Evidence map›Paper›PMID 32852996›Full record

ArticlePsychological services2021

Clinical effectiveness study of a treatment to prepare for trauma-focused evidence-based psychotherapies at a veterans affairs specialty posttraumatic stress disorder clinic.

Eric A Dedert, Stefanie T LoSavio, Stephanie Y Wells, Anne L Steel, Kristen Reinhardt, Charlene A Deming, Rachel A Ruffin, Kate L Berlin, Nathan A Kimbrel, Sarah M Wilson and 2 more

Abstract 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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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.

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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Reintegration interventions for CPTSD: a systematic review.European journal of psychotraumatology · 2021
    Pooled it
  2. Compassion-focused therapy enhances outcomes of PTSD pharmacotherapy: A randomized controlled trial.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2026
    Trial
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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

12 authors.

Eric A DedertVeterans Affairs Mid-Atlantic Mental Illness Research, Education, and Clinical Center (MIRECC).ORCID 0000-0003-1301-7058
Stefanie T LoSavioDepartment of Psychiatry and Behavioral Sciences.ORCID 0000-0003-3653-3194
Stephanie Y WellsDurham Veterans Affairs Health Care System.
Anne L SteelDurham Veterans Affairs Health Care System.
Kristen ReinhardtDurham Veterans Affairs Health Care System.
Charlene A DemingDurham Veterans Affairs Health Care System.
Rachel A RuffinDurham Veterans Affairs Health Care System.
Kate L BerlinDurham Veterans Affairs Health Care System.
Nathan A KimbrelVeterans Affairs Mid-Atlantic Mental Illness Research, Education, and Clinical Center (MIRECC).
Sarah M WilsonVeterans Affairs Center of Innovation to Accelerate Discovery and Practice Transformation.
Sara E BoedingDurham Veterans Affairs Health Care System.
Carolina P ClancyDurham Veterans Affairs Health Care System.

Funding

CPT-SMART for Treatment of PTSD and Cigarette SmokingI01CX001757 · VA · DURHAM VA MEDICAL CENTER · PI Eric A Dedert · 2020 to 2026
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Combined Smoking Cessation and Cognitive Processing Therapy for PTSDIK2CX000718 · VA · DURHAM VA MEDICAL CENTER · PI DEDERT, ERIC A · 2013 to 2017
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A Personalized mHealth Approach to Smoking Cessation for Veterans Living with HIVIK2HX002398 · VA · DURHAM VA MEDICAL CENTER · PI WILSON, SARAH MOSHER · 2018 to 2022
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CSRD VA I01 CX001757CSRD VA IK2 CX000718Durham VA Health Care SystemHSRD VA IK2 HX002398Mid-Atlantic Mental Illness Research, Education, and Clinical Center (MIRECC)US Department of Veterans Affairs; Clinical Sciences R&D (CSRD) ServiceUS Department of Veterans Affairs; Office of Research and Development; HSR&D Service
6 · The paper itself

Abstract

Posttraumatic stress disorder (PTSD) clinics in the Department of Veterans Affairs (VA) often provide psychoeducational or skill-building groups to prepare veterans for trauma-focused PTSD treatments. However, there has been limited evaluation of the effectiveness of this phase-based approach for treatment engagement and symptom reduction. Participants included 575 veterans seeking treatment for PTSD whose treatment outcomes were assessed in a VA outpatient PTSD clinic staffed by mental health professionals and trainees. Participants completed self-report measures of baseline characteristics and psychiatric symptoms as part of routine PTSD clinic treatment. We tested the association of preparatory group treatment with engagement in and treatment response to subsequent trauma-focused psychotherapies, cognitive processing therapy (CPT) and prolonged exposure therapy (PE), which are designated by VA as evidence-based psychotherapies (EBP). Following participation in preparatory treatments, 94/391 (24%) of veterans engaged in a subsequent trauma-focused EBP (CPT or PE). Relative to patients who had previously completed a preparatory group, patients initiating a trauma-focused EBP without having first attended preparatory PTSD treatment had similar rates of trauma-focused EBP completion and better treatment response, as measured by decreases on the PTSD Checklist for

Indexed as

Implosive TherapyStress Disorders, Post-TraumaticVeteransHumansTreatment OutcomeUnited StatesUnited States Department of Veterans Affairs

Identifiers

PMID32852996
PMCPMC8514108

What OpenQuestion holds

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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.