A Randomized Controlled Trial Comparing HOPE Treatment and Present-Centered Therapy in Women Residing in Shelter with PTSD from Intimate Partner Violence.
Johnson DM; Palmieri PA; Zlotnick C; Johnson NL; Hoffman L; Holmes SC; Ceroni TL · Psychology of women quarterly · 2020 · Randomized active-comparator trial; author describes double-blind, but only assessor masking is explicitly role-verified
Original publication · Original publication · Original publication · Original publication · Original publication
Recorded summary
HOPE did not outperform an attention-matched PCT+ intervention on PTSD, IPV or secondary outcomes. Both active groups improved; no untreated control supports an absolute treatment-effect estimate.
Recorded limitations
Treatment providers knew protocols, and shared shelters permit contamination. Participant masking identity is not explicitly role-confirmed despite double-blind labeling. Missing-at-random models assume an unproven missingness mechanism; only 127/172 remained at 12 months. Active-comparator null results are not equivalence evidence.
Evidence and provenance
Chapter Trust Factor uses a minimum of three distinct qualifying studies. Publication records retain their own evidence and assessment.
Study design and assessment
- design
- Randomized active-comparator trial; author describes double-blind, but only assessor masking is explicitly role-verified
- assessment
- category
- rct
- is Randomized Controlled Trial
- true
- basis
- Urn randomization assigned 83 toHOPE and 89 toPCT+, stratifying substance-use diagnosis and medication status. Allocation-concealment implementation is not separately established from the report.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1177%2F0361684320953120 · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC8294703/unicode
- review Scope
- full-text
- trust Factor
- scope
- Paper
- status
- assessed
- score
- 2
- randomized Controlled Trial
- true
- peer Reviewed
- true
- blinding
- not-confirmed
- basis
- Urn randomization assigned 83 toHOPE and 89 toPCT+, stratifying substance-use diagnosis and medication status. Allocation-concealment implementation is not separately established from the report.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1177%2F0361684320953120 · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC8294703/unicode
- review Scope
- full-text
- human Approval
- false
- display Crosses
- 2
- masking Roles
- participants
- Author calls trial double-blind and describes all treatment as HOPE for blinding, identical workbook naming with arm-specific content, and discouraging sharing. These are allocation-identity concealment procedures; the participant role is not separately explicitly confirmed and masking success is unmeasured.
- providers
- Therapists trained in and delivered both distinct protocols; provider masking is not supported.
- assessors
- Graduate psychology assessors explicitly masked to treatment condition at follow-up.
- analysts
- Not established from accessed full report.
- rating Scale
- library-trust-factor/1-3
- jadad
- status
- unassessed
- score
- Not recorded
- evidence
- evidence Type
- Randomized active-comparator trial; author describes double-blind, but only assessor masking is explicitly role-verified
- intervention
- Empowerment-oriented, present-centered CBT with safety planning, cognitive restructuring and coping/relationship skills; current symptoms are linked to IPV but traumatic memories are not processed. Up to 16 sessions of 50–60 minutes during shelter and first 3 months after leaving; HOPE mean 8.86 sessions (SD 6.17), 44.2% attended at least 8. Eleven participants across arms received optional shelter boosters.
- comparator
- Attention-matched PCT+ with present-focused problem solving, psychoeducation and safety planning, up to 16 sessions; mean 10.06 (SD 5.82). Both groups also received standard shelter services.
- sample
- HOPE 83 versus PCT+ 89. ITT models use all available observations, not complete follow-up for 172. Follow-up counts 154, 142, 135, 127 at post-shelter, post-treatment, 6 and 12 months; outcome-specific denominators vary.
- measurement
- CAPS PTSD severity and IPV measures; Reliable PTSD improvement and diagnosis; Depression, empowerment, posttraumatic cognitions and health-related quality of life
- timing
- Post-shelter, post-treatment, 6 and 12 months; Post-treatment and later follow-up; Through 12 months post-treatment
- trial Id
- relationship Note
- Explicit domestic/intimate-partner violence exposure in the studied population; psychological intervention is within Language scope. See limitation and quality fields; no population-wide clinical recommendation is implied.
- measured Genes
- None recorded
- pathways
- None recorded
- source Access
- level
- full-text
- source URLs
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1177%2F0361684320953120 · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC8294703/unicode
- retrieved At
- 2026-10-30T08:22:03.536155+00:00
- outcomes
- name
- CAPS PTSD severity and IPV measures
- follow Up
- Post-shelter, post-treatment, 6 and 12 months
- result
- Both active arms improved, but no significant between-group difference at any occasion or in change from baseline.
- effect Estimate
- Reported absolute between-group standardized differences≤0.32 at occasions and≤0.30 for change; no comparative confidence interval provided in the main-report results.
- uncertainty
- No inactive control; null superiority tests do not establish equivalence or isolate therapy from shelter/time effects.
- primary Status
- primary
- name
- Reliable PTSD improvement and diagnosis
- follow Up
- Post-treatment and later follow-up
- result
- Post-treatment reliable CAPS improvement 54/65 (83.1%)HOPE versus 59/77 (76.6%)PCT+; group difference not significant. PTSD diagnosis rates also did not significantly differ at follow-up.
- effect Estimate
- Not recorded
- uncertainty
- These are assessed-participant denominators, not 172 randomized participants.
- primary Status
- Secondary clinical response analyses
- name
- Depression, empowerment, posttraumatic cognitions and health-related quality of life
- follow Up
- Through 12 months post-treatment
- result
- Within-group improvements without significant comparative superiority.
- effect Estimate
- Not recorded
- uncertainty
- Some residual depression, subthreshold PTSD and abuse remained. Multiple comparisons used alpha<.01.
- primary Status
- secondary
- quality
- risk Of Bias
- Randomization and masked clinical assessment strengthen comparison. Therapist allegiance/performance effects, possible contamination, unverified participant-role masking and follow-up attrition remain. No formal RoB or Jadad score assigned.
- attrition
- Assessment retention 154/172 post-shelter, 142/172 post-treatment, 135/172 at 6 months, 127/172 at 12 months. At 12 months 56/83 HOPE and 71/89 PCT+ contributed CAPS data. Treatment dropout 6/83 versus 5/89 is distinct from missing assessments. Black participants more often completed all assessments than White participants (81.6% vs 62.5%, p=.008).
- confounding
- ITT multivariate models use all available data under missing-at-random assumption; robust SEs and alpha<.01. Significant within-group change cannot separate psychotherapy, shelter services and time.
