Evidence map›Paper›PMID 30688508›Full record

ArticlePsychological trauma : theory, research, practice and policy2019

Gender differences in rates and predictors of individual psychotherapy initiation and completion among Veterans Health Administration users recently diagnosed with PTSD.

Helen Valenstein-Mah, Shannon Kehle-Forbes, David Nelson, Elisheva R Danan, Dawne Vogt, Michele Spoont

Open access · greenAbstract read
In one paragraph

Article in Psychological trauma : theory, research, practice and policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.6field-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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

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  14. Psychotherapy Utilization, Preferences, and Retention among Women Veterans with Post-traumatic Stress Disorder.Women's health issues : official publication of the Jacobs Institute of Women's Health
    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 2 institutions in 1 country.

Helen Valenstein-MahCenter for Chronic Disease Outcomes Research, Minneapolis VA Health Care System.ORCID 0000-0001-5726-2026
Shannon Kehle-ForbesCenter for Chronic Disease Outcomes Research, Minneapolis VA Health Care System.
David NelsonCenter for Chronic Disease Outcomes Research, Minneapolis VA Health Care System.
Elisheva R DananCenter for Chronic Disease Outcomes Research, Minneapolis VA Health Care System.
Dawne VogtNational Center for PTSD Women's Health Sciences Division at VA Boston Health Care System.
Michele SpoontCenter for Chronic Disease Outcomes Research, Minneapolis VA Health Care System.
Minneapolis VA Health Care System · USNational Center for PTSD · US

Funding

AHRQ HHS K12 HS026379HSRD VA IAC 06-266VA HSR&D
6 · The paper itself

Abstract

objectiveMost veterans with posttraumatic stress disorder (PTSD) who receive care from the Veterans Health Administration (VHA) do not receive individual psychotherapy. The purpose of this study was to explore gender differences in initiation and completion of a sufficient course (defined as attending 8 or more sessions) of individual psychotherapy among male and female VHA users recently diagnosed with PTSD.

methodParticipants (N = 7,218) were veterans in a prospective national cohort survey of VHA users diagnosed with PTSD; oversampling was used to increase representation of women and minority veterans.

resultsForty-two percent of the sample (40.1% of men, 52.3% of women) initiated individual psychotherapy within 6 months of their index PTSD diagnosis. Of those who initiated, 12.1% (10.8% of men, 17.7% of women) completed a sufficient course of individual psychotherapy. Women were generally more likely than men to initiate individual psychotherapy. However, we found an interaction between gender and age, such that younger men were more likely to initiate psychotherapy than older men; age was not significantly associated with initiation among women. Regarding completion of individual psychotherapy, an interaction between gender and beliefs about psychotherapy was found, such that men were less likely to complete individual psychotherapy when they held more negative beliefs about psychotherapy; these beliefs did not significantly impact female veterans' likelihood of completing psychotherapy.

conclusionsOverall, while female veterans are more likely than male veterans with PTSD to initiate individual psychotherapy, rates of initiation and completion of individual psychotherapy for both genders remain relatively low. Interventions are needed to increase engagement in individual psychotherapy, particularly for male veterans with PTSD. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Indexed as

Health Knowledge, Attitudes, PracticeAdultAge FactorsFemaleHumansMaleMiddle AgedPatient Acceptance of Health CarePatient DropoutsProspective StudiesPsychotherapySex FactorsStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeterans

Identifiers

PMID30688508
PMCPMC8237797
OpenAlexW2912922214

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.