Evidence map›Paper›PMID 35621368›Full record

SynthesisDepression and anxiety2022

Trauma-focused guided self-help interventions for posttraumatic stress disorder: A meta-analysis of randomized controlled trials.

Andy P Siddaway, Richard Meiser-Stedman, Verity Chester, Jack Finn, Cliodhna O Leary, David Peck, Camilla Loveridge

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Depression and anxiety, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
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

7 authors.

Andy P SiddawayInstitute of Health & Wellbeing, University of Glasgow, Glasgow, Scotland.ORCID 0000-0002-8485-1536
Richard Meiser-StedmanDepartment of Clinical Psychology, Norwich Medical School, University of East Anglia, Norwich Research Park, Norwich, UK.ORCID 0000-0002-0262-623X
Verity ChesterDepartment of Psychiatry, Hertfordshire Partnership University NHS Foundation Trust, Little Plumstead Hospital, Norwich, UK.
Jack FinnDepartment of Clinical Psychology, Norwich Medical School, University of East Anglia, Norwich Research Park, Norwich, UK.
Cliodhna O LearyDepartment of Clinical Psychology, Norwich Medical School, University of East Anglia, Norwich Research Park, Norwich, UK.
David PeckDepartment of Clinical Psychology, Norwich Medical School, University of East Anglia, Norwich Research Park, Norwich, UK.
Camilla LoveridgeDepartment of Clinical Psychology, Norwich Medical School, University of East Anglia, Norwich Research Park, Norwich, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Trauma-focused guided self-help (TF-GSH) is an important alternative to psychological therapy delivered by a therapist. This meta-analysis evaluates the efficacy of TF-GSH in reducing posttraumatic stress disorder  (PTSD) symptoms and comorbid depressive and anxiety symptoms. A total of 17 trials were included that compared a TF-GSH intervention (N = 610) to various control comparators (N = 570). Control conditions included treatment as usual (k = 2), waiting list (k = 11), phone monitoring (k = 1), nontrauma writing (k = 1), general support (k = 1), and supportive counseling (k = 1). A moderate- to large-sized effect favouring TF-GSH was observed for PTSD (k = 17, g = -0.81, 95% confidence interval [CI]: -1.24, -0.39) and a moderate-sized effect was observed for depressive (k = 13, g = -0.73, 95% CI: -1.16, -0.31) and anxiety (k = 11, g = -0.72, 95% CI: -1.18, -0.27) symptoms, with considerable heterogeneity. Moderator analyses were all not statistically significant. Results indicate that TF-GSH is a promising treatment for PTSD and comorbid depressive and anxiety symptoms. We discuss the nature, extent, and quality of the literature to provide a point of departure for future research. TF-GSH (and unguided self-help) may not be appropriate for certain individuals at certain times. Exploring a broad range of treatment delivery modalities will move the field closer towards a model of evidence-based care in which the likely appropriate dose and type of intervention can be matched to individuals based on presenting problems and other variables.

Indexed as

Cognitive Behavioral TherapyStress Disorders, Post-TraumaticAnxietyAnxiety DisordersHumansRandomized Controlled Trials as Topiccognitive-behavioraleffectivenessefficacyposttraumatic stress disorderreviewself-helptherapy

Identifiers

PMID35621368
PMCPMC9796235

What OpenQuestion holds

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Registered trials

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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.