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. 2021 Apr 16;2021(4):CD010682. doi: 10.1002/14651858.CD010682.pub3

Comparison 4. RCT: sertraline versus cognitive behavioural therapy (CBT).

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
4.1 Mean depression scores (BDI) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
4.1.1 BDI‐II scores at 8 weeks 1 104 Mean Difference (IV, Fixed, 95% CI) ‐2.50 [‐6.28, 1.28]
4.1.2 BDI‐II scores at 16 weeks 1 117 Mean Difference (IV, Fixed, 95% CI) ‐0.50 [‐4.47, 3.47]
4.2 Remission in depressive symptoms 1 140 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.65, 1.17]
4.3 Seizure frequency 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
4.3.1 Generalised tonic‐clonic seizures per month at 8 weeks 1 86 Mean Difference (IV, Fixed, 95% CI) ‐0.10 [‐0.26, 0.06]
4.3.2 Generalised tonic‐clonic seizures per month at 16 weeks 1 96 Mean Difference (IV, Fixed, 95% CI) 0.00 [‐0.10, 0.10]
4.3.3 Focal seizures with impaired awareness per month at 8 weeks 1 75 Mean Difference (IV, Fixed, 95% CI) ‐2.60 [‐6.52, 1.32]
4.3.4 Focal seizures with impaired awareness per month at 16 weeks 1 73 Mean Difference (IV, Fixed, 95% CI) ‐3.00 [‐7.81, 1.81]
4.4 Seizure recurrence 1 104 Risk Ratio (M‐H, Fixed, 95% CI) 1.04 [0.27, 3.94]
4.5 Withdrawals (any reason) 1 140 Risk Ratio (M‐H, Fixed, 95% CI) 1.26 [0.64, 2.46]
4.6 Quality of life (QOLIE‐89) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
4.6.1 QOLIE‐89 score at 8 weeks 1 104 Mean Difference (IV, Fixed, 95% CI) 6.10 [‐0.28, 12.48]
4.6.2 QOLIE‐89 score at 16 weeks 1 118 Mean Difference (IV, Fixed, 95% CI) 3.10 [‐3.41, 9.61]
4.7 Adverse events profile 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
4.7.1 Adverse event profile at 8 weeks 1 106 Mean Difference (IV, Fixed, 95% CI) ‐2.70 [‐6.62, 1.22]
4.7.2 Adverse event profile at 16 weeks 1 118 Mean Difference (IV, Fixed, 95% CI) ‐2.10 [‐6.21, 2.01]
4.8 Adverse events 1   Risk Ratio (M‐H, Fixed, 99% CI) Subtotals only
4.8.1 Anxiety 1 140 Risk Ratio (M‐H, Fixed, 99% CI) 8.51 [0.19, 386.16]
4.8.2 Chest pain 1 140 Risk Ratio (M‐H, Fixed, 99% CI) 0.47 [0.05, 4.21]
4.8.3 Cold 1 140 Risk Ratio (M‐H, Fixed, 99% CI) 0.63 [0.13, 3.13]
4.8.4 Diarrhoea 1 140 Risk Ratio (M‐H, Fixed, 99% CI) 19.85 [0.49, 805.53]
4.8.5 Dizziness 1 140 Risk Ratio (M‐H, Fixed, 99% CI) 1.51 [0.37, 6.14]
4.8.6 Dry mouth 1 140 Risk Ratio (M‐H, Fixed, 99% CI) 3.78 [0.22, 65.10]
4.8.7 Headache 1 140 Risk Ratio (M‐H, Fixed, 99% CI) 1.48 [0.69, 3.19]
4.8.8 Insomnia 1 140 Risk Ratio (M‐H, Fixed, 99% CI) 2.16 [0.73, 6.38]
4.8.9 Memory difficulty 1 140 Risk Ratio (M‐H, Fixed, 99% CI) 0.71 [0.10, 4.82]
4.8.10 Muscle strain or pain 1 140 Risk Ratio (M‐H, Fixed, 99% CI) 1.21 [0.36, 4.12]
4.8.11 Nausea 1 140 Risk Ratio (M‐H, Fixed, 99% CI) 2.60 [0.62, 10.96]
4.8.12 Rash 1 140 Risk Ratio (M‐H, Fixed, 99% CI) 4.72 [0.29, 76.72]
4.8.13 Sexual dysfunction 1 140 Risk Ratio (M‐H, Fixed, 99% CI) 8.51 [0.19, 386.16]
4.8.14 Shakiness 1 140 Risk Ratio (M‐H, Fixed, 99% CI) 12.28 [0.88, 171.59]
4.8.15 Tiredness 1 140 Risk Ratio (M‐H, Fixed, 99% CI) 3.54 [1.40, 8.96]
4.8.16 Unsteadiness 1 140 Risk Ratio (M‐H, Fixed, 99% CI) 1.57 [0.25, 9.81]
4.8.17 Worsening depression 1 140 Risk Ratio (M‐H, Fixed, 99% CI) 1.13 [0.25, 5.07]