{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T04:24:23Z","timestamp":1729139063437,"version":"3.27.0"},"reference-count":48,"publisher":"Springer Publishing Company","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Violence Vict"],"published-print":{"date-parts":[[2024,10,1]]},"abstract":"<jats:p>Improving and expanding mental health treatment for Veterans who have experienced military sexual trauma (MST) is currently a top priority in Veterans Healthcare Administration. Many of these Veterans develop posttraumatic stress disorder (PTSD), and there is increasing recognition that diversity is a core treatment consideration for Veterans who have experienced trauma. As such, more information is needed concerning the relationship between trauma-focused treatment attrition and ethnoracial identity in Veterans who have experienced MST. This article presents two studies exploring dropout from a Midwestern Department of Veterans Affairs (VA) PTSD clinic in samples of Veterans who experienced MST. These studies aim to reduce this knowledge gap by contrasting Black and White Veterans\u2019 retention in trauma-focused care. In Study 1 (<jats:italic>n<\/jats:italic>= 141), we examined ethnoracial differences in dropout in a cohort of treatment-seeking Veterans who experienced MST and engaged in cognitive processing therapy (CPT) in a VA specialty PTSD clinic. In Study 2 (<jats:italic>n<\/jats:italic>= 109), we explored the same questions related to treatment attrition in a separate cohort of treatment-seeking Veterans who experienced MST and engaged in prolonged exposure (PE) in a VA specialty PTSD clinic. Results from both studies did not indicate ethnoracial differences in attrition rate (for both total sessions and an 8-week minimally adequate care [MAC] window) across evidence-based PTSD treatment. However, it remains important to consider the impact of racial and cultural factors on retention. Future research should aim to recruit a larger racially and ethnically diverse sample to explore possible varying retention outcomes of CPT and PE for MST-related PTSD.<\/jats:p>","DOI":"10.1891\/vv-2023-0069","type":"journal-article","created":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T13:50:19Z","timestamp":1724680219000},"page":"618-633","source":"Crossref","is-referenced-by-count":0,"title":["Examining Ethnoracial Differences in Retention in Evidence-Based Treatments for Posttraumatic Stress Disorder Secondary to Military Sexual Trauma"],"prefix":"10.1891","volume":"39","author":[{"given":"Peter P.","family":"Grau","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine M.","family":"Fedele","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle A.","family":"Fernando","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brittany","family":"Hall-Clark","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheila A. M.","family":"Rauch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine E.","family":"Porter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minden","family":"Sexton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"793","published-online":{"date-parts":[[2024,8,26]]},"reference":[{"key":"2024101608001114000_39.5.618.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2015.09.002"},{"key":"2024101608001114000_39.5.618.2","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000007"},{"key":"2024101608001114000_39.5.618.3","first-page":"96","article-title":"Recent developments in understanding ethnocultural and race differences in trauma exposure and PTSD","year":"2017","journal-title":"Current Opinion in Psychology"},{"key":"2024101608001114000_39.5.618.4","first-page":"7","article-title":"Predictors of attendance and dropout in three randomized controlled trials of PTSD treatment for active duty service members","author":"STRONG STAR Consortium","year":"2019","journal-title":"Behaviour Research and Therapy"},{"key":"2024101608001114000_39.5.618.5","doi-asserted-by":"publisher","DOI":"10.1007\/BF02105408"},{"key":"2024101608001114000_39.5.618.6","doi-asserted-by":"publisher","DOI":"10.1080\/00224490509552275"},{"issue":"9","key":"2024101608001114000_39.5.618.7","first-page":"807","article-title":"Patterns of change in response to prolonged exposure: Implications for treatment outcome","year":"2016","journal-title":"Depression and Anxiety"},{"issue":"9","key":"2024101608001114000_39.5.618.8","first-page":"949","article-title":"Effectiveness of national implementation of prolonged exposure therapy in veterans affairs care","year":"2013","journal-title":"JAMA Psychiatry"},{"issue":"6","key":"2024101608001114000_39.5.618.9","first-page":"503","article-title":"The efficacy of 90-min versus 60-min sessions of prolonged exposure for PTSD: A randomized controlled trial in active-duty military personnel","year":"2022","journal-title":"Journal of Consulting and Clinical Psychology"},{"key":"2024101608001114000_39.5.618.10","first-page":"159","article-title":"Who improves in trauma-focused treatment: A cluster analysis of treatment response in VA patients undergoing PE and CPT","year":"2022","journal-title":"Journal of Affective Disorders"},{"issue":"2","key":"2024101608001114000_39.5.618.11","first-page":"126","article-title":"Racial disparities in clinical outcomes of veterans affairs residential PTSD treatment between black and white veterans","year":"2022","journal-title":"Psychiatric Services (Washington, D.C.)"