Jaberghaderi 2004.
Methods | Randomised trial of EMDR vs CBT | |
Participants |
Included (n = 16) Sixth grade girls 12 to 13 years of age from an urban school in Iran who reported contact sexual abuse occurring ≥ 6 months previously Excluded Girls subjected to ongoing abuse Setting University clinic, Iran |
|
Interventions |
CBT (n = 8) Sessions focused on skill development and exposure and were limited to 45 minutes, with a maximum 12 and a minimum 10 sessions. Treatment was terminated earlier if the Subjective Units of Distress score was between 0 and 2 and abuse‐related anxiety symptoms were 25% or less. Homework followed all sessions (a total of 10 to 15 hours) and included checklists, drawings and listening to tapes of the exposure narrative. Parents attended a psychoeducation session within the first 2 weeks EMDR (n = 8) Focus on the identified trauma memory was not as strict as with the CBT group. The EMDR therapist was allowed to treat spontaneous trauma memories that arose during work with the index trauma but was not allowed to systematically work through all trauma memories. The maximum 12 sessions (with no minimum) were limited to 45 minutes each, but most lasted approximately 30 minutes. Homework was minimal and was limited to drawing a ‘safe place’ on 1 occasion. Treatment was terminated earlier if the Subjective Units of Distress score was 0 to 2 and positive self statements were 6 or 7 on a 7‐point scale related to the abuse. Parents attended a psychoeducation session within the first 2 weeks Therapists Each treatment was manualised. Therapists were clinical psychologists experienced in working with children and trained in the respective therapies |
|
Outcomes |
PTSD symptoms Scale: Child Report of Post‐Traumatic Symptoms (26‐item) Rater: child Scale: Parent Report of Post‐Traumatic Symptoms (32‐item) Rater: parent When Post therapy |
|
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomised by picking names out of a hat |
Allocation concealment (selection bias) | Unclear risk | Not reported |
Blinding of participants (performance bias | Unclear risk | Blinding was not possible, but both groups received a psychological therapy |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Child‐ and parent‐reported outcomes were used |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Completer analysis reported. Loss to follow‐up: 13% |
Selective reporting (reporting bias) | Low risk | All outcomes appear to have been reported |
Other bias | Low risk | No other bias was apparent |