Relevant bibliographies by topics / Psychotherapy – Outcome assessment

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Reports

Academic literature on the topic 'Psychotherapy – Outcome assessment'

Author: Grafiati
Published: 4 June 2021
Last updated: 30 January 2023

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Journal articles on the topic "Psychotherapy – Outcome assessment"

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VandenBos, Gary R. "Outcome assessment of psychotherapy." American Psychologist 51, no. 10 (October 1996): 1005–6. http://dx.doi.org/10.1037/0003-066x.51.10.1005.

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Tillett, Richard. "Assessment and outcome in psychotherapy." Current Opinion in Psychiatry 6, no. 3 (June 1993): 353–57. http://dx.doi.org/10.1097/00001504-199306000-00006.

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Krupnick, Janice L., and Janice L. Krupnick. "Brief Psychotherapy with Vulnerable Patients: An Outcome Assessment." Psychiatry 48, no. 3 (August 1985): 223–33. http://dx.doi.org/10.1080/00332747.1985.11024283.

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Krawitz, Roy. "A Prospective Psychotherapy Outcome Study." Australian & New Zealand Journal of Psychiatry 31, no. 4 (August 1997): 465–73. http://dx.doi.org/10.3109/00048679709065066.

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Objective: To assess the outcome of 31 patients treated in a day and semi-residential psychotherapy setting. Method: Patients had moderate to severe personality difficulties and were referred when current therapy was insufficient or because of the severity of their problems. Eighty-one percent had a Cluster C and 19% a Cluster B (Borderline) Personality Disorder diagnosis (DSM-III-R). Therapy was psychodynamically and feminist-informed and included a sociopolitical dimension. Rating scales used were the Symptom Checklist 90, Goal Attainment Scale, Global Assessment Scale and measures of health resource usage, which were completed pre-treatment, post-treatment and at 4-, 12- and 24-month follow-up. Results: Mean duration of therapy was 4 months (68 therapy days). All clinical rating scales demonstrated marked improvements following treatment (p < 0.0001) which were sustained at 2-year follow-up. There were also improvements of health resource usage. Conclusions: The results document the clinical efficacy of psychotherapy in this setting, provide support for the philosophy of practice, and suggest that psychotherapy outcome can be evaluated at reasonable financial cost in many settings.
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d’Ardenne, Patricia, Leticia Cestari, and Stefan Priebe. "The challenge of regular outcome assessment: Why do we fail?" Clinical Psychology Forum 1, no. 173 (May 2007): 7–12. http://dx.doi.org/10.53841/bpscpf.2007.1.173.7.

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Is it practical or ethical to collect clinical follow-up data from psychotherapy patients? We describe our heavy data loss between 2001 and 2005 in an NHS specialist clinic and how we are trying to fix it.
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Mander, Johannes Volker, Andreas Wittorf, Angelika Schlarb, Martin Hautzinger, Stephan Zipfel, and Isa Sammet. "Change mechanisms in psychotherapy: Multiperspective assessment and relation to outcome." Psychotherapy Research 23, no. 1 (January 2013): 105–16. http://dx.doi.org/10.1080/10503307.2012.744111.

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McCredie, Morgan N., John E. Kurtz, and Leanne Valentine. "Prediction of psychotherapy process and outcome with the Personality Assessment Inventory." Psychiatry Research 269 (November 2018): 455–61. http://dx.doi.org/10.1016/j.psychres.2018.08.110.

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Evans, Joanne, Jenny Hartman, and Stephen Gladwell. "Diagnostic survey in a regional psychotherapy unit." Psychiatric Bulletin 19, no. 11 (November 1995): 673–75. http://dx.doi.org/10.1192/pb.19.11.673.

