Treatment of Posttraumatic Stress Disorder: An Assessment of the Evidence

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Treatment of Posttraumatic Stress Disorder: An Assessment of the Evidence (2008)
Board on Population Health and Public Health Practice (BPH)

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. "4 Evidence and Conclusions: Psychotherapy." Treatment of Posttraumatic Stress Disorder: An Assessment of the Evidence. Washington, DC: The National Academies Press, 2008.

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Treatment of Posttraumatic Stress Disorder: An Assessment of the Evidence

Assessor Blinded?	Baseline^b and Change in PTSD Measure		Statistically Significant? (versus control)	Loss of Diagnosis (%)	Principal Limitations
Yes	F	I		per PDS^g	No major limitations
	~32^f	~26
	20.5	16.5	Yes	85.7%
	9.7	7.1		21.4%
	7.2	3.5		27.6%
Yes	77.76, 71.14				No major limitations
	−26.94		No	42%
	−22.9			59%
Yes	NR			NR	Dropout from 33% to 46% handled with LOCF
	−30		Yes	75%
	−36		Yes	65%
	−38		Yes	63%
	−14			55%
^cSelf-help booklet. ^dRepeated assessments. ^eCAPS frequency and intensity scores were reported, but no CAPS total provided. ^fIn Ehlers et al., 2003, the 3-month follow-up was considered the post-treatment point (p. 1029). ^gPosttraumatic Diagnostic Scale. ^hNo control. ⁱCS is the only control.

that future well-designed studies will have an important impact on confidence in the effect and the size of the effect.

Conclusion: The committee concludes that the evidence is inadequate to determine the efficacy of coping skills therapies in the treatment of PTSD.

Exclusion Notes

The committee excluded one study comparing three different coping skills with no control group (Watson et al., 1997). See Table 4-7 for a summary of included studies.