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• W4289939062 abstract "Several evidence-based treatments for posttraumatic stress disorder (PTSD) are recommended by international guidelines (e.g., APA, NICE). While their average effects are in general high, non-response rates indicate differential treatment effects. Here, we used a large database of RCTs on psychotherapy for PTSD to determine a reliable estimate of this heterogeneity in treatment effects (HTE) by applying Bayesian variance ratio meta-analysis. In total, 66 studies with a total of 8803 patients were included in our study. HTE was found for all psychological treatments, with varying degrees of certainty, only slight differences between psychological treatments, and active control groups yielding a smaller variance ratio compared to waiting list control groups. Across all psychological treatment and control group types, the estimate for the intercept was 0.12, indicating a 12% higher variance of posttreatment values in the intervention groups after controlling for differences in treatment outcomes. This study is the first to determine the maximum increase in treatment effects of psychological treatments for PTSD by personalization. The results indicate that there is comparatively high heterogeneity in treatment effects across all psychological treatment and control groups, which in turn allow personalizing psychological treatments by using treatment selection approaches." @default.
• W4289939062 created "2022-08-06" @default.
• W4289939062 creator A5012718482 @default.
• W4289939062 creator A5018584172 @default.
• W4289939062 date "2022-10-01" @default.
• W4289939062 modified "2023-10-18" @default.
• W4289939062 title "Is it worth it to personalize the treatment of PTSD? – A variance-ratio meta-analysis and estimation of treatment effect heterogeneity in RCTs of PTSD" @default.
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• W4289939062 doi "https://doi.org/10.1016/j.janxdis.2022.102611" @default.
• W4289939062 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/35963147" @default.
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