- adverse Findings
- Authors report no study-related serious adverse events, not zero adverse events overall. Ten participants were removed from assigned treatment for higher/different care: 6 HOPE, 4 PCT+; still invited to follow-up. Residual symptoms and some further abuse persisted.
- transfer Limits
- Women with recent IPV and diagnosed PTSD in US shelters; severe suicidal intent/plan, current psychosis, recent substance dependence, bipolar disorder or concurrent individual therapy were excluded.
- jadad
- not established
- masking Roles
- participants
- Author calls trial double-blind and describes all treatment as HOPE for blinding, identical workbook naming with arm-specific content, and discouraging sharing. These are allocation-identity concealment procedures; the participant role is not separately explicitly confirmed and masking success is unmeasured.
- providers
- Therapists trained in and delivered both distinct protocols; provider masking is not supported.
- assessors
- Graduate psychology assessors explicitly masked to treatment condition at follow-up.
- analysts
- Not established from accessed full report.
- population
- relation
- direct
- population
- Women residing in domestic-violence shelters with IPV-related PTSD.
- exposure Evidence
- At least one SVAW or PMWI IPV event in month before shelter entry and full DSM-IV-TR IPV-related PTSD by CAPS were required.
- rationale
- Explicit domestic/intimate-partner violence exposure in the studied population; psychological intervention is within Language scope.
- transfer Limit
- See limitation and quality fields; no population-wide clinical recommendation is implied.
Topics and recorded topic scores
- key
- language:domestic-family-violence
- title
- Domestic & Family Violence
- collection
- language
- trust Score
- 2
Citation snapshot and identifiers
- id
- dv-adult-therapy-34305273
- doi
- 10.1177/0361684320953120
- pmid
- 34305273
- citation Snapshot
- count
- Not recorded
- source
- Not recorded
- retrieved At
- Not recorded
- status
- not-assessed
- citations By Collection
- language
- Not recorded
Complete approved library record
- publication Approval
- status
- approved-for-publication
- approved By
- Ben Korbel
- approved At
- 2026-11-01
- assessment
- AI assessed; human approved for publication
- scope
- Qualified research-library summaries. No professional clinical peer review or treatment recommendation is claimed.
- source Revision
- audit-r2-33f9c465b9af
- source Content Hash
- 33f9c465b9af21d2ad7753089729913b2fc0ecc265be6bf9f939e655c2a38d9d
- source Access
- level
- full-text
- source URLs
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1177%2F0361684320953120 · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC8294703/unicode
- retrieved At
- 2026-10-30T08:22:03.536155+00:00
- editorial Audit
- auditor
- Codex (AI)
- completed At
- 2026-10-31T05:11:05.655793+00:00
- prior Content Hash
- 163342d2c6a789b89d62f38350930deef22a8d0d44514e6e764c9a5da0376d8d
- prior Revision
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- source Verification
- id
- dv-adult-therapy-34305273
- doi
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- pmid
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- fresh Metadata
- Europe PMC core
- metadata Retrieved
- true
- metadata SHA256
- 9ccd3e4a3e32e03627ab57e205aa8000b4efcf24722f1cb003403024e0b2cf9e
- claim Check
- Headline finding/design/limitations compared with indexed abstract or accessible primary evidence; retained methods amendments separately adjudicated.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1177%2F0361684320953120
- applied Proposals
methods-adult/proposed-candidates.json
- method
- AI editorial assessment of all 130 publication records: compare identity, headline finding, design, relevance and limitations with indexed abstracts or available primary material; adjudicate retained source-supported methods amendments. This is a source-limited publication audit, not an independent full-text systematic review or a clinical guideline.
- limitations
Abstract-only records do not establish allocation concealment, complete harms reporting or full risk of bias. · No formal independent RoB 2, GRADE appraisal or numerical reconstruction of every effect was performed. · Source-access labels describe retained appraisal evidence; fuller prior appraisals were checked through their source ledgers and selected material, not independently repeated in full. · Publication counts are not independent trial or participant counts; cohort links and overlapping review evidence remain provisional. · A randomized design cross does not indicate benefit, low risk of bias or human approval. No double-blind trial is verified in this release. · No professional clinical peer review is claimed. Recommended content is limited to accurately qualified research summaries.
- study Family Id
- HOPE-PCT-172-2020
- family Linkage Uncertain
- false
- approaches
- None recorded
- id
- dv-adult-therapy-34305273
- aliases
- None recorded
- title
- A Randomized Controlled Trial Comparing HOPE Treatment and Present-Centered Therapy in Women Residing in Shelter with PTSD from Intimate Partner Violence.
- journal
- Psychology of women quarterly
- neurotransmitters
- None recorded
- year
- 2020
- authors
- Johnson DM; Palmieri PA; Zlotnick C; Johnson NL; Hoffman L; Holmes SC; Ceroni TL
- design
- Randomized active-comparator trial; author describes double-blind, but only assessor masking is explicitly role-verified
- kind
- Journal article
- identity Conflict
- Not recorded
- doi
- 10.1177/0361684320953120
- pmid
- 34305273
- urls
https://doi.org/10.1177/0361684320953120 · https://pubmed.ncbi.nlm.nih.gov/34305273/ · https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1177%2F0361684320953120 · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC8294703/unicode
- collections
language
- categories
Clinical & self-report
- targets
- None recorded
- priority
- 1
- quotes
- None recorded
- summary
- HOPE did not outperform an attention-matched PCT+ intervention on PTSD, IPV or secondary outcomes. Both active groups improved; no untreated control supports an absolute treatment-effect estimate.
- limitation
- Treatment providers knew protocols, and shared shelters permit contamination. Participant masking identity is not explicitly role-confirmed despite double-blind labeling. Missing-at-random models assume an unproven missingness mechanism; only 127/172 remained at 12 months. Active-comparator null results are not equivalence evidence.
