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Trauma-focused CBT & hypnosis vs supportive psychotherapy

DescriptionStatementStatements and Statistics
Severity of PTSD symptoms mean endpoint scoress2xThere is limited evidence favouring trauma-focused CBT & hypnosis over supportive psychotherapy on reducing the severity of PTSD symptoms (IES - self-report) (k = 1; n = 45; SMD = −1.07; 95% CI, −1.7 to −0.44). I
Severity of PTSD symptoms mean scores at follow-up (6 months)s2xThere is limited evidence favouring trauma-focused CBT & hypnosis over supportive psychotherapy on reducing the severity of PTSD symptoms (IES - self-report) at follow-up (6 months) (k = 1; n = 45; SMD = −0.73; 95% CI, −1.33 to − 0.12). I
Severity of PTSD symptoms mean endpoint scoress2xThere is limited evidence favouring trauma-focused CBT & hypnosis over supportive psychotherapy on reducing the severity of PTSD symptoms (CAPS2 - clinician) (k = 1; n = 45; SMD = −0.92; 95% CI, −1.54 to −0.3). I
Severity of PTSD symptoms mean scores at follow-up (6 months)s2xThere is limited evidence favouring trauma-focused CBT & hypnosis over supportive psychotherapy on reducing the severity of PTSD symptoms (CAPS2 - clinician) at follow-up (6 months) (k = 1; n = 45; SMD = −0.59; 95% CI, −1.19 to 0). I
Depression symptoms mean endpoint scoress4The evidence is inconclusive and so it is not possible to determine if there is a clinically important difference between trauma-focused CBT & hypnosis and supportive psychotherapy on reducing depression symptoms (BDI2 – self-report) (k = 1; n = 45; SMD = −0.45; 95% CI, −1.04 to 0.15). I
Depression symptoms mean scores at follow-up (6 months)s4The evidence is inconclusive and so it is not possible to determine if there is a clinically important difference between trauma-focused CBT & hypnosis and supportive psychotherapy on reducing depression symptoms (BDI – self-report) at follow-up (6 months) (k = 1; n = 45; SMD = −0.27; 95% CI, −0.85 to 0.32). I
Anxiety symptoms mean endpoint scoress2xThere is limited evidence favouring trauma-focused CBT & hypnosis over supportive psychotherapy on reducing anxiety symptoms (BAI – self-report) (k = 1; n = 45; SMD = −0.62; 95% CI, −1.22 to −0.02). I
Anxiety symptoms mean scores at follow-up (6 months)s2xThere is limited evidence favouring trauma-focused CBT & hypnosis over supportive psychotherapy on reducing anxiety symptoms (BAI – self-report) at follow-up (6 months) (k = 1; n = 45; SMD = −0.62; 95% CI, −1.22 to −0.02). I
Likelihood of leaving treatment earlys2yThere is limited evidence favouring supportive psychotherapy over trauma- focused CBT & hypnosis on reducing the likelihood of leaving treatment early (k = 1; n = 54; RR = 2.8; 95% CI, 0.64 to 12.26). I
Likelihood of leaving treatment early at follow-up (6 months)s2yThere is limited evidence favouring supportive psychotherapy over trauma- focused CBT & hypnosis on reducing the likelihood of leaving treatment early at follow-up (6 months) (k = 1; n = 54; RR = 2.8; 95% CI, 0.64 to 12.26). I
Likelihood of having a PTSD diagnosiss1xThere is evidence favouring trauma-focused CBT & hypnosis over supportive psychotherapy on reducing the likelihood of having a PTSD diagnosis (k = 1; n = 54; RR = 0.6; 95% CI, 0.3 to 1.18). I
Likelihood of having a PTSD diagnosis at follow-up (6 months)s1xThere is evidence favouring trauma-focused CBT & hypnosis over supportive psychotherapy on reducing the likelihood of having a PTSD diagnosis at follow- up (6 months) (k = 1; n = 54; RR = 0.69; 95% CI, 0.39 to 1.19). I

From: Appendix 16, Evidence statements

Cover of Post-Traumatic Stress Disorder
Post-Traumatic Stress Disorder: The Management of PTSD in Adults and Children in Primary and Secondary Care.
NICE Clinical Guidelines, No. 26.
National Collaborating Centre for Mental Health (UK).
Leicester (UK): Gaskell; 2005.
Copyright © 2005, The Royal College of Psychiatrists & The British Psychological Society.

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