Evidence map›Paper›PMID 39666474›Full record

Trial reportPsychological trauma : theory, research, practice and policy2025

Identifying predictors of long-term treatment outcomes using narratives from written exposure therapy and cognitive processing therapy for PTSD.

Danielle R Shayani, Elizabeth Alpert, J Ben Barnes, Denise M Sloan, Adele M Hayes

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychological trauma : theory, research, practice and policy, 2025. 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
–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.

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. Trial
  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.

Danielle R ShayaniDepartment of Psychological and Brain Sciences, University of Delaware.ORCID 0000-0002-0639-2821
Elizabeth AlpertNational Center for PTSD, Women's Health Sciences Division, VA Boston Healthcare System.
J Ben BarnesPractice Research Network, Reliant Medical Group.
Denise M SloanChobanian and Avedisian School of Medicine, Boston University.
Adele M HayesDepartment of Psychological and Brain Sciences, University of Delaware.

Funding

Written Exposure Therapy for PTSD: A Randomized Noninferiority TrialR01MH095737 · NIMH · BOSTON UNIVERSITY MEDICAL CAMPUS · PI SLOAN, DENISE M. · 2012 to 2016
$1.4M
National Institutes of Health; National Institute of Mental HealthNIMH NIH HHS R01 MH095737
6 · The paper itself

Abstract

objectiveCognitive processing therapy (CPT), a 12-session, gold-standard treatment for posttraumatic stress disorder (PTSD), and written exposure therapy (WET), a brief, five-session treatment, have similar treatment efficacy. The aim of the present study was to identify predictors of long-term treatment outcomes of WET and CPT using clients' written narratives.

methodNarratives from both treatments were coded with the Change and Growth Experiences Scale coding system to identify predictors of long-term PTSD symptom outcomes. Participants were 113 adults with PTSD randomly assigned to receive WET (

resultsIn WET, higher average levels of accommodated (balanced, healthy) beliefs predicted lower PTSD symptoms at the 60-week endpoint, as well as a decrease in symptoms over the follow-up symptom slope. In CPT, higher average negative emotions and positive view of self predicted better 60-week PTSD symptom outcomes, as did lower hopelessness, which also predicted a decrease in PTSD symptoms over the follow-up period.

conclusionsEven without direct cognitive change techniques, adaptive processing of traumatic experiences occurred in WET and predicted PTSD long-term symptom improvement. Both emotional engagement and cognitive change might help to sustain treatment gains in CPT. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Indexed as

Cognitive Behavioral TherapyImplosive TherapyNarrationStress Disorders, Post-TraumaticAdultFemaleHumansMaleMiddle AgedTreatment Outcome

Identifiers

PMID39666474
PMCPMC12159258

What OpenQuestion holds

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Registered trials

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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.