Cochrane · systematic review · CD011004

Psychological therapies for panic disorder with or without agoraphobia in adults: a network meta‐analysis

Pompoli, A, Furukawa, TA, Imai, H, et al. · Cochrane Database of Systematic Reviews · 2016 · 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
20
current version
GRADE rated
19
No studies
1
Included studies
NR
No studies 1 · 5%Ungraded 0 · 0%Very low 9 · 45%Low 10 · 50%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

Cognitive behaviour therapy compared to no treatment for panic disorder with or without agoraphobia in adults

Population: adult patients with panic disorder with or without agoraphobia
5 questions
OutcomeEffectEvidenceStatus / GRADE
Short‐term remission (
Cognitive behaviour therapy vs no treatment
OR 2.78 [0.54, 14.29]2 studies · 357 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Short‐term response (
Cognitive behaviour therapy vs no treatment
OR 7.14 [1.25, 50]2 studies · 357 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Short‐term dropouts (
Cognitive behaviour therapy vs no treatment
OR 6.25 [0.26, 100]4 studies · 278 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Long‐term remission/response (
Cognitive behaviour therapy vs no treatment
no estimate extractedNRNo studies
Short‐term improvement as measured on a continuous scale (
Cognitive behaviour therapy vs no treatment
no estimate extracted1 study · 27 participantsLow
Downgraded: risk of bias, imprecision, indirectness

Cognitive behaviour therapy compared to supportive psychotherapy for panic disorder with or without agoraphobia in adults

Population: adult patients with panic disorder with or without agoraphobia
5 questions
OutcomeEffectEvidenceStatus / GRADE
Short‐term remission (
Cognitive behaviour therapy vs supportive psychotherapy
OR 0.67 [0.25, 1.82]3 studies · 176 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Short‐term response (
Cognitive behaviour therapy vs supportive psychotherapy
OR 1.12 [0.4, 3.26]3 studies · 176 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Short‐term dropouts (
Cognitive behaviour therapy vs supportive psychotherapy
OR 0.64 [0.28, 1.43]3 studies · 176 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Long‐term remission/response (
Cognitive behaviour therapy vs supportive psychotherapy
OR 2.09 [0.73, 5.98]1 study · 80 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Short‐term improvement as measured on a continuous scale (
Cognitive behaviour therapy vs supportive psychotherapy
no estimate extracted3 studies · 152 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness

Cognitive behaviour therapy compared to psychodynamic psychotherapy for panic disorder with or without agoraphobia in adults

Population: adult patients with panic disorder with or without agoraphobia
5 questions
OutcomeEffectEvidenceStatus / GRADE
Short‐term remission (
Cognitive behaviour therapy vs psychodynamic psychotherapy
OR 0.94 [0.27, 3.45]1 study · 54 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Short‐term response (
Cognitive behaviour therapy vs psychodynamic psychotherapy
OR 1.05 [0.28, 4]1 study · 54 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Short‐term dropouts (
Cognitive behaviour therapy vs psychodynamic psychotherapy
OR 1.92 [0.56, 6.67]1 study · 54 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Long‐term remission/response (
Cognitive behaviour therapy vs psychodynamic psychotherapy
OR 1.25 [0.37, 4.17]1 study · 54 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Short‐term improvement as measured on a continuous scale (
Cognitive behaviour therapy vs psychodynamic psychotherapy
no estimate extracted1 study · 54 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness

Network meta‐analysis rankings of psychological therapies for panic disorder with or without agoraphobia in adults

Population: adult patients with panic disorder with or without agoraphobia
5 questions
OutcomeEffectEvidenceStatus / GRADE
Short‐term remission (
no estimate extracted40 studies · 2491 participantsLow
Downgraded: risk of bias
Short‐term response (
no estimate extracted37 studies · 2240 participantsLow
Downgraded: risk of bias
Short‐term dropouts (
no estimate extracted47 studies · 2535 participantsLow
Downgraded: risk of bias
Long‐term remission/response (
no estimate extracted9 studies · 464 participantsLow
Downgraded: risk of bias
Short‐term improvement as measured on a continuous scale (
no estimate extracted57 studies · 2318 participantsLow
Downgraded: risk of bias