Effect sizes for comparisons of PDT with control and CBT with control
Domain | Study | Measure | Population | Sample | Control | Type | Effect sizes (compared with control) | ||
Treatment end | 6-month follow-up | 12-month follow-up | |||||||
Physical symptoms | Hubschmid 201529 | SDQ-20 | All FND | 11 | 12 SC | PDT | 0.84* | 0.38* | * |
Sharpe 201119 | PHQ-15 | All FND | 64 | 63 SC | CBT | 0.25 | 0.13 | ||
Dallocchio 201617 | PMDRS | Motor FND | 11 | 8 SC | CBT | 1.41 | |||
PMDRS (M) | 1.99 | ||||||||
PHQ-15 | 1.83 | ||||||||
Goldstein 201015 | Seizure freq. | PNES | 33 | 33 SMC | CBT | 0.75† | 0.42† | ||
Goldstein 202024 | Seizure freq. | PNES | 186 | 182 SMC | CBT | NC | NC | ||
Seizure severity | 0.29 | 0.17 | |||||||
Bothersome | 0.39 | 0.34 | |||||||
Mental health | Hubschmid 201529 | BDI | All FND | 11 | 12 SC | PDT | 0* | −0.52* | 0* |
MADRS | −0.09* | −0.41* | 0* | ||||||
SF-36 (M) | −0.05 | 0.24 | 0.98 | ||||||
CGI | −0.32* | −0.12* | 0.22* | ||||||
Kompoliti 201428 | Ham-D | Motor FND | 7 | 8 SC | PDT | 0.59 | |||
BAI | 0.53 | ||||||||
Dallocchio 201617 | Ham-D | Motor FND | 11 | 8 SC | CBT | 1.58 | |||
BAI | 1.31 | ||||||||
Sharpe 201119 | HADS (A) | All FND | 64 | 63 SC | CBT | 0.36 | 0.36 | ||
HADS (D) | 0.29 | 0.32 | |||||||
Goldstein 201015 | HADS (A) | PNES | 33 | 33 SMC | CBT | 0.20 | 0.20 | ||
HADS (D) | 0.19 | 0.32 | |||||||
Goldstein 202024 | SF-12 (M) | PNES | 186 | 182 SMC | CBT | 0.32 | 0.16 | ||
GAD-7 | 0.38 | 0.18 | |||||||
Well-being | Hubschmid 201529 | SF-36 | All FND | 11 | 12 SC | PDT | −0.92 | −2.22 | −1.28 |
Goldstein 202024 | EQ5D5L | PNES | 186 | 182 | CBT | 0.33 | 0.33 | ||
Function | Sharpe 201119 | SF-12 (F) | All FND | 64 | 63 SC | CBT | 0.25 | 0.47 | |
Hubschmid 201529 | Rankin | All FND | 11 | 12 SC | PDT | −0.09* | 0.31* | −0.57* | |
Employment | 3.76* | 1.74* | 0.26* | ||||||
Dallocchio 201617 | PMDRS (F) | Motor FND | 11 | 8 SC | CBT | 1.44 | |||
Goldstein 201015 | WSAS | PNES | 33 | 33 SMC | CBT | 0.59 | 0.64 | ||
Goldstein 202024 | SF-12 (F) | PNES | 186 | 182 | CBT | 0.22 | 0.27 | ||
WSAS | 0.39 | 0.36 | |||||||
Resource use | Hubschmid 201529 | Hospital days | All FND | 11 | 12 SC | PDT | −0.99 | * | * |
A&E use | 0.41 | * | * |
*Calculated using OR.
†Effect size provided by authors.
A&E, Accident and Emergency; BAI, Beck Anxiety Inventory; BDI, Beck Depression Inventory; CBT, cognitive behavioural therapy; CGI, Clinical Global Impression; EQ5D5L, EuroQol 5 Dimension 5-Level Scale; FND, functional neurological disorder; GAD-7, 7-item Generalised Anxiety Disorder Scale; HADS, Hamilton Anxiety and Depression Score (A=anxiety subscore/D=depression subscore); Ham-D, Hamilton Depression Rating Scale; MADRS, Montgomery-Asberg Depression Rating Scale; NC, not calculable; PDT, psychodynamic therapy; PHQ-15, 15-item Patient Health Questionnaire; PMDRS, Psychogenic Movement Disorders Rating Scale (M=motor subscore/F=function subscore); PNES, psychogenic non-epileptic seizures; SC, standard care; SDQ-20, 20-item Strengths and Difficulties Questionnaire; SF-12/36, 12/36-item Short Form health survey (M=mental health subscore/F=function subscore); SMC, standardised medical care; WSAS, Work and Social Adjustment Scale.