Summary of findings 2. CBT versus other psychological therapies for children and adolescents exposed to trauma (short‐term).
| Patient or population: children and adolescents exposed to trauma Setting: All seven studies were done in community or outpatient settings including child trauma (2) or psychiatric (2) services, child support services (1), domestic violence service (1) and school (1) in the US (4), Netherlands (2), and Iran (1). Intervention: CBT Comparison: other psychological therapies (short‐term) | ||||||
| Outcomes | Anticipated absolute effects* (95% CI) | Relative effect (95% CI) | Numer of participants (studies) | Quality of the evidence (GRADE) | Comments | |
| Risk with other therapies (short‐term) | Risk with CBT | |||||
| PTSD diagnosis | Study population | OR 0.74 (0.29 to 1.91) | 160 (2 studies) | ⊕⊝⊝⊝ Very lowa,b | ||
| 141 per 1000 | 108 per 1000 (45 to 239) | |||||
| Moderate | ||||||
| 111 per 1000 | 85 per 1000 (35 to 193) | |||||
| PTSD total symptoms | Mean PTSD total symptoms in the intervention group 0.24 standard deviations undefined fewer (0.42 fewer to 0.05 fewer) | Small effect size | 466 (7 studies) | ⊕⊕⊕⊝ Moderatec | ||
| *The risk in the intervention group (and its 95% confidence interval) is based on assumed risk in the comparison group and relative effect of the intervention (and its 95% CI) CI: confidence interval; OR: odds ratio; RR: risk ratio | ||||||
| GRADE Working Group grades of evidence High quality: We are very confident that the true effect lies close to that of the estimate of effect Moderate quality: We are moderately confident in the effect estimate: The true effect is likely to be close to the estimate of effect but may be substantially different Low quality: Our confidence in the effect estimate is limited: The true effect may be substantially different from the estimate of effect Very low quality: We have very little confidence in the effect estimate: The true effect is likely to be substantially different from the estimate of effect | ||||||
aParticipants are likely to have been aware of whether they received active or inactive intervention in both studies, and diagnosis was based on self reported measures in both bOnly 2 included studies with a relatively small overall sample number of 287
cParticipants are likely to have been aware of whether they received active or inactive intervention in all studies, and scores were based on self reported measures in 4 studies