- citation Count
- Not recorded
- citation Snapshot
- count
- Not recorded
- source
- Not recorded
- retrieved At
- Not recorded
- status
- not-assessed
- study Design Assessment
- category
- rct
- is Randomized Controlled Trial
- true
- basis
- Urn randomization assigned 83 toHOPE and 89 toPCT+, stratifying substance-use diagnosis and medication status. Allocation-concealment implementation is not separately established from the report.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1177%2F0361684320953120 · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC8294703/unicode
- review Scope
- full-text
- paper Trust Assessment
- scope
- Paper
- status
- assessed
- score
- 2
- randomized Controlled Trial
- true
- peer Reviewed
- true
- blinding
- not-confirmed
- basis
- Urn randomization assigned 83 toHOPE and 89 toPCT+, stratifying substance-use diagnosis and medication status. Allocation-concealment implementation is not separately established from the report.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1177%2F0361684320953120 · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC8294703/unicode
- review Scope
- full-text
- human Approval
- false
- display Crosses
- 2
- masking Roles
- participants
- Author calls trial double-blind and describes all treatment as HOPE for blinding, identical workbook naming with arm-specific content, and discouraging sharing. These are allocation-identity concealment procedures; the participant role is not separately explicitly confirmed and masking success is unmeasured.
- providers
- Therapists trained in and delivered both distinct protocols; provider masking is not supported.
- assessors
- Graduate psychology assessors explicitly masked to treatment condition at follow-up.
- analysts
- Not established from accessed full report.
- rating Scale
- library-trust-factor/1-3
- citations By Collection
- language
- Not recorded
- topics
- key
- language:domestic-family-violence
- title
- Domestic & Family Violence
- collection
- language
- trust Score
- 2
- journal Key
- psychologyofwomenquarterly
- journal Label
- Psychology of women quarterly
- chapter Entries
- id
- language-dv-dv-adult-therapy-34305273
- aliases
- None recorded
- title
- A Randomized Controlled Trial Comparing HOPE Treatment and Present-Centered Therapy in Women Residing in Shelter with PTSD from Intimate Partner Violence.
- authors
- Johnson DM; Palmieri PA; Zlotnick C; Johnson NL; Hoffman L; Holmes SC; Ceroni TL
- year
- 2020
- journal
- Psychology of women quarterly
- doi
- 10.1177/0361684320953120
- pmid
- 34305273
- urls
https://doi.org/10.1177/0361684320953120 · https://pubmed.ncbi.nlm.nih.gov/34305273/ · https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1177%2F0361684320953120 · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC8294703/unicode
- collections
language
- categories
Clinical & self-report
- targets
- None recorded
- neurotransmitters
- None recorded
- conditions
ptsd · trauma · depression
- condition Evidence
- id
- ptsd
- evidence
- field
- title
- text
- A Randomized Controlled Trial Comparing HOPE Treatment and Present-Centered Therapy in Women Residing in Shelter with PTSD from Intimate Partner Violence.
- matched Text
- PTSD
- field
- population
- text
- Women residing in domestic-violence shelters with IPV-related PTSD.
- matched Text
- PTSD
- field
- outcomes
- text
- CAPS PTSD severity and IPV measures | Reliable PTSD improvement and diagnosis | Depression, empowerment, posttraumatic cognitions and health-related quality of life
- matched Text
- PTSD
- scope
- Study population or investigated outcome; not a diagnosis or efficacy claim.
- id
- trauma
- evidence
- field
- outcomes
- text
- CAPS PTSD severity and IPV measures | Reliable PTSD improvement and diagnosis | Depression, empowerment, posttraumatic cognitions and health-related quality of life
- matched Text
- posttraumatic
- scope
- Study population or investigated outcome; not a diagnosis or efficacy claim.
- id
- depression
- evidence
- field
- outcomes
- text
- CAPS PTSD severity and IPV measures | Reliable PTSD improvement and diagnosis | Depression, empowerment, posttraumatic cognitions and health-related quality of life
- matched Text
- Depression
- scope
- Study population or investigated outcome; not a diagnosis or efficacy claim.
- age Groups
adults
- age Population
- record Id
- dv-adult-therapy-34305273
- collections
language
- groups
adults
- reported Ages
- Observed age 19–59 years; mean 35.13 (SD 9.12).
- youth Scope
- Not recorded
- youth Source Note
- No child or adolescent participants in reported sample.
- source URL
- https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core
- basis Type
- source-limited-ai-editorial-assessment
- classification Note
- Original age terms: adults. Programme targets or possible eligibility are not counted as observed ages.
- community Matches
- category Id
- domestic-violence
- relation
- direct
- kind
- Journal article
- design
- Randomized active-comparator trial; author describes double-blind, but only assessor masking is explicitly role-verified
- origin
- approved-dv-20261101
- priority
- 1
- quotes
- None recorded
- finding
- HOPE did not outperform an attention-matched PCT+ intervention on PTSD, IPV or secondary outcomes. Both active groups improved; no untreated control supports an absolute treatment-effect estimate.
- summary
- HOPE did not outperform an attention-matched PCT+ intervention on PTSD, IPV or secondary outcomes. Both active groups improved; no untreated control supports an absolute treatment-effect estimate.
- limitation
- Treatment providers knew protocols, and shared shelters permit contamination. Participant masking identity is not explicitly role-confirmed despite double-blind labeling. Missing-at-random models assume an unproven missingness mechanism; only 127/172 remained at 12 months. Active-comparator null results are not equivalence evidence.
- evidence
- evidence Type
- Randomized active-comparator trial; author describes double-blind, but only assessor masking is explicitly role-verified
- intervention
- Empowerment-oriented, present-centered CBT with safety planning, cognitive restructuring and coping/relationship skills; current symptoms are linked to IPV but traumatic memories are not processed. Up to 16 sessions of 50–60 minutes during shelter and first 3 months after leaving; HOPE mean 8.86 sessions (SD 6.17), 44.2% attended at least 8. Eleven participants across arms received optional shelter boosters.
- comparator
- Attention-matched PCT+ with present-focused problem solving, psychoeducation and safety planning, up to 16 sessions; mean 10.06 (SD 5.82). Both groups also received standard shelter services.
- sample
- HOPE 83 versus PCT+ 89. ITT models use all available observations, not complete follow-up for 172. Follow-up counts 154, 142, 135, 127 at post-shelter, post-treatment, 6 and 12 months; outcome-specific denominators vary.
- measurement
- CAPS PTSD severity and IPV measures; Reliable PTSD improvement and diagnosis; Depression, empowerment, posttraumatic cognitions and health-related quality of life
- timing
- Post-shelter, post-treatment, 6 and 12 months; Post-treatment and later follow-up; Through 12 months post-treatment
- trial Id
- relationship Note
- Explicit domestic/intimate-partner violence exposure in the studied population; psychological intervention is within Language scope. See limitation and quality fields; no population-wide clinical recommendation is implied.
