Table I-48Head-to-head trials of psychological and pharmacological treatments: Fluoxetine compared with EMDR

Domains Pertaining to Strength of EvidenceMagnitude of EffectStrength of Evidence
Number of Studies;
Number of Subjects
Risk of Bias; DesignConsistencyDirectnessPrecisionMean, %, or Effect Size (ES)High, Moderate, Low, Insufficient
PTSD Symptom Reduction: CAPS and PSSInsufficient
Fluoxetine vs. EMDR
1; 59
Medium; RCTUnknown (single study)DirectImpreciseWMD −10.1 favoring fluoxetine, p=nsInsufficient
Symptom Remission:
Fluoxetine vs. EMDR
1; 59
Medium; RCTUnknown (single study)DirectImpreciseRD 0.15, p=nsInsufficient
Loss of Diagnosis
Fluoxetine vs. EMDR
1; 59 (post)
1; 50 (f/up)
Medium; RCTUnknown (single study)DirectImpreciseRD 0.03 favoring EMDR, p=nsInsufficient
Prevention/reduction of comorbid depression
Fluoxetine vs. EMDR
1; 59 (post)
1; 50 (f/up)
Medium; RCTUnknown (single study)DirectImpreciseWMD −1.9, p=ns favoring EMDRInsufficient

BDI = Beck Depression Inventory; CAPS = Clinician-Administered PTSD Scale – total; f/up, 6 month followup; NR = not reported; NS = non-significant; post = post-treatment; wk = week.

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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