitiesPsychometricsStress Disorders, Post-TraumaticTime FactorsUnited States

Identifiers

PMID30589882
PMCPMC6307722
OpenAlexW2906968878

What OpenQuestion holds

Textmetadata
LicenceCC0
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.