Evidence map›Paper›PMID 34973039›Full record

Trial reportJournal of traumatic stress2022

Change in posttraumatic stress disorder-related thoughts during treatment: Do thoughts drive change when pills are involved?

Sheila A M Rauch, H Myra Kim, Margaret R Venners, Katherine E Porter, Sonya B Norman, Naomi M Simon, Barbara O Rothbaum, Peter W Tuerk, Ronald E Acierno, Eric Bui and 4 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of traumatic stress, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 41% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Trial
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

14 authors at 9 institutions in 2 countries.

Sheila A M RauchAtlanta VA Healthcare System, Mental Health Service Line, Decatur, Georgia, USA.ORCID 0000-0001-9686-4011
H Myra KimVA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA.ORCID 0000-0002-0604-8027
Margaret R VennersVA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA.
Katherine E PorterVA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA.
Sonya B NormanNational Center for PTSD, White River Junction, Vermont, USA.
Naomi M SimonDepartment of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA.
Barbara O RothbaumSchool of Medicine, Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia, USA.
Peter W TuerkDepartment of Human Services, University of Virginia, Charlottesville, Virginia, USA.
Ronald E AciernoRalph H. Johnson VA Medical Center, Charleston, South Carolina, USA.
Eric BuiDepartment of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA.
Corey PowellUniversity of Michigan, Consulting for Statistics, Computing, and Analytics Research, Ann Arbor, Michigan, USA.
Erin R SmithVA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA.
Elizabeth GoetterDepartment of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA.
Lauren B McSweeneyNational Center for PTSD, Women's Health Science Division, VA Boston Healthcare System, Boston, Massachusetts, USA.
University of Michigan · USEmory University · USMassachusetts General Hospital · USHarvard University · USNational Center for PTSD · USRalph H. Johnson VA Medical Center · USUniversity of California San Diego · USUniversity of Virginia · USVA Ann Arbor Healthcare System · US

Funding

Michigan Institute for Clinical and Health Research (MCHR)UL1TR000433 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MASHOUR, GEORGE ALEXANDER · 2012 to 2016
$49.9M
OC-Go: Facilitating fidelity and dissemination of evidence based treatment for childhood OCD via an interactive crowd-sourced patient-provider toolR42MH111277 · NIMH · VIRTUALLY BETTER, INC. · PI PIACENTINI, JOHN C., TUERK, PETER · 2017 to 2019
$1.7M
NCATS NIH HHS UL1 TR000433NIMH NIH HHS R42 MH111277
6 · The paper itself

Abstract

Posttraumatic negative thoughts about one's self and the world are related to posttraumatic stress disorder (PTSD) symptom severity and change in cognitive behavioral treatment (CBT), but little is known about this association when CBT is delivered with medication. The current study presents a planned comparison of changes in negative posttraumatic thoughts during (a) prolonged exposure (PE) plus pill placebo (PE+PLB), (b) sertraline plus enhanced medication management (SERT+EMM), and (c) PE plus sertraline (PE+SERT) as part of a randomized clinical trial in a sample of 176 veterans. Lagged regression modeling revealed that change in posttraumatic negative thoughts was associated with PTSD symptom change in the conditions in which participants received sertraline, ds = 0.14-0.25, ps = 0.04-.001). However, contrary to previous research, the models that started with symptom change were also statistically significant, d = 0.23, p < .001, for the lagged effect of symptoms on negative thoughts about self in the SERT+EMM condition, indicating a bidirectional association between such thoughts and PTSD symptoms. In the PE+PLB condition, no significant association between posttraumatic thoughts and PTSD symptoms emerged in either direction. These results suggest that the previously demonstrated role of change in posttraumatic thoughts leading to PTSD symptom reduction in PE may be altered when combined with pill administration, either active or placebo.

Indexed as

Implosive TherapyStress Disorders, Post-TraumaticVeteransHumansSertralineTreatment OutcomeSertraline

Identifiers

PMID34973039
PMCPMC9446312
OpenAlexW4205913584

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.