Evidence map›Paper›PMID 37917477›Full record

ArticlePsychological services2024

Rates and reasons for veteran mental health service utilization following completion of evidence-based trauma-focused treatment for PTSD.

Allison L Baier, Sean Nugent, David M Horton, Hope Salameh, Shannon M Kehle-Forbes

Open access · hybridAbstract read
In one paragraph

Article in Psychological services, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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

5 authors at 2 institutions in 1 country.

Allison L BaierNational Center for PTSD, Women's Health Sciences Division, VA Boston Healthcare System.ORCID 0000-0003-1077-8257
Sean NugentCenter for Care Delivery and Outcomes Research, Minneapolis VA Healthcare System.
David M HortonCenter for Care Delivery and Outcomes Research, Minneapolis VA Healthcare System.
Hope SalamehCenter for Care Delivery and Outcomes Research, Minneapolis VA Healthcare System.
Shannon M Kehle-ForbesNational Center for PTSD, Women's Health Sciences Division, VA Boston Healthcare System.
Minneapolis VA Health Care System · USNational Center for PTSD · US

Funding

Dropout from Evidence-Based Therapy for PTSD: Reasons and Potential InterventionsI01HX001434 · VA · MINNEAPOLIS VA MEDICAL CENTER · PI KEHLE-FORBES, SHANNON M. · 2015 to 2015
–
HSRD VA I01 HX001434US Department of Veterans Affairs; Health Services Research & Development
6 · The paper itself

Abstract

Despite the effectiveness of prolonged exposure (PE) and cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD) in reducing symptoms of PTSD and co-occurring symptoms, emerging research suggests continued mental health service utilization (MHSU) following the completion of these interventions. Reasons for continued MHSU remain unknown despite its relevance to PE/CPT outcomes and implementation. The present study employed a mixed methods approach to explore rates and reasons for VA MHSU post PE/CPT. A national sample of 5,634 U.S. veterans who completed either PE or CPT were identified to quantitatively determine the frequency, type, and location of MHSU in the 12 months following PE/CPT completion. A random subsample of 60 veterans completed semistructured qualitative interviews to explore reasons for MHSU post PE/CPT. Findings suggest high MHSU; 98.4% of veterans attended at least one mental health appointment in the year following completion of PE/CPT, with an average attending 27.64 appointments in the year following treatment completion. Qualitatively, veterans, particularly those with low-to-moderate residual symptoms, described a preference for additional treatment to continue practicing and applying skills learned in treatment. Veterans expressed low self-efficacy to maintain treatment gains without support and accountability from their therapists and viewed ongoing treatment as a safety net until they felt more confident in their skills and stability of gains. Veterans with high residual symptoms indicated needing additional PTSD-specific treatment or treatment for a co-occurring condition. Notably, some veterans reported no additional treatment needs, despite continued engagement in care. Evidence-based strategies for facilitating self-efficacy and ongoing application of PE/CPT principles posttreatment are needed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Indexed as

Cognitive Behavioral TherapyImplosive TherapyMental Health ServicesPatient Acceptance of Health CareStress Disorders, Post-TraumaticVeteransAdultAgedEvidence-Based PracticeFemaleHumansMaleMiddle AgedQualitative ResearchUnited States

Identifiers

PMID37917477
PMCPMC11063117
OpenAlexW4388281032

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.