Table DSummary of review characteristics

CharacteristicsCriteriaSummary
Population Included in the ReviewKey Inclusion CriteriaAdults ≥18 years of age with PTSD based on any DSM criteria, RCT study designs (or SRs to search references), or non-RCTs with at least 500 subjects for the adverse event KQ (#4)
Key Exclusion CriteriaStudies with participants <18 years of age, studies without RCT study designs, or studies without at least 500 subjects for KQ4.
Key Topics & Interventions Covered by ReviewKey TopicsInterventions
1. Benefits of psychological treatments; variation in benefits by trauma or other patient characteristicsBrief eclectic psychotherapy, CBT including cognitive restructuring, cognitive processing therapy, exposure-based therapy, coping skills therapy (e.g., stress inoculation therapy, structured approach therapy, relaxation training), psychodynamic therapy, EMDR, interpersonal therapy (IPT), hypnosis or hypnotherapy, neurofeedback, mindfulness-based stress reduction, and energy psychology (including EFT) compared with each other or to an inactive treatment group.
2. Benefits of pharmacological treatments; variation in benefits by trauma or other patient characteristicsPharmacological interventions: SSRIs (citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, and sertraline), SNRIs (desvenlafaxine, venlafaxine, and duloxetine), tricyclic antidepressants (imipramine, amitriptyline, and desipramine), other second-generation antidepressants (bupropion, mirtazapine, nefazodone, and trazodone), alpha blockers (prazosin), atypical antipsychotics (olanzapine, risperidone, ziprasidone, aripiprazole, and quetiapine), benzodiazepines (alprazolam, diazepam, lorazepam, and clonazepam), anticonvulsants/mood stabilizers (topiramate, tiagabine, lamotrigine, carbamazepine, and divalproex) compared to each other or to an inactive treatment group (e.g., placebo).
3. Comparative benefits of psychological versus pharmacological treatments; variation in benefits by trauma or other patient characteristicsOne of the psychological treatments compared with one of the pharmacological treatments of interest.
4. Adverse events associated with treatmentsAny of the psychological or pharmacological treatments of interest.
Timing of the ReviewBeginning Search DateMay 2012 for treatments included in prior review. No beginning date for treatments newly added to current review.
End Search DateSeptember 29, 2017

From: Evidence Summary

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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