RT Journal A1 Fontanarosa PB, Krakow B, Hollifield M, Warner TD T1 PLacebo effect in posttraumatic stress disorders JF JAMA JO JAMA YR 2000 FD August 2 VO 284 IS 5 SP 563 OP 563 DO 10.1001/jama.284.5.561 UL http://dx.doi.org/10.1001/jama.284.5.561 AB However, a closer examination of the data (Tables 3 and 4), using effect size calculations (modified Cohen d values estimated from the SDs provided), suggests an alternative explanation for the observed treatment effects. Large effect sizes were demonstrated for both sertraline and placebo groups for total Clinician Administered PTSD, Part 2 (CAPS-2) (sertraline, d = 1.45 vs placebo, d = 1.0), total Impact of Event (sertraline, d = 0.97 vs placebo, d = 0.74), and Clinical Global Impression-Severity (sertraline, d = 1.18 vs placebo, d = 0.83), as well as for CAPS-2 intrusion (sertraline, d = 1.05 vs placebo, d = 0.76), avoidance (sertraline, d = 1.35 vs placebo, d = 0.95), and arousal (sertraline, d = 1.27 vs placebo, d = 0.85) scales. In taking the customary difference between the 2 groups by subtracting the placebo effect size, the net sertraline treatment effects are much smaller, ranging from 0.24 to 0.45 for the above measures.