Cochrane · systematic review · CD011710
Internet‐based cognitive and behavioural therapies for post‐traumatic stress disorder (PTSD) in adults
Simon, N, Robertson, L, Lewis, C, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
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
21
current version
GRADE rated
13
No studies
8
Included studies
NR
No studies 8 · 38.1%Ungraded 0 · 0%Very low 12 · 57.1%Low 1 · 4.8%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
Current version onlyInternet‐based cognitive and behavioural therapy (I‐C/BT) compared to face‐to‐face non‐CBT for post‐traumatic stress disorder (PTSD) in adults
Population: adults aged ≥ 16 years with PTSD
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Severity of PTSD symptoms (measured using the IES‐R, CAPS‐5, PCL‐CPSS‐I, and PDS; higher score = worse outcome) Internet‐based cognitive and behavioural therapy (I‐C/BT) vs face‐to‐face non‐CBT | no estimate extracted | 1 study · 40 participants | Very low Downgraded: risk of bias, imprecision |
Dropouts Internet‐based cognitive and behavioural therapy (I‐C/BT) vs face‐to‐face non‐CBT | RR 2.49 [0.91, 6.77] | 1 study · 40 participants | Very low Downgraded: risk of bias, imprecision |
Diagnosis of PTSD after treatment Internet‐based cognitive and behavioural therapy (I‐C/BT) vs face‐to‐face non‐CBT | no estimate extracted | NR | No studies |
Severity of depressive symptoms ( Internet‐based cognitive and behavioural therapy (I‐C/BT) vs face‐to‐face non‐CBT | no estimate extracted | NR | No studies |
Severity of anxiety symptoms ( Internet‐based cognitive and behavioural therapy (I‐C/BT) vs face‐to‐face non‐CBT | no estimate extracted | NR | No studies |
Cost‐effectiveness Internet‐based cognitive and behavioural therapy (I‐C/BT) vs face‐to‐face non‐CBT | no estimate extracted | NR | No studies |
Adverse events Internet‐based cognitive and behavioural therapy (I‐C/BT) vs face‐to‐face non‐CBT | no estimate extracted | NR | No studies |
Internet‐based cognitive and behavioural therapy (I‐C/BT) compared to wait list for post‐traumatic stress disorder (PTSD) in adults
Population: adults aged ≥ 16 years with PTSD
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Severity of PTSD symptoms ( Internet‐based cognitive and behavioural therapy (I‐C/BT) vs wait list | no estimate extracted | 10 studies · 608 participants | Very low Downgraded: risk of bias, inconsistency |
Dropouts Internet‐based cognitive and behavioural therapy (I‐C/BT) vs wait list | RR 1.25 [0.97, 1.6] | 9 studies · 634 participants | Low Downgraded: risk of bias |
Diagnosis of PTSD after treatment Internet‐based cognitive and behavioural therapy (I‐C/BT) vs wait list | RR 0.53 [0.28, 1] | 1 study · 62 participants | Very low Downgraded: risk of bias, imprecision |
Severity of depressive symptoms ( Internet‐based cognitive and behavioural therapy (I‐C/BT) vs wait list | no estimate extracted | 7 studies · 473 participants | Very low Downgraded: risk of bias, inconsistency |
Severity of anxiety symptoms ( Internet‐based cognitive and behavioural therapy (I‐C/BT) vs wait list | no estimate extracted | 5 studies · 345 participants | Very low Downgraded: risk of bias, imprecision |
Cost‐effectiveness Internet‐based cognitive and behavioural therapy (I‐C/BT) vs wait list | no estimate extracted | NR | No studies |
Adverse events Internet‐based cognitive and behavioural therapy (I‐C/BT) vs wait list | no estimate extracted | NR | Very low Downgraded: risk of bias, imprecision |
Internet‐based cognitive and behavioural therapy (I‐C/BT) compared to I‐non‐C/BT for post‐traumatic stress disorder (PTSD) in adults
Population: adults aged ≥ 16 years with PTSD
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Severity of PTSD symptoms ( Internet‐based cognitive and behavioural therapy (I‐C/BT) vs I‐non‐C/BT | no estimate extracted | 2 studies · 82 participants | Very low Downgraded: risk of bias, imprecision |