- measured Genes
- None recorded
- pathways
- None recorded
- source Access
- level
- full-text
- source URLs
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1177%2F0361684320953120 · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC8294703/unicode
- retrieved At
- 2026-10-30T08:22:03.536155+00:00
- outcomes
- name
- CAPS PTSD severity and IPV measures
- follow Up
- Post-shelter, post-treatment, 6 and 12 months
- result
- Both active arms improved, but no significant between-group difference at any occasion or in change from baseline.
- effect Estimate
- Reported absolute between-group standardized differences≤0.32 at occasions and≤0.30 for change; no comparative confidence interval provided in the main-report results.
- uncertainty
- No inactive control; null superiority tests do not establish equivalence or isolate therapy from shelter/time effects.
- primary Status
- primary
- name
- Reliable PTSD improvement and diagnosis
- follow Up
- Post-treatment and later follow-up
- result
- Post-treatment reliable CAPS improvement 54/65 (83.1%)HOPE versus 59/77 (76.6%)PCT+; group difference not significant. PTSD diagnosis rates also did not significantly differ at follow-up.
- effect Estimate
- Not recorded
- uncertainty
- These are assessed-participant denominators, not 172 randomized participants.
- primary Status
- Secondary clinical response analyses
- name
- Depression, empowerment, posttraumatic cognitions and health-related quality of life
- follow Up
- Through 12 months post-treatment
- result
- Within-group improvements without significant comparative superiority.
- effect Estimate
- Not recorded
- uncertainty
- Some residual depression, subthreshold PTSD and abuse remained. Multiple comparisons used alpha<.01.
- primary Status
- secondary
- quality
- risk Of Bias
- Randomization and masked clinical assessment strengthen comparison. Therapist allegiance/performance effects, possible contamination, unverified participant-role masking and follow-up attrition remain. No formal RoB or Jadad score assigned.
- attrition
- Assessment retention 154/172 post-shelter, 142/172 post-treatment, 135/172 at 6 months, 127/172 at 12 months. At 12 months 56/83 HOPE and 71/89 PCT+ contributed CAPS data. Treatment dropout 6/83 versus 5/89 is distinct from missing assessments. Black participants more often completed all assessments than White participants (81.6% vs 62.5%, p=.008).
- confounding
- ITT multivariate models use all available data under missing-at-random assumption; robust SEs and alpha<.01. Significant within-group change cannot separate psychotherapy, shelter services and time.
- adverse Findings
- Authors report no study-related serious adverse events, not zero adverse events overall. Ten participants were removed from assigned treatment for higher/different care: 6 HOPE, 4 PCT+; still invited to follow-up. Residual symptoms and some further abuse persisted.
- transfer Limits
- Women with recent IPV and diagnosed PTSD in US shelters; severe suicidal intent/plan, current psychosis, recent substance dependence, bipolar disorder or concurrent individual therapy were excluded.
- jadad
- not established
- masking Roles
- participants
- Author calls trial double-blind and describes all treatment as HOPE for blinding, identical workbook naming with arm-specific content, and discouraging sharing. These are allocation-identity concealment procedures; the participant role is not separately explicitly confirmed and masking success is unmeasured.
- providers
- Therapists trained in and delivered both distinct protocols; provider masking is not supported.
- assessors
- Graduate psychology assessors explicitly masked to treatment condition at follow-up.
- analysts
- Not established from accessed full report.
- population
- relation
- direct
- population
- Women residing in domestic-violence shelters with IPV-related PTSD.
- exposure Evidence
- At least one SVAW or PMWI IPV event in month before shelter entry and full DSM-IV-TR IPV-related PTSD by CAPS were required.
- rationale
- Explicit domestic/intimate-partner violence exposure in the studied population; psychological intervention is within Language scope.
- transfer Limit
- See limitation and quality fields; no population-wide clinical recommendation is implied.
- study Design Assessment
- category
- rct
- is Randomized Controlled Trial
- true
- basis
- Urn randomization assigned 83 toHOPE and 89 toPCT+, stratifying substance-use diagnosis and medication status. Allocation-concealment implementation is not separately established from the report.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1177%2F0361684320953120 · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC8294703/unicode
- review Scope
- full-text
- paper Trust Assessment
- scope
- Paper
- status
- assessed
- score
- 2
- randomized Controlled Trial
- true
- peer Reviewed
- true
- blinding
- not-confirmed
- basis
- Urn randomization assigned 83 toHOPE and 89 toPCT+, stratifying substance-use diagnosis and medication status. Allocation-concealment implementation is not separately established from the report.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1177%2F0361684320953120 · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC8294703/unicode
- review Scope
- full-text
- human Approval
- false
- display Crosses
- 2
- masking Roles
- participants
- Author calls trial double-blind and describes all treatment as HOPE for blinding, identical workbook naming with arm-specific content, and discouraging sharing. These are allocation-identity concealment procedures; the participant role is not separately explicitly confirmed and masking success is unmeasured.
- providers
- Therapists trained in and delivered both distinct protocols; provider masking is not supported.
- assessors
- Graduate psychology assessors explicitly masked to treatment condition at follow-up.
- analysts
- Not established from accessed full report.
- rating Scale
- library-trust-factor/1-3
- jadad
- status
- unassessed
- score
- Not recorded
- citation Snapshot
- count
- Not recorded
- source
- Not recorded
- retrieved At
- Not recorded
- status
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- citation Count
- Not recorded
- publication Approval
- status
- approved-for-publication
- approved By
- Ben Korbel
- approved At
- 2026-11-01
- assessment
- AI assessed; human approved for publication
- scope
- Qualified research-library summaries. No professional clinical peer review or treatment recommendation is claimed.
- source Revision
- audit-r2-33f9c465b9af
- source Content Hash
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- source URLs
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1177%2F0361684320953120 · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC8294703/unicode
- retrieved At
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- study Family Id
- HOPE-PCT-172-2020
- family Linkage Uncertain
- false
- approaches
- None recorded
- record Id
- dv-adult-therapy-34305273
- source Pages
- None recorded
- editorial Audit
- auditor
- Codex (AI)
- completed At
- 2026-10-31T05:11:05.655793+00:00
- prior Content Hash
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- id
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- doi
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- pmid
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- fresh Metadata
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- metadata Retrieved
- true
- metadata SHA256
- 9ccd3e4a3e32e03627ab57e205aa8000b4efcf24722f1cb003403024e0b2cf9e
- claim Check
- Headline finding/design/limitations compared with indexed abstract or accessible primary evidence; retained methods amendments separately adjudicated.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1177%2F0361684320953120
- applied Proposals
methods-adult/proposed-candidates.json
- method
- AI editorial assessment of all 130 publication records: compare identity, headline finding, design, relevance and limitations with indexed abstracts or available primary material; adjudicate retained source-supported methods amendments. This is a source-limited publication audit, not an independent full-text systematic review or a clinical guideline.
