Evidence map›Paper›PMID 40589783›Full record

ArticleFrontiers in health services2025

Pilot outcomes and exploration of treatment mechanisms using a culturally adapted version of the unified protocol for transdiagnostic treatment of emotional disorders to improve mental health symptoms, alcohol misuse, functional outcomes, and sleep quality in emergency responders.

Eric C Meyer, Sheila G Roth, Elizabeth Coe, Daniel J Taylor, Suzy B Gulliver

2 registry-linked trialsAbstract read
In one paragraph

Article in Frontiers in health services, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT05357586 nacompletednot on this map

Serving Those Who Protect the Public: The Pitt Center for Emergency Responder Wellness

TypeinterventionalSponsorUniversity of PittsburghRan2022 to 2023Enrolled36ConditionsPosttraumatic Stress Disorder, Depression, Anxiety, Alcohol Use DisorderArmsUnified Protocol for Transdiagnostic Treatment of Emotional Disorders
NCT07738081 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Transdiagnostic Intervention Protocol for Emotional Problems in Addictive Behaviors

TypeinterventionalSponsorUniversity of OviedoRan2026 to 2026Enrolled60ConditionsAddictive Behaviors, Emotion RegulationArmsTransdiagnostic cognitive-behavioral therapy, Treatment as usual
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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.

Eric C MeyerDepartment of Counseling and Behavioral Health, University of Pittsburgh, Pittsburgh, PA, United States.
Sheila G RothDepartment of Social Work, Carlow University, Pittsburgh, PA, United States.
Elizabeth CoeWarriors Research Institute, Baylor Scott & White Health, Waco, TX, United States.
Daniel J TaylorDepartment of Psychology, University of Arizona, Tucson, AZ, United States.
Suzy B GulliverWarriors Research Institute, Baylor Scott & White Health, Waco, TX, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Emergency responders encounter frequent trauma and myriad occupational hazards, contributing to concerning rates of posttraumatic stress disorder (PTSD) and related mental health symptoms. These symptoms are each strongly linked with neuroticism/negative emotionality (NNE). Thus, an emotion-focused, transdiagnostic, skills-based treatment approach seems to be a strong match for this population. We sought to address barriers to mental health treatment for emergency responders, including stigma, logistical barriers, and lack of provider knowledge regarding emergency response culture by delivering treatment via telehealth by providers trained in emergency response culture. Methods: In an uncontrolled pilot trial, we delivered the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders to 30 emergency medical service, police, and fire service personnel. Results: The large majority (80.0%) completed treatment. Working Alliance Inventory scores were high. Large improvements occurred at post-treatment and one-month follow-up in PTSD symptom severity (Hedges' Discussion: We summarize our cultural adaptation process aimed at maximizing fit of the UP with emergency responders and recommend additional, controlled research examining the UP in trauma exposed populations. Clinical Trial Registration: NCT05357586.

Indexed as

alcoholfire fighterfirst responderfunctional impairmentparamedicpolicePTSDquality of life

Identifiers

PMID40589783
PMCPMC12206817

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.