Table 11Characteristics of included CBT-exposure trials

StudyArm (N)Duration (Followup)Population Trauma TypeBaseline PTSD SeverityaMean Age (Y)% F% Non-whiteRisk of Bias
Asukai et al., 201010PE (12)
UC (12)
8 to 15 weekly sessions (3 and 12 months)Male and female
Mixed
84.3 to 84.62988100Medium
Basoglu et al., 200711In vivo (16)
WL (15)
1 sessionb (4, 8, 12, 24 weeks and 12 months)Male and female
Natural disaster
62.3 to 63.13487NRMedium
Bryant et al., 200341IE (20)
IE+CR (20)
SC (18)
8 weeksMale and female
Mixed
CAPS-I intensity 32.5 to 32.93552NRMedium
Bryant et al., 200842PE (31)
PE+CR (28)
IE (31)
In vivo (28)
8 weeksMale and female
Mixed
71.4 to 76.837NR8Medium
Coffey et al., 2016140mPE+MET-PTSD (40)
mPE (45)
HLS (41)
9 to 12 sessions (post, 3 months, 6 months)Mixed, combat related trauma excluded76 to 82344621Medium
Foa et al., 199914
Zoellner et al., 1999134
PE (25)
SIT (26)
PE+SIT (30)
WL (15)
9 weeks (3, 6, and 9 months)Female
Assault
PSS-I
29.4 to 32.9
3510036Medium
Foa et al., 200512Total 190
PE (NR)
PE+CR (NR)
WL (NR)
12 weeks; 9 to 12 weekly sessions (3, 6, and 12 months)Female
Assault
PSS-I
31.1 to 34.0
3110051Medium
Fonzo et al., 2017137
Fonzo et al., 201721
PE (36)
WL (30)
9 to 12 weekly or biweekly sessionsMale and female
Mixed
66 to 713665NRMedium
Gamito et al., 2010141VRE (5)
IE (2)
WL (3)
12 sessionsbMale
Combat
NR640NRMedium
Langkaas et al., 2017142PE (31)
IRT (34)
10 weeks (post, 12 months)Male and female
Mixed
PSS-I
33.2 to 34.9
4558NRMedium
Markowitz et al., 2015132
Markowitz et al., 2016135
PE (38)
IPT (40)
Relax (32)
14 weeksChronic PTSD68.9 to 72.1407735Medium
Marks et al., 1998122
Lovell et al., 2001123
PE (23)
CR (19)
PE+CR (24)
Relax (21)
10 sessions,b mean of 16 weeks (1, 3, and 6 months)Male and female
Mixed
CAPS Severity
2.6 to 3.2
3836NRMedium
Mills et al., 201220COPE+TAU (55)
TAU (48)
13 sessions (post)Mixed89 to 913462NRMedium
Nacasch et al., 201115PE (15)
TAU (15)
9 to 15 weeks (12 months)Male and female
Combat
PSS-I
36.8 to 37.1
34NR100Medium
Reger et al., 201618VRE (54)
PE (54)
WL (54)
10 sessions (post, 3 months, 6 months)Activity duty military78 to 8030440Medium
Resick et al., 20023
Resick, et al., 2003125
Resick, et al., 2012126
PE (62)
CPT (62)
WL (47)
6 weeks (3 and 9 months, 5 to 10 years)Female
Sexual assault
69.9 to 76.63210029Medium
Rothbaum et al., 200513PE (24)
EMDR (26)
WL (24)
4.5 weeks (6 months)Female
Sexual assault
Data reported in graphs only3410032Medium
Ruglass et al., 2017 143COPE (39)
Relapse Prevention (43)
AMCG (28)
12 weeks (post, 1, 2, and 3 months)Male and female
Mixed
65% with clinical PTSD
46.39 to 57.70443682Medium
Schnurr et al., 2003139Group exposure (180)
PCT (180)
30 weeks, 5 subsequent monthly boosters (12 months total)Male
Combat
80.4 to 82.151034Low
Schnurr et al., 2007138PE (141)
PCT (143)
10 weeks (3 and 6 months)Female
Mixed
77.6 to 77.94510046Medium
Sloan et al., 201217WET (22)
WL (24)
10 sessions for WET group/5 weeks for WL group (post, 18 weeks)MVANR416563Low
Tarrier et al., 1999129, 130IE (35)
CT (37)
16 sessions (16 weeks) (6 and 12 months)Male and female
Mixed
71.1 to 77.83942NRMedium
Taylor et al., 2003133PE (22)
EMDR (19)
Relax (19)
6 monthsMale and female
Mixed
NR377523Medium
van den Berg et al., 201516PE (53)
EMDR (55)
WL (47)
8 weeks (post, 6 months)Psychotic disorders and PTSD
Mixed
704154NRLow
Wells et al., 201419MCT (11)
PE (11)
WL (10)
8 sessions (post)MixedPDS
33 to 38
4138NRMedium
a

Data reported are mean CAPS or range of mean CAPS scores across groups unless another instrument is specified.

b

Number of treatment sessions is reported when duration of treatment was not specified

AMCG = active monitoring control group; CAPS = Clinician-Administered PTSD Scale; CAPS-I = Clinician-Administered PTSD Scale Interview; CBT = cognitive behavioral therapy; COPE = Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure; CPT = cognitive processing therapy; CR = cognitive restructuring; EMDR = eye movement desensitization and reprocessing; F = female; G = group; HLS = health information control condition; IE = imaginal exposure; in vivo = in vivo exposure; MCT = metacognitive therapy; IRT = imagery rehearsal therapy; MET-PTSD = trauma-focused motivational enhancement therapy; mPE = modified prolonged exposure; MVA = motor vehicle accident; N = number; NR = not reported; PCT = present-centered therapy; PDS = Posttraumatic Diagnostic Scale; PE = prolonged exposure; PSS-I = PTSD Symptom Scale—Interview; PTSD = posttraumatic stress disorder; relax = relaxation; SC = supportive counseling; SIT = stress inoculation training; TAU = treatment as usual; UC = usual care; VRE = virtual reality exposure; WET = written exposure therapy; WL = wait-list; 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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