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. 2016 Oct 11;2016(10):CD012371. doi: 10.1002/14651858.CD012371

Lieberman 2005.

Methods Randomised trial of child/parent psychotherapy or case management
Participants Included (n = 75)
Preschool children 3 to 5 years of age who had been exposed to marital violence but still were not living with the perpetrator. Mean age: 4.1 years. Female: 39. Ethnicity: mixed 38.7%, Latino 28%, African American 14.7%, white 9.3%, Asian 6.7%, other 2.6%
Excluded
Children with mental retardation or autism spectrum disorder, or who had mothers who had abused the child, had current substance abuse, were homeless or had mental retardation or psychosis
Setting
Appears to have been a general hospital in the USA
Interventions Child/parent psychotherapy (n = 42)
Targeted maladaptive behaviours, supported appropriate interactions and guided child and mother in creating a joint narrative of traumatic events in weekly mother and child sessions of 60 minutes over 50 weeks. This was guided by child/parent interactions and the child's play with developmentally appropriate toys selected to elicit trauma play and to foster social interaction
Case management (n = 33)
Mothers received assessment feedback and information on mental health clinics and were connected to the clinic of their choice. They received a monthly call, usually of 30 minutes, from their case manager, whom they could also contact as needed. Face‐to‐face meetings were scheduled when indicated
Therapists
Psychotherapy clinicians had master's or PhD qualifications in clinical psychology, and treatment fidelity was monitored through weekly supervision. The case manager was an experienced PhD level clinician
Outcomes PTSD diagnosis
Criteria: semi‐structured Interview for Diagnostic Classification
Rater: clinician
PTSD symptoms
Scale: semi‐structured Interview for Diagnostic Classification
Rater: clinician
Behaviour
Scale: Child Behavior Checklist
Rater: parent
When
Post therapy and at 6 months
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of participants (performance bias High risk Participants probably were aware of whether they were in the active or control group
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Risk of bias for assessing PTSD seems low, as 'every effort was made to keep assessors blind to group assignment'; however, parents completing behavioural scores probably were aware of group assignment
Incomplete outcome data (attrition bias) 
 All outcomes High risk Completer analysis reported; although loss to follow‐up post therapy was moderate (13%), it was high at 6 months (33%)
Selective reporting (reporting bias) Unclear risk 6‐Month PTSD scores were not reported
Other bias Low risk No other bias was apparent