Evidence map›Paper›PMID 37178469›Full record

Trial reportJournal of psychosomatic research2023

Effect of cognitive processing therapy on markers of cardiovascular risk in posttraumatic stress disorder patients: A randomized clinical trial.

Lana L Watkins, Stefanie T LoSavio, Patrick Calhoun, Patricia A Resick, Andrew Sherwood, Cynthia J Coffman, Angela C Kirby, Tiffany A Beaver, Michelle F Dennis, Jean C Beckham

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of psychosomatic research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06429293 (Impact of Cognitive Behavioral Therapy on Neural, Inflammatory, & Autonomic Markers in a Sample With PTSD and Cardiovascular Risk), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT06429293 narecruitingnot on this map

Impact of Cognitive Behavioral Therapy on Neural, Inflammatory, & Autonomic Markers in a Sample With PTSD and Cardiovascular Risk: Protocol for a Pilot Randomized Controlled Trial

TypeinterventionalSponsorMassachusetts General HospitalRan2023 to 2026Enrolled30ConditionsPosttraumatic Stress DisorderArmsCognitive processing therapy
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Review
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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.

Lana L WatkinsDuke University Medical Center, Durham, NC, United States of America. Electronic address: lana.watkins@duke.edu.
Stefanie T LoSavioDuke University Medical Center, Durham, NC, United States of America.
Patrick CalhounDuke University Medical Center, Durham, NC, United States of America; Durham VA Healthcare System, Durham, NC, United States of America; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, NC, United States of America.
Patricia A ResickDuke University Medical Center, Durham, NC, United States of America.
Andrew SherwoodDuke University Medical Center, Durham, NC, United States of America.
Cynthia J CoffmanDuke University Medical Center, Durham, NC, United States of America; Durham VA Healthcare System, Durham, NC, United States of America; Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Healthcare System, United States of America.
Angela C KirbyDuke University Medical Center, Durham, NC, United States of America; Durham VA Healthcare System, Durham, NC, United States of America; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, NC, United States of America.
Tiffany A BeaverDuke University Medical Center, Durham, NC, United States of America; Durham VA Healthcare System, Durham, NC, United States of America.
Michelle F DennisDuke University Medical Center, Durham, NC, United States of America; Durham VA Healthcare System, Durham, NC, United States of America.
Jean C BeckhamDuke University Medical Center, Durham, NC, United States of America; Durham VA Healthcare System, Durham, NC, United States of America; VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, NC, United States of America.

Funding

The Effect of Reducing Posttraumatic Stress Disorder Symptoms on Cardiovascular RiskR01HL130322 · NHLBI · DUKE UNIVERSITY · PI BECKHAM, JEAN C., WATKINS, LANA L · 2016 to 2020
$3.0M
NHLBI NIH HHS R01 HL130322
6 · The paper itself

Abstract

objectivePosttraumatic stress disorder (PTSD) is associated with elevated risk of coronary heart disease (CHD); however, the effects of PTSD treatment on CHD biomarkers is unknown. This study examined whether cognitive processing therapy (CPT) improves 24-hourheart rate variability (HRV), a predictor of CHD mortality.

methodsIndividuals between the ages of 40 and 65 years with PTSD (n = 112) were randomized to receive 12 sessions of CPT or a Waiting List (WL) intervention comprised of 6 weekly telephone checks of emotional status. The primary outcome variable was 24-hour HRV estimated from the standard deviation of all normal R-R intervals (SDNN); secondary outcomes were the root mean square of successive differences between heart beats (RMSSD), low-frequency HRV (LF-HRV) and high-frequency HRV (HF-HRV). Secondary outcomes also included 24-hour urinary catecholamine excretion, plasma C-reactive protein (CRP), and flow-mediated dilation (FMD) of the brachial artery. For outcomes, linear mixed longitudinal models were used to estimate mean differences (Mdiff).

resultsParticipants randomized to the CPT group did not show improved SDNN (M

conclusionTreating PTSD may not only improve quality of life but may also help ameliorate heightened CHD risk characteristics of PTSD.

Indexed as

Cardiovascular DiseasesCognitive Behavioral TherapyStress Disorders, Post-TraumaticAdultAgedHeart Disease Risk FactorsHeart RateHumansMiddle AgedQuality of LifeRisk FactorsBiomarkersCognitive processing therapyCoronary heart diseaseHeart rate variabilityPosttraumatic stress disorder

Identifiers

PMID37178469
PMCPMC10283083

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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.