ArticleBehaviour research and therapy2022
Divergent experiences of U.S. veterans who did and did not complete trauma-focused therapies for PTSD: A national qualitative study of treatment dropout.
Article in Behaviour research and therapy, 2022. 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 31 papers, 4 of them syntheses that pooled 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.
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
31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Pacing in posttraumatic stress disorder therapy: A meta-regression of treatment frequency and completion rates.Journal of traumatic stress · 2026Pooled it
- Clients' experiences of psychotherapeutic interventions addressing trauma.Psychology and psychotherapy · 2025Pooled it
- Predictors of study dropout in cognitive-behavioural therapy with a trauma focus for post-traumatic stress disorder in adults: An individual participant data meta-analysis.BMJ mental health · 2024Pooled it
- Implementation of Evidence-Based Psychotherapies for Posttraumatic Stress Disorder: A Systematic Review.Administration and policy in mental health · 2023Pooled it
- Doing the groundwork at home, working through it together: patient experiences of blended cognitive therapy for PTSD in routine care.European journal of psychotraumatology · 2026Trial
- Comparing dropout from cognitive processing therapy versus prolonged exposure: Results from a randomized clinical trial.Journal of consulting and clinical psychology · 2026Trial
- The Role of the Therapeutic Alliance in Dropout in Cognitive Processing Therapy for Posttraumatic Stress Disorder.Behavior therapy · 2026Trial
- Integrated PTSD and adherence treatment for people living with HIV: a feasibility pilot trial for cognitive processing therapy- lifesteps (CPT-L) at a Ryan white clinic.AIDS research and therapy · 2025Trial
- The role of intelligence in PTSD treatment outcomes: evidence from a multicenter TF-CBT trial with youth.Child and adolescent psychiatry and mental health · 2026Article
- Graduated exposure to traumatic events decreases distress during prolonged exposure therapy for posttraumatic stress disorder.Journal of behavioral medicine · 2026Article
- Trauma-focused or non-trauma-focused? Treatment preferences and expectancies among veterans with co-occurring posttraumatic stress disorder and substance use disorder.Psychological trauma : theory, research, practice and policy · 2026Article
- Clay field therapy for complex PTSD: a single-case study with HRV measurement.Frontiers in psychiatry · 2026Article
- "Voice of concern" for rural veterans with PTSD: Care managers' role engaging rural veterans in evidence-based therapies via telemedicine.Psychological trauma : theory, research, practice and policy · 2025Article
- Reliable symptom worsening among veterans receiving cognitive processing therapy or prolonged exposure therapy for posttraumatic stress disorder in routine Veterans Health Administration care.Journal of affective disorders · 2025Article
- Process Improvement for Engaging With Trauma-Focused Evidence-Based Psychotherapy for PTSD.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025Article
- Transitioning into trauma-focused evidence-based psychotherapy for posttraumatic stress disorder from other treatments: a qualitative investigation.Cognitive behaviour therapy · 2025Article
- Identifying transdiagnostic traumatic stress reactions in U.S. military veterans: A nationally representative study.Journal of traumatic stress · 2025Article
- Article
- Courage, hope, and transformation: Patient experiences of web-based, therapist delivered eye movement desensitization and reprocessing for suicidal ideation.PLOS mental health · 2025Article
- Veterans' Experiences of and Preferences for Patient-Centered, Measurement-Based PTSD Care.Medical care · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors at 6 institutions in 1 country.
Funding
Abstract
Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT) are first-line treatments for posttraumatic stress disorder (PTSD) and have been disseminated throughout the U.S. Veterans Health Administration. Treatment non-completion is common and lessens clinical effectiveness; however, prior work has failed to identify factors consistently associated with non-completion. Semi-structured interviews were conducted with a national sample of veterans who recently completed (n = 60) or did not complete (n = 66) PE or CPT. Non-completer interviews focused on factors that contributed to veterans' decisions to drop out and efforts undertaken to complete PE/CPT. Completer interviews focused on challenges faced in completing treatment and facilitators of completion. Transcripts were coded using a mixed deductive/inductive approach; constant comparison was used to identify differences between completers and non-completers. Completers and non-completers differed in the extent of treatment-specific therapist support received, therapists' flexibility in treatment delivery, the type of encouragement offered by the care team and social supports, their interpretation of symptom worsening, the perceived impact of treatment on functioning, and the impact of stressors on their treatment engagement. Treatment-specific therapist support, more patient-centered and flexible treatment delivery, leveraging the full care team, and addressing functional concerns are potential targets for PE and CPT engagement interventions.
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Registered trials
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.