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

Zlotnick 1997.

Methods Randomised controlled trial
Participants 48 female sexual abuse survivors. All DSM‐IIIR PTSD in the USA
Interventions 15 2‐hour sessions of group affective management (n = 24) vs waiting list control (n = 24)
Outcomes DTS, CR‐PTSD, DES
Notes Therapist credentials/experience is not reported. It is unclear whether or not 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 High risk Comment: There were no reported reasons for drop‐out (7 from treatment and 6 from the waitlist).Only the data of completers are included in the analysis.
Selective reporting (reporting bias) Low risk Comment: All specified outcomes were reported.
Other bias High risk Therapist credentials/experience is not reported. It is unclear whether or not treatment adherence was assessed.
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 Self report measures only.

ADAS ‐ Abbreviated Dyadic Adjustment Scale
 ADIS‐R – Anxiety Disorders Interview Schedule ‐Revised
 ASI – Addiction Severity Index
 AUDIT ‐ Alcohol Use Disorders Identification Test
 BADS ‐ Behavioural Activation for Depression Scale
 BAI – Beck Anxiety Inventory
 BDI – Beck Depression Inventory
 BPRS ‐ Brief Psychiatric Rating Scale
 BSQ – Body Sensations Questionnaire
 CAPS ‐ Clinician‐Administered PTSD Scale
 CES‐D ‐ Centre for Epidemiologic Studies Depression Scale
 CIDI ‐ Composite International Diagnostic Interview
 CIOQ ‐ Changes in Outlook Questionnaire
 CMS – Civilian Mississippi Scale
 CPT ‐ Continuous Performance Test
 CT ‐ Cognitive Therapy
 CTSA ‐ Centre for Treatment and Study of Anxiety
 DAR‐7 ‐ Dimensions of Anger Reactions
 DASS ‐ Depression Anxiety and Stress Scale
 DES‐II – Dissociative Experiences Scale II
 DFMQ ‐ Demography of Forced Migration Scale
 DTS – Davidson Trauma Scale
 EMDR ‐ eye movement desensitisation and reprocessing
 EMG ‐Electromyographic
 FAQ – Fear and Avoidance Scale
 FFMQ ‐ Five Facet Mindfulness Questionnaire
 GAF ‐ Global Assessment of Functioning
 GHQ‐28 ‐ General Health Questionnaire 28
 GIS‐A – Global Improvement Scale – Assessor
 GIS‐S – Global Improvement Scale ‐ Self
 HADS ‐ Hospital Anxiety and Depression Scale
 HAM‐A – Hamilton Rating Scale for Anxiety
 HAM‐D ‐ Hamilton Rating Scale for Depression
 HDRS ‐ Hamilton Rating Scale for Depression
 HSCL‐25 – Hopkins Symptom Checklist‐25
 IES – Impact of Event Scale
 IES‐R Impact of Event Scale ‐ Revised
 ICG ‐ Inventory of Complicated Grief
 ITT ‐ intention‐to‐treat
 LOCF ‐ last observation carried forward
 MADRS ‐ Montgomery‐Asberg Depression Rating Scale
 MEG ‐Magnetoencephalography
 M‐PTSD ‐ Mississippi Post‐Traumatic Stress Disorder Scale
 MPSS ‐ Modified PTSD Symptom Scale
 N‐FSS – Neck‐Focused Flashback Severity Scale
 N‐PASS – Neck‐Focused Panic Attack Severity Scale
 NET ‐ narrative exposure therapy
 ODI – Oswestry Disability Index
 O‐FSS – Orthostatic‐Focused Panic Attack Severity Scale
 O‐PASS ‐ Orthostatic Panic Attack Severity Scale
 PCL ‐ PTSD Checklist
 PCT ‐ Psychological Commitment to Team Scale
 PDS – Posttraumatic Diagnostic Scale
 PE‐SIT ‐ Prolonged Exposure ‐ Stress Innoculation Training
 PENN ‐ Penn Inventory for PTSD
 PHQ‐9 ‐ Patient Health Questionnaire ‐ 9
 PS‐MPI – Pain Subscale – Multidimensional Pain Inventory
 PSS‐I ‐ PTSD Symptom Scale ‐ Interview
 PSS‐SR ‐ PTSD Symptom Scale – Self Report
 PTCI ‐ Posttraumatic Cognitions Inventory
 QOLI ‐ Quality of Life Inventory
 SAS – Social Adjustment Scale
 SAS‐SR ‐ Social Adjustment Scale Self Report
 SCID‐PTSD ‐ Structured Clinical Interview for DSM‐IV ‐ PTSD
 SCL‐90 ‐ Symptom Checklist ‐ 90
 SDS ‐ Sheehan Disability Scale
 SF‐8 ‐ 8‐item Short Form Health Survey
 SF‐36 ‐ 36‐item Short Form Health Survey
 SI‐PTSD – Structured Interview for PTSD
 SLESQ ‐ Stressful Life Events Screening Questionnaire
 SPSI ‐ Social Problem Solving Inventory
 SRQ‐20 ‐ Self Regualtion Questionnaire ‐ 20
 SSAI ‐ Spielberger State Anxiety Inventory
 ssVEF ‐ steady‐state visual evoked fields
 STAI ‐ Spielberger State—Trait Anxiety Inventory
 STAXI ‐ State‐Trait Anger Expression Inventory
 TAU ‐ treatment as usual
 TRGI ‐ Trauma Related Guilt Inventory
 TSCS ‐ Tennessee Self Concept Scale
 TSI – Trauma Symptom Inventory
 TSQ ‐ Trauma Screening Questionnaire
 TSSC – Traumatic Stress Symptom Checklist
 WAI ‐ Working Alliance Inventory
 WHOQOL ‐ World Health Organisation Quality of Life
 WSA – Work and Social Adjustment Scale