TreatmentSymptomNo. of trials (no. of participants)FindingsStrength of evidence
Cognitive processing therapyPTSD symptoms*5 (399)Reduced PTSD symptoms
SMD = −1.35 (95% CI, −1.77 to −0.94)
● ● ○
Loss of PTSD diagnosis4 (299)Greater loss of PTSD diagnosis
RD = 0.44 (95% CI, 0.26 to 0.62)
● ● ○
Depression symptoms5 (399)Reduced depression symptoms
SMD = –1.09 (95% CI, –1.52 to –0.65)
● ● ○
Cognitive therapyPTSD symptoms*4 (283)Reduced PTSD symptoms
SMD of individual studies ranged from –2.0 to –0.3
All studies favored treatment (all studies P < .05)
● ● ○
Loss of PTSD diagnosis4 (283)Greater loss of PTSD diagnosis
RD = 0.55 (95% CI, 0.28 to 0.82)
All studies favored treatment (3 of 4 studies P < .05)
● ● ○
Depression symptoms4 (283)Reduced depression symptoms
Between-group mean differences of individual trials ranged from –11.1 to –8.3
All studies favored treatment (4 of 4 studies P < .05)
● ● ○
Cognitive behavior therapy (exposure)PTSD symptoms*Reduced PTSD symptoms● ● ●
13 (885)SMD = –1.23 (95% CI, –1.50 to –0.97)
8 (689)SMD for the Clinician-Administered PTSD
Scale = –1.12 (95% CI, –1.42 to –0.82)
Loss of PTSD diagnosis6 (409)Greater loss of PTSD diagnosis
RD = 0.56 (95% CI, 0.35 to 0.78)
● ● ●
Depression symptoms10 (715)Reduced depression symptoms
SMD = –0.76 (95% CI, –0.91 to –0.60)
● ● ●
Cognitive behavior therapy (mixed)PTSD symptoms*Reduced PTSD symptoms● ● ●
21 (1,349)SMD = –1.01 (95% CI, –1.28 to –0.74)
11 (709)SMD = –1.24 (95% CI, –1.67 to –0.81)
Loss of PTSD diagnosis9 (474)Greater loss of PTSD diagnosis
RD = 0.29 (95% CI, 0.11 to 0.41)
● ● ●
Depression symptoms15 (929)Reduced depression symptoms
SMD = –0.87 (95% CI, –1.14 to –0.61)
● ● ●
Eye movement desensitization and reprocessingPTSD symptoms*8 (449)Reduced PTSD symptoms
SMD = –1.08 (95% CI, –1.82 to –0.35)
● ● ○§
Loss of PTSD diagnosis7 (427)Greater loss of PTSD diagnosis
RD = 0.43 (95% CI, 0.25 to 0.61)
● ● ○
Depression symptoms7 (347)Reduced depression symptoms
SMD = –0.91 (95% CI, –1.58 to –0.24)
● ● ○
Brief eclectic psychotherapyLoss of PTSD diagnosis3 (96)Greater loss of PTSD diagnosis
RD of individual studies ranged from 0.13 to 0.58
All studies favored treatment (P < .05)
● ○ ○
Depression symptoms3 (96)Reduced depression symptoms
Different depression scales used; all 3 studies favored treatment (3 of 3 studies P < .05)
● ○ ○
Imagery rehearsal therapyPTSD symptoms*1 (168)Reduced PTSD symptoms
Between-group mean difference = –21.0 (P < .05)
● ○ ○
Narrative exposure therapyPTSD symptoms3 (232)Reduced PTSD symptoms
SMD ranged from –1.95 to –0.79 across 3 individual studies (3 of 3 studies P < .05)
● ● ○
Loss of PTSD diagnosis2 (198)Greater loss of PTSD diagnosis
RD of 0.06 and 0.43 in individual studies
Both studies favored treatment (1 of 2 studies P < .05)
● ○ ○
Seeking safetyPTSD symptoms*3 (232)Reduced PTSD symptoms
SMD of individual trials ranged from –0.22 to 0.04
2 of 3 trials favored treatment (0 of 3 studies P < .05)
● ○ ○ for no difference
Trauma affect regulationPTSD symptoms*2 (173)Reduced PTSD symptoms
Between-group mean difference of –17.4 and –2.7 in individual studies
Both favored treatment (1 of 2 studies P < .05)
● ○ ○