ArticlePsychological trauma : theory, research, practice and policy2023
Making sense of poor adherence in PTSD treatment from the perspectives of veterans and their therapists.
Article in Psychological trauma : theory, research, practice and policy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06957067 (Reducing Dropout and Improving Outcomes From PTSD Therapy), which is not on this map. Cited by 11 papers.
What it found
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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.
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.
Reducing Dropout and Improving Outcomes From PTSD Therapy: When to Switch Therapies or Stay the Course
Who cites it
11 citing papers in PubMed.
- Associations between psychological and trauma-related factors and urinary incontinence severity and treatment response among women veterans.American journal of obstetrics and gynecology · 2026Trial
- Veterans' experiences of somatic experiencing and prolonged exposure therapies for post-traumatic stress disorder: A qualitative analysis.Psychology and psychotherapy · 2025Trial
- The PTSD-Bone Axis: Evidence, Mechanisms, and Management.Current osteoporosis reports · 2026Review
- Exploring Moral Injury and Reintegration Challenges Among Post-9/11 U.S. Veterans: A Qualitative Study.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2026Article
- Neurobiological and Existential Profiles in Posttraumatic Stress Disorder: The Role of Serotonin, Cortisol, Noradrenaline, and IL-12 Across Chronicity and Age.International journal of molecular sciences · 2025Article
- Veterans' Experiences of and Preferences for Patient-Centered, Measurement-Based PTSD Care.Medical care · 2024Article
- Treatment-related beliefs and reactions among trauma-focused therapy completers and discontinuers: A qualitative examination.Psychological services · 2024Article
- Innovative outpatient treatment for veterans and service members and their family members.Frontiers in psychiatry · 2024Article
- Trauma-Informed Care in Psychedelic Therapy Research: A Qualitative Literature Review of Evidence-Based Psychotherapy Interventions in PTSD and Psychedelic Therapy Across Conditions.Neuropsychiatric disease and treatment · 2024Review
- Predictors of dropout in cognitive processing therapy for PTSD: An examination of in-session treatment processes.Behaviour research and therapy · 2023Article
- Development and preliminary validation of the treatment adherence rating scale.Journal of behavior therapy and experimental psychiatry · 2023Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveDropout rates from trauma-focused PTSD treatments (TFTs) in VA clinics are particularly high. We conducted in-depth qualitative interviews with 29 veterans and their therapists to better understand this phenomenon.
methodParticipants were part of a multisite, mixed-methods study of TFT adherence in VA clinics. Veterans were eligible for interviews if they exhibited poor TFT adherence and screened positive for PTSD in follow-up surveys. Interviews were analyzed using qualitative dyadic analysis approaches.
resultsTherapists relied on stereotypes of poor adherence to understand veterans' experiences and were missing information critical to helping veterans succeed. Veterans misunderstood aspects of the therapy and struggled in ways they inadequately expressed to therapists. Therapist attempts at course corrections were poorly matched to veterans' needs. Many dyads reported difficulties in their therapeutic relationships. Veterans reported invalidating experiences that were not prominent in therapists' interviews.
conclusionsFuture work is needed to test hypotheses generated and find effective ways to help veterans fully engage in TFTs. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Registered trials
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