- limitations
Abstract-only records do not establish allocation concealment, complete harms reporting or full risk of bias. · No formal independent RoB 2, GRADE appraisal or numerical reconstruction of every effect was performed. · Source-access labels describe retained appraisal evidence; fuller prior appraisals were checked through their source ledgers and selected material, not independently repeated in full. · Publication counts are not independent trial or participant counts; cohort links and overlapping review evidence remain provisional. · A randomized design cross does not indicate benefit, low risk of bias or human approval. No double-blind trial is verified in this release. · No professional clinical peer review is claimed. Recommended content is limited to accurately qualified research summaries.
- assessment Record
- id
- dv-adult-therapy-34305273
- title
- A Randomized Controlled Trial Comparing HOPE Treatment and Present-Centered Therapy in Women Residing in Shelter with PTSD from Intimate Partner Violence.
- authors
Johnson DM · Palmieri PA · Zlotnick C · Johnson NL · Hoffman L · Holmes SC · Ceroni TL
- year
- 2020
- journal
- Psychology of women quarterly
- doi
- 10.1177/0361684320953120
- pmid
- 34305273
- trial Registration
- None recorded
- collection
- language
- intervention Family
- HOPE: empowerment-oriented cognitive-behavioral treatment.
- publication Type
- Primary intervention study
- study Family Id
- HOPE-PCT-172-2020
- family Linkage Uncertain
- false
- existing Repository Matches
- None recorded
- relevance
- relation
- direct
- population
- Women residing in domestic-violence shelters with IPV-related PTSD.
- exposure Evidence
- At least one SVAW or PMWI IPV event in month before shelter entry and full DSM-IV-TR IPV-related PTSD by CAPS were required.
- rationale
- Explicit domestic/intimate-partner violence exposure in the studied population; psychological intervention is within Language scope.
- transfer Limit
- See limitation and quality fields; no population-wide clinical recommendation is implied.
- age
- groups
adults
- reported Range
- Observed age 19–59 years; mean 35.13 (SD 9.12).
- youth Scope
- No child or adolescent participants in reported sample.
- country
- United States
- setting
- Six domestic-violence shelters in five Midwestern US counties; data collected February 2013–February 2017.
- sample Size
- randomized
- 172
- analyzed
- 172
- description
- HOPE 83 versus PCT+ 89. ITT models use all available observations, not complete follow-up for 172. Follow-up counts 154, 142, 135, 127 at post-shelter, post-treatment, 6 and 12 months; outcome-specific denominators vary.
- intervention
- description
- Empowerment-oriented, present-centered CBT with safety planning, cognitive restructuring and coping/relationship skills; current symptoms are linked to IPV but traumatic memories are not processed.
- dose
- Up to 16 sessions of 50–60 minutes during shelter and first 3 months after leaving; HOPE mean 8.86 sessions (SD 6.17), 44.2% attended at least 8. Eleven participants across arms received optional shelter boosters.
- provider
- Four masters-level therapists trained in both protocols, practice cases and continuing supervision; external sampled fidelity ratings.
- comparator
- Attention-matched PCT+ with present-focused problem solving, psychoeducation and safety planning, up to 16 sessions; mean 10.06 (SD 5.82). Both groups also received standard shelter services.
- outcomes
- name
- CAPS PTSD severity and IPV measures
- follow Up
- Post-shelter, post-treatment, 6 and 12 months
- result
- Both active arms improved, but no significant between-group difference at any occasion or in change from baseline.
- effect Estimate
- Reported absolute between-group standardized differences≤0.32 at occasions and≤0.30 for change; no comparative confidence interval provided in the main-report results.
- uncertainty
- No inactive control; null superiority tests do not establish equivalence or isolate therapy from shelter/time effects.
- primary Status
- primary
- name
- Reliable PTSD improvement and diagnosis
- follow Up
- Post-treatment and later follow-up
- result
- Post-treatment reliable CAPS improvement 54/65 (83.1%)HOPE versus 59/77 (76.6%)PCT+; group difference not significant. PTSD diagnosis rates also did not significantly differ at follow-up.
- effect Estimate
- Not recorded
- uncertainty
- These are assessed-participant denominators, not 172 randomized participants.
- primary Status
- Secondary clinical response analyses
- name
- Depression, empowerment, posttraumatic cognitions and health-related quality of life
- follow Up
- Through 12 months post-treatment
- result
- Within-group improvements without significant comparative superiority.
- effect Estimate
- Not recorded
- uncertainty
- Some residual depression, subthreshold PTSD and abuse remained. Multiple comparisons used alpha<.01.
- primary Status
- secondary
- finding
- HOPE did not outperform an attention-matched PCT+ intervention on PTSD, IPV or secondary outcomes. Both active groups improved; no untreated control supports an absolute treatment-effect estimate.
- limitation
- Treatment providers knew protocols, and shared shelters permit contamination. Participant masking identity is not explicitly role-confirmed despite double-blind labeling. Missing-at-random models assume an unproven missingness mechanism; only 127/172 remained at 12 months. Active-comparator null results are not equivalence evidence.
- design
- type
- Randomized active-comparator trial; author describes double-blind, but only assessor masking is explicitly role-verified
- randomization Evidence
- Urn randomization assigned 83 toHOPE and 89 toPCT+, stratifying substance-use diagnosis and medication status. Allocation-concealment implementation is not separately established from the report.
- masking
- participants
- Author calls trial double-blind and describes all treatment as HOPE for blinding, identical workbook naming with arm-specific content, and discouraging sharing. These are allocation-identity concealment procedures; the participant role is not separately explicitly confirmed and masking success is unmeasured.
- providers
- Therapists trained in and delivered both distinct protocols; provider masking is not supported.
- assessors
- Graduate psychology assessors explicitly masked to treatment condition at follow-up.
- analysts
- Not established from accessed full report.
- crosses
- 1
- cross Rationale
- Retain one cross: randomization and assessor masking verified. Reported double-blind label plus common naming does not independently verify the participant masking role. A two-cross proposal requires further role-specific primary confirmation; successful masking measurement is a separate limitation.
