Methods |
Randomised controlled trial (cross‐over) |
Participants |
100 individuals (unclear how many were men and women) with PTSD after sexual or physical assault in childhood or adulthood in the USA |
Interventions |
CPT (n = 47) vs symptom monitoring delayed treatment (n = 53) |
Outcomes |
CAPS, BDI‐II, TRGI, QOLI, SF‐36 |
Notes |
Experienced therapists delivered therapy and treatment adherence was assessed. |
Risk of bias |
Bias |
Authors' judgement |
Support for judgement |
Random sequence generation (selection bias) |
Unclear risk |
Comment: The method of sequence generation was not reported. |
Allocation concealment (selection bias) |
Unclear risk |
Comment: There is no mention of any measures taken to conceal allocation. |
Incomplete outcome data (attrition bias)
All outcomes |
Low risk |
Comment: 7 participants dropped out of symptom monitoring delayed treatment and 14 dropped out of CPT. The reason for drop‐out was unknown in 50% of cases. ITT analyses were performed. |
Selective reporting (reporting bias) |
Low risk |
Comment: All specified outcomes were reported. |
Other bias |
Low risk |
Comment: There were no other obvious sources of bias. |
Blinding of participants and personnel (performance bias)
All outcomes |
High risk |
Comment: Participants were aware of their allocation. |
Blinding of outcome assessment (detection bias)
All outcomes |
Low risk |
Quote: "Posttreatment and follow‐up assessments were conducted by raters blind to both randomization and dropout status." |