Cochrane · systematic review · CD006869
Multiple session early psychological interventions for the prevention of post‐traumatic stress disorder
Roberts, NP, Kitchiner, NJ, Kenardy, J, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
Common Mental DisordersAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
12
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 16.7%Low 10 · 83.3%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Any early psychological intervention compared to waiting list/usual care for the prevention of post‐traumatic stress disorder
Population: various
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
PTSD diagnosis: post‐treatment Any early psychological intervention vs waiting list/usual care | RR 1.06 [0.85, 1.32] | 5 studies · 556 participants | Very low Downgraded: risk of bias, imprecision |
PTSD diagnosis: 3–6 months Any early psychological intervention vs waiting list/usual care | RR 0.62 [0.41, 0.93] | 5 studies · 758 participants | Low Downgraded: risk of bias, imprecision |
PTSD diagnosis: 7–12 months Any early psychological intervention vs waiting list/usual care | RR 0.94 [0.2, 4.49] | 1 study · 132 participants | Very low Downgraded: risk of bias |
Dropouts from treatment Any early psychological intervention vs waiting list/usual care | RR 1.34 [0.91, 1.95] | 11 studies · 1154 participants | Low Downgraded: risk of bias, imprecision |
Severity of PTSD symptoms: 3–6 months Any early psychological intervention vs waiting list/usual care | no estimate extracted | 15 studies · 1921 participants | Low Downgraded: risk of bias, imprecision |
Severity of depressive symptoms: 3–6 months Any early psychological intervention vs waiting list/usual care | no estimate extracted | 7 studies · 1009 participants | Low Downgraded: risk of bias, imprecision |
Severity of anxiety symptoms: 3–6 months Any early psychological intervention vs waiting list/usual care | no estimate extracted | 6 studies · 945 participants | Low Downgraded: risk of bias, imprecision |
Any early psychological intervention compared to active control condition for the prevention of post‐traumatic stress disorder
Population: various
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Dropouts from treatment Any early psychological intervention vs active control condition | RR 1.61 [1.11, 2.34] | 2 studies · 425 participants | Low Downgraded: risk of bias, imprecision |
Severity of PTSD symptoms: 3–6 months Any early psychological intervention vs active control condition | no estimate extracted | 4 studies · 465 participants | Low Downgraded: risk of bias, imprecision |
Severity of depressive symptoms: 3–6 months Any early psychological intervention vs active control condition | no estimate extracted | 2 studies · 409 participants | Low Downgraded: risk of bias, imprecision |
Severity of anxiety symptoms: 3–6 months Any early psychological intervention vs active control condition | no estimate extracted | 2 studies · 414 participants | Low Downgraded: risk of bias, imprecision |
General functioning: 3–6 months Any early psychological intervention vs active control condition | no estimate extracted | 1 study · 239 participants | Low Downgraded: risk of bias, imprecision |