- quality
- risk Of Bias
- Randomization and masked clinical assessment strengthen comparison. Therapist allegiance/performance effects, possible contamination, unverified participant-role masking and follow-up attrition remain. No formal RoB or Jadad score assigned.
- attrition
- Assessment retention 154/172 post-shelter, 142/172 post-treatment, 135/172 at 6 months, 127/172 at 12 months. At 12 months 56/83 HOPE and 71/89 PCT+ contributed CAPS data. Treatment dropout 6/83 versus 5/89 is distinct from missing assessments. Black participants more often completed all assessments than White participants (81.6% vs 62.5%, p=.008).
- confounding
- ITT multivariate models use all available data under missing-at-random assumption; robust SEs and alpha<.01. Significant within-group change cannot separate psychotherapy, shelter services and time.
- adverse Findings
- Authors report no study-related serious adverse events, not zero adverse events overall. Ten participants were removed from assigned treatment for higher/different care: 6 HOPE, 4 PCT+; still invited to follow-up. Residual symptoms and some further abuse persisted.
- transfer Limits
- Women with recent IPV and diagnosed PTSD in US shelters; severe suicidal intent/plan, current psychosis, recent substance dependence, bipolar disorder or concurrent individual therapy were excluded.
- jadad
- not established
- access
- level
- full-text
- source URLs
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1177%2F0361684320953120 · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC8294703/unicode
- retrieved At
- 2026-10-30T08:22:03.536155+00:00
- sources
- url
- https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core
- type
- Europe PMC core record sourced from PubMed/MEDLINE
- retrieved At
- 2026-10-30T07:14:57.490108+00:00
- identity Verified
- true
- notes
- Primary-publication abstract and bibliographic metadata accessed; canonical PubMed record: https://pubmed.ncbi.nlm.nih.gov/34305273/
- retrieval Query URL
- https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=%28%22domestic+violence%22+OR+%22intimate+partner+violence%22%29+AND+%28Crespo+OR+Echeburua+OR+Kubany+OR+Zlotnick+OR+Hegarty+OR+Ferrari%29&format=json&resultType=core&pageSize=200
- url
- https://api.crossref.org/works/10.1177%2F0361684320953120
- type
- Crossref DOI registration metadata
- retrieved At
- 2026-10-30T07:19:57.441368+00:00
- identity Verified
- true
- notes
- DOI identity cross-check; metadata title: A Randomized Controlled Trial Comparing HOPE Treatment and Present-Centered Therapy in Women Residing in Shelter With PTSD From Intimate Partner Violence. Correction/update relations checked.
- url
- https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC8294703/unicode
- type
- primary-full-text
- retrieved At
- 2026-10-30T08:22:03.536155+00:00
- identity Verified
- true
- notes
- Full primary report methods, results, tables and discussion inspected.
- publication Status
- status
- ppublish
- correction Retraction Check
- europe PMCpub Types
research-article · Journal Article
- crossref Update Relations
- None recorded
- crossref Relations
- crossref Checked
- true
- uncertainty
- No comprehensive publisher/Crossmark or registry audit claimed; correction/retraction absence is limited to accessed metadata.
- recommendation Rationale
- Retain as pending candidate evidence; interpret the study design, null outcomes and access limits together.
- review
- status
- pending
- reviewer
- Not recorded
- assessment Status
- assessed
- assessment Notes
Full primary report methods, results, tables and discussion inspected. · This proposal is not human approval. It revises an existing publication without increasing screened, publication or study-family totals. · Cohort collected 2013–2017 is distinct from the earlier HOPE 70 and HOPE 60 trials; common intervention name does not imply repeated participants. Preserve HOPE-PCT-172-2020 family identifier. · Main manuscript and Tables 2–4 inspected via official NLM BioC author-manuscript API; supplementary statistical syntax and trial registry not independently verified.
- review Ready
- true
- review Readiness
- ai-editorial-audit-complete-release-pending
- research Lane
- adult-therapy
- later Review Evidence
- id
- dv-adult-therapy-34305273
- title
- A Randomized Controlled Trial Comparing HOPE Treatment and Present-Centered Therapy in Women Residing in Shelter with PTSD from Intimate Partner Violence.
- prior Revision
- r1-163342d2c6a7
- prior Content Hash
- 163342d2c6a789b89d62f38350930deef22a8d0d44514e6e764c9a5da0376d8d
- original
- review Ready
- true
- review Readiness
- ready-with-access-limits
- finding
- Both active treatments showed substantial PTSD improvement and smaller improvements in violence, depression, empowerment and quality of life. The abstract does not establish HOPE superiority.
- limitation
- Both groups received active treatment; within-group improvement does not establish superiority or benefit against no treatment. Full methods and adverse-event reporting remain to be assessed.
- adverse Findings
- Adverse-event reporting not established from accessed source; absence of reporting is not evidence of no harm.
- crosses
- 1
- access
- abstract
- action
- supplement
- hold Current Revision
- false
- cross Verification On Hold
- false
- new Evidence
- Full methods/results confirm no significant between-group outcome differences. At 12 months 127/172 were retained; ten needed different or higher care. The report states no study-related serious adverse events. Assessors were masked; participant masking is insufficiently explicit for two crosses.
- revised Interpretation
- The frozen no-superiority interpretation remains appropriate. Narrow the adverse-event wording, add attrition, and retain one cross pending role-specific masking adjudication.
- required Before Approval
- No new hold on the conservative core finding. Review supplementary details in a new revision; do not award two crosses from the author’s double-blind label alone.
- source URLs
https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC8294703/unicode
- source Location
- Methods; retention/safety/results; Tables 2–4
- assessment Changed
- false
- human Approval
- false
- publication Recommendation
- status
- recommended-summary
- reason
- Suitable as a qualified research-library summary at the stated source-access level. This is not a conclusion that the intervention is effective or safe.
