Marks 1998.
Methods | Randomised controlled trial | |
Participants | 87 DSM‐IIIR PTSD, various traumas, in the UK | |
Interventions | 10 x 90‐minute sessions of exposure (n = 23) vs cognitive restructuring (n = 19) vs exposure and cognitive restructuring (n = 24) vs relaxation therapy (n = 21) (the three exposure/cognitive‐restructuring groups were combined). | |
Outcomes | CAPS, IES, BDI, STAI | |
Notes | Experienced therapists delivered therapy. Treatment adherence was assessed, as was homework compliance. | |
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 | Quote: "analyses were also done on end‐point imputed‐scores carrying forward non‐completers last available ratings". Comment: There were drop‐outs from each group: exposure (3) cognitive restructuring (1) exposure and cognitive restructuring (5) and relaxation therapy (1). Reasons for drop‐out were not fully reported. |
Selective reporting (reporting bias) | Low risk | Comment: All specified outcomes were reported. |
Other bias | Low risk | Comment: no other sources of bias detected. |
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: "assessors were kept unaware of the treatment condition". |