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Assessment of patients referred for psychotherapy has more commonly consisted of a psychodynamic assessment with less emphasis on a formal psychiatric diagnosis, whereas the reverse tends to be the case in the general psychiatric services. Within the National Health Service there are close links between the two services. A common frame of reference regarding the definition of the patient groups using the services could Improve communication, the planning and evaluation of specific treatment programmes, and outcome studies. A retrospective case-note study was carried out at a regional psychotherapy unit in order to define the population referred between 1991 and 1992 according to ICD–10 (WHO, 1992).
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Propst, Arthur, Joel Paris, and Zeev Rosberger. "Do Therapist Experience, Diagnosis and Functional Level Predict Outcome in Short Term Psychotherapy?" Canadian Journal of Psychiatry 39, no. 3 (April 1994): 168–76. http://dx.doi.org/10.1177/070674379403900309.

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The purpose of this study was to investigate the effects of clinical diagnosis, functional level and therapist experience on the outcome of brief psychotherapy. Patients (N = 123) were clinically diagnosed and assigned to either a psychiatrist, psychiatry resident, family practice resident or medical student. Global Assessment of Functioning (GAF) scores and the Global Severity Index (GSI) of the SCL-90 were rated at baseline, at the end of therapy and at six month follow-up. The Client Satisfaction Questionnaire was also scored after therapy. All groups of patients improved significantly. Neither therapist type and diagnostic category nor their interaction were related to outcome GAF or to GSI. Patients improved irrespective of their baseline symptom severity. Satisfaction with therapy was highly related to increased functioning and decreased symptom severity. The number of therapy sessions attended by patients was modestly related to outcome and patient satisfaction. The results suggest that many diagnostic groups benefit from brief psychotherapy administered by therapists of varying experience. Furthermore, the results support the practice of having medical students conduct psychotherapy under supervision during their training.
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Wormgoor, Marjon E. A., Aage Indahl, and Jens Egeland. "The impact of comorbid spinal pain in depression on work participation and clinical remission following brief or short psychotherapy. Secondary analysis of a randomized controlled trial with two-year follow-up." PLOS ONE 17, no. 8 (August 22, 2022): e0273216. http://dx.doi.org/10.1371/journal.pone.0273216.

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Objectives This explorative study analyses the influence of baseline comorbid long-lasting spinal pain (CSP) on improvement of long term work participation and clinical remission of mental health illness following either brief coping-focussed or short-term psychotherapy for depression. Whether type of treatment modifies outcome with or without CSP is also analysed. Design A secondary post hoc subgroup analysis of a pragmatic randomised controlled trial. Interventions Brief or standard short psychotherapy. Methods Based on baseline assessment, the sample was subdivided into a subgroup with and a subgroup without CSP. Work participation and clinical remission of depression and anxiety were assessed as treatment outcome at two-year follow-up. Simple and multivariate logistic regression analyses, across the intervention arms, were applied to evaluate the impact of CSP on treatment outcome. Selected baseline variables were considered as potential confounders and included as variates if relevant. The modifying effect of CSP on treatment outcome was evaluated by including intervention modality as an interaction term. Main results Among the 236 participants with depressive symptoms, 83 participants (35%) were identified with CSP. In simple logistic regression analysis, CSP reduced improvements on both work participation and clinical remission rate. In the multivariate analysis however, the impact of CSP on work participation and on clinical remission were not significant after adjusting for confounding variables. Reduction of work participation was mainly explained by the higher age of the CSP participants and the reduced clinical remission by the additional co-occurrence of anxiety symptoms at baseline. The occurrence of CSP at baseline did not modify long term outcome of brief compared to short psychotherapy. Conclusions CSP at baseline reduced work participation and worsened remission of mental health symptoms two-year following psychotherapy. Older age and more severe baseline anxiety are associated to reduced effectiveness. Type of psychotherapy received did not contribute to differences.
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Dissertations / Theses on the topic "Psychotherapy – Outcome assessment"

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Vance, Jeffrey Michael. "Therapeutic Assessment as Preparation for Psychotherapy." Thesis, University of North Texas, 2019. https://digital.library.unt.edu/ark:/67531/metadc1538669/.

