Summary of findings 6. Psychoeducational follow‐up programme compared with treatment as usual.
Systematic follow‐up programme compared with TAU for conversion disorder | ||||||
Patient or population: people with conversion disorder according to DSM‐IV or ICD‐10 criteria Settings: outpatient Intervention: systematic follow‐up programme Comparison: TAU | ||||||
Outcomes | Illustrative comparative risks* (95% CI) | Relative effect (95% CI) | No of participants (studies) | Certainty of the evidence (GRADE) | Comments | |
Assumed risk | Corresponding risk | |||||
TAU | Systematic follow‐up programme | |||||
Reduction in physical signs End of treatment |
— | — | — | — | — | No studies assessed this outcome at end of treatment. |
Level of functioning As assessed by WSAS scale (lower is better) Range: 0–40 End of treatment |
The mean level of functioning in the control group was 25.52 |
MD 7.12 lower (12.47 lower to 1.77 lower) |
— | 43 (1 study) | ⊕⊝⊝⊝ Very lowa,b | Psychoeducational follow‐up programme may have little effect on level of functioning at end of treatment. |
Quality of life | — | — | — | — | — | No studies assessed this outcome. |
Adverse events | — | — | — | — | — | No studies assessed this outcome. |
*The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI). CI: confidence interval; DSM‐IV:Diagnostic and Statistical Manual of Mental Disorders 4th Edition; ICD‐10:International Classification of Diseases, Tenth Revision; MD: mean difference; TAU: treatment as usual; WSAS: Work and Social Adjustment Scale. | ||||||
GRADE Working Group grades of evidence High quality: further research is very unlikely to change our confidence in the estimate of effect. Moderate quality: further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate. Low quality: further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate. Very low quality: we are very uncertain about the estimate. |
aDowngraded two levels due to high risk of bias. bDowngraded one level due to imprecision (wide confidence interval and based on one study with few participants).