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. 2023 May 10;2023(5):CD014682. doi: 10.1002/14651858.CD014682.pub2

Anderberg 2000.

Study characteristics
Methods Design: parallel
Duration: 16 weeks
Assessment: baseline and post‐intervention
Country: Sweden
Participants Pain condition: fibromyalgia
Population: women with fibromyalgia
Minimum pain duration: no
Inclusion criteria
  • Diagnosis of fibromyalgia fulfilling the ACR criteria (1990)


Exclusion criteria
  • Patients with any severe heart diseases, such as angina pectoris or post‐heart infarction, or other severe heart diseases, as well as brain infarction, suicidal thoughts or who were seriously depressed (in need of immediate psychiatric care)

  • Patients taking major or minor tranquillisers, major antidepressants or strong analgesics


Total participants randomised: 40
Age in years (mean, SD): 48.6 (7.5)
Gender: 40/40 were female
Pain duration: 11.9 (7.0) years average duration of fibromyalgia
Interventions  Citalopram
  • 30‐40 mg/ day

  • Flexibly dosed

  • Titrated from 10/20 mg to 30/40 mg in 5 mg doses every 5 days


Placebo
  • Inert

  • Matched dosing schedule

Outcomes AE
Withdrawal
Missing data methods ITT but no method reported
Funding source The study was supported by grants from H. Lundbeck AB, the Söderström Königska Foundation, the Swedish Association of Physicians, the Märta and Nicke Nasvell Foundation, the Swedish Health Insurance System, the Uppsala County Council and ‘Förenade Liv’ Mutual Group Life Insurance Company, Stockholm, Sweden and the Swedish Medical Research Council (21X‐9523)
Conflicts of interest NR
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No information given
Allocation concealment (selection bias) Low risk Randomisation was made at a separate agency, and the investigator had a coded list. Included patients were given consecutive code numbers.
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk No information given regarding appearance of placebo
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Not enough information given
Incomplete outcome data (attrition bias)
All outcomes High risk Unequal attrition, states ITT but no method given
Attrition:
Total: 5/40 (12.5%)
Placebo: 1/19 (5.26%)
Citalopram 30‐40 mg: 4/21 (19.1%)
Selective reporting (reporting bias) Low risk No protocol or trial registration found
Other bias Low risk No other sources of bias were identified.