Evidence map›Paper›PMID 40177333›Full record

ArticleClinical psychology in Europe2025

Dropout From Trauma-Focused Treatment for PTSD in a Naturalistic Setting.

Verena Semmlinger, Keisuke Takano, Larissa Wolkenstein, Antje Krüger-Gottschalk, Sascha Kuck, Anne Dyer, Andre Pittig, Georg W Alpers, Thomas Ehring

Abstract read
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Article in Clinical psychology in Europe, 2025. 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
–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

4 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. 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

9 authors.

Verena SemmlingerDepartment of Psychology, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0001-9201-7464
Keisuke TakanoHuman Informatics and Interaction Research Institute (HIIRI), National Institute of Advanced Industrial Science and Technology (AIST), Tsukuba, Japan.ORCID https://orcid.org/0000-0003-0406-8654
Larissa WolkensteinDepartment of Psychology, LMU Munich, Munich, Germany.ORCID https://orcid.org/0009-0008-1954-9518
Antje Krüger-GottschalkInstitute of Psychology, WWU Münster, Münster, Germany.ORCID https://orcid.org/0000-0002-3095-4732
Sascha KuckInstitute of Psychology, WWU Münster, Münster, Germany.ORCID https://orcid.org/0000-0003-3022-2766
Anne DyerCentral Institute of Mental Health, ZISG Mannheim, Mannheim, Germany.ORCID https://orcid.org/0000-0001-5374-1206
Andre PittigTranslational Psychotherapy, Institute of Psychology, Georg-August-University of Göttingen, Göttingen, Germany.ORCID https://orcid.org/0000-0003-3787-9576
Georg W AlpersDepartment of Psychology, School of Social Science, University of Mannheim, Mannheim, Germany.ORCID https://orcid.org/0000-0001-9896-5158
Thomas EhringDepartment of Psychology, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0001-9502-6868

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although evidence-based interventions for posttraumatic stress disorder (PTSD) are highly effective, on average about 20% of patients drop out of treatment. Despite considerable research investigating PTSD treatment dropout in randomized controlled trials (RCTs), findings in naturalistic settings remain sparse. Objective: Therefore, the present study investigated the frequency and predictors of dropout in trauma-focused interventions for PTSD in routine clinical care. Method: The sample included Results: Results showed a dropout rate of 15.38%. Age (higher dropout probability in younger patients) and living situation (living with parents predicted lower dropout probability compared to living alone) were significant predictors of dropout. Dropout was not significantly associated with the therapist's experience level and gender match. Conclusions: In conclusion, routinely assessed baseline patient variables are associated with dropout. Ultimately, this may help to identify patients who need additional attention to keep them in therapy.

Indexed as

clinical practicenaturalistic settingposttraumatic stress disorderpredictionpsychotherapytreatment dropouts

Identifiers

PMID40177333
PMCPMC11960572

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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.