Evidence map›Paper›PMID 39697176›Full record

ArticleEuropean journal of psychotraumatology2024

Which PTSD clusters and symptoms are central to reducing suicidal ideation? A network and cross-lagged analysis among individuals receiving cognitive processing therapy.

Richard J Zeifman, Kristen M Hernandez, Jiyoung Song, Rachel E Liebman, Jennifer Ip, Jessica Burdo, Clara Johnson, Shannon Wiltsey Stirman, Candice M Monson

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In one paragraph

Article 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.

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

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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. Article
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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

9 authors.

Richard J ZeifmanNYU Langone Centre for Psychedelic Medicine, Department of Psychiatry, NYU Grossman School of Medicine, New York, NY, USA.ORCID 0000-0003-3478-4483
Kristen M HernandezDepartment of Psychology, Toronto Metropolitan University, Toronto, Canada.
Jiyoung SongDepartment of Psychology, University of California, Berkeley, Canada.
Rachel E LiebmanDepartment of Psychology, Toronto Metropolitan University, Toronto, Canada.
Jennifer IpDepartment of Psychology, Toronto Metropolitan University, Toronto, Canada.
Jessica BurdoDepartment of Psychology, Toronto Metropolitan University, Toronto, Canada.
Clara JohnsonDepartment of Psychology, University of Washington, Seattle, WA, USA.
Shannon Wiltsey StirmanDissemination and Training Division, National Center for PTSD, Menlo Park, CA, USA.
Candice M MonsonDepartment of Psychology, Toronto Metropolitan University, Toronto, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPosttraumatic stress disorder (PTSD) is associated with suicidal ideation (SI) and SI tends to improve over the course of evidence-based psychotherapy for PTSD. However, it remains unclear which PTSD clusters and symptoms are central to changes in SI throughout treatment.

objectiveTo use (1) network analysis to identify the PTSD clusters and symptoms most uniquely related to SI (at baseline and post-treatment); and (2) cross-lagged analyses to examine whether these PTSD clusters and symptoms prospectively predicted decreases in SI over the course of cognitive processing therapy (CPT).

methodParticipants were 188 individuals with PTSD receiving CPT as part of an implementation-effectiveness trial. At each session, DSM-IV PTSD clusters and symptoms were assessed using the PTSD Checklist and SI was assessed using the Outcome Questionnaire-45.

resultsMulti-staged cross-sectional network analyses indicated that at baseline and post-treatment the avoidance and reexperiencing clusters were uniquely associated with SI. Within these clusters, the symptoms uniquely associated with SI were recurrent thoughts and dreams of trauma, restricted range of affect, and sense of foreshortened future at baseline; and sense of foreshortened future, restricted range of affect, recurrent dreams of trauma, feelings of detachment from others, memory impairment, avoidance of reminders of trauma, and psychological cue reactivity at post-treatment. Multilevel cross-lagged analyses indicated that the avoidance cluster and the restricted range of affect and sense of foreshortened future symptoms, uniquely predicted next-session decreases in SI.

conclusionsThese findings suggest that reductions in SI within treatment may be due to direct targeting of avoidance, affect, and future-related cognitions. Further research remains necessary to determine whether the present findings extend to DSM-5 PTSD clusters and symptoms.

Indexed as

Cognitive Behavioral TherapyStress Disorders, Post-TraumaticSuicidal IdeationAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesTreatment Outcomeanálisis de redesavoidancecognitive processing therapyevitacióngrupos de TEPTideación suicidanetwork analysisPosttraumatic stress disorderPTSD clustersPTSD symptomssíntomas de TEPTsuicidal ideationterapia de procesamiento cognitivoTrastorno de estrés postraumático

Identifiers

PMID39697176
PMCPMC11660305

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LicenceCC BY-NC
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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.