},{"issue":"Suppl 6","key":"2024101608001114000_39.5.618.12","first-page":"S149","article-title":"Combining natural language processing of electronic medical notes with administrative data to determine racial\/ethnic differences in the disclosure and documentation of military sexual trauma in veterans","year":"2019","journal-title":"Medical Care"},{"issue":"1","key":"2024101608001114000_39.5.618.13","first-page":"115","article-title":"Time course of treatment dropout in cognitive-behavioral therapies for posttraumatic stress disorder","year":"2016","journal-title":"Psychological Trauma"},{"issue":"5","key":"2024101608001114000_39.5.618.14","first-page":"367","article-title":"Predictors of treatment adequacy during evidence-based psychotherapy for PTSD","year":"2019","journal-title":"Psychiatric Services"},{"issue":"6","key":"2024101608001114000_39.5.618.15","first-page":"741","article-title":"Ethnoracial differences in PTSD symptoms and trauma-related cognitions in treatment-seeking active duty military personnel for PTSD","year":"2017","journal-title":"Psychological Trauma"},{"issue":"2","key":"2024101608001114000_39.5.618.16","first-page":"124","article-title":"Racial\/ethnic differences in symptoms of posttraumatic stress disorder","year":"2016","journal-title":"Current Psychiatry Reviews"},{"key":"2024101608001114000_39.5.618.17","doi-asserted-by":"publisher","DOI":"10.1111\/1471-6402.00104"},{"issue":"5","key":"2024101608001114000_39.5.618.18","first-page":"432","article-title":"Therapeutic response to cognitive processing therapy in White and Black female veterans with military sexual trauma-related PTSD","year":"2017","journal-title":"Cognitive Behaviour Therapy"},{"key":"2024101608001114000_39.5.618.19","first-page":"42","article-title":"Comparing the effectiveness of VA residential PTSD treatment for veterans who do and do not report a history of MST: A national investigation","year":"2020","journal-title":"Journal of Psychiatric Research"},{"issue":"1","key":"2024101608001114000_39.5.618.20","first-page":"108","article-title":"Evaluating treatment of posttraumatic stress disorder with cognitive processing therapy and prolonged exposure therapy in a VHA specialty clinic","year":"2014","journal-title":"Journal of Anxiety Disorders"},{"issue":"4","key":"2024101608001114000_39.5.618.21","first-page":"330","article-title":"In rape trauma PTSD, patient characteristics indicate which trauma-focused treatment they are most likely to complete","year":"2018","journal-title":"Depression and Anxiety"},{"issue":"1","key":"2024101608001114000_39.5.618.22","first-page":"107","article-title":"Treatment initiation and dropout from prolonged exposure and cognitive processing therapy in a VA outpatient clinic","year":"2016","journal-title":"Psychological Trauma"},{"key":"2024101608001114000_39.5.618.23","first-page":"89","article-title":"How do gender and military sexual trauma impact PTSD symptoms in cognitive processing therapy and prolonged exposure?","year":"2020","journal-title":"Journal of Psychiatric Research"},{"journal-title":"Behaviour Research and Therapy","article-title":"Divergent experiences of U.S. veterans who did and did not complete trauma-focused therapies for PTSD: A national qualitative study of treatment dropout","year":"2022","key":"2024101608001114000_39.5.618.24"},{"key":"2024101608001114000_39.5.618.25","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2006.092999"},{"issue":"10","key":"2024101608001114000_39.5.618.26","first-page":"e1133","article-title":"Military sexual trauma in US veterans: Results from the national health and resilience in veterans study","year":"2014","journal-title":"The Journal of Clinical Psychiatry"},{"key":"2024101608001114000_39.5.618.27","doi-asserted-by":"publisher","DOI":"10.1016\/S0924-9338(97)83296-8"},{"key":"2024101608001114000_39.5.618.28","doi-asserted-by":"publisher","DOI":"10.1037\/a0019551"},{"issue":"4","key":"2024101608001114000_39.5.618.29","first-page":"1047","article-title":"Less dropout from prolonged exposure sessions prescribed