Evidence map›Paper›PMID 32048114›Full record

ArticleJournal of clinical psychology in medical settings2021

Comparisons Between Patients Diagnosed with PTSD in Primary Care Versus Mental Health Care in Five Large Civilian Health Care Systems.

Joan M Cook, John E Zeber, Vanessa Simiola, Rebecca Rossom, Jeffrey F Scherrer, Ashli A Owen-Smith, Brian K Ahmedani, Kiumars Zolfaghari, Laurel A Copeland

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical psychology in medical settings, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 45% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. Review
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

9 authors at 8 institutions in 1 country.

Joan M CookYale School of Medicine, New Haven, CT, USA. Joan.Cook@yale.edu.ORCID 0000-0001-7509-9760
John E ZeberUniversity of Massachusetts, Amherst, MA, USA.
Vanessa SimiolaKaiser Permanente, Center for Integrated Health Care Research, Honolulu, HI, USA.
Rebecca RossomHealth Partners Institute, Bloomington, MN, USA.
Jeffrey F ScherrerSaint Louis University, Saint Louis, MO, USA.
Ashli A Owen-SmithKaiser Permanente Center for Research and Evaluation, Atlanta, GA, USA.
Brian K AhmedaniHenry Ford Health System, Detroit, MI, USA.
Kiumars ZolfaghariCenter for Applied Health Research, Baylor Scott & White Health, Dallas, TX, USA.
Laurel A CopelandVA Central Western Massachusetts Healthcare System, Leeds, MA, USA.
Kaiser Permanente · USBaylor Scott & White Health · USHealthPartners · USHenry Ford Health System · USSaint Louis University · USUniversity of Massachusetts Amherst · USVA Central Western Massachusetts Healthcare System · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
SSRI's and SuicidalityU19MH092201 · NIMH · KAISER FOUNDATION RESEARCH INSTITUTE · PI SIMON, GREGORY E. · 2010 to 2018
$19.5M
NCATS NIH HHS UL1 TR001863NIMH NIH HHS U19 MH092201
6 · The paper itself

Abstract

Posttraumatic stress disorder (PTSD) is a serious mental health disorder that may not be adequately detected or treated in primary care (PC). The purpose of this study was to compare the clinical characteristics and health care utilization of PTSD patients diagnosed in PC versus in specialty mental health care (MHC) across five large, civilian, not-for-profit healthcare systems. Electronic claims and medical record data on patients treated during 2014 were analyzed. Treatment was considered in terms of initiation and dose (i.e., psychotherapy sessions; pharmacotherapy-prescription psychotropics). Of 5256 patients aged 15-88 with a diagnosis of PTSD, 84.4% were diagnosed by a MHC provider. Patients diagnosed by MHC providers had 4 times the rate of and more enduring psychotherapy than those diagnosed by PC providers. Receipt of psychotropics varied by provider type, with generally higher prescription fill levels for patients in MHC. Strategies to better align patient needs with access and treatment modality in PC settings are needed.

Indexed as

Stress Disorders, Post-TraumaticVeteransDelivery of Health CareHumansMental HealthPrimary Health CareUnited StatesDiagnosisMental health servicesPrimary carePTSD

Identifiers

PMID32048114
PMCPMC7515602
OpenAlexW3005555045

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.