Evidence map›Paper›PMID 34134835›Full record

Trial reportBehavior therapy2021

Latent Profiles of Comorbid Depression as Predictors of PTSD Treatment Outcome.

Mark S Burton, Andrew A Cooper, Patricia G Mello, Norah C Feeny, Lori A Zoellner

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Behavior therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
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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

5 authors at 2 institutions in 1 country.

Mark S BurtonCase Western Reserve University. Electronic address: msburto@emory.edu.
Andrew A CooperCase Western Reserve University.
Patricia G MelloUniversity of Washington.
Norah C FeenyCase Western Reserve University.
Lori A ZoellnerUniversity of Washington.
Case Western Reserve University · USUniversity of Washington · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
Effectiveness of PTSD Treatment: Prolonged Exposure Therapy vs. ZoloftR01MH066347 · NIMH · UNIVERSITY OF WASHINGTON · PI ZOELLNER, LORI A · 2004 to 2014
$4.3M
Effectiveness of PTSD Treatment: PE vs ZoloftR01MH066348 · NIMH · CASE WESTERN RESERVE UNIVERSITY · PI FEENY, NORAH C · 2004 to 2014
$4.3M
NCATS NIH HHS UL1 TR002548NCRR NIH HHS UL1 RR024989NIMH NIH HHS R01 MH066347NIMH NIH HHS R01 MH066348
6 · The paper itself

Abstract

Posttraumatic stress disorder (PTSD) frequently co-occurs with major depressive disorder, and empirically supported PTSD treatments consistently improve depression. However, both diagnoses are heterogeneous and specific patterns of symptom overlap may be related to worse treatment outcome. Two hundred individuals with chronic PTSD participated in a doubly randomized preference trial comparing prolonged exposure and sertraline. Latent Profile Analysis was used to identify classes based on PTSD and depression symptoms prior to starting treatment. A three-class model best fit the data, with a high depression and PTSD severity class (distressed), a moderate depression and low PTSD avoidance class (depressive), and a low depression and high PTSD avoidance class (avoidant). The avoidant class showed the lowest rates of major depressive disorder diagnosis and transdiagnostic vulnerabilities to depression. Patients in the distressed class experienced more robust PTSD treatment response, with no differences between prolonged exposure and sertraline. These findings highlight the role of avoidance in nondepressed PTSD presentations while also demonstrating that co-occurring depression is not contraindicated in evidence-based PTSD treatment.

Indexed as

Major Depressive DisorderStress Disorders, Post-TraumaticDepressionHumansTreatment Outcomedepressionlatent profile analysisprolonged exposurePTSDsertraline

Identifiers

PMID34134835
PMCPMC8543494
OpenAlexW3121031977

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.