Evidence map›Paper›PMID 38590124›Full record

Trial reportEuropean journal of psychotraumatology2024

Cognitive-behavioural conjoint therapy versus prolonged exposure for PTSD in military service members and veterans: results and lessons from a randomized controlled trial.

Candice M Monson, Nicole D Pukay-Martin, Anne C Wagner, Alexander O Crenshaw, Tabatha H Blount, Richard P Schobitz, Katherine A Dondanville, Stacey Young-McCaughan, Jim Mintz, David S Riggs and 7 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of psychotraumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 33% 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, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
  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

17 authors at 8 institutions in 2 countries.

Candice M MonsonDepartment of Psychology, Toronto Metropolitan University, Toronto, Canada.ORCID 0000-0001-6179-0788
Nicole D Pukay-MartinCincinnati VA Medical Center, Cincinnati, OH, USA.
Anne C WagnerDepartment of Psychology, Toronto Metropolitan University, Toronto, Canada.
Alexander O CrenshawKennesaw State University, Kennesaw, GA, USA.
Tabatha H BlountDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Richard P SchobitzDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Katherine A DondanvilleDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Stacey Young-McCaughanDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Jim MintzDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
David S RiggsHérbert School of Medicine, Uniformed Services University of the Health Sciences, and Center for Deployment Psychology, Bethesda, MD, USA.
Antoinette BrundigeDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Elizabeth A HembreeDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.
Brett T LitzMassachusetts Veterans Epidemiological Research and Information Center, VA Boston Healthcare System, Boston, MA, USA.
John D RoacheDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Jeffrey S YarvisDepartment of Behavioral Health, Carl R. Darnall Army Medical Center, Fort Hood, TX, USA.
Alan L PetersonDepartment of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
STRONG STAR Consortium
The University of Texas Health Science Center at San Antonio · USToronto Metropolitan University · CABoston University · USCarl R. Darnall Army Medical Center · USCincinnati VA Medical Center · USKennesaw State University · USUniformed Services University of the Health Sciences · USUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Military personnel and veterans are at heightened risk for exposure to traumatic events and posttraumatic stress disorder (PTSD), as well as intimate relationship problems associated with PTSD. The purpose of this study was to evaluate the relative efficacy of CBCT and PE in improving intimate relationship functioning in active duty military personnel or veterans and their intimate partners; both conditions were hypothesized to significantly improve PTSD. Method: In this study, 32 military service members or veterans with PTSD and their intimate partners were randomized to receive either Cognitive-Behavioral Conjoint Therapy for PTSD ( There were significant challenges with recruitment and a significant difference in dropout from treatment for the two therapies (65% for PE; 27% for CBCT). Treatment dropout was differentially related to pre-treatment relationship functioning; those with below average relationship functioning had higher dropout in PE compared with CBCT, whereas those with above average relationship functioning did not show differential dropout. In general, CBCT led to relational improvements, but this was not consistently found in PE. Clinician- and self-reported PTSD symptoms improved with both treatments. This study is the first to test a couple or family therapy against a well-established, front-line recommended treatment for PTSD, with expected superiority of CBCT over PE on relationship outcomes. Lessons learned in trial design, including considerations of equipoise, and the effects of differential dropout on trial analyses are discussed. This trial provides further support for the efficacy of CBCT in the treatment of PTSD and enhancement of intimate relationships.

Indexed as

Military PersonnelStress Disorders, Post-TraumaticVeteransCognitionHumansTreatment Outcomecognitive–behavioural conjoint therapycouple therapyexposición prolongadaintimate relationshipsMilitarMilitaryprolonged exposurePTSDrelaciones íntimasTEPTterapia conjunta cognitiva conductualterapias de parejatratamientotreatment

Identifiers

PMID38590124
PMCPMC11005874
OpenAlexW4394615529

What OpenQuestion holds

Textmetadata
LicenceCC0
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.