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This study examined the impact therapeutic assessment (TA) had on participants recruited from the UNT Psychology Clinic's waiting list. Using a pretest-posttest design, participants completed measures prior to and following their assessment. UNT Psychology Clinic archive data was used to compare this sample to clients who received traditional information gathering assessments with implicit measures, those receiving assessments relying on only self-report measures, and those who did not receive an assessment before beginning psychotherapy. The findings of this study vary based on the criteria being examined. Due to the small sample in the experimental group, no statistical significance was found through null hypothesis testing. However, the TA group's scores on the Outcome Questionnaire – 45 (OQ) and the Working Alliance Inventory (WAI) indicated better outcomes than those without a TA, with large effect sizes. Furthermore, those who received a TA were more likely than those without a TA to score below the clinically significant cutoff levels on the OQ. The study raises issues for consideration in what is deemed "effective" in therapeutic efficacy research.
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Lampropoulos, Georgios. "Thinking styles, treatment preferences, and early counseling process and outcome." Virtual Press, 2006. http://liblink.bsu.edu/uhtbin/catkey/99121.

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In this study, two primary hypotheses drawn from Cognitive-Experiential Self-Theory (Epstein, 1994, 1998, 2003) and the treatment preference literature (Arnkoff, Glass, & Shapiro, 2002) were tested in the broader contexts of similarity/matching research and eclecticism in psychotherapy. Specifically, it was hypothesized that client-therapist similarity/dissimilarity in terms of (a) their Rational and Experiential Thinking styles (Pacini & Epstein, 1999), and (b) their preferences for a Cognitive ("Thinking") versus an Experiential ("Feeling") theoretical orientation (Hutchins, 1984), would affect the process and outcome of early therapy. Forty-seven client-therapist dyads participated in the study. In the seven hierarchical linear regressions conducted, no statistically significant effects were found on any of the dependent variables (working alliance, empathic understanding, session depth, session smoothness, satisfaction with treatment, perceived change, and objective change). Study limitations included its modest statistical power to detect small and moderate effect sizes.Three exploratory questions were also investigated in a sample of 89 clients and 79 therapists and were found to be statistically significant. Specifically, client rational and experiential thinking styles made substantial contributions in the expected direction in predicting client preference for a cognitive versus an experiential treatment. Similarly, therapist experiential thinking style was predictive of therapist treatment preference. These findings suggest that client and therapist personality (thinking styles) are more significant predictors of treatment preference than variables such as gender and clinical experience (as a therapist or a client). Last, rational thinking style was predictive of client intrapersonal adjustment, and experiential thinking style was predictive of client social adjustment.
Department of Counseling Psychology and Guidance Services
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Slone, Norah C. "Evaluating the Efficacy of Client Feedback in Group Psychotherapy." UKnowledge, 2013. http://uknowledge.uky.edu/edp_etds/8.

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A review of the adult psychotherapy outcome literature reveals decades of empirical studies that support the efficacy of group treatment for mental health concerns (Burlingame, Fuhriman, & Mosier, 2003; Horne & Rosenthal, 1997). Although research demonstrates positive results for the utilization of group therapy, between 33-50% of clients drop out before treatment is completed (Baekeland & Lundwall, 1975; Wierzbicki & Pekarik, 1993). Methods for improving psychotherapy retention have been addressed through the application of a client feedback model (i.e., monitoring treatment outcome routinely). Although using client feedback has been found to be beneficial for improving retention and even enhancing client outcome in both individual (Lambert et al., 2001a; Lambert et al., 2002; Miller, Duncan, Brown, Sorrell, & Chalk, 2006; Reese, Norsworthy, & Rowlands, 2009; Whipple et al., 2003) and couples psychotherapy (Anker, Duncan, & Sparks, 2009; Reese, Toland, Slone, & Norsworthy, 2010), evidence of client feedback efficacy in a group format is limited but worthy of investigation given the positive individual and couples therapy findings. In the current study, I evaluated the effects of client feedback in group psychotherapy using a randomized clinical trial design. Participants (N = 85) attended psychotherapy groups that were randomly assigned to a client feedback (Feedback) or treatment as usual (TAU) condition. Clients in the Feedback condition were predicted to experience a statistically significantly higher pre-post gain on the ORS compared to group clients in the TAU when controlling for their initial functioning. The effect size (ES) for Feedback between treatment conditions was found to be d = 0.35 on the Outcome Rating Scale when initial treatment functioning was controlled, which is a medium ES (Cohen, 1988). Additionally, statistically significantly more clients in the Feedback condition experienced reliable and clinically significant change, attended statistically significantly more sessions, and dropped out at a lower rate than clients in the TAU condition. Results of this study were similar to those generated by other studies that evaluated the efficacy of client feedback with individuals (Reese et al., 2009) and couples (Anker et al., 2009; Reese et al., 2010). Study limitations and implications for future work are provided.
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Schwenn, Heidi H. "The relationship between client-established goals and outcome in counseling /." free to MU campus, to others for purchase, 2002. http://wwwlib.umi.com/cr/mo/fullcit?p3052216.

