Evidence map›Paper›PMID 36174156›Full record

ArticlePsychological trauma : theory, research, practice and policy2023

Implicit trauma identity associations in treatment-seeking U.S. military personnel do not predict or change in response to cognitive processing therapy for PTSD.

Kristen P Lindgren, Anna E Jaffe, Debra Kaysen, Bethany A Teachman, Stacey Young-McCaughan, Alan L Peterson, Patricia A Resick, Jennifer Schuster Wachen

Open access · hybridAbstract read
In one paragraph

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. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

8 authors at 7 institutions in 1 country.

Kristen P LindgrenDepartment of Psychiatry and Behavioral Sciences, University of Washington.ORCID 0000-0002-0244-1016
Anna E JaffeDepartment of Psychology, University of Nebraska-Lincoln.ORCID 0000-0001-8679-7564
Debra KaysenDepartment of Psychiatry, Stanford University.ORCID 0000-0001-7961-2787
Bethany A TeachmanDepartment of Psychology, University of Virginia.ORCID 0000-0002-9031-9343
Stacey Young-McCaughanDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio.ORCID 0000-0002-3327-5233
Alan L PetersonDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio.ORCID 0000-0003-2947-2936
Patricia A ResickDepartment of Psychiatry and Behavioral Sciences, Duke Health.ORCID 0000-0002-2203-2404
Jennifer Schuster WachenWomen's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System.ORCID 0000-0002-3652-5787
The University of Texas Health Science Center at San Antonio · USDuke University Health System · USStanford University · USUniversity of Nebraska–Lincoln · USUniversity of Virginia · USUniversity of Washington · USVA Boston Healthcare System · US

Funding

Evaluating Change in Drinking Identity as a Mechanism for Reducing Hazardous DrinkingR01AA024732 · NIAAA · UNIVERSITY OF WASHINGTON · PI LINDGREN, KRISTEN P · 2016 to 2020
$2.1M
Leveraging Social Networks to Promote Sexual Assault Recovery and Reduce Drinking to Cope through a Web-Based InterventionK08AA028546 · NIAAA · UNIVERSITY OF WASHINGTON · PI JAFFE, ANNA E. · 2021 to 2025
$974k
NIAAA NIH HHS K08 AA028546NIAAA NIH HHS R01 AA024732U.S. Army Medical Research Acquisition Activity (USAMRAA); Psychological Health and Traumatic Brain Injury Research Program (PH/TBI)US Department of Defense
6 · The paper itself

Abstract

objectiveThis study evaluated implicit associations (i.e., associations in memory that are automatically activated and difficult to control consciously) related to trauma and one's self in the context of a clinical trial for active duty service members seeking treatment for posttraumatic stress disorder (PTSD). Previous studies with nontreatment-seeking community samples found that implicit trauma identity associations were associated with PTSD symptoms even after controlling for amount of trauma exposure and self-reported negative cognitions about the self. This study extended prior work by evaluating whether trauma-related implicit associations were associated with PTSD and depressive symptoms in a clinical sample seeking treatment for PTSD, predicted PTSD treatment response, or changed over the course of treatment.

methodThis secondary analysis examined implicit trauma identity associations using data from a clinical trial evaluating a variable-length adaptation of cognitive processing therapy for military personnel. Participants were 127 active duty U.S. military personnel (13.4% women) seeking PTSD treatment. Implicit trauma identity associations were evaluated at baseline and posttreatment. Study hypotheses and data analysis plan were preregistered.

resultsContrary to predictions, baseline implicit trauma identity associations were not significantly associated with baseline PTSD or depressive symptoms and did not predict treatment response. Implicit trauma identity associations did not change significantly in response to treatment.

conclusionsMore tailoring of implicit trauma measures for military personnel and/or treatment-seeking patients may be needed. The measure may lack sensitivity to change in response to treatment and have reduced utility in treatment-seeking samples with high symptom burden and less variability in symptoms. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Indexed as

Cognitive Behavioral TherapyMilitary PersonnelStress Disorders, Post-TraumaticCognitionFemaleHumansMaleSelf Report

Identifiers

PMID36174156
PMCPMC10050228
OpenAlexW4297998466

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.