- scope
- Research summary only; no treatment recommendation
- human Release Approval
- false
- editorial Audit
- auditor
- Codex (AI)
- completed At
- 2026-10-31T05:11:05.655793+00:00
- prior Content Hash
- 163342d2c6a789b89d62f38350930deef22a8d0d44514e6e764c9a5da0376d8d
- prior Revision
- r1-163342d2c6a7
- prior Source
- frozen-120
- source Verification
- id
- dv-adult-therapy-34305273
- doi
- 10.1177/0361684320953120
- pmid
- 34305273
- fresh Metadata
- Europe PMC core
- metadata Retrieved
- true
- metadata SHA256
- 9ccd3e4a3e32e03627ab57e205aa8000b4efcf24722f1cb003403024e0b2cf9e
- claim Check
- Headline finding/design/limitations compared with indexed abstract or accessible primary evidence; retained methods amendments separately adjudicated.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1177%2F0361684320953120
- applied Proposals
methods-adult/proposed-candidates.json
- method
- AI editorial assessment of all 130 publication records: compare identity, headline finding, design, relevance and limitations with indexed abstracts or available primary material; adjudicate retained source-supported methods amendments. This is a source-limited publication audit, not an independent full-text systematic review or a clinical guideline.
- limitations
Abstract-only records do not establish allocation concealment, complete harms reporting or full risk of bias. · No formal independent RoB 2, GRADE appraisal or numerical reconstruction of every effect was performed. · Source-access labels describe retained appraisal evidence; fuller prior appraisals were checked through their source ledgers and selected material, not independently repeated in full. · Publication counts are not independent trial or participant counts; cohort links and overlapping review evidence remain provisional. · A randomized design cross does not indicate benefit, low risk of bias or human approval. No double-blind trial is verified in this release. · No professional clinical peer review is claimed. Recommended content is limited to accurately qualified research summaries.
- study Design Assessment
- category
- rct
- is Randomized Controlled Trial
- true
- basis
- Urn randomization assigned 83 toHOPE and 89 toPCT+, stratifying substance-use diagnosis and medication status. Allocation-concealment implementation is not separately established from the report.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1177%2F0361684320953120 · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC8294703/unicode
- review Scope
- full-text
- paper Trust Assessment
- scope
- Paper
- status
- assessed
- score
- 2
- randomized Controlled Trial
- true
- peer Reviewed
- true
- blinding
- not-confirmed
- basis
- Retain one cross: randomization and assessor masking verified. Reported double-blind label plus common naming does not independently verify the participant masking role. A two-cross proposal requires further role-specific primary confirmation; successful masking measurement is a separate limitation.
- sources
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1177%2F0361684320953120 · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC8294703/unicode
- review Scope
- full-text
- human Approval
- false
- display Crosses
- 1
- masking Roles
- participants
- Author calls trial double-blind and describes all treatment as HOPE for blinding, identical workbook naming with arm-specific content, and discouraging sharing. These are allocation-identity concealment procedures; the participant role is not separately explicitly confirmed and masking success is unmeasured.
- providers
- Therapists trained in and delivered both distinct protocols; provider masking is not supported.
- assessors
- Graduate psychology assessors explicitly masked to treatment condition at follow-up.
- analysts
- Not established from accessed full report.
- jadad
- status
- unassessed
- score
- Not recorded
- evidence
- population
- relation
- direct
- population
- Women residing in domestic-violence shelters with IPV-related PTSD.
- exposure Evidence
- At least one SVAW or PMWI IPV event in month before shelter entry and full DSM-IV-TR IPV-related PTSD by CAPS were required.
- rationale
- Explicit domestic/intimate-partner violence exposure in the studied population; psychological intervention is within Language scope.
- transfer Limit
- See limitation and quality fields; no population-wide clinical recommendation is implied.
- intervention
- description
- Empowerment-oriented, present-centered CBT with safety planning, cognitive restructuring and coping/relationship skills; current symptoms are linked to IPV but traumatic memories are not processed.
- dose
- Up to 16 sessions of 50–60 minutes during shelter and first 3 months after leaving; HOPE mean 8.86 sessions (SD 6.17), 44.2% attended at least 8. Eleven participants across arms received optional shelter boosters.
- provider
- Four masters-level therapists trained in both protocols, practice cases and continuing supervision; external sampled fidelity ratings.
- comparator
- Attention-matched PCT+ with present-focused problem solving, psychoeducation and safety planning, up to 16 sessions; mean 10.06 (SD 5.82). Both groups also received standard shelter services.
- outcomes
- name
- CAPS PTSD severity and IPV measures
- follow Up
- Post-shelter, post-treatment, 6 and 12 months
- result
- Both active arms improved, but no significant between-group difference at any occasion or in change from baseline.
- effect Estimate
- Reported absolute between-group standardized differences≤0.32 at occasions and≤0.30 for change; no comparative confidence interval provided in the main-report results.
- uncertainty
- No inactive control; null superiority tests do not establish equivalence or isolate therapy from shelter/time effects.
- primary Status
- primary
- name
- Reliable PTSD improvement and diagnosis
- follow Up
- Post-treatment and later follow-up
- result
- Post-treatment reliable CAPS improvement 54/65 (83.1%)HOPE versus 59/77 (76.6%)PCT+; group difference not significant. PTSD diagnosis rates also did not significantly differ at follow-up.
- effect Estimate
- Not recorded
- uncertainty
- These are assessed-participant denominators, not 172 randomized participants.
- primary Status
- Secondary clinical response analyses
- name
- Depression, empowerment, posttraumatic cognitions and health-related quality of life
- follow Up
- Through 12 months post-treatment
- result
- Within-group improvements without significant comparative superiority.
- effect Estimate
- Not recorded
- uncertainty
- Some residual depression, subthreshold PTSD and abuse remained. Multiple comparisons used alpha<.01.
- primary Status
- secondary
- access
- level
- full-text
- source URLs
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1177%2F0361684320953120 · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC8294703/unicode
- retrieved At
- 2026-10-30T08:22:03.536155+00:00
- citation Snapshot
- count
- Not recorded
- source
- Not recorded
- retrieved At
- Not recorded
- status
- not-assessed
- provenance
- Discovered by AI
- content Hash
- 33f9c465b9af21d2ad7753089729913b2fc0ecc265be6bf9f939e655c2a38d9d
- revision
- audit-r2-33f9c465b9af
- archive Entries
- None recorded
- collection
- language
- chapter Number
- 5
- topic Id
- domestic-family-violence
- topic Title
- Domestic & Family Violence
- trust Score
- 2
- evidence
- evidence Type
- Randomized active-comparator trial; author describes double-blind, but only assessor masking is explicitly role-verified
- intervention
- Empowerment-oriented, present-centered CBT with safety planning, cognitive restructuring and coping/relationship skills; current symptoms are linked to IPV but traumatic memories are not processed. Up to 16 sessions of 50–60 minutes during shelter and first 3 months after leaving; HOPE mean 8.86 sessions (SD 6.17), 44.2% attended at least 8. Eleven participants across arms received optional shelter boosters.