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Linders, Lisa M. "Gender differences in responses to differential outcomes." Thesis, McGill University, 2003. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=19595.

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The present study examined the emotional responses of 112 dyads of same-sex friends in early and middle childhood as they competed against each other on 3 identical games, enabling each child in the pair to experience 3 outcome conditions: winning, losing, and tying. Emotional reactions were videotaped and rated for degree of enjoyment and discomfort. In addition, following the 3 games, children were individually interviewed and asked to report their levels of happiness regarding winning, losing, and tying. The social context of a dyad is more closely associated with female social interaction which tends to be egalitarian. It was hypothesized that boys' well-documented greater comfort with competition relative to girls would be attenuated in the context of a dyad. Results indicated that boys showed more comfort and enjoyment throughout the competitive process than did girls. However, both boys and girls showed equal levels of comfort and enjoyment for the win and tie outcomes, indicating boys, like girls, were also concerned with doing the same as their friend. A developmental difference was also seen as the children in middle childhood reported less happiness than the kindergarten children when they experienced the win outcome. The results are discussed in terms of the necessity of considering the social context in which competition occurs when investigating gender differences in competition.
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White, Melissa Mallory. "Using the Assessment for Signal Clients as a Feedback Tool for Reducing Treatment Failure." BYU ScholarsArchive, 2016. https://scholarsarchive.byu.edu/etd/6092.

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The Clinical Support Tools (CST) was developed to help therapists organize and target potential problems that might account for negative outcomes in psychotherapy. The core of CST feedback is The Assessment for Signal Clients (ASC). The purpose of this study was to describe and identify patterns of problems that typically characterize off-track cases. A cluster analysis of 107 off-track clients revealed three client types: those whose problems were characterized by alliance and motivational difficulties; those characterized by social support and life event difficulties; and those whose problems had an indistinguishable pattern. Loglinear modeling showed that if patients had less therapeutic alliance problems they were also less likely to have motivational problems. Findings were also consistent with the cluster analysis, which showed that a relatively higher percentage of not-on-track participants received signal alerts for the social support items and scale. Individuals whose progress goes off-track appear to have their greatest difficulty with social support, losses, and therapy task agreement.
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Oakes, Elizabeth Jean. "Personality traits of patients participating in a group programme at a private psychiatric day clinic." Thesis, University of Port Elizabeth, 2003. http://hdl.handle.net/10948/331.

