Table 4.1GRADE findings for comparison of one psychological counselling session with no psychological counselling session

Number of studiesNumber of womenEffectQuality
One psychological counselling session

Mean (SD)
No psychological counselling

Mean (SD)
Absolute

(95% CI)
Anxiety at 3 weeks (measured with: Hospital Anxiety and Depression Scale)
1 study

(Séjourné et al., 2010)
Mean 7.21

(SD 3.02)

n = 50
Mean 9.06

(SD 3.95)

n = 52
MD 1.85 lower

(3.21 lower to 0.49 lower)
Moderate
Anxiety at 7 weeks (measured with: Hospital Anxiety and Depression Scale)
1 study

(Nikcevic et al, 2007)
Mean 7.2

(SD 5.2)

n = 33
Mean 6.7

(SD 4.1)

n = 33
MD 0.5 higher

(1.76 lower to 2.76 higher)
High
Anxiety at 10 weeks (measured with: Hospital Anxiety and Depression Scale)
1 study

(Séjourné et al., 2010)
Mean 6.22

(SD 3.52)

n = 45
Mean 7.16

(SD 4.25)

n = 37
MD 0.94 lower

(2.65 lower to 0.77 higher)
Moderate
Anxiety at 4 months (measured with: Hospital Anxiety and Depression Scale)
2 studies

(Lee et al., 1996, Nikcevic et al., 2007)
Mean 7.4

(SD 5.9)

n = 21

Mean 5.6

(SD 4.5)

n = 33
Mean 8.1

(SD 6.2)

n = 18

Mean 7

(SD 4.4)

n = 33
MD 1.23 lower

(3.1 lower to 0.64 higher)
High
Anxiety at 6 months (measured with: Hospital Anxiety and Depression Scale)
1 study

(Séjourné et al., 2010)
Mean 5.33

(SD 3.42)

n = 33
Mean 6.5

(SD 3.49)

n = 34
MD 1.17 lower

(2.82 lower to 0.48 higher)
Moderate
Depression at 3 weeks (measured with: Hospital Anxiety and Depression Scale)
1 study

(Séjourné et al., 2010)
Mean 3.93

(SD 3.38)

n = 50
Mean 5.08

(SD 3.6)

n = 52
MD 1.15 lower

(2.5 lower to 0.2 higher)
Moderate
Depression at 7 weeks (measured with: Hospital Anxiety and Depression Scale)
1 study

(Nikcevic et al, 2007)
Mean 4.1

(SD 4.2)

n = 33
Mean 3.34

(SD 2.9)

n = 33
MD 0.7 higher

(1.04 lower to 2.44 higher)
High
Depression at 10 weeks (measured with: Hospital Anxiety and Depression Scale)
1 study

(Séjourné et al., 2010)
Mean 3.0

(SD 2.46)

n = 45
Mean 3.48

(SD 3.2)

n = 37
MD 0.48 lower

(1.74 lower to 0.78 higher)
Moderate
Depression at 4 months (measured with: Hospital Anxiety and Depression Scale)
2 studies

(Lee et al., 1996, Nikcevic et al., 2007)
Mean 3.2

(SD 4.2)

n = 21

Mean 2.8

(SD 4.1)

n = 33
Mean 4.8

(SD 7)

n = 18

Mean 3.7

(SD 3.7)

n = 33
MD 1.04 lower

(2.72 lower to 0.63 higher)
High
Depression at 6 months (measured with: Hospital Anxiety and Depression Scale)
1study

(Séjourné et al., 2010)
Mean 2.24

(SD 2.79)

n = 33
Mean 2.44

(SD 2.5)

n = 34
MD 0.2 lower

(1.47 lower to 1.07 higher)
Moderate

CI confidence interval, MD mean difference, SD standard deviation

Hospital Anxiety and Depression Scale: better = lower values [score of 11 was threshold for ‘caseness’ in Nikcevic et al., 2007 and Lee et al., 1996]

From: 4, Emotional support and information giving

Cover of Ectopic Pregnancy and Miscarriage
Ectopic Pregnancy and Miscarriage: Diagnosis and Initial Management in Early Pregnancy of Ectopic Pregnancy and Miscarriage.
NICE Clinical Guidelines, No. 154.
National Collaborating Centre for Women's and Children's Health (UK).
London: RCOG; 2012 Dec.
Copyright © 2012, National Collaborating Centre for Women's and Children's Health.

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