Evidence map›Paper›PMID 32658513›Full record

ArticlePsychological services2021

Racial and ethnic disparities in clinical outcomes six months after receiving a PTSD diagnosis in Veterans Health Administration.

Michele Spoont, David Nelson, Shannon Kehle-Forbes, Laura Meis, Maureen Murdoch, Craig Rosen, Nina Sayer

Open access · greenAbstract read
In one paragraph

Article in Psychological services, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. The Roles of Dissociation and Depression in PTSD Among Soldiers Exposed to Combat.International journal of environmental research and public health · 2025
    Article
  5. Self-compassion, mindfulness, and emotion regulation predict multiple dimensions of quality of life in US post-9/11 veterans.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  6. Article
  7. Article
  8. 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

7 authors at 3 institutions in 1 country.

Michele SpoontNational Center for PTSD, Pacific Islands Division, Center for Care Delivery and Outcomes Research, VA HSR&D Center of Innovation, Minneapolis VA Healthcare System.
David NelsonCenter for Care Delivery and Outcomes Research, VA HSR&D Center of Innovation, Minneapolis VA Healthcare System.ORCID 0000-0003-1163-1222
Shannon Kehle-ForbesNational Center for PTSD, Women's Health Sciences Division, Center for Care Delivery and Outcomes Research, VA HSR&D Center of Innovation, Minneapolis VA Healthcare System.
Laura MeisCenter for Care Delivery and Outcomes Research, VA HSR&D Center of Innovation, Minneapolis VA Healthcare System.
Maureen MurdochCenter for Care Delivery and Outcomes Research, VA HSR&D Center of Innovation, Minneapolis VA Healthcare System.
Craig RosenNational Center for PTSD, Dissemination and Training Division, VA Palo Alto Health Care System.
Nina SayerCenter for Care Delivery and Outcomes Research, VA HSR&D Center of Innovation, Minneapolis VA Healthcare System.
Minneapolis VA Health Care System · USNational Center for PTSD · USVA Palo Alto Health Care System · US

Funding

Department of Veterans Affairs Health Services Research and DevelopmentHSRD VA IAC 06-266
6 · The paper itself

Abstract

Because the mental health burden of PTSD among many racial and ethnic minority veterans is greater than among non-Latinx Whites (NLW) and there are disparities in VHA mental health treatment, we evaluated variations in clinical outcomes across veteran racial and ethnic groups in a large national cohort diagnosed with PTSD in VHA. This was a planned secondary analysis of patient-reported outcomes from a large prospective cohort study of veterans with PTSD. Veterans were surveyed immediately following a PTSD diagnosis and again 6 months later. Changes in PTSD symptoms and mental health quality of life were modeled using initial measures of these factors and demographic characteristics. Primary analyses modeled outcomes constructed from a sample restricted to veterans who initiated some mental health care in the6- month follow-up period (n = 2,992). Additionally, outcomes were modeled using the full cohort of treatment initiators and noninitiators (n = 5,070). Sensitivity and post hoc analyses were used to examine robustness of our findings and to facilitate interpretability. Disparities in PTSD and mental health quality of life outcomes were observed for some racial and ethnic minority groups of veterans. Although improvements in PTSD symptoms and mental health quality of life have been highly associated in other studies, in this sample these outcomes were interrelated in complex ways across groups. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Indexed as

Stress Disorders, Post-TraumaticVeteransEthnicityHumansMinority GroupsProspective StudiesQuality of LifeUnited StatesUnited States Department of Veterans AffairsVeterans Health

Identifiers

PMID32658513
PMCPMC9045960
OpenAlexW3042413663

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.