Review Article

Cognitive-Behavioral Therapy versus Other PTSD Psychotherapies as Treatment for Women Victims of War-Related Violence: A Systematic Review

Table 3

Risk-of-bias table of the 9 included trials.

StudyAdequate sequence generationAllocation concealmentIncomplete outcome data addressedBlinding of assessorsBlinding of participants

Bichescu et al., 2007 [28] Yes: assignment through a random selection procedure (name-cards) to either NET or PED group No Yes: no dropout reported among participants who started trial No: an attempt was made. Blinding was finally impossible due to the large differences in procedures and number of sessions between the 2 groups No: an attempt was made. Blinding was finally impossible due to the large differences between the two groups

Hinton et al., 2004 [17]Yes: participants were all randomly assigned but the method was not describedNoYes: no dropout reported among participants who started trialNo: no attempt was madeNo: no attempt was made

Hinton et al., 2005 [24]Yes: patients were stratified by gender with random allocation to either the IT or DT group decided by a coin tossNoYes: no dropout reported among participants who started trialYes: but blinding’s integrity was not testedNo: no attempt was made

Neuner et al., 2004 [16]Yes: patients were randomly assigned to either NET, SC or PED group by using a diceNoYes: missing data were estimated with a restricted maximum likelihood procedure.Yes: interviewers were blinded for participant’s treatment condition.No: no attempt was made

Neuner et al., 2008 [30]Yes: patients were randomly allocated to a group by altering allocation of randomly ordered participants. However, method was not describedNoYes: but partly. Authors reported a high global attrition rate, 23%, 53.1% and 61% at, respectively, 3 months, 6 months and 9 months. Authors chose to apply mixed-effects models instead of a last-observation-carried-forward (LOCF) procedure, considered too conservative.YesNo: no attempt was made

Neuner et al., 2010 [29]Yes: participants were randomized to NET or TAU group with a block permutation procedure with blocks of 4 patientsNoYes: low dropout rate (6.3%). Authors used mixed effects models instead of an LOCF procedure to handle missing data. This method did not probably introduce a significant bias because of the small number of drop outs (2)No: blindness could not be maintained in all cases so we cannot rule out an assessor biasNo: no attempt was made

Otto et al., 2003 [25]Yes: participants were randomly assigned to either Sertraline alone or Sertraline + CBT, but method was not describedNoYes: no dropout was reported during trialNo: no attempt of blinding assessors was madeNo: no attempt was made

Ertl et al., 2011 [31]YesNoYes: mixed effects model was usedYes: psychologists were blinded to treatment conditionsNo

Hinton et al., 2009 [27]Yes: random allocation by a coin tossNoYesNoNo

Kruse et al., 2009 [26]Yes: first 35 patients assigned to intervention groupNoYesNoNo