Evidence map›Paper›PMID 33021143›Full record

Trial reportCognitive behaviour therapy2021

Objective analysis of language use in cognitive-behavioral therapy: associations with symptom change in adults with co-occurring substance use disorders and posttraumatic stress.

Anthony N Jennings, Heather E Soder, Margaret C Wardle, Joy M Schmitz, Anka A Vujanovic

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cognitive behaviour therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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

5 authors at 3 institutions in 1 country.

Anthony N JenningsDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center , Houston, TX, USA.ORCID 0000-0001-7498-5082
Heather E SoderDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center , Houston, TX, USA.ORCID 0000-0002-0910-3095
Margaret C WardleDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center , Houston, TX, USA.ORCID 0000-0001-6071-6105
Joy M SchmitzDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center , Houston, TX, USA.ORCID 0000-0002-3561-4614
Anka A VujanovicDepartment of Psychology, University of Houston , Houston, TX, USA.ORCID 0000-0002-6099-3046
The University of Texas Health Science Center at Houston · USUniversity of Houston · USUniversity of Illinois Chicago · US

Funding

Translational MR Imaging in Cocaine Pharmacotherapy DevelopmentP50DA009262 · NIDA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI NARAYANA, PONNADA A · 1994 to 2014
$26.9M
Center for Clinical and Translational Sciences (CCTS)KL2TR000370 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCPHERSON, DAVID D · 2012 to 2016
$4.3M
Targeting Anhedonia in Cocaine Use DisorderK08DA040006 · NIDA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI WARDLE, MARGARET · 2016 to 2020
$842k
NCATS NIH HHS KL2 TR000370NIDA NIH HHS K08 DA040006NIDA NIH HHS P50 DA009262
6 · The paper itself

Abstract

Substance use disorders (SUD) commonly co-occur with posttraumatic stress disorder (PTSD) symptoms, and the comorbidity is prevalent and difficult-to-treat. Few studies have objectively analyzed language use in psychotherapy as a predictor of treatment outcomes. We conducted a secondary analysis of patient language use during cognitive-behavioral therapy (CBT) in a randomized clinical trial, comparing a novel, integrated CBT for PTSD/SUD with standard CBT for SUD. Participants included 37 treatment-seeking, predominantly African-American adults with SUD and at least four symptoms of PTSD. We analyzed transcripts of a single, matched session across both treatment conditions, using the Linguistic Inquiry and Word Count (LIWC) program. The program measures language use across multiple categories. Compared to standard CBT for SUD, patients in the novel, integrated CBT for PTSD/SUD used more negative emotion words, partially consistent with our hypothesis, but less positive emotion words. Further, exploratory analyses indicated an association between usage of cognitive processing words and clinician-observed reduction in PTSD symptoms, regardless of treatment condition. Our results suggest that language use during therapy may provide a window into mechanisms active in therapy.

Indexed as

Cognitive Behavioral TherapyLanguageFemaleHumansMaleMiddle AgedStress Disorders, Post-TraumaticSubstance-Related DisordersTreatment Outcomecognitive-behavioralcognitive processing therapycommunication and language measuresPTSDsubstance useTraumatreatment

Identifiers

PMID33021143
PMCPMC7897212
OpenAlexW3089756555

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.