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

Comparison 3. Trauma‐focused CBT/Exposure Therapy vs other therapies.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Severity of PTSD symptoms ‐ clinician 10 625 Std. Mean Difference (IV, Random, 95% CI) ‐0.48 [‐0.83, ‐0.14]
2 Severity of PTSD symptoms ‐ clinician ‐ 1 ‐ 4 month follow‐up 8 548 Std. Mean Difference (IV, Random, 95% CI) ‐0.34 [‐0.64, ‐0.04]
3 Severity of PTSD symptoms ‐ clinician ‐ 5 ‐ 8 month follow‐up 4 434 Std. Mean Difference (IV, Random, 95% CI) ‐0.58 [‐1.20, 0.04]
4 Severity of PTSD symptoms ‐ clinician ‐ 9 ‐ 12 month follow‐up 2 90 Std. Mean Difference (IV, Random, 95% CI) ‐0.76 [‐1.35, ‐0.17]
5 Leaving the study early for any reason 11 762 Risk Ratio (M‐H, Fixed, 95% CI) 1.39 [1.01, 1.92]
6 Severity of PTSD symptoms ‐ self report 6 574 Std. Mean Difference (IV, Random, 95% CI) ‐0.60 [‐1.15, ‐0.06]
7 Severity of PTSD symptoms ‐ self report ‐ follow‐up (1 ‐ 4 months) 5 526 Std. Mean Difference (IV, Fixed, 95% CI) ‐0.29 [‐0.47, ‐0.12]
8 Severity of PTSD symptoms ‐ self‐report ‐ follow‐up (5 ‐ 8 months) 3 338 Std. Mean Difference (IV, Random, 95% CI) ‐0.90 [‐2.05, 0.25]
9 Severity of PTSD symptoms ‐ self‐report ‐ follow‐up (9 ‐ 12 months) 2 90 Mean Difference (IV, Fixed, 95% CI) ‐2.66 [‐5.71, 0.38]
10 Depression ‐ self report 9 570 Std. Mean Difference (IV, Random, 95% CI) ‐0.37 [‐0.63, ‐0.11]
11 Depression ‐ self‐report ‐ follow‐up (1‐4 months) 7 510 Std. Mean Difference (IV, Random, 95% CI) ‐0.29 [‐0.62, 0.03]
12 Depression ‐ follow‐up (5‐8 months) 5 443 Std. Mean Difference (IV, Random, 95% CI) ‐0.43 [‐0.87, 0.01]
13 Depression 9‐12 month follow up 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
14 Anxiety ‐ self report 7 539 Std. Mean Difference (IV, Random, 95% CI) ‐0.45 [‐0.77, ‐0.12]
15 Anxiety ‐ self‐report ‐ follow‐up (1 ‐ 4 months) 5 454 Std. Mean Difference (IV, Random, 95% CI) ‐0.33 [‐0.68, 0.02]
16 Anxiety ‐ follow‐up (5 ‐ 8 months) 2 329 Std. Mean Difference (IV, Random, 95% CI) ‐0.56 [‐1.69, 0.58]
17 PTSD diagnosis after treatment 7 358 Risk Ratio (M‐H, Random, 95% CI) 0.75 [0.59, 0.96]
18 Severity of PTSD symptoms ‐ clinician ‐ 13‐24 month follow‐up 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
19 Sensitivity analysis ‐ PTSD symptoms ‐ studies at low risk of bias only 1   Std. Mean Difference (IV, Fixed, 95% CI) Totals not selected
20 Sensitivity analysis ‐ drop‐out ‐ studies at low risk of bias only 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
21 Subgroup analysis: severity of PTSD symptoms ‐ women‐only studies 3 129 Std. Mean Difference (IV, Random, 95% CI) 0.03 [‐0.42, 0.47]
22 Subgroup analysis: severity of PTSD symptoms ‐ clinician ‐ excluding Vietnam veterans 9 599 Std. Mean Difference (IV, Random, 95% CI) ‐0.46 [‐0.80, ‐0.11]