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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
  1. 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
  2. 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
  3. 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
  1. 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
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 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
  1. 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
  1. 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
    1. id
      ptsd
      evidence
      1. 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
      2. field
        population
        text
        Women residing in domestic-violence shelters with IPV-related PTSD.
        matched Text
        PTSD
      3. 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.
    2. id
      trauma
      evidence
      1. 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.
    3. id
      depression
      evidence
      1. 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
    1. 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
    1. 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
    2. 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
    3. 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
    not-assessed
    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
    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
    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
    163342d2c6a789b89d62f38350930deef22a8d0d44514e6e764c9a5da0376d8d
    prior Revision
    r1-163342d2c6a7
    prior Source
    frozen-120
    source Verification
    id
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    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.

    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
    1. 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
    2. 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
    3. 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
    1. 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
    2. 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.
    3. 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
    1. 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
    2. 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
    3. 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
  1. 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
  2. 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
  3. 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
  1. id
    ptsd
    evidence
    1. 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
    2. field
      population
      text
      Women residing in domestic-violence shelters with IPV-related PTSD.
      matched Text
      PTSD
    3. 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.
  2. id
    trauma
    evidence
    1. 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.
  3. id
    depression
    evidence
    1. 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

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