at least twice weekly: A meta-analysis and systematic review of randomized controlled trials","year":"2022","journal-title":"Journal of Traumatic Stress"},{"issue":"3","key":"2024101608001114000_39.5.618.30","first-page":"275","article-title":"Addressing diversity in PTSD treatment: Disparities in treatment engagement and outcome among patients of color","year":"2020","journal-title":"Current Treatment Options in Psychiatry"},{"key":"2024101608001114000_39.5.618.31","doi-asserted-by":"publisher","DOI":"10.1177\/1524838013511540"},{"key":"2024101608001114000_39.5.618.32","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291710000401"},{"key":"2024101608001114000_39.5.618.33","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2016.6080"},{"key":"2024101608001114000_39.5.618.34","doi-asserted-by":"publisher","DOI":"10.1016\/S0924-9338(99)80239-9"},{"key":"2024101608001114000_39.5.618.35","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.61.1.58"},{"issue":"1","key":"2024101608001114000_39.5.618.36","first-page":"45","article-title":"Predictors of PTSD symptom change among outpatients in the U.S. Department of Veterans Affairs Health Care System","year":"2017","journal-title":"Journal of Traumatic Stress"},{"key":"2024101608001114000_39.5.618.37","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000138117.58559.7b"},{"key":"2024101608001114000_39.5.618.38","doi-asserted-by":"publisher","DOI":"10.1002\/jts.21765"},{"key":"2024101608001114000_39.5.618.39","unstructured":"Weathers, F. W. , Blake, D. D. , Schnurr, P. P. , Kaloupek, D. G. , Marx, B. P. , & Keane, T. M . (2013). The clinician-administered PTSD scale for DSM-5 (CAPS-5) [Assessment]. www.ptsd.va.gov"},{"key":"2024101608001114000_39.5.618.40","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000486"},{"issue":"4","key":"2024101608001114000_39.5.618.41","first-page":"242","article-title":"Assessing racial trauma within a DSM\u20135 framework: The UConn Racial\/Ethnic Stress & Trauma Survey","year":"2018","journal-title":"Practice Innovations"},{"issue":"2","key":"2024101608001114000_39.5.618.42","first-page":"102","article-title":"Cultural adaptations of prolonged exposure therapy for treatment and prevention of posttraumatic stress disorder in african americans","year":"2014","journal-title":"Behavioral Sciences"},{"issue":"3","key":"2024101608001114000_39.5.618.43","first-page":"134","article-title":"A reexamination of military sexual trauma and posttraumatic stress disorder","year":"2017","journal-title":"Psychiatric Annals"},{"issue":"3","key":"2024101608001114000_39.5.618.44","first-page":"223","article-title":"A clinical scale for the assessment of racial trauma","year":"2022","journal-title":"Practice Innovations"},{"issue":"5","key":"2024101608001114000_39.5.618.45","first-page":"584","article-title":"The prevalence of military sexual trauma: A meta-analysis","year":"2018","journal-title":"Trauma, Violence, & Abuse"},{"key":"2024101608001114000_39.5.618.46","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2006.00377.x"},{"key":"2024101608001114000_39.5.618.47","unstructured":"Yasinkski, C. , Sherrill, A. M. , Maples-Keller, J. L. , Rauch, S. A. M. , & Rothbaum, B. O . (2018). Intensive outpatient prolonged exposure for PTSD in post-9\/11 veterans and service-members: Program structure and preliminary outcomes of the Emory Healthcare Veterans Program . American Psychological Association Division 56: Trauma Psychology. http:\/\/traumapsychnews.com\/2018\/01\/intensive-outpatient-prolonged-exposure-for-ptsd-in-post-9-11-veterans-and-service-members-program-structure-and-preliminary-outcomes-of-the-emory-healthcare-veterans-program\/"},{"key":"2024101608001114000_39.5.618.48","first-page":"313","article-title":"Long-term effectiveness of a prolonged exposure-based intensive outpatient program for veterans with posttraumatic stress disorder","year":"2022","journal-title":"Journal of Psychiatric Research"}],"container-title":["Violence and Victims"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1891\/VV-2023-0069","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T15:01:30Z","timestamp":1729090890000},"score":1,"resource":{"primary":{"URL":"http:\/\/connect.springerpub.com\/lookup\/doi\/10.1891\/VV-2023-0069"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,26]]},"references-count":48,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024,10,14]]},"published-print":{"date-parts":[[2024,10,1]]}},"alternative-id":["10.1891\/VV-2023-0069"],"URL":"https:\/\/doi.org\/10.1891\/vv-2023-0069","relation":{},"ISSN":["0886-6708","1945-7073"],"issn-type":[{"type":"print","value":"0886-6708"},{"type":"electronic","value":"1945-7073"}],"subject":[],"published":{"date-parts":[[2024,8,26]]}}}