Cochrane · systematic review · CD011849

Psychological therapies for the treatment of mental disorders in low‐ and middle‐income countries affected by humanitarian crises

Purgato, M, Gastaldon, C, Papola, D, et al. · Cochrane Database of Systematic Reviews · 2018 · 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
10
current version
GRADE rated
6
No studies
4
Included studies
NR
No studies 4 · 40%Ungraded 0 · 0%Very low 1 · 10%Low 4 · 40%Moderate 1 · 10%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

Psychological therapy compared with control for treatment of adults with mental disorders in low‐ and middle‐income countries affected by humanitarian crises

Population: adults exposed to traumatic events
5 questions
OutcomeEffectEvidenceStatus / GRADE
Post‐traumatic stress disorder at endpoint (
Psychological therapy vs control
no estimate extracted16 studies · 1272 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Depression at endpoint (
Psychological therapy vs control
no estimate extracted14 studies · 1254 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Anxiety at endpoint (
Psychological therapy vs control
no estimate extracted5 studies · 694 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Dropouts for any reason
Psychological therapy vs control
RR 0.98 [0.82, 1.16]23 studies · 2950 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Somatic symptoms and related disorders
Psychological therapy vs control
no estimate extractedNRNo studies

Psychological therapy compared with control for treatment of children with mental disorders in low‐ and middle‐income countries affected by humanitarian crises

Population: children exposed to traumatic events
5 questions
OutcomeEffectEvidenceStatus / GRADE
Post‐traumatic stress disorder at endpoint (
Psychological therapy vs control
no estimate extracted3 studies · 130 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Depression at endpoint
Psychological therapy vs control
no estimate extractedNRNo studies
Anxiety at endpoint
Psychological therapy vs control
no estimate extractedNRNo studies
Dropouts for any reason
Psychological therapy vs control
RR 1.87 [0.47, 7.47]3 studies · 138 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Somatic symptoms and related disorders
Psychological therapy vs control
no estimate extractedNRNo studies