Evidence map›Paper›PMID 38166295›Full record

ArticlePsychological services2024

Treatment-related beliefs and reactions among trauma-focused therapy completers and discontinuers: A qualitative examination.

Elizabeth Alpert, Alexandra Gowdy-Jaehnig, Tara E Galovski, Laura A Meis, Melissa A Polusny, Princess E Ackland, Michele Spoont, Helen Valenstein-Mah, Robert J Orazem, Paula P Schnurr and 2 more

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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.2field-weighted citation impact, top 10% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

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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

12 authors at 3 institutions in 1 country.

Elizabeth AlpertNational Center for PTSD, Women's Health Sciences Division, VA Boston Healthcare System.ORCID 0000-0002-9870-799X
Alexandra Gowdy-JaehnigCenter for Care Delivery and Outcomes Research, Minneapolis VA Health Care System.
Tara E GalovskiNational Center for PTSD, Women's Health Sciences Division, VA Boston Healthcare System.
Laura A MeisNational Center for PTSD, Women's Health Sciences Division, VA Boston Healthcare System.
Melissa A PolusnyCenter for Care Delivery and Outcomes Research, Minneapolis VA Health Care System.
Princess E AcklandCenter for Care Delivery and Outcomes Research, Minneapolis VA Health Care System.
Michele SpoontCenter for Care Delivery and Outcomes Research, Minneapolis VA Health Care System.
Helen Valenstein-MahLyra Health.ORCID 0000-0001-5726-2026
Robert J OrazemCenter for Care Delivery and Outcomes Research, Minneapolis VA Health Care System.
Paula P SchnurrNational Center for PTSD, Executive Division.
Kathleen M ChardCincinnati VA Medical Center.
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 · USCincinnati VA Medical Center · 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
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HSRD VA I01 HX001434US Department of Veterans Affairs; Health Services Research and Development
6 · The paper itself

Abstract

Prolonged exposure (PE) and cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD) are effective, but some patients do not respond adequately, and dropout rates are high. Patients' beliefs about treatment and perceptions of treatment components influence treatment outcomes and may be amenable to change through intervention. The present study sought to identify beliefs and reactions to PE and CPT that differentiated completers who screened negative for a PTSD diagnosis after treatment (PTSD-), completers who screened positive for a PTSD diagnosis after treatment (PTSD+), and discontinuers who attended six or fewer sessions. Thematic analysis was used to identify themes in qualitative data collected via retrospective semistructured interviews with 51 completers (19 PTSD- after treatment, 32 PTSD+ after treatment) and 66 discontinuers of PE/CPT. Participants were demographically diverse veterans across service eras. Treatment-related beliefs and reactions differentiating these groups included perceived helpfulness of treatment, self-efficacy in engaging in treatment, anticipatory anxiety and concerns, interpretations of ongoing symptoms, and perceived consequences of treatment on functioning. Further, some patterns seemed to differ in early treatment sessions compared to during the active components of treatment. Findings point to potentially malleable targets that could be intervened upon to improve trauma-focused treatment outcomes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Indexed as

Cognitive Behavioral TherapyImplosive TherapyQualitative ResearchStress Disorders, Post-TraumaticVeteransAdultFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedPatient DropoutsRetrospective Studies

Identifiers

PMID38166295
PMCPMC11215002
OpenAlexW4390508555

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.