Evidence map›Paper›PMID 41955041›Full record

ArticlePsychological trauma : theory, research, practice and policy2026

Trauma-focused or non-trauma-focused? Treatment preferences and expectancies among veterans with co-occurring posttraumatic stress disorder and substance use disorder.

Elizabeth Alpert, Adam Kaplan, David Nelson, Nicole M Christ, Hildi J Hagedorn, Sonya B Norman, Paula P Schnurr, Laura A Meis, Tara E Galovski, Sean Nugent and 4 more

Abstract read
In one paragraph

Article in Psychological trauma : theory, research, practice and policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

14 authors.

Elizabeth AlpertNational Center for PTSD, Women's Health Sciences Division, VA Boston Healthcare System.ORCID 0000-0002-9870-799X
Adam KaplanCenter for Care Delivery and Outcomes Research, VA Minneapolis Medical Center.
David NelsonCenter for Care Delivery and Outcomes Research, VA Minneapolis Medical Center.
Nicole M ChristCenter for Care Delivery and Outcomes Research, VA Minneapolis Medical Center.
Hildi J HagedornCenter for Care Delivery and Outcomes Research, VA Minneapolis Medical Center.
Sonya B NormanNational Center for PTSD, Executive Division.
Paula P SchnurrNational Center for PTSD, Executive Division.
Laura A MeisNational Center for PTSD, Women's Health Sciences Division, VA Boston Healthcare System.
Tara E GalovskiNational Center for PTSD, Women's Health Sciences Division, VA Boston Healthcare System.
Sean NugentCenter for Care Delivery and Outcomes Research, VA Minneapolis Medical Center.
Jessica L HamblenNational Center for PTSD, Executive Division.
Kyle PossematoVA Center for Integrated Healthcare, Syracuse VA Medical Center.
Allison L BaierNational Center for PTSD, Women's Health Sciences Division, VA Boston Healthcare System.
Shannon M Kehle-ForbesNational Center for PTSD, Women's Health Sciences Division, VA Boston Healthcare System.

Funding

Enhancing PTSD Treatment Outcomes by Improving Patient-Provider CommunicationK23MH132815 · NIMH · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Elizabeth Rose Alpert · 2024 to 2026
$566k
NIMH NIH HHS K23 MH132815Patient-Centered Outcomes Research Institute
6 · The paper itself

Abstract

objectiveAmong patients with co-occurring posttraumatic stress disorder (PTSD) and substance use disorders (SUDs), little is known about early PTSD treatment processes, including treatment preference and outcome expectancy. This study examined prerandomization treatment preferences for trauma-focused treatment (TFT) versus non-trauma-focused treatment (NTFT) for PTSD among veterans with PTSD-SUD, as well as treatment outcome expectancies after hearing the treatment rationale during the first treatment session (assessed before Session 2). We also examined demographic and baseline clinical predictors of these early treatment processes.

methodData were from a randomized controlled trial comparing TFT to NTFT for PTSD. Participants were 426 veterans with PTSD-SUD randomly assigned to receive TFT or NTFT while receiving concurrent SUD treatment-as-usual.

resultsParticipants were nearly evenly split in their treatment preference (47.8% preferred TFT). Higher baseline PTSD severity (odds ratio [

conclusionsFindings suggest TFT is desired among a substantial proportion of patients with PTSD-SUD, and higher symptom severity does not seem to predict lower TFT preference or expectancy. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Identifiers

PMID41955041
PMCPMC13078704

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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.