Zang 2014.
Methods | Randomised, wait list controlled study. | |
Participants | The study was conducted after the Sichuan earthquake in 2008. Randomisation took place between October 2010 and January 2011 (30 to 34 months after the earthquake) Eligible participants were 18 years of age or older and met DSM‐IV criteria for PTSD as measured by the PDS. Exclusion criteria included suicidal ideation or substance abuse, participation in another psychological treatment programme, and an inability to finish treatment |
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Interventions | Narrative exposure therapy (NET): 10 participants NET‐R: 10 participants Wait list: 10 participants |
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Outcomes | Severity of PTSD symptoms was assessed via the Impact of Event Scale‐Revised (IES‐R); depression and anxiety with the Hospital Anxiety and Depression Scale (HADS); general health on the Chinese version of the General Health Questionnaire‐28 (GHQ‐28); both positive and negative post‐traumatic changes on the Short Form of the Changes in Outlook Questionnaire (CiQQ‐S); social support by the Multidimensional Scale of Perceived Social Support (MSPSS); and coping strategies by the 28‐item Brief COPE | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | "Participants were randomly allocated [...] by a computer‐generated list of random numbers" |
Allocation concealment (selection bias) | Unclear risk | No information provided |
Blinding of participants and personnel (performance bias) All outcomes | High risk | No information is provided, but it's hard to believe that blinding of participants could have been respected in such a study design |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Quote: "The pre‐ and post‐ treatment assessments were carried out by a trained assessor not involved in the treatments and blind to the treatment conditions" |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No participants dropped out from the programme |
Selective reporting (reporting bias) | Low risk | The study protocol is not available, but it is clear that published reports include all expected outcomes |
Therapist qualification | Low risk | Intervention was delivered by trained psychologists |
Treatment fidelity | Low risk | Quote: "Treatment adherence was monitored by the direct observation of treatment sessions, by case discussions in supervision meetings, and by a review of the records and treatment protocols" |
Therapist/investigator allegiance | Unclear risk | No information provided |
Other bias | Low risk | Sponsorship: "The research was also supported and partially sponsored by the Building Experience and Skill Travel Scholarships (BESTS) of the University of Nottingham" |
AUDIT: Alcohol Use Disorders Identification Test
AYPA: African Youth Psychosocial Assessment Instrument
BA; behavioural activation
BDI: Beck Depression Inventory
CAPS: Clinician Administered Post‐traumatic stress disorder Scale
CBT: cognitive‐behavioural therapy
CD‐RISC: Connor‐Davidson Resilience Scale
CES‐D: Center for Epidemiologic Studies Depression Scale
CETA: common elements treatment approach
CGI: Clinician’s Global Impression–Improvement
CiQQ‐S: Changes in Outlook Questionnaire
CMHW: community mental health worker
CMTR: Chinese My Trauma Recovery
CP: creative play
CPT: cognitive processing therapy
CRIES: Children Revised Impact of Events Scale
CSE: Trauma Coping Self‐Efficacy Scale
CTS: Conflict Tactics Scale
DSM: Diagnostic and Statistical Manual of Mental Disorders
EUROHIS‐QOL: European Health Interview Survey‐Quality of Life
EMDR: eye movement desensitisation and reprocessing
FAQ: Fear and Avoidance Questionnaire
FORNET: Narrative exposure therapy for forensic offender rehabilitation
GHQ: General Health Questionnaire
GIS: Global Improvement Scale
GSE: Generalized Self Efficacy
HADS: Hospital Anxiety and Depression Scale
HSCL: Hopkins Symptoms Checklist
HTQ: Harvard Trauma Questionnaire
IES‐R: Impact of Event Scale‐Revised
IPT: interpersonal psychotherapy
IPT‐G: group interpersonal psychotherapy
ISIL: Islamic State of Iraq and the Levant
ISIS: Islamic State of Iraq and Syria
MDD: major depressive disorder
MG: monitoring
min: minute
MPSS: Modified Post‐traumatic stress disorder Symptom Scale
MSPSS: Multidimensional Scale of Perceived Social Support
N: number
NET: narrative exposure therapy
NGO: non‐governmental organisation
NITE: Nocturnal Intrusions after Traumatic Experiences questionnaire
OR: odds ratio
PCC: Post‐Traumatic Cognitive Changes
PCL: Post‐traumatic stress disorder Check List
PDS: Post‐traumatic stress disorder Diagnostic Scale
PHQ: Patient Health Questionnaire
PM: problem management
PSS‐I : Post‐traumatic stress disorder Symptom Scale ‐ Interview
PSYCHLOPS: Psychological Outcome Profiles
PTSD; post‐traumatic stress disorder
PTSD‐RI: Post‐traumatic stress disorder Reaction Index
PTSS: post‐traumatic stress syndrome
QoL: quality of life
QLI: Quality of Life Index
RCT: randomised controlled trial
R‐TEP: Recent Traumatic Episode Protocol
SAS: Social Adjustment Scale
SCID: structured clinical interview
SCL‐90: Symptom Checklist 90
SCL‐D: Symptom Checklist 90‐Depression
SCL90‐R: Symptom Checklist 90‐Revised
SCSQ: Simplified Coping Style Questionnaire
SD: standard deviation
SFI: Social Functioning Impairment
SIFP: Self‐Inventory for post‐traumatic stress disorder
SLIPSS‐A: Sri Lanka Index of Psychosocial Status
SNRI: serotonin–norepinephrine reuptake inhibitor
SRQ: Self‐Report Questionnaire
SSBT: school‐based support team
SSRI: selective serotonin reuptake inhibitor
STAXI: State Trait Anger Expression Inventory
TC: trauma counselling
TF‐CBT: trauma‐focused cognitive‐behavioural therapy
TFT: thought field therapy
TSSC: Traumatic Stress Symptom Checklist
TSI: Trauma Symptom Inventory
UCLA‐PTSD‐ RI: University College of Los Angeles Post‐traumatic stress disorder Reaction Index
UN: United Nations
WHO: World Health Organisation
WHODAS: World Health Organisation Disability Assessment Schedule
WHO‐5: World Health Organisation Five Wellbeing Index
WL: wait list
WLC: wait list control
WSA: Work and Social Adjustment Scale