CPT vs PE 2022
CPT vs PE in US Military Veterans
Paciente / Población Intervención / Exposición Comparación Desenlace
In 916 US veterans with PTSD, cognitive processing therapy achieved the same PTSD symptom reduction as prolonged exposure, with slightly fewer dropouts under PE.
N
916
Diseño
Multicentre RCT, VA, USA
Desenlace
CAPS-5 change
Relevancia
2
ResultadoPE modestly superior to CPT on CAPS-5 (between-group diff 2.42 pts favoring PE, p=.01; small effect 0.17); dropout HIGHER for PE (55.8% vs 46.6%, p=.005).
Schnurr PP, et al. JAMA Netw Open. 2022;5(1):e2136921. 10.1001/jamanetworkopen.2021.36921
Discusión y crítica
Largest head-to-head trauma-focused trial; therapy choice should follow patient preference.