Evidence map›Paper›PMID 30777776›Full record

ArticleJournal of consulting and clinical psychology2019

Sticking it out in trauma-focused treatment for PTSD: It takes a village.

Laura A Meis, Siamak Noorbaloochi, Emily M Hagel Campbell, Christopher R Erbes, Melissa A Polusny, Tina L Velasquez, Ann Bangerter, Andrea Cutting, Afsoon Eftekhari, Craig S Rosen and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of consulting and clinical psychology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06957067 (Reducing Dropout and Improving Outcomes From PTSD Therapy), which is not on this map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
–field-weighted citation impact
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.

NCT06957067 narecruitingnot on this mapstarted 2025, after this paper: background citation

Reducing Dropout and Improving Outcomes From PTSD Therapy: When to Switch Therapies or Stay the Course

TypeinterventionalSponsorUnited States Department of DefenseRan2025 to 2028Enrolled280ConditionsPost Traumatic Stress DisorderArmsCPT Skills, Cognitive Processing Therapy, Present Centered Therapy, Shared Decision Making, Measurement Based Care
3 · Its place in the literature

Who cites it

39 citing papers in PubMed.

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  15. Post-traumatic Stress Disorder in Veterans: A Concept Analysis.Behavioral sciences (Basel, Switzerland) · 2024
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  18. Family accommodation in PTSD: Proposed considerations and distinctions from the established transdiagnostic literature.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2023
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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

13 authors.

Laura A MeisCenter for Care Delivery & Outcomes Research, Minneapolis Veterans Affairs Health Care System.
Siamak NoorbaloochiCenter for Care Delivery & Outcomes Research, Minneapolis Veterans Affairs Health Care System.
Emily M Hagel CampbellCenter for Care Delivery & Outcomes Research, Minneapolis Veterans Affairs Health Care System.
Christopher R ErbesCenter for Care Delivery & Outcomes Research, Minneapolis Veterans Affairs Health Care System.
Melissa A PolusnyCenter for Care Delivery & Outcomes Research, Minneapolis Veterans Affairs Health Care System.ORCID 0000-0002-4932-305X
Tina L VelasquezCenter for Care Delivery & Outcomes Research, Minneapolis Veterans Affairs Health Care System.
Ann BangerterCenter for Care Delivery & Outcomes Research, Minneapolis Veterans Affairs Health Care System.
Andrea CuttingCenter for Care Delivery & Outcomes Research, Minneapolis Veterans Affairs Health Care System.
Afsoon EftekhariDissemination and Training Division, National Center for PTSD, VA Palo Alto Health Care System.
Craig S RosenDissemination and Training Division, National Center for PTSD, VA Palo Alto Health Care System.
Peter W TuerkSheila C Johnson Center for Clinical Services, University of Virginia.
Lori B BurmeisterPhoenix VA Health Care System.ORCID 0000-0002-0733-9248
Michele R SpoontCenter for Care Delivery & Outcomes Research, Minneapolis Veterans Affairs Health Care System.

Funding

Forming Partner-Assisted Strategies to Optimize PTSD Treatment AdherenceIK2HX000755 · VA · MINNEAPOLIS VA MEDICAL CENTER · PI MEIS, LAURA · 2014 to 2014
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Department of Defense's Congressionally Directed Medical Research ProgramHSRD VA IIR 07-229HSRD VA IK2 HX000755VA
6 · The paper itself

Abstract

objectiveOne in 3 veterans will dropout from trauma-focused treatments for posttraumatic stress disorder (PTSD). Social environments may be particularly important to influencing treatment retention. We examined the role of 2 support system factors in predicting treatment dropout: social control (direct efforts by loved ones to encourage veterans to participate in treatment and face distress) and symptom accommodation (changes in loved ones' behavior to reduce veterans' PTSD-related distress).

methodVeterans and a loved one were surveyed across 4 VA hospitals. All veterans were initiating prolonged exposure therapy or cognitive processing therapy (n = 272 dyads). Dropout was coded through review of VA hospital records.

resultsRegression analyses controlled for traditional, individual-focused factors likely to influence treatment dropout. We found that, even after accounting for these factors, veterans who reported their loved ones encouraged them to face distress were twice as likely to remain in PTSD treatment than veterans who denied such encouragement.

conclusionsClinicians initiating trauma-focused treatments with veterans should routinely assess how open veterans' support systems are to encouraging veterans to face their distress. Outreach to support networks is warranted to ensure loved ones back the underlying philosophy of trauma-focused treatments. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Indexed as

Implosive TherapySocial EnvironmentAdultCognitive Behavioral TherapyFemaleHumansMaleMiddle AgedPatient DropoutsStress Disorders, Post-TraumaticSurveys and QuestionnairesVeterans

Identifiers

PMID30777776
PMCPMC6548182

What OpenQuestion holds

Textmetadata
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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.