- comparator
- Attention-matched PCT+ with present-focused problem solving, psychoeducation and safety planning, up to 16 sessions; mean 10.06 (SD 5.82). Both groups also received standard shelter services.
- sample
- HOPE 83 versus PCT+ 89. ITT models use all available observations, not complete follow-up for 172. Follow-up counts 154, 142, 135, 127 at post-shelter, post-treatment, 6 and 12 months; outcome-specific denominators vary.
- measurement
- CAPS PTSD severity and IPV measures; Reliable PTSD improvement and diagnosis; Depression, empowerment, posttraumatic cognitions and health-related quality of life
- timing
- Post-shelter, post-treatment, 6 and 12 months; Post-treatment and later follow-up; Through 12 months post-treatment
- trial Id
- relationship Note
- Explicit domestic/intimate-partner violence exposure in the studied population; psychological intervention is within Language scope. See limitation and quality fields; no population-wide clinical recommendation is implied.
- measured Genes
- None recorded
- pathways
- None recorded
- source Access
- level
- full-text
- source URLs
https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=EXT_ID:34305273%20AND%20SRC:MED&format=json&resultType=core · https://api.crossref.org/works/10.1177%2F0361684320953120 · https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC8294703/unicode
- retrieved At
- 2026-10-30T08:22:03.536155+00:00
- outcomes
- name
- CAPS PTSD severity and IPV measures
- follow Up
- Post-shelter, post-treatment, 6 and 12 months
- result
- Both active arms improved, but no significant between-group difference at any occasion or in change from baseline.
- effect Estimate
- Reported absolute between-group standardized differences≤0.32 at occasions and≤0.30 for change; no comparative confidence interval provided in the main-report results.
- uncertainty
- No inactive control; null superiority tests do not establish equivalence or isolate therapy from shelter/time effects.
- primary Status
- primary
- name
- Reliable PTSD improvement and diagnosis
- follow Up
- Post-treatment and later follow-up
- result
- Post-treatment reliable CAPS improvement 54/65 (83.1%)HOPE versus 59/77 (76.6%)PCT+; group difference not significant. PTSD diagnosis rates also did not significantly differ at follow-up.
- effect Estimate
- Not recorded
- uncertainty
- These are assessed-participant denominators, not 172 randomized participants.
- primary Status
- Secondary clinical response analyses
- name
- Depression, empowerment, posttraumatic cognitions and health-related quality of life
- follow Up
- Through 12 months post-treatment
- result
- Within-group improvements without significant comparative superiority.
- effect Estimate
- Not recorded
- uncertainty
- Some residual depression, subthreshold PTSD and abuse remained. Multiple comparisons used alpha<.01.
- primary Status
- secondary
- quality
- risk Of Bias
- Randomization and masked clinical assessment strengthen comparison. Therapist allegiance/performance effects, possible contamination, unverified participant-role masking and follow-up attrition remain. No formal RoB or Jadad score assigned.
- attrition
- Assessment retention 154/172 post-shelter, 142/172 post-treatment, 135/172 at 6 months, 127/172 at 12 months. At 12 months 56/83 HOPE and 71/89 PCT+ contributed CAPS data. Treatment dropout 6/83 versus 5/89 is distinct from missing assessments. Black participants more often completed all assessments than White participants (81.6% vs 62.5%, p=.008).
- confounding
- ITT multivariate models use all available data under missing-at-random assumption; robust SEs and alpha<.01. Significant within-group change cannot separate psychotherapy, shelter services and time.
- adverse Findings
- Authors report no study-related serious adverse events, not zero adverse events overall. Ten participants were removed from assigned treatment for higher/different care: 6 HOPE, 4 PCT+; still invited to follow-up. Residual symptoms and some further abuse persisted.
- transfer Limits
- Women with recent IPV and diagnosed PTSD in US shelters; severe suicidal intent/plan, current psychosis, recent substance dependence, bipolar disorder or concurrent individual therapy were excluded.
- jadad
- not established
- masking Roles
- participants
- Author calls trial double-blind and describes all treatment as HOPE for blinding, identical workbook naming with arm-specific content, and discouraging sharing. These are allocation-identity concealment procedures; the participant role is not separately explicitly confirmed and masking success is unmeasured.
- providers
- Therapists trained in and delivered both distinct protocols; provider masking is not supported.
- assessors
- Graduate psychology assessors explicitly masked to treatment condition at follow-up.
- analysts
- Not established from accessed full report.
- population
- relation
- direct
- population
- Women residing in domestic-violence shelters with IPV-related PTSD.
- exposure Evidence
- At least one SVAW or PMWI IPV event in month before shelter entry and full DSM-IV-TR IPV-related PTSD by CAPS were required.
- rationale
- Explicit domestic/intimate-partner violence exposure in the studied population; psychological intervention is within Language scope.
- transfer Limit
- See limitation and quality fields; no population-wide clinical recommendation is implied.
- jadad
- status
- unassessed
- score
- Not recorded
- condition Evidence
- id
- ptsd
- evidence
- field
- title
- text
- A Randomized Controlled Trial Comparing HOPE Treatment and Present-Centered Therapy in Women Residing in Shelter with PTSD from Intimate Partner Violence.
- matched Text
- PTSD
- field
- population
- text
- Women residing in domestic-violence shelters with IPV-related PTSD.
- matched Text
- PTSD
- field
- outcomes
- text
- CAPS PTSD severity and IPV measures | Reliable PTSD improvement and diagnosis | Depression, empowerment, posttraumatic cognitions and health-related quality of life
- matched Text
- PTSD
- scope
- Study population or investigated outcome; not a diagnosis or efficacy claim.
- id
- trauma
- evidence
- field
- outcomes
- text
- CAPS PTSD severity and IPV measures | Reliable PTSD improvement and diagnosis | Depression, empowerment, posttraumatic cognitions and health-related quality of life
- matched Text
- posttraumatic
- scope
- Study population or investigated outcome; not a diagnosis or efficacy claim.
- id
- depression
- evidence
- field
- outcomes
- text
- CAPS PTSD severity and IPV measures | Reliable PTSD improvement and diagnosis | Depression, empowerment, posttraumatic cognitions and health-related quality of life
- matched Text
- Depression
- scope
- Study population or investigated outcome; not a diagnosis or efficacy claim.
- conditions
ptsd · trauma · depression
- topic Trust Scores
2
- full Text
- status
- not-indexed
- retrieval Available
- false