Cochrane · systematic review · CD011257
Couple and family therapies for post‐traumatic stress disorder (PTSD)
Suomi, A, Evans, L, Rodgers, B, 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
27
current version
GRADE rated
15
No studies
2
Included studies
NR
No studies 2 · 7.4%Ungraded 10 · 37%Very low 10 · 37%Low 5 · 18.5%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
Stand‐alone couple or family therapy compared to no treatment for post‐traumatic stress disorder (PTSD)
Population: post‐traumatic stress disorder (PTSD)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Severity of PTSD symptoms Stand‐alone couple or family therapy vs no treatment | no estimate extracted | 1 study · 40 participants | Low Downgraded: imprecision |
Dyadic adjustment Stand‐alone couple or family therapy vs no treatment | no estimate extracted | 2 studies · 100 participants | Very low Downgraded: imprecision, inconsistency |
Family functioning Stand‐alone couple or family therapy vs no treatment | no estimate extracted | 0 studies · 0 participants | Ungraded |
Family member severity of depression Stand‐alone couple or family therapy vs no treatment | no estimate extracted | 1 study · 40 participants | Very low Downgraded: imprecision |
Family member severity of anxiety Stand‐alone couple or family therapy vs no treatment | no estimate extracted | 1 study · 40 participants | Very low Downgraded: imprecision |
Primary PTSD patient severity of depression Stand‐alone couple or family therapy vs no treatment | no estimate extracted | 1 study · 40 participants | Very low Downgraded: imprecision |
Primary PTSD patient severity of anxiety Stand‐alone couple or family therapy vs no treatment | no estimate extracted | 1 study · 40 participants | Very low Downgraded: imprecision |
Treatment dropout (treatment acceptability) Stand‐alone couple or family therapy vs no treatment | OR 0.41 [0.09, 1.95] | 1 study · 40 participants | Low Downgraded: imprecision |
Instances of severe aggression Stand‐alone couple or family therapy vs no treatment | no estimate extracted | NR | No studies |
Stand‐alone couple or family therapy compared to other structured or non‐specific intervention for post‐traumatic stress disorder (PTSD)
Population: post‐traumatic stress disorder (PTSD)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Severity of PTSD symptoms Stand‐alone couple or family therapy vs other structured or non‐specific intervention | no estimate extracted | 1 study · 57 participants | Low Downgraded: imprecision |
Dyadic adjustment Stand‐alone couple or family therapy vs other structured or non‐specific intervention | no estimate extracted | 1 study · 57 participants | Very low Downgraded: imprecision |
Family functioning Stand‐alone couple or family therapy vs other structured or non‐specific intervention | no estimate extracted | 0 participants | Ungraded |
Family member severity of depression Stand‐alone couple or family therapy vs other structured or non‐specific intervention | no estimate extracted | 1 study · 57 participants | Very low Downgraded: imprecision |
Family member severity of anxiety Stand‐alone couple or family therapy vs other structured or non‐specific intervention | no estimate extracted | 1 study · 57 participants | Very low Downgraded: imprecision |
Severity of depression Stand‐alone couple or family therapy vs other structured or non‐specific intervention | no estimate extracted | 1 study · 57 participants | Very low Downgraded: imprecision |
Severity of anxiety Stand‐alone couple or family therapy vs other structured or non‐specific intervention | no estimate extracted | 1 study · 57 participants | Very low Downgraded: imprecision |
Treatment dropout (treatment acceptability) Stand‐alone couple or family therapy vs other structured or non‐specific intervention | OR 0.95 [0.29, 3.19] | 1 study · 57 participants | Low Downgraded: imprecision |
Instances of severe aggression Stand‐alone couple or family therapy vs other structured or non‐specific intervention | no estimate extracted | NR | No studies |
Adjunctive couple or family therapy compared to structured or non‐specific individual therapy alone for post‐traumatic stress disorder (PTSD)
Population: post‐traumatic stress disorder (PTSD)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Severity of PTSD symptoms Adjunctive couple or family therapy vs structured or non‐specific individual therapy alone | no estimate extracted | 0 studies · 0 participants | Ungraded |
Dyadic adjustment Adjunctive couple or family therapy vs structured or non‐specific individual therapy alone | no estimate extracted | 0 studies · 0 participants | Ungraded |
Family member severity of depression Adjunctive couple or family therapy vs structured or non‐specific individual therapy alone | no estimate extracted | 0 studies · 0 participants | Ungraded |
Family member severity of anxiety Adjunctive couple or family therapy vs structured or non‐specific individual therapy alone | no estimate extracted | 0 studies · 0 participants | Ungraded |
Severity of depression Adjunctive couple or family therapy vs structured or non‐specific individual therapy alone | no estimate extracted | 0 studies · 0 participants | Ungraded |
Severity of anxiety Adjunctive couple or family therapy vs structured or non‐specific individual therapy alone | no estimate extracted | 0 studies · 0 participants | Ungraded |
Family functioning Adjunctive couple or family therapy vs structured or non‐specific individual therapy alone | no estimate extracted | 0 studies · 0 participants | Ungraded |
Treatment dropout (treatment acceptability) Adjunctive couple or family therapy vs structured or non‐specific individual therapy alone | OR 14.13 [0.71, 279.83] | 1 study · 29 participants | Low Downgraded: imprecision |
Instances of severe aggression or violence Adjunctive couple or family therapy vs structured or non‐specific individual therapy alone | no estimate extracted | 0 studies · 0 participants | Ungraded |