Dropouts Internet‐based cognitive and behavioural therapy (I‐C/BT) vs I‐non‐C/BT | RR 2.14 [0.97, 4.73] | 2 studies · 132 participants | Very low Downgraded: risk of bias, imprecision |
Diagnosis of PTSD after treatment Internet‐based cognitive and behavioural therapy (I‐C/BT) vs I‐non‐C/BT | no estimate extracted | NR | No studies |
Severity of depressive symptoms ( Internet‐based cognitive and behavioural therapy (I‐C/BT) vs I‐non‐C/BT | no estimate extracted | 2 studies · 84 participants | Very low Downgraded: risk of bias, imprecision |
Severity of anxiety symptoms ( Internet‐based cognitive and behavioural therapy (I‐C/BT) vs I‐non‐C/BT | no estimate extracted | 2 studies · 74 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Cost‐effectiveness Internet‐based cognitive and behavioural therapy (I‐C/BT) vs I‐non‐C/BT | no estimate extracted | NR | No studies |
Adverse events Internet‐based cognitive and behavioural therapy (I‐C/BT) vs I‐non‐C/BT | no estimate extracted | NR | Very low Downgraded: risk of bias, imprecision |
Internet‐based cognitive and behavioural therapy (I‐C/BT) compared to wait list for post‐traumatic stress disorder (PTSD) in adults
Population: adults with PTSD
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Severity of PTSD symptoms ( Internet‐based cognitive and behavioural therapy (I‐C/BT) vs wait list | no estimate extracted | 8 studies · 560 participants | Very low Downgraded: risk of bias |
Dropouts Internet‐based cognitive and behavioural therapy (I‐C/BT) vs wait list | RR 1.39 [1.03, 1.88] | 8 studies · 585 participants | Low Downgraded: risk of bias |
Diagnosis of PTSD after treatment Internet‐based cognitive and behavioural therapy (I‐C/BT) vs wait list | RR 0.53 [0.28, 1] | 1 study · 62 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Severity of depressive symptoms ( Internet‐based cognitive and behavioural therapy (I‐C/BT) vs wait list | no estimate extracted | 5 studies · 425 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Severity of anxiety symptoms ( Internet‐based cognitive and behavioural therapy (I‐C/BT) vs wait list | no estimate extracted | 4 studies · 305 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Cost‐effectiveness Internet‐based cognitive and behavioural therapy (I‐C/BT) vs wait list | no estimate extracted | NR | No studies |
Adverse events Internet‐based cognitive and behavioural therapy (I‐C/BT) vs wait list | no estimate extracted | NR | No studies |
Internet‐based cognitive and behavioural therapy (I‐C/BT) compared to I‐non‐C/BT for post‐traumatic stress disorder (PTSD) in adults
Population: adults with PTSD
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Severity of PTSD symptoms ( Internet‐based cognitive and behavioural therapy (I‐C/BT) vs I‐non‐C/BT | no estimate extracted | 2 studies · 82 participants | Very low Downgraded: risk of bias, imprecision |
Dropouts Internet‐based cognitive and behavioural therapy (I‐C/BT) vs I‐non‐C/BT | RR 2.14 [0.97, 4.73] | 2 studies · 132 participants | Very low Downgraded: risk of bias, imprecision |
Diagnosis of PTSD after treatment Internet‐based cognitive and behavioural therapy (I‐C/BT) vs I‐non‐C/BT | no estimate extracted | NR | No studies |
Severity of depressive symptoms ( Internet‐based cognitive and behavioural therapy (I‐C/BT) vs I‐non‐C/BT | no estimate extracted | 2 studies · 84 participants | Very low Downgraded: risk of bias, imprecision |
Severity of anxiety symptoms ( Internet‐based cognitive and behavioural therapy (I‐C/BT) vs I‐non‐C/BT | no estimate extracted | 2 studies · 74 participants | Very low Downgraded: risk of bias, imprecision |
Cost‐effectiveness Internet‐based cognitive and behavioural therapy (I‐C/BT) vs I‐non‐C/BT | no estimate extracted | NR | No studies |
Adverse events Internet‐based cognitive and behavioural therapy (I‐C/BT) vs I‐non‐C/BT | no estimate extracted | NR | No studies |