Evidence map›Paper›PMID 37650808›Full record

Trial reportFamilies, systems & health : the journal of collaborative family healthcare2023

Improving function through primary care treatment of posttraumatic stress disorder study outcomes: A randomized controlled trial of prolonged exposure for primary care in veterans.

Sheila A M Rauch, H Myra Kim, Ron Acierno, Carly Ragin, Bethany Wangelin, Kimberly Blitch, Wendy Muzzy, Stephanie Hart, Kara Zivin

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Families, systems & health : the journal of collaborative family healthcare, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07686731 (Suvorexant), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.2field-weighted citation impact, top 13% 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.

NCT07686731 phase4not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Suvorexant: Targeting Orexin to Augment Exposure Therapy in Veterans With PTSD and Insomnia

TypeinterventionalSponsorNorthern California Institute of Research and EducationRan2026 to 2029Enrolled142ConditionsPTSD - Post Traumatic Stress Disorder, Insomnia, TBI (Traumatic Brain Injury)ArmsSuvorexant, Placebo, Prolonged Exposure Therapy for Primary Care (PE-PC)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trajectories of change in prolonged exposure for primary care: Who most likely benefits?Psychological trauma : theory, research, practice and policy · 2025
    Trial
  2. Trial
  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

9 authors at 3 institutions in 1 country.

Sheila A M RauchMental Health Service Line, Joseph Maxwell Cleland Atlanta VA Medical Center.ORCID 0000-0001-9686-4011
H Myra KimMental Health Service Line, VA Ann Arbor Healthcare System.
Ron AciernoRalph H. Johnson VA Health Care System.
Carly RaginMental Health Service Line, Joseph Maxwell Cleland Atlanta VA Medical Center.ORCID 0000-0001-9086-0327
Bethany WangelinRalph H. Johnson VA Health Care System.
Kimberly BlitchRalph H. Johnson VA Health Care System.
Wendy MuzzyRalph H. Johnson VA Health Care System.
Stephanie HartRalph H. Johnson VA Health Care System.ORCID 0009-0003-3811-146X
Kara ZivinMental Health Service Line, VA Ann Arbor Healthcare System.
Ralph H. Johnson VA Medical Center · USLakeland Health · USVA Ann Arbor Healthcare System · US

Funding

Improving Function Through Primary Care Treatment of PTSDI01RX002625 · VA · VETERANS HEALTH ADMINISTRATION · PI RAUCH, SHEILA A.M. · 2019 to 2022
–
HSR&D Research Career Scientist AwardIK6HX003397 · VA · VETERANS HEALTH ADMINISTRATION · PI Kara Zivin · 2021 to 2026
–
RRD VA I01 RX002625VA VA 999999
6 · The paper itself

Abstract

introductionDespite high cost and wide prevalence of posttraumatic stress disorder (PTSD) in veteran populations, and Veterans Health Administration (VA)-wide mental health provider training in evidence-based treatments for PTSD, most veterans with PTSD do not receive best practices interventions. This may be because virtually all evidence-based PTSD treatment is offered through specialty clinics, which require multiple steps and referrals to access. One solution is to offer PTSD treatment in VA primary care settings, which are often the first and only contact point for veterans.

methodThe present study,

resultsParticipants were mostly males (81.7%) with a mean age of 43.6 years ( DISCUSSION: Both PE-PC and best-practices TAU are effective in improving function and reducing PTSD severity and depression severity. Although we did not observe differences between the two treatments, note that this study site and two PCMHI clinics employ primarily cognitive behavioral therapies (e.g., exposure and behavioral activation). (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Indexed as

Cognitive Behavioral TherapyStress Disorders, Post-TraumaticVeteransAdultFemaleHumansMalePrimary Health CarePsychotherapyTreatment Outcome

Identifiers

PMID37650808
PMCPMC10840599
OpenAlexW4386305133

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.