Table 21Characteristics of included placebo-controlled trials of selective serotonin reuptake inhibitors, by drug

StudyArm Dose mg/Day (N)Duration (Weeks)Population Trauma TypeBaseline PTSD SeverityaMean Age (Y)% Female% Non-whiteRisk of Bias
Brady et al., 200066Sertraline
25 to 200 mg (94)
Placebo (93)
12Male and female
Mixed
75.1 to 76.6407316Medium
Brady et al., 200567Sertraline 150 mg (49)
Placebo (45)
12Male and female
Mixed, alcohol dependence
57.6 to 60.13746NRMedium
Connor et al., 1999170
Meltzer-Brody et al., 2000171
Fluoxetine 10 to 60 mg (27)
Placebo (27)
12Male and female
Mixed
DTS
73.7 to 79.4
37917Medium
Davidson et al., 200669Total 538b Venlafaxine 37.5 to 375 mg (179)
Sertraline 25 to 200mg (173)
Placebo (179)
12Male and female
Mixed
~82NRNRNRMedium
Davidson et al.,200168Sertraline 25 to 200 mg (100)
Placebo (108)
12Male and female
Mixed
73.5 to 73.9377817Medium
Friedman et al., 2007 70Sertraline 25 to 200 mg (86)
Placebo (83)
12Male and female
Mixed (71% combat)
72.1 to 73.8462071Medium
Li et al., 2017172Sertraline 135 mg (36)
Placebo (36)
12Male and female
Mixed
IES-R
63.9 to 64.8
4612100Low
Marshall et al., 200164Paroxetine 20 mg (188)
Paroxetine 40 mg (187)
Placebo (188)
12Male and female
Mixed
74.3 to 75.342NR (~2:1 F:M)<10%Medium
Martenyi et al., 200261; Martenyi et al., 2006173Fluoxetine 20 to 80 mg (226)
Placebo (75)
12Male and female
Combat and victim/witness of war
80.5 to 81.338199Medium
Martenyi et al., 200762Fluoxetine 20 mg (163)
Fluoxetine 40 mg (160)
Placebo (88)
12Male and female
Mixed
75 to 79417223Medium
Panahi et al., 201171Sertraline 50 to 200 mg (35)
Placebo (35)
10Male
Combat
IES-R
65.1 to 65.4
460100Low
Simon et al., 2008174Paroxetine 12.5 to 62.5 mg (11)
Placebo (14)
10Male and female
Mixed (60% exposure to war; combat % NR), refractory to exposure
SPRINT 16.1 to 17465626Medium
Tucker et al., 200165Paroxetine 20 to 50 mg (163)
Placebo (160)
12Male and female
Mixed
73.2 to 74.3416628Medium
Tucker et al., 2003175
Tucker et al., 2004176
Citalopram 20 to 50 mg (25)
Sertraline 50 to 200 mg (23)
Placebo (10)
10Male and female
Mixed
83.9 to 94.2397414Medium
van der Kolk et al., 199463Fluoxetine 20 to 60 mg (33)
Placebo (31)
5Male and female
Mixed (48% combat)
NR4034NRMedium
van der Kolk et al., 200747Fluoxetine (30)
EMDR (29)
Placebo (29)
8cMale and female
Mixed
71.2368333Medium
Zohar et al., 200272Sertraline 50 to 200 mg (23)
Placebo (19)
10Male and female
Israeli military veterans
91.2 to 93.34012NRMedium
a

Data reported are mean CAPS or range of mean CAPS scores across groups unless otherwise specified.

b

The Ns for each are the number analyzed; the number randomized to each group was not reported (overall N was 538; 531 were included in the analysis).

c

Study was 8 weeks of treatment but also included a 6-month posttreatment followup.

CAPS = Clinician-Administered PTSD Scale; DTS = Davidson Trauma Scale; EMDR = eye movement desensitization and reprocessing; F = female; IES-R = Impact of Event Scale-Revised; mg = milligram; N = total number randomized/assigned to intervention and control groups; NR = not reported; PTSD = posttraumatic stress disorder; SPRINT = Short PTSD Rating Interview; y = year.

From: Results

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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