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

Nørregaard 1995.

Study characteristics
Methods Design: parallel
Duration: 8 weeks
Assessment: baseline and post‐intervention
Country: Denmark
Participants Pain condition: fibromyalgia
Population: people with fibromyalgia
Minimum pain intensity: no
Inclusion criteria
  • Fulfilled the ACR criteria for fibromyalgia during the last year


Exclusion criteria
  • Severe physical and mental health comorbidities


Total participants randomised: 43
Age in years (mean, SD): 49
Gender: NR
Pain duration in years (mean, SD): NR
Interventions Placebo
  • n = 21

  • Inert

  • Identical appearance and sham dosing


Citalopram 20‐40 mg
  • n = 21

  • SSRI

  • Forced titration to fixed dose depending on response: started on 20 mg a day for 4 weeks (1 tablet), and then if participants did not report 2‐point improvement then they were upped to 40 mg (2 tablets)

Outcomes Pain intensity
Mood
Physical function
Sleep
Missing data methods ITT but methods NR
Funding source Pharmaceutical: "This work was supported by funding from H. Lundbeck A/S."
Conflicts of interest NR
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomisation methods not specified
Allocation concealment (selection bias) Unclear risk Allocation procedures not specified
Blinding of participants and personnel (performance bias)
All outcomes Low risk Double‐blind, identical study drugs with sham dosing
Blinding of outcome assessment (detection bias)
All outcomes Low risk Self‐reported outcomes from blinded participants
Incomplete outcome data (attrition bias)
All outcomes Unclear risk State ITT but no methods specified
Attrition
Total: 10/43 (23.3%)
Attrition per arm NR
Selective reporting (reporting bias) Unclear risk No protocol or trial registration found
Other bias Low risk No other sources of bias were identified