Evidence map›Paper›PMID 35440345›Full record

Trial reportPsychological medicine2023

Effect of massed v. standard prolonged exposure therapy on PTSD in military personnel and veterans: a non-inferiority randomised controlled trial.

Lisa Dell, Alyssa M Sbisa, Andrew Forbes, Meaghan O'Donnell, Richard Bryant, Stephanie Hodson, David Morton, Malcolm Battersby, Peter W Tuerk, Duncan Wallace and 1 more

Open access · hybridAbstract readRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in Psychological medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
5.2field-weighted citation impact, top 4% 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

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. MassedPsychological medicine · 2023
    Trial
  9. Review
  10. Article
  11. Article
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  14. Examining treatment outcomes for military service members in an intensive treatment program for posttraumatic stress disorder.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2026
    Article
  15. Article
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  17. Article
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  20. Widening the scope of intensive treatment for PTSD in the military health system.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2024
    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

11 authors at 7 institutions in 2 countries.

Lisa DellPhoenix Australia - Center for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0002-6870-5432
Alyssa M SbisaPhoenix Australia - Center for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne, Melbourne, Victoria, Australia.
Andrew ForbesSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Meaghan O'DonnellPhoenix Australia - Center for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne, Melbourne, Victoria, Australia.
Richard BryantSchool of Psychology, University of New South Wales, Sydney, New South Wales, Australia.
Stephanie HodsonDepartment of Veteran's Affairs, Canberra, Australian Capital Territory, Australia.
David MortonDepartment of Defence, Canberra, Australian Capital Territory, Australia.
Malcolm BattersbyCollege of Medicine and Public Health, Flinders University, South Australia, Australia.
Peter W TuerkSheila C. Johnson Center for Clinical Services, Department of Human Services, University of Virginia, Charlottesville, Virginia, USA.
Duncan WallaceAustralian Defence Force Center for Mental Health, Sydney, New South Wales, Australia.
David ForbesPhoenix Australia - Center for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne, Melbourne, Victoria, Australia.
Mental Health Australia · AUACT GovernmentAustralian Defence Force Academy · AUCenter for Prevention Services · USFlinders University · AUMonash University · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA short, effective therapy for posttraumatic stress disorder (PTSD) could decrease barriers to implementation and uptake, reduce dropout, and ameliorate distressing symptoms in military personnel and veterans. This non-inferiority RCT evaluated the efficacy of 2-week massed prolonged exposure (MPE) therapy compared to standard 10-week prolonged exposure (SPE), the current gold standard treatment, in reducing PTSD severity in both active serving and veterans in a real-world health service system.

methodsThis single-blinded multi-site non-inferiority RCT took place in 12 health clinics across Australia. The primary outcome was PTSD symptom severity measured by the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) at 12 weeks. 138 military personnel and veterans with PTSD were randomised. 71 participants were allocated to SPE, with 63 allocated to MPE.

resultsThe intention-to-treat sample included 138 participants, data were analysed for 134 participants (88.1% male,

conclusionsMPE was non-inferior to SPE in significantly reducing symptoms of PTSD. Significant reductions in symptom severity, low dropout rates, and loss of diagnosis indicate MPE is a feasible, accessible, and effective treatment. Findings demonstrate novel methods to deliver gold-standard treatments for PTSD should be routinely considered.

Indexed as

Implosive TherapyMilitary PersonnelStress Disorders, Post-TraumaticVeteransFemaleHumansMaleTreatment OutcomemilitaryProlonged exposure therapyPTSDRCTtraumaveteran

Identifiers

PMID35440345
PMCPMC10317798
OpenAlexW4224274342

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.