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. 2022 Mar 2;2022(3):CD002795. doi: 10.1002/14651858.CD002795.pub3

Comparison 2. Anticonvulsants versus placebo.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
2.1 Clinical Global Impressions Scale Improvement Item (CGI‐I) 4   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
2.1.1 No. of responders 4 315 Risk Ratio (M‐H, Random, 95% CI) 0.87 [0.63, 1.21]
2.2 Dropout rate due to treatment emergent adverse effects 5   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
2.2.1 Dropout rate 5 348 Risk Ratio (M‐H, Random, 95% CI) 0.98 [0.92, 1.05]
2.3 Clinically Administered PTSD Scale (CAPS): reduction of PTSD symptoms 5   Mean Difference (IV, Random, 95% CI) Subtotals only
2.3.1 CAPS: Total score 5 411 Mean Difference (IV, Random, 95% CI) ‐0.35 [‐6.54, 5.84]
2.3.2 CAPS subscale: Re‐experiencing/intrusion 3 141 Mean Difference (IV, Random, 95% CI) 0.20 [‐3.74, 4.13]
2.3.3 CAPS subscale: Avoidance/numbing 3 141 Mean Difference (IV, Random, 95% CI) ‐0.37 [‐8.65, 7.91]
2.3.4 CAPS subscale: Hyperarousal 3 141 Mean Difference (IV, Random, 95% CI) 0.21 [‐2.57, 2.99]
2.4 Symptom severity: Other measures 5   Std. Mean Difference (IV, Random, 95% CI) Subtotals only
2.4.1 Reduction of PTSD symptoms 5 180 Std. Mean Difference (IV, Random, 95% CI) 0.15 [‐0.31, 0.60]
2.5 Self‐rated scales 3   Std. Mean Difference (IV, Random, 95% CI) Subtotals only
2.5.1 Reduction of PTSD symptoms 3 84 Std. Mean Difference (IV, Random, 95% CI) ‐0.06 [‐0.75, 0.64]
2.6 Depression scale (typically Hamilton Depression) 5   Std. Mean Difference (IV, Random, 95% CI) Subtotals only
2.6.1 Reduction of depression symptoms 3 131 Std. Mean Difference (IV, Random, 95% CI) ‐0.22 [‐0.57, 0.12]
2.6.2 Depression Scale ‐ Change scores 2 66 Std. Mean Difference (IV, Random, 95% CI) ‐0.32 [‐0.81, 0.16]
2.7 Anxiety ‐ Hamilton Anxiety Scale 3   Mean Difference (IV, Random, 95% CI) Subtotals only
2.7.1 Reduction of anxiety symptoms 3 138 Mean Difference (IV, Random, 95% CI) ‐0.66 [‐3.66, 2.35]
2.8 Anxiety ‐ Other scales 1   Std. Mean Difference (IV, Random, 95% CI) Subtotals only
2.8.1 Reduction of anxiety symptoms 1 28 Std. Mean Difference (IV, Random, 95% CI) 0.55 [‐0.21, 1.31]
2.9 Sheehan Disability Scale 2   Mean Difference (IV, Random, 95% CI) Subtotals only
2.9.1 Reduction of functional disability 2 270 Mean Difference (IV, Random, 95% CI) 0.41 [‐1.48, 2.30]
2.10 Dropout rate due to any cause 7   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
2.10.1 Dropout rate 7 447 Risk Ratio (M‐H, Random, 95% CI) 0.80 [0.61, 1.06]