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. 2013 Dec 13;2013(12):CD003388. doi: 10.1002/14651858.CD003388.pub4

Summary of findings for the main comparison. Trauma‐focused CBT/Exposure therapy compared with Waitlist/Usual Care for chronic post‐traumatic stress disorder (PTSD) in adults.

Trauma‐focused CBT/Exposure therapy versus Waitlist/Usual Care
Patient or population: Adults with PTSD for at least 3 months
 Settings: Primary care, community, outpatient
 Intervention: Trauma‐focused CBT/Exposure Therapy
Outcomes Illustrative comparative risks* (95% CI) Relative effect
 (95% CI) No of Participants
 (studies) Quality of the evidence
 (GRADE) Comments
Assumed risk Corresponding risk
Control Trauma Focused CBT/ Exposure Therapy
Severity of PTSD symptoms ‐ Clinician‐rated   The mean severity of PTSD symptoms ‐ clinician‐rated in the intervention groups was 1.62 standard deviations lower 
 (2.03 to 1.21 lower) 1256
 (28 studies) ⊕⊝⊝⊝
 very low1,2,3  
Leaving the study early for any reason Study population RR 1.64 
 (1.30 to 2.06) 1756
 (33 studies) ⊕⊝⊝⊝
 very low1,2,3  
130 per 1000 189 per 1000 
 (150 to 240)
Moderate
85 per 1000 124 per 1000 
 (99 to 157)
*The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
 CI: Confidence interval; RR: Risk ratio;
GRADE Working Group grades of evidence
 High quality: Further research is very unlikely to change our confidence in the estimate of effect.
 Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
 Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
 Very low quality: We are very uncertain about the estimate.

1Some studies were judged to pose a high risk of bias
 2Unexplained heterogeneity
 3Small sample sizes