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Cited by 215Posttraumatic Stress Disorder ResearchPsychotherapy Techniques and ApplicationsMigration, Health and Trauma

The DOI matches its Crossref record; 47 of the 47 references it cites were found in a registry or an index.

A Systematic Review of Dropout From Psychotherapy for Posttraumatic Stress Disorder Among Iraq and Afghanistan Combat Veterans

Goetter, Elizabeth M., Bui, Eric, Ojserkis, Rebecca A., Zakarian, Rebecca J., Brendel, Rebecca Weintraub, Simon, Naomi M.·2015·Journal of Traumatic Stress
DOI 10.1002/jts.22038
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Abstract

A significant number of veterans of the conflicts in Iraq and Afghanistan have posttraumatic stress disorder (PTSD), yet underutilization of mental health treatment remains a significant problem. The purpose of this review was to summarize rates of dropout from outpatient, psychosocial PTSD interventions provided to U.S. Operation Iraqi Freedom (OIF), Operation Enduring Freedom (OEF), and Operation New Dawn (OND) veterans with combat‐related PTSD. There were 788 articles that were identified which yielded 20 studies involving 1,191 individuals eligible for the review. The dropout rates in individual studies ranged from 5.0% to 78.2%, and the overall pooled dropout rate was 36%, 95% CI [26.20, 43.90]. The dropout rate differed marginally by study type (routine clinical care settings had higher dropout rates than clinical trials) and treatment format (group treatment had higher dropout rates than individual treatment), but not by whether comorbid substance dependence was excluded, by treatment modality (telemedicine vs. in‐person treatment), or treatment type (exposure therapy vs. nonexposure therapy). Dropout is a critical aspect of the problem of underutilization of care among OEF/OIF/OND veterans with combat‐related PTSD. Innovative strategies to enhance treatment retention are needed.

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Research works printed but not linked: 3

  1. 10.1002/jts.2490080211 · DOI
  2. 10.1176/appi.ps.62.1.22 · DOI
  3. StataCorp, 2011, Stata statistical software: Release 12 [Computer software]

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Metadata

Authors
Goetter, E. M., Bui, E., Ojserkis, R. A., Zakarian, R. J., Brendel, R. W., & Simon, N. M.
Affiliations
  • Harvard University (US)
  • Department of Psychiatry Massachusetts General Hospital/Harvard Medical School Boston Massachusetts USA
ORCID
Venue
Journal of Traumatic Stress
Publisher
Wiley
Published
2015-09-16
Volume
28
Issue
5
Pages
401-409
ISSN
  • 0894-9867 (ISSN-L)
  • 1573-6598
DOI
10.1002/jts.22038
OpenAlex
W2096342874
Cited by
215
References
47
Citations by year
2026: 15 · 2025: 21 · 2024: 19 · 2023: 16 · 2022: 23 · 2021: 30 · 2020: 29 · 2019: 27 · 2018: 13 · 2017: 12 · 2016: 10
FWCI
1.67
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of Traumatic Stress (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Keywords
post-traumatic stress disorder, combat veterans, treatment discontinuation, treatment retention, psychosocial interventions, outpatient psychotherapy, Iraq and Afghanistan wars, Iraq War, Operation Enduring Freedom, Operation New Dawn, exposure therapy, telemedicine
MeSH terms
Humans, Patient Dropouts, Psychotherapy, Risk Factors, Stress Disorders, Post-Traumatic, United States, Veterans, Databases, Bibliographic, Iraq War, 2003-2011, Afghan Campaign 2001-

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