Evidence map›Paper›PMID 30993478›Full record

Trial reportAIDS and behavior2019

Cognitive Behavioral Therapy for Trauma and Self-Care (CBT-TSC) in Men Who have Sex with Men with a History of Childhood Sexual Abuse: A Randomized Controlled Trial.

Conall O'Cleirigh, Steven A Safren, S Wade Taylor, Brett M Goshe, C Andres Bedoya, Samantha M Marquez, Michael S Boroughs, Jillian C Shipherd

2 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 35 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 4 pooled it
5.3field-weighted citation impact, top 3% 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.

NCT01266122 nacompletednot on this map

Addressing Psychosocial Needs and HIV Risk in Indian MSM

TypeinterventionalSponsorMassachusetts General HospitalRan2010 to 2010Enrolled96ConditionsHIV/STI Risk, HIV/STI IncidenceArmsBehavioral intervention
NCT06463431 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

A Trial for An Integrated Cognitive Behavioural Therapy to Treat PTSD and Sexually Transmitted Infections Among Gay, Bisexual, and Other Men Who Have Sex With Men

TypeinterventionalSponsorToronto Metropolitan UniversityRan2025 to 2026Enrolled56ConditionsStress Disorders, Post-Traumatic, Sexually Transmitted Infection (STI) PreventionArmsCognitive Processing Therapy
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 4 syntheses or guidelines pooled it, 63 citations in OpenAlex.

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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

8 authors at 5 institutions in 3 countries.

Conall O'CleirighDepartment of Psychiatry, Massachusetts General Hospital, One Bowdoin Square, 7th Floor, Boston, MA, 02114, USA. cocleirigh@mgh.harvard.edu.
Steven A SafrenThe Fenway Institute of Fenway Health, Boston, MA, USA.
S Wade TaylorThe Fenway Institute of Fenway Health, Boston, MA, USA.
Brett M GosheDepartment of Psychiatry, Massachusetts General Hospital, One Bowdoin Square, 7th Floor, Boston, MA, 02114, USA.
C Andres BedoyaDepartment of Psychiatry, Massachusetts General Hospital, One Bowdoin Square, 7th Floor, Boston, MA, 02114, USA.
Samantha M MarquezDepartment of Psychiatry, Massachusetts General Hospital, One Bowdoin Square, 7th Floor, Boston, MA, 02114, USA.
Michael S BoroughsDepartment of Psychology, University of Windsor, Windsor, ON, Canada.
Jillian C ShipherdVA Boston Healthcare System, Boston, MA, USA.
Fenway Health · USHarvard University · USBoston University · USDepartment of Veterans Affairs · AUUniversity of Windsor · CA

Funding

Addressing psychosocial comorbidities in HIV treatment and preventionK24DA040489 · NIDA · UNIVERSITY OF MIAMI CORAL GABLES · PI SAFREN, STEVEN A · 2016 to 2020
$931k
Integrated HIV Prevention and Trauma Treatment in MSM with Sexual Abuse HistoryR34MH081760 · NIMH · FENWAY COMMUNITY HEALTH CENTER · PI O'CLEIRIGH, CONALL MICHAEL · 2008 to 2010
$652k
NIDA NIH HHS K24 DA040489NIMH NIH HHS R34 MH081760NIMH NIH HHS R34MH081760
6 · The paper itself

Abstract

To address childhood sexual abuse (CSA) related distress and HIV risk in men who have sex with men (MSM) using cognitive-behavioral therapy for trauma and self-care (CBT-TSC), which is a novel intervention integrating HIV risk reduction with modified cognitive and behavioral therapy strategies for post-traumatic stress. We compared CBT-TSC to HIV voluntary counseling and testing (VCT)-only in an initial 2-arm RCT in 43 HIV-negative MSM at with a history of CSA and HIV risk. Serodiscordant condomless anal/vaginal sex (CAS; CAS with HIV-postive or HIV unknown status partners) and posttraumatic stress disorder (PTSD) symptoms (Davidson Trauma Scale: total score and avoidance, intrusions, hyperarousal subscales) were outcomes immediately post-treatment, and at 6- and 9-month follow-up. At post-treatment, CBT-TSC had decreased odds (approximately 60%) of any CAS and greater reductions in CAS compared to VCT-only. Additionally, the CBT-TSC condition experienced greater reductions in total PTSD and avoidance symptoms. At the follow-up visits, CBT-TSC condition had significant reductions in the odds of any CAS and reductions in CAS. However, for PTSD symptoms, only the avoidance subscale remained significantly different compared to VCT-only. CBT-TSC is a potentially efficacious approach to address HIV risk in MSM with a CSA history, with replication and extension in a larger trial needed. This proof-of-concept trial is the first to integrate the treatment of a commonly occurring mental-health syndemic problem in MSM with a health psychology approach to self-care in MSM.Trial Registration Clinicaltrials.gov NCT01266122.

Indexed as

AdultAdult Survivors of Child AbuseChildChild Abuse, SexualCognitive Behavioral TherapyCounselingHIV InfectionsHIV SeronegativityHomosexuality, MaleHumansMaleMass ScreeningRisk Reduction BehaviorSelf CareSexual BehaviorSexual PartnersChildhood sexual abuseHIVMen who have sex with menTrauma

Identifiers

PMID30993478
PMCPMC7271561
OpenAlexW2938693154

What OpenQuestion holds

Textmetadata
LicenceTDM
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.