Evidence map›Paper›PMID 41620779›Full record

Trial reportBMC psychology2026

Sex differences in treatment outcomes among U.S. service members with comorbid PTSD and MDD.

Lisa H Glassman, Nicholas P Otis, Alexander C Kline, W Michael Hunt, Kristen H Walter

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02874131 (Behavioral Activation + Cognitive Processing Therapy for Posttraumatic Stress Disorder and Comorbid Major Depressive Disorder), which is not on this map. Not yet cited in PubMed.

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

NCT02874131 nacompletednot on this map

Behavioral Activation + Cognitive Processing Therapy for Posttraumatic Stress Disorder and Comorbid Major Depressive Disorder

TypeinterventionalSponsorUnited States Naval Medical Center, San DiegoRan2015 to 2022Enrolled100ConditionsPosttraumatic Stress Disorder, Major Depressive DisorderArmsBehavioral Activation, Cognitive Processing Therapy
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Lisa H GlassmanPsychological Health & Readiness Department, Naval Health Research Center, 140 Sylvester Road, , San Diego, CA, 92106, USA. lisa.h.glassman.ctr@health.mil.
Nicholas P OtisPsychological Health & Readiness Department, Naval Health Research Center, 140 Sylvester Road, , San Diego, CA, 92106, USA.
Alexander C KlinePsychological Health & Readiness Department, Naval Health Research Center, 140 Sylvester Road, , San Diego, CA, 92106, USA.
W Michael HuntDirectorate of Mental Health, Naval Medical Center San Diego, San Diego, CA, USA.
Kristen H WalterPsychological Health & Readiness Department, Naval Health Research Center, 140 Sylvester Road, , San Diego, CA, 92106, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPosttraumatic stress disorder (PTSD) and major depressive disorder (MDD) are prevalent and deleterious conditions that commonly co-occur among service members. Identifying factors such as sex that could be linked to treatment response among service members with these conditions is critical for improving care delivery.

methodsThis study examined sex differences in treatment outcomes among U.S. active duty service members with comorbid PTSD and MDD (N = 94; 55% women, 45% men) in a randomized controlled trial comparing behavioral activation-enhanced cognitive processing therapy (BA + CPT) and standard CPT. PTSD and MDD symptom severity was assessed at pretreatment, posttreatment, and 3-month follow-up.

resultsIntent-to-treat multilevel models indicated treatment condition moderated the relationship between sex and PTSD symptoms (p = .020) but not depression (p = .16). On average, Clinician-Administered PTSD Scale for DSM-5 scores decreased significantly more among servicewomen who received CPT versus BA + CPT at posttreatment (p = .004) and 3-month follow-up (p = .049). There were no significant differences in outcomes among servicemen (ps > 0.05). In CPT, servicewomen reported significantly greater PTSD symptom reduction compared to servicemen at posttreatment (p = .039) but not at follow-up (p = .088). In BA + CPT, PTSD symptoms did not significantly differ between sexes at posttreatment (p = .054) or follow-up (p = .29).

conclusionsFindings suggest sex may differentially impact outcomes for CPT but not BA + CPT among service members with PTSD and MDD and could help inform shared decision-making between patients and providers.

trial registrationClinicalTrials.gov registry; registration number NCT02874131; date of registration: 08-22-2016.

Indexed as

Cognitive Behavioral TherapyMajor Depressive DisorderMilitary PersonnelStress Disorders, Post-TraumaticAdultComorbidityFemaleHumansMaleSex FactorsTreatment Effect HeterogeneityTreatment OutcomeUnited StatesCognitive behavioral therapyDepressionEvidence-based treatmentMilitaryPsychotherapy

Identifiers

PMID41620779
PMCPMC12952077

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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.