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The current trend in psychiatric health care is towards comprehensive primary healthcare for all South Africans. This has been has been achieved by the restructuring of the National Health System (NHS) into national, provincial, district, and community levels, which provide outpatient and inpatient care at primary, secondary, and tertiary care levels. Assessment and treatment in the form of physical and psychosocial interventions form an integral part of psychiatric care. The value of personality assessment and, in particular, the potential for matching patient personality types with effective treatment options, may play a role in facilitating effective health care in the future. An overview of the literature indicates that little research has been done regarding the area of personality traits of psychiatric patients in South Africa. This study aims to explore and describe the personality traits or profile of individuals attending a private psychiatric day care facility in The Nelson Mandela Metropole (i.e., Parkwood Day Clinic). The sample consisted of 196 participants (104 male and 92 female) who attended a group programme from April 2000 to April 2001. As part of the programme, patients were required to com plete a series of pencil-and-paper measures. The questionnaires selected for this study included a biographical questionnaire, which was used to describe the biographical variables of the sample with regard to gender, age and marital status, and The Revised NEO Personality Inventory (NEO PI-R) (Costa & McCrae, 1992a), which was used as a measure of personality. The NEO PI-R is considered a concise measure of the five major domains of personality and some of the more important traits that define each domain. Together, the five domains Neuroticism (N), Extraversion (E), Openness (O), Agreeableness (A) and Conscientiousness (C), and the six facets within each domain, allow for a comprehensive assessment of adult personality. xiv An exploratory, descriptive method was used in the study, and the data was analysed using descriptive and inferential statistics, including correlations, cluster analysis, and multivariate analysis of variance. Key findings include the following: Results from the NEO PI-R domains showed a personality profile of very high scores for N, and average scores for E, O, A, and C. Within the sample, cluster analysis revealed five distinct personality profile clusters. For the biographical variable gender, significant differences were found between males and females on N, with the majority of males scoring in the category of Very High and High, and the majority of females scoring in the Average category. For the variable age, the results indicated significant differences on A, with participants in the young adulthood group scoring significantly lower on A than participants in the middle adulthood group. For marital status, on the domain of O, significant differences were found between the divorced or widowed and the married, with the married scoring in the Low category and the divorced or widowed in the Average category. On the domain of C, significant differences were noted between the singles group and the currently or previously married groups, with the single group tending to score lower on C than both other groups. These findings reveal a need for further research into personality traits and psychiatric samples, as consideration of personality traits based on the profile established, may be useful in matching patients’ characteristics with optimal treatment options.
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Davis, Elizabeth C. "Development of an Outcome Measure for Use in Psychology Training Clinics." Thesis, University of North Texas, 2017. https://digital.library.unt.edu/ark:/67531/metadc984154/.

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The ability to monitor client change in psychotherapy over time is vital to quality assurance in service delivery as well as the continuing improvement of psychotherapy research. Unfortunately, there is not currently a comprehensive, affordable, and easily utilized outcome measure for psychotherapy specifically normed and standardized for use in psychology training clinics. The current study took the first steps in creating such an outcome measure. Following development of an item bank, factor analysis and item-response theory analyses were applied to data gathered from a stratified sample of university (n = 101) and community (n = 261) participants. The factor structure did not support a phase model conceptualization, but did reveal a structure consistent with the theoretical framework of the research domain criteria (RDoC). Suggestions for next steps in the measure development process are provided and implications discussed.
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Smith, Michelle. "The role of Lorikeet Clubhouse in psychiatric rehabilitation." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2001. https://ro.ecu.edu.au/theses/1063.

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Previous studies have suggested that participation in psychosocial support groups such as the Foundation House (Clubhouse) model have psychological benefits for patients with major mental disorders. In this research, 47 members of the Lorikeet Clubhouse in Shenton Park, WA completed the Brief Symptom Inventory, the Level of Expressed Emotion Scale and the Coping Scale for Adults to investigate whether differences existed between active and inactive Clubhouse members. Analyses of variance found no group differences on these measures, although trends in the data suggest that Clubhouse participation have a protective effect for members who report high levels of expressed emotion (EE) in their home. These conclusions are tentative due to the small sample size. Members perceived the Clubhouse to have lower levels of EE than their home environments, however these measures were correlated.
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Oelofsen, Melanie. "The use of Gestalt therapy as an alternative assessment technique with primary school girls who have been sexually abused." Diss., Pretoria : [s.n.], 2007. http://upetd.up.ac.za/thesis/available/etd-11192007-080043/.

