Trial reportJournal of medical Internet research2015
Web-based psychotherapy for posttraumatic stress disorder in war-traumatized Arab patients: randomized controlled trial.
Trial report in Journal of medical Internet research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04982523 (Development and Evaluation of an Online Mental Health Program for Traumatized Female College Students), which is not on this map. Cited by 72 papers, 15 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Development and Evaluation of an Online Mental Health Program for Traumatized Female College Students: A Randomized Controlled Trial
Who cites it
72 citing papers in PubMed, 15 syntheses or guidelines pooled it.
- Opportunities and challenges in leveraging digital technology for mental health system strengthening: a systematic review to inform interventions in the United Arab Emirates.BMC public health · 2024Pooled it
- The Effectiveness and Feasibility of Psychological Interventions for Populations Under Ongoing Threat: A Systematic Review.Trauma, violence & abuse · 2024Pooled it
- The impact of technology systems and level of support in digital mental health interventions: a secondary meta-analysis.Systematic reviews · 2023Pooled it
- Trauma-focused guided self-help interventions for posttraumatic stress disorder: A meta-analysis of randomized controlled trials.Depression and anxiety · 2022Pooled it
- The effectiveness of adapted psychological interventions for people from ethnic minority groups: A systematic review and conceptual typology.Clinical psychology review · 2021Pooled it
- Implementation of Telemental Health Services Before COVID-19: Rapid Umbrella Review of Systematic Reviews.Journal of medical Internet research · 2021Pooled it
- Internet-based cognitive and behavioural therapies for post-traumatic stress disorder (PTSD) in adults.The Cochrane database of systematic reviews · 2021Pooled it
- Internet-Delivered Cognitive Behavioural Therapy for Post-traumatic Stress Disorder or Acute Stress Disorder: A Health Technology Assessment.Ontario health technology assessment series · 2021Pooled it
- Effectiveness of digital psychological interventions for mental health problems in low-income and middle-income countries: a systematic review and meta-analysis.The lancet. Psychiatry · 2020Pooled it
- Interventions for adults with a history of complex traumatic events: the INCiTE mixed-methods systematic review.Health technology assessment (Winchester, England) · 2020Pooled it
- Pooled it
- Utilization of Mobile Mental Health Services among Syrian Refugees and Other Vulnerable Arab Populations-A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Internet-based cognitive and behavioural therapies for post-traumatic stress disorder (PTSD) in adults.The Cochrane database of systematic reviews · 2018Pooled it
- Psychological therapies for the treatment of mental disorders in low- and middle-income countries affected by humanitarian crises.The Cochrane database of systematic reviews · 2018Pooled it
- A Systematic Review on the Effects of Psychosocial Interventions on Quality of Life and Functioning Outcomes Among Populations Experiencing Ongoing Threat.Clinical psychology & psychotherapyPooled it
- Therapist-assisted online psychological therapies differing in trauma focus for post-traumatic stress disorder (STOP-PTSD): a UK-based, single-blind, randomised controlled trial.The lancet. Psychiatry · 2023Trial
- The Effects of an Exposure-Based Mobile App on Symptoms of Posttraumatic Stress Disorder in Veterans: Pilot Randomized Controlled Trial.JMIR mHealth and uHealth · 2022Trial
- Trial
- A Self-Help App for Syrian Refugees With Posttraumatic Stress (Sanadak): Randomized Controlled Trial.JMIR mHealth and uHealth · 2021Trial
- Is only one cognitive technique also effective? Results from a randomized controlled trial of two different versions of an internet-based cognitive behavioural intervention for post-traumatic stress disorder in Arabic-speaking countries.European journal of psychotraumatology · 2021Trial
12 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn recent years, armed conflicts in the Middle East have resulted in high rates of exposure to traumatic events. Despite the increasing demand of mental health care provision, ongoing violence limits conventional approaches of mental health care provision. Internet-based interventions for posttraumatic stress disorder (PTSD) have proved feasible and effective in Western countries, but their applicability and efficacy in war and conflict regions remains unknown.
objectiveThis study investigated the efficacy of a cognitive behavioral Internet-based intervention for war-traumatized Arab patients, with focus on Iraq.
methodsA total of 159 individuals with PTSD participated in a parallel group randomized trial. Participants were randomly allocated by a computer-generated sequence to a treatment group (n=79) or a waiting list control group (n=80). The treatment group received 2 weekly 45-minute cognitive behavioral interventions via Internet over a 5-week period (10 sessions in total). The primary outcome was recovery from posttraumatic stress symptoms.
resultsPosttraumatic stress symptoms were significantly reduced from baseline to posttreatment (intention-to-treat analysis) in the treatment group relative to the control group (F1,157=44.29, P<.001, d=0.92). Treatment effects were sustained at 3-month follow-up. Completer analysis indicated that 29 of 47 patients (62%) in the treatment group had recovered from posttraumatic stress symptoms at posttreatment (reliable change and Posttraumatic Stress Diagnostic Scale score <20) versus 1 patient (2%) in the control group (OR 74.19, 95% CI 9.93-585.8, P<.001) indicating that the chance of recovering was 74.19 times higher in the treatment than in the control group.
conclusionsThe results indicate, even in unstable and insecure settings with ongoing exposure to human rights violations through war and dictatorships, people with posttraumatic stress symptoms benefit from a cognitive behavioral treatment provided entirely through the Internet. This method of delivery could improve patients' access to humanitarian aid in the form of e-mental health services.
trial registrationAustralian New Zealand Clinical Trial Registry, ACTRN12611001019998; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=347505 (Archived by WebCite at http://www.webcitation.org/6Wto4HCdH).
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