1. Allegiance effects in cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD): a systematic review and meta-analysis.
- Author
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Maddox, Claire-Sophie and Berle, David
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TREATMENT of post-traumatic stress disorder , *MEDICAL information storage & retrieval systems , *TREATMENT effectiveness , *META-analysis , *DESCRIPTIVE statistics , *SYSTEMATIC reviews , *MEDLINE , *COGNITIVE therapy , *DATA analysis software , *CONFIDENCE intervals , *PSYCHOLOGY information storage & retrieval systems , *EVALUATION - Abstract
We sought to determine whether there is evidence of researcher allegiance bias in the reporting of cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD). We used a reprint analysis approach – whereby papers were coded for indications of potential bias – to determine the presence and magnitude of researcher allegiance in published randomized controlled trials (RCTs) of CPT. Twenty trials met inclusion criteria. Evidence of allegiance to CPT rather than the respective comparison conditions was typically small to negligible. A meta-regression analysis of the 17 studies which included an active comparison group did not find an association between allegiance scores and study effect size for the reduction of PTSD symptoms (95% CI: −0.05, 0.19). There is no evidence at present that the CPT literature has been unduly influenced by allegiance held to CPT or the comparator conditions. What is already known about this topic: Cognitive processing therapy (CPT) is an empirically supported treatment for posttraumatic stress disorder. Researcher "allegiance effects" can include allegiance to a given therapeutic modality. What this topic adds: Reprint analysis indicated that researcher allegiance to CPT was small to negligible. A meta-regression of 17 included studies did not find evidence of an association between allegiance scores and study-level effect size. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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