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Books on the topic "Psychotherapy – Outcome assessment"

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I, Pfeiffer Steven, ed. Outcome assessment in residential treatment. New York: Haworth Press, 1996.

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1943-, Syme Gabrielle, ed. Objectives and outcomes: Questioning the practice of therapy. Maidenhead, England: Open University Press, 2006.

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J, Lambert Michael, and Fields Scott A. 1972-, eds. Essentials of outcome assessment. New York: Wiley, 2002.

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Malan, David H. Psychodynamics, training, and outcome in brief psychotherapy. Edited by Osimo Ferruccio. Oxford: Butterworth-Heinemann, 1992.

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Ogles, Benjamin M. Assessing outcome in clinical practice. Boston: Allyn and Bacon, 1996.

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Smith, Mary Lee. The benefits of psychotherapy. Baltimore: Johns Hopkins University Press, 1996.

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Len, Sperry, ed. Treatment outcomes in psychotherapy and psychiatric interventions. New York: Brunner/Mazel, 1996.

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Bilsbury, C. D. A staging approach to measuring patient-centred subjective outcomes. Copenhagen: Blackwell Munksgaard, 2002.

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S, Dobson Keith, and Craig Kenneth D. 1937-, eds. Empirically supported therapies: Best practice in professional psychology. Thousand Oaks, Calif: Sage, 1998.

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Measuring change in counseling and psychotherapy. New York: Guilford Press, 2008.

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Book chapters on the topic "Psychotherapy – Outcome assessment"

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Sperry, Len, and Jon Sperry. "Outcome Assessment." In Core Clinical Competencies in Counseling and Psychotherapy, 201–17. 2nd ed. New York: Routledge, 2023. http://dx.doi.org/10.4324/9781003251262-17.

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Boardman, RD C., Vaughn E. Worthen, Mark E. Beecher, Derek Griner, Gary M. Burlingame, and Robert L. Gleave. "Outcome and Assessment Research." In The College Counselor’s Guide to Group Psychotherapy, 69–80. First edition. | New York: Routledge, 2017.: Routledge, 2017. http://dx.doi.org/10.4324/9781315545455-5.

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Malan, D. H., E. H. Rayner, H. A. Bacal, E. S. Heath, and F. H. G. Balfour. "Psychodynamic Assessment of the Outcome of Psychotherapy." In Novartis Foundation Symposia, 61–67. Chichester, UK: John Wiley & Sons, Ltd., 2008. http://dx.doi.org/10.1002/9780470719664.ch4.

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SANDELL, ROLF. "XI. STRUCTURAL CHANGE AND ITS ASSESSMENT. EXPERIENCES FROM THE STOCKHOLM OUTCOME OF PSYCHOANALYSIS AND PSYCHOTHERAPY PROJECT." In VER�FFENTLICHUNGEN DER KOMMISSION F�R PHILOSOPHIE UND P�DAGOGIK, 269–84. Wien: Verlag der �sterreichischen Akademie der Wissenschaften, 2005. http://dx.doi.org/10.1553/3-7001-3386-3s269.

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Peluso, Paul R., and Robert R. Freund. "Emotional Expression." In Psychotherapy Relationships that Work, 421–60. Oxford University Press, 2019. http://dx.doi.org/10.1093/med-psych/9780190843953.003.0012.

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Although emotion has long been considered important to psychotherapeutic process, empirical assessment of its impact has emerged only recently. This chapter reports two meta-analyses on the association between therapist expression of emotion and psychotherapy outcome and client expression of emotion and psychotherapy outcome. A significant medium effect size was found between impact of therapist emotional expression and outcomes (d = 0.56, 13 studies) and a significant medium-to-large effect size client emotional expression and outcomes (d = 0.85, 43 studies). Third-party rating of emotional expression emerged as a significant moderator of outcomes. Limitations of the research, diversity considerations, and therapeutic practices conclude the chapter.
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Meier, Scott T. "Evaluating Progress Monitoring and Outcome Assessment Measures." In Incorporating Progress Monitoring and Outcome Assessment into Counseling and Psychotherapy, 86–105. Oxford University Press, 2014. http://dx.doi.org/10.1093/med:psych/9780199356676.003.0006.

