Evidence map›Paper›PMID 42533978›Full record

ArticleJournal of military, veteran and family health2024

Hitting the wall: The impact of barriers to care and cumulative trauma exposure on PTSD among Northern Ireland Veterans.

Eric Spikol, Catherine Hitch, Martin Robinson, Emily McGlinchey, Cherie Armour

Abstract read
In one paragraph

Article in Journal of military, veteran and family health, 2024. 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.

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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

5 authors.

Eric SpikolStress Trauma and Related Conditions (STARC) Research Centre, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom.
Catherine HitchSwansea University Medical School - School of Psychology, Institute of Life Science 2, Swansea, England, United Kingdom.
Martin RobinsonStress Trauma and Related Conditions (STARC) Research Centre, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom.
Emily McGlincheyStress Trauma and Related Conditions (STARC) Research Centre, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom.
Cherie ArmourStress Trauma and Related Conditions (STARC) Research Centre, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Seeking treatment for posttraumatic stress disorder (PTSD) distress can be complicated by a variety of internal and external factors that prevent an individual from seeking care and treatment while distress worsens. This is especially true for hidden populations with an extensive trauma history, such as UK Armed Forces Veterans residing in Northern Ireland. This study aimed to determine the contribution of barriers to care and cumulative trauma exposure to the severity of PTSD symptomatology, the extent of that contribution, and whether variance existed in the specific types of barriers. Methods: Data from 657 Veterans residing in Northern Ireland (90.6% male) taken from the Northern Ireland Veterans Health and Wellbeing Study were used in a series of regression models to explore the relationships among cumulative trauma exposure, barriers to care, specific barrier types, and PTSD symptomatology. Results: Overall barriers to care and cumulative trauma exposure predicted PTSD (β = 0.385), as did, to a lesser degree, logistical barriers (β = 0.348), trust barriers (β = 0.258), and stigmatic barriers (β = 0.298). Discussion: The accumulation of multiple trauma exposures and experiences is strongly associated with PTSD symptomatology, with barriers to care having a significant impact on distress. Overall barriers, specific subtypes of barriers, and trauma contributed to PTSD in this population of UK Armed Forces Veterans residing in Northern Ireland.

Indexed as

barriers to careNorthern Irelandposttraumatic stress disorderPTSDVeterans

Identifiers

PMID42533978
PMCPMC13293201

What OpenQuestion holds

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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.