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

Summary of findings 2. Trauma‐focused CBT/Exposure therapy compared with non‐TFCBT for chronic post‐traumatic stress disorder (PTSD) in adults.

Trauma‐focused CBT/Exposure therapy compared with non‐TFCBT for chronic post‐traumatic stress disorder (PTSD) in adults
Patient or population: Adults with PTSD for at least 3 months
 Settings: Primary care, community, outpatient
 Intervention: Trauma‐focused CBT/Exposure therapy
 Comparison: non‐Trauma‐focused CBT
Outcomes Illustrative comparative risks* (95% CI) Relative effect
 (95% CI) No of Participants
 (studies) Quality of the evidence
 (GRADE) Comments
Assumed risk Corresponding risk
Non‐TFCBT Trauma Focused CBT/ Exposure Therapy
Severity of PTSD Symptoms ‐ Clinician‐rated   The mean severity of PTSD symptoms ‐ clinician‐rated in the intervention groups was
 0.27 standard deviations lower 
 (0.63 lower to 0.10 higher)   267
 (7 studies) ⊕⊝⊝⊝
 very low1,2  
Leaving the study early for any reason Study population RR 1.19 
 (0.71 to 2.00) 312
 (7 studies) ⊕⊝⊝⊝
 very low1,2,3  
154 per 1000 183 per 1000 
 (109 to 308)
Moderate
154 per 1000 183 per 1000 
 (109 to 308)
*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