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Meier, Scott T. "Tools for Interpreting Progress Monitoring and Outcome Assessment Data." In Incorporating Progress Monitoring and Outcome Assessment into Counseling and Psychotherapy, 106–31. Oxford University Press, 2014. http://dx.doi.org/10.1093/med:psych/9780199356676.003.0007.

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Meier, Scott T. "Using Progress Monitoring and Outcome Assessment Data in Supervision." In Incorporating Progress Monitoring and Outcome Assessment into Counseling and Psychotherapy, 151–59. Oxford University Press, 2014. http://dx.doi.org/10.1093/med:psych/9780199356676.003.0009.

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Lambert, Michael J., and Edwin C. Supplee. "Trends and Practices in Psychotherapy Outcome Assessment and Their Implications for Psychotherapy and Applied Personality." In Handbook of Personality Psychology, 947–67. Elsevier, 1997. http://dx.doi.org/10.1016/b978-012134645-4/50037-8.

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Meier, Scott T. "Introduction and Rationale." In Incorporating Progress Monitoring and Outcome Assessment into Counseling and Psychotherapy, 1–10. Oxford University Press, 2014. http://dx.doi.org/10.1093/med:psych/9780199356676.003.0001.

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Reports on the topic "Psychotherapy – Outcome assessment"

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O’Neil, Maya E., Tamara P. Cheney, Yun Yu, Erica L. Hart, Rebecca S. Holmes, Ian Blazina, Stephanie P. Veazie, et al. Pharmacologic and Nonpharmacologic Treatments for Posttraumatic Stress Disorder: 2022 Update of the PTSD Repository Evidence Base. Agency for Healthcare Research and Quality (AHRQ), October 2022. http://dx.doi.org/10.23970/ahrqepcptsd2022.

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Objectives. Identify and abstract data from randomized controlled trials (RCTs) examining treatment for posttraumatic stress disorder (PTSD) and comorbid PTSD/substance use disorder to update the previous Agency for Healthcare Research and Quality (AHRQ) report and National Center for PTSD (NCPTSD) PTSD Trials Standardized Data Repository (PTSD-Repository). Data sources. We searched PTSDpubs, Ovid® MEDLINE®, Cochrane CENTRAL, PsycINFO®, Embase®, CINAHL®, and Scopus® for eligible RCTs published from June 1, 2018, to January 26, 2022. Review methods. In consultation with AHRQ and NCPTSD, we updated the evidence tables for the PTSD-Repository by including evidence published after publication of the last update and expanding abstraction of results to include calculated standardized effect sizes. The primary publication for each RCT was abstracted; data and citations from secondary publications (i.e., companion papers) appear in the same record. We assessed risk of bias (RoB) for all newly included studies using the Revised Cochrane Risk of Bias 2 (RoB 2) tool for randomized trials. For studies already in the PTSD-Repository, we will add calculated standardized effect sizes and update RoB using the new RoB 2 tool over the next several annual updates. Results. We added 48 new RCTs examining treatments for PTSD, for a total of 437 included studies published from 1988 to July 30, 2021. Among the 48 newly added RCTs, psychotherapy interventions were the most commonly employed (50%), followed by complementary and integrative health (17%). Approximately half of studies were conducted in the United States (46%), and enrolled community participants (52%) and participants with a mix of trauma types (48%). Studies typically had sample sizes ranging from 25 to 99 participants (69%). RoB was rated as high for 52 percent of studies, 31 percent were rated as low RoB, and the remaining studies were rated as having some concerns (15%). Conclusions. This report updates the previous AHRQ report to include 48 recently published RCTs, for a total of 437 studies. This update adds comprehensive data, standardized effect sizes for PTSD outcomes, and RoB assessment for the newly included RCTs. As with the previous AHRQ update, this report will inform updates to the PTSD-Repository, a comprehensive database of PTSD trials.
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