Sencan 2004.

Study characteristics
Methods	Design: parallel Duration: 6 weeks Assessment: baseline, post‐intervention, follow‐up (6 months) Country: Turkey
Participants	Pain condition: fibromyalgia Population: women aged 18‐50 with fibromyalgia Minimum pain intensity: no Inclusion criteria fibromyalgia patients between ages 18–50, diagnosed by the ACR criteria Exclusion criteria Physical health comorbidities Total participants randomised: 60 Age in years (mean): 34.5 Gender: 60/60 were female Pain duration in years (mean): 5.4
Interventions	Aerobic exercise n = 20 Aerobic exercises 3 times a week for 6 weeks, each exercise period lasted for 40 minutes Paroxetine 20 mg n = 20 SSRI Fixed dose Placebo TENS n = 20 Placebo TENS with electrodes applied on the 2 most painful tender points for 20 minutes, 3 times a week for 6 weeks
Outcomes	Pain intensity Mood
Missing data methods	No participants withdrew
Funding source	NR
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	High risk	Participants unable to be blinded due to the nature of interventions
Blinding of outcome assessment (detection bias) All outcomes	High risk	Self‐reported outcomes from unblinded participants
Incomplete outcome data (attrition bias) All outcomes	Low risk	No participants withdrew during the trial period
Selective reporting (reporting bias)	Unclear risk	No protocol or trial registration found
Other bias	Low risk	No other sources of bias were identified