Table I-18Exposure-based therapy compared with exposure therapy + cognitive restructuring

Domains Pertaining to Strength of EvidenceMagnitude of EffectStrength of Evidence
Number of Studies;
Number of Subjects
Risk of Bias; DesignConsistencyDirectnessPrecisionSummary Effect Size (95% CI)High, Moderate, Low, Insufficient
PTSD Symptom Reduction: CAPS or PSS-I
4; 299Medium; RCTsInconsistentDirectImpreciseTwo studies favored exposure + CR, one study favored CR; p=ns for 4 of 4 trialsInsufficient
Loss of Diagnosis
3; 146Medium; RCTsImpreciseDirectImpreciseP=ns for 3 of 3 studies, one favored PE and two favored PE+CRInsufficient
Prevention/reduction of comorbid depression: BDI
4; 299Medium; RCTsConsistentDirectImpreciseP=ns in 4 of 4 studiesLow for no benefit

CI = confidence interval; NA = not applicable; RCT = randomized controlled trial

From: Appendix I, Strength of Evidence

Cover of Psychological and Pharmacological Treatments for Adults With Posttraumatic Stress Disorder: A Systematic Review Update
Psychological and Pharmacological Treatments for Adults With Posttraumatic Stress Disorder: A Systematic Review Update [Internet].
Comparative Effectiveness Review, No. 207.
Forman-Hoffman V, Middleton JC, Feltner C, et al.

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