Evidence map›Paper›PMID 36780280›Full record

ArticlePsychological services2023

Mental health therapy for veterans with PTSD as a family affair: A qualitative inquiry into how family support and social norms influence veteran engagement in care.

Megan Shepherd-Banigan, Abigail Shapiro, Kate L Sheahan, Princess E Ackland, Laura A Meis, Johanna Thompson-Hollands, David Edelman, Patrick S Calhoun, Hollis Weidenbacher, Courtney H Van Houtven

Open access · hybridAbstract read
In one paragraph

Article in Psychological services, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

10 authors at 3 institutions in 1 country.

Megan Shepherd-BaniganDurham VA Health Care System.ORCID 0000-0002-4020-8936
Abigail ShapiroDurham VA Health Care System.
Kate L SheahanDurham VA Health Care System.
Princess E AcklandCenter for Care Delivery and Outcomes Research, Minneapolis VA Health Care System.
Laura A MeisCenter for Care Delivery and Outcomes Research, Minneapolis VA Health Care System.
Johanna Thompson-HollandsBehavioral Sciences Division, National Center for PTSD, VA Boston Healthcare System.
David EdelmanDurham VA Health Care System.
Patrick S CalhounDurham VA Health Care System.
Hollis WeidenbacherDurham VA Health Care System.
Courtney H Van HoutvenDurham VA Health Care System.ORCID 0000-0002-0783-1611
Durham VA Health Care System · USMinneapolis VA Health Care System · USNational Center for PTSD · US

Funding

An adjunctive family intervention for individual PTSD treatmentIK2CX001589 · VA · VA BOSTON HEALTH CARE SYSTEM · PI THOMPSON-HOLLANDS, JOHANNA · 2017 to 2021
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Increasing mental health services use through enabling resources & family supportIK2HX002591 · VA · DURHAM VA MEDICAL CENTER · PI SHEPHERD-BANIGAN, MEGAN ELIZABETH · 2019 to 2024
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CSRD VA IK2 CX001589HSRD VA IK2 HX002591
6 · The paper itself

Abstract

Social support is important for posttraumatic stress disorder (PTSD) recovery and emerging literature indicate that social support could increase engagement in PTSD therapy. However, there is a need to understand how and why family involvement can increase treatment engagement to inform strategies used in clinical practice. This study explores how individuals with PTSD and family members of individuals with PTSD experience therapy and how social interactions help or hinder therapy engagement. We interviewed 18 U.S. military veterans who had been referred for psychotherapy for PTSD in the Veterans Health Administration and 13 family members and used rapid content analysis to identify themes. We found that engaging in therapy was a family-level decision that participants expected to improve family life. Veterans were motivated to seek treatment to protect their relationships with loved ones. Family members generally encouraged veterans to seek treatment. Specifically, family members who viewed PTSD as a treatable illness versus a static aspect of the veteran's personality expressed positive attitudes about the effectiveness of therapy for reducing symptoms. Veterans whose social networks included individuals with prior military or trauma-related experiences reported that their loved ones possessed more understanding of PTSD and described positive subjective norms around therapy. Family members are often embedded in the therapy process because PTSD has a profound impact on the family. Positive subjective norms for therapy are created by family encouragement and may influence veteran perceptions about the value of treatment. Family members should be engaged early in mental health therapy and to the extent desired by the patient and family member. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Indexed as

Stress Disorders, Post-TraumaticVeteransFamily SupportHumansMental HealthSocial Norms

Identifiers

PMID36780280
PMCPMC10423295
OpenAlexW4320486027

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.