Evidence map›Paper›PMID 34479508›Full record

Trial reportBMC psychiatry2021

Tackling the global problem of traumatic stress in low-income countries: a pilot clinical trial comparing reconsolidation therapy to paroxetine in Nepal.

Alain Brunet, Ram P Sapkota, Bhushan Guragain, Jacques Tremblay, Daniel Saumier, Laurence J Kirmayer

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 28% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Alain BrunetResearch Centre of the Douglas Mental Health University Institute, and Department of Psychiatry, McGill University, 6875 boulevard LaSalle, Montréal, Quebec, H4H 1R3, Canada. alain.brunet@mcgill.ca.
Ram P SapkotaResearch Centre of the Douglas Mental Health University Institute, and Department of Psychiatry, McGill University, 6875 boulevard LaSalle, Montréal, Quebec, H4H 1R3, Canada.
Bhushan GuragainCentre for Victims of Torture (CVICT), Kathmandu, Nepal.
Jacques TremblayResearch Centre of the Douglas Mental Health University Institute, and Department of Psychiatry, McGill University, 6875 boulevard LaSalle, Montréal, Quebec, H4H 1R3, Canada.
Daniel SaumierResearch Centre of the Douglas Mental Health University Institute, and Department of Psychiatry, McGill University, 6875 boulevard LaSalle, Montréal, Quebec, H4H 1R3, Canada.
Laurence J KirmayerDivision of Social and Transcultural Psychiatry, Global Mental Health Program, McGill University, Montréal, QC, Canada.
Douglas Mental Health University Institute · CAJewish General Hospital · CAMcGill University · CAThe Center for Victims of Torture · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraumatic stress is a global mental health problem requiring novel, easily implemented treatment solutions. We compared the effectiveness and efficiency of Reconsolidation Therapy (RT) to the well-established antidepressant paroxetine, in reducing symptoms of traumatic stress among patients from Nepal, a low-income country.

methodsForty-six adults with posttraumatic stress disorder (PTSD) were randomized to one of two groups. The reconsolidation blocker propranolol was administered 90 min before briefly recalling a traumatic memory with a therapist, weekly for six consecutive weeks. This was compared to daily paroxetine for 26 weeks. Self-reported PTSD symptoms were assessed blindly at the 7th, 13th, and 26th weeks.

resultsAn intent-to-treat analysis revealed a robust pre- to post-treatment main effect (β

conclusionRT also displayed promising efficiency, considering that it had been discontinued weeks earlier while the paroxetine treatment was continued, as recommended. RT could be taught in low-income countries as part of the local therapeutic resources to treat the core symptoms of PTSD, provided that such results are replicated on a broader scale.

trial registrationISRCTN34308454 (11/10/2017).

Indexed as

ParoxetineStress Disorders, Post-TraumaticAdultHumansNepalPovertyTreatment OutcomeParoxetineEffectivenessEfficiencyLow– and middle–income countriesParoxetinePropranololRandomized controlled trialReconslidation therapyTraumatic stressTreatment

Identifiers

PMID34479508
PMCPMC8417983
OpenAlexW3198859777

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.