Hadianfard 2012.

Study characteristics
Methods	Design: parallel Duration: 8 weeks Assessment: baseline, 2 weeks, 4 weeks, post‐intervention, follow‐up (10 months post‐intervention) Country: Iran
Participants	Pain condition: fibromyalgia Population: women ≤ 65 with fibromyalgia Minimum pain intensity: ≥ 4 on 0‐10 VAS Inclusion criteria Women aged 20‐65 Diagnosed with fibromyalgia as per ACR criteria ≥ 4 on 0‐10 pain intensity scale Exclusion criteria Significant physical and mental health comorbidities Total participants randomised: 30 Age in years (mean): 44 Gender: 30/30 were female Pain duration in months (mean): 81.2
Interventions	Acupuncture n = 15 2 weeks of 3 sessions (weekly) lasting for 30 min in each session Fluoxetine 20 mg n = 15 SSRI Fixed dose
Outcomes	Pain intensity Quality of life Mood Physical function
Missing data methods	ITT but methods not specified
Funding source	Non‐pharmaceutical: Shiraz University of Medical Sciences research project No. 88‐5035
Conflicts of interest	"We declare no conflict of interest. This article is from Shiraz University of Medical Sciences research project No. 88‐5035"
Notes
Risk of bias
Bias	Authors' judgement	Support for judgement
Random sequence generation (selection bias)	Low risk	Randomisation was performed using a computer‐generated random sequence of the numbers
Allocation concealment (selection bias)	Unclear risk	Allocation procedures not specified
Blinding of participants and personnel (performance bias) All outcomes	High risk	Not blinded. Lead author was the acupuncturist
Blinding of outcome assessment (detection bias) All outcomes	High risk	Self‐reported outcomes from unblinded participants
Incomplete outcome data (attrition bias) All outcomes	Unclear risk	States ITT but no imputation methods reported Attrition NR
Selective reporting (reporting bias)	Unclear risk	Protocol registered retrospectively
Other bias	Low risk	No other sources of bias were identified.