Summary of findings 7. Specialised cognitive behavioural therapy‐based physiotherapy compared with waitlist.
| Specialised CBT‐based physiotherapy programme compared with wait list for conversion disorder | ||||||
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Patient or population: people with conversion disorder according to DSM‐IV or ICD‐10 criteria Settings: inpatient Intervention: specialised CBT‐based physiotherapy programme Comparison: wait list | ||||||
| Outcomes | Illustrative comparative risks* (95% CI) | Relative effect (95% CI) | No of participants (studies) | Certainty of the evidence (GRADE) | Comments | |
| Assumed risk | Corresponding risk | |||||
| Wait list | Specialised CBT‐based physiotherapy | |||||
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Reduction in physical signs End of treatment |
— | — | — | — | — | No studies assessed this outcome. |
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Level of functioning As measured by FIM (higher is better) Range: 18–126 End of treatment |
The mean level of functioning in the control group was 80.9 |
MD 9.20 higher (6.06 higher to 12.34 higher) |
— | 118 (1 study) | ⊕⊕⊝⊝ Lowa,b | Specialised CBT‐based physiotherapy may slightly improve 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). CBT: cognitive behavioural therapy; CI: confidence interval; DSM‐IV:Diagnostic and Statistical Manual of Mental Disorders 4th Edition; FIM: Functional Independence Measure Motor; ICD‐10:International Classification of Diseases, Tenth Revision; MD: mean difference. | ||||||
| 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 one level due to high risk of bias. bDowngraded one level due to imprecision (based on one study with few patients).