Methods |
Randomised controlled trial |
Participants |
171 female rape victims with DSM‐IV PTSD |
Interventions |
13 hours of cognitive processing therapy or exposure bi‐weekly over 6 weeks (n = 124) versus minimal attention (n = 47). |
Outcomes |
CAPS, PSS, BDI |
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: ITT analyses using LOCF. 33 participants dropped out from TFCBT and 47 from the waitlist. |
Selective reporting (reporting bias) |
Low risk |
Comment: All specified outcomes were reported. |
Other bias |
High risk |
Comment: The issue of researcher allegiance cannot be ruled out. |
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: "Independent raters who were not otherwise involved in the project conducted assessments of treatment adherence and therapist competence." |