Table I-23Seeking safety compared with inactive comparators

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 frequency and intensity, reduction from baseline to post-treatment
3; 232Medium; RCTConsistentDirectImpreciseSMD of individual trials ranged from -0.22 to 0.04
Two of three trials favored treatment (no study p<0.05)
Low for no difference
Prevention/reduction of comorbid substance use
2; 163Medium; RCTInconsistentDirectImpreciseMixed findings, p<0.05 for drug use but not alcohol use in 1 of 2 trialsInsufficient

CAPS = Clinician-Administered Post Traumatic Stress Disorder Scale; BDI = Beck Depression Inventory; CI = confidence interval; IES = Impact of Events Scale; NA = not applicable; PTSD = post-traumatic stress disorder; 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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