Table G16Debriefing compared with an active control condition (debriefing)

Outcome: Number of Studies; Number of Subjects; DesignRisk of BiasConsistencyDirectnessPrecisionMagnitude of Effect: Summary Effect Size (95% CI)Strength of Evidence
Incidence of PTSD at 2 weeks: 1; 155LowUnknown, single studyDirectImpreciseaData=NR, p=NRbInsufficient
Incidence of PTSD at 6 weeks: 1; 155LowUnknown, single studyDirectImpreciseaData=NR, p=NRbInsufficient
Incidence of PTSD at 6 months: 1; 155LowUnknown, single studyDirectImpreciseaData=NR, p=NRbInsufficient
PTSD symptom severity at 2 weeksc: 1; 155LowUnknown, single studyDirectImpreciseaEmotional debriefing vs. Educational debriefing, SI-PTSD, 18.1 vs. 16.2, p=NRcInsufficient
PTSD symptom severity at 6 weeksc: 1; 155LowUnknown, single studyDirectImpreciseaEmotional debriefing vs. Educational debriefing, SI-PTSD, 14.4 vs. 11.9, p=NRcInsufficient
PTSD symptom severity at 6 months: 1; 155LowUnknown, single studyDirectImpreciseaEmotional debriefing vs. Educational debriefing, SI-PTSD, 10.2 vs. 9.3, p=NRcInsufficient
Depression symptom severity at 2 weeks: 1; 155LowUnknown, single studyDirectImpreciseaEmotional debriefing vs. Educational debriefing, HADS-D, 5.7 vs. 4.7, p=NRcInsufficient
Depression symptom severity at 6 weeks: 1; 155LowUnknown, single studyDirectImpreciseaEmotional debriefing vs. Educational debriefing, HADS-D, 4.3 vs. 3.3, p=NRcInsufficient
Depression symptom severity at 6 months: 1; 155LowUnknown, single studyDirectImpreciseaEmotional debriefing vs. Educational debriefing, HADS-D, 3.8 vs. 3.2, p=NRcInsufficient
Anxiety symptom severity at 2 weeks: 1; 155LowUnknown, single studyDirectImpreciseaEmotional debriefing vs. Educational debriefing, HADS-A, 7.6 vs. 6.6, p=NRcInsufficient
Anxiety symptom severity at 2 weeks: 1; 155LowUnknown, single studyDirectImpreciseaEmotional debriefing vs. Educational debriefing, HADS-A, 5.6 vs. 5.1, p=NRcInsufficient
Anxiety symptom severity at 2 weeks: 1; 155LowUnknown, single studyDirectImpreciseaEmotional debriefing vs. Educational debriefing, HADS-A, 5.0 vs. 4.4, p=NRcInsufficient
Incidence/severity of comorbid conditions: 0; 0NANANANANAInsufficient
Quality of Life: 0; 0NANANANANAInsufficient
Return to work/return to active duty or ability to work: 0; 0NANANANANAInsufficient
Incidence of self-injurious or suicidal thoughts, attempts, or behaviors (including suicide): 0; 0NANANANANAInsufficient
Incidence of aggressive or homicidal thoughts, attempts, or behaviors (including homicide): 0; 0NANANANANAInsufficient
Perceived utility: 0; 0NANANANANAInsufficient
a

Small sample size (< 300 observations)

b

Data are reported for the entire sample (week 2 = 5.4%, week 6 = 4.9%; 6 month = 4.8%) rather than by treatment group; the text indicates ‘no significant differences’ between groups

c

Mixed-model analysis performed on entire sample including a control treatment group indicated no group differences; however, no pairwise post-hoc comparisons were reported

Abbreviations: CI = confidence interval; HADS-A = Hospital Anxiety and Depression Scale–Anxiety subscale; HADS-D = Hospital Anxiety and Depression Scale–Depression subscale; NA = not applicable; NR = not reported; PTSD = posttraumatic stress disorder; RCT = randomized controlled trial; SI-PTSD = Structured Interview for PTSD

From: Appendix G, Psychological, Pharmacological, and Emerging Interventions: Strength-of-Evidence Grades

Cover of Interventions for the Prevention of Posttraumatic Stress Disorder (PTSD) in Adults After Exposure to Psychological Trauma
Interventions for the Prevention of Posttraumatic Stress Disorder (PTSD) in Adults After Exposure to Psychological Trauma [Internet].
Comparative Effectiveness Reviews, No. 109.
Gartlehner G, Forneris CA, Brownley KA, et al.

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