Brom 1989.
Methods | RCT with 4 parallel conditions | |
Participants | 112 participants diagnosed with PTSD with DSM‐III criteria, with the condition that not more than 5 years had elapsed since the incurring event. Recruited through a general assessment with 1 of the study authors, and a further interview to ensure the participant could cope with a confronting therapy. Aged 18‐73 years (mean 42.0), 79% were women, 21% were men | |
Interventions | Intervention 1: trauma desensitisation (mean length of treatment 15.0 sessions) Intervention 2: hypnotherapy (mean 14.4 sessions) Intervention 3: brief psychodynamic therapy (mean length 18.8 sessions) based on Horowitz 1976 Control: wait‐list group (4 months long) |
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Outcomes | Pre‐, post‐ and 3 months post‐treatment. SCL‐90, with 5 subscales; STAI; State‐Trait Anger Inventory; Dutch Personality Questionnaire; Introversion‐Extroversion scale of the Amsterdam Biographical Questionnaire; scale for internal vs. external control | |
Notes | SCL‐90 total score and STAI data used in the review Unable to use personality data as it was reported only into subscales | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Comment: randomisation not described |
Allocation concealment (selection bias) | Unclear risk | Comment: not described |
Blinding (performance bias and detection bias) All outcomes | Low risk | Comment: self reports used (SCL90, STAI, Stait Trait Anger Inventory): low risk No psychotherapist was blinded to the treatment delivered Blinding participants to treatment group not possible |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Comment: even distribution of drop‐outs |
Selective reporting (reporting bias) | Unclear risk | Comment: insufficient information to permit judgement. No published report on pre‐specified outcomes |
Other bias | Unclear risk | Comment: insufficient information to permit judgement |