Skip to main content
. 2014 Jul 8;2014(7):CD006239. doi: 10.1002/14651858.CD006239.pub2

Mellman 2002.

Methods Design: randomised, placebo‐controlled trial
Duration of intervention: 7 days
Follow‐up: the final assessment for the trial was 6 weeks after the initial assessment
Placebo run‐in: no
Participants Sample size: 22 participants were randomised to temazepam and placebo
Mean age: 36.1 (11.4)
Gender: 14 men and 8 females
Ethnicity: 18 Hispanic, 2 white and 2 black participants
Type of trauma: motor vehicle accidents, industrial accidents and impersonal assaults
Diagnostic measure: DSM‐IV
Inclusion criteria: participants were recruited from a much larger pool of injured patients on the basis of having recall of the incident and endorsing at least moderate impairment of sleep initiation or maintenance and meeting full criteria for at least 2 PTSD symptoms clusters (DSM‐IV) during a structured interview assessment, and the ability and willingness to provide written informed consent
Exclusion criteria: intoxication at the time of the incident, brain injury and pre‐existing active psychiatric disorders
Drop‐outs: 0
Number of participants with MDD: 0
Interventions Pharmacological intervention: Quote: "Subjects were randomly assigned to placebo taken at bedtime for seven nights or 30mg of temazepam at bedtime for five nights followed by 15mg for two nights"
Outcomes Primary outcomes: CAPS and sleep diary measure
Secondary outcomes: not specified
Notes Industry‐funded: yes. Supported by grant MH54006 from the National Institute of Mental Health, Bethesda
Medication provided by industry: no
Any of the authors work for industry: no
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Predetermined randomisation schedule
Allocation concealment (selection bias) Low risk Medication schedule was known only to the research pharmacist (TA Mellman; personal correspondence: 09 September 2011)
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Medication was placed in identical capsules (TA Mellman; personal correspondence: 09 September 2011)
Blinding of outcome assessment (detection bias) 
 All outcomes High risk No information was provided on the blinding of outcome assessment
Incomplete outcome data (attrition bias) 
 All outcomes Low risk There were no drop‐outs reported during this study
Selective reporting (reporting bias) Unclear risk The study protocol was not available for this study
Other bias High risk Study was terminated at 6 weeks after initial assessment, or in 50% of cases when non‐study medications were indicated. Quote: "The final assessment for the trial was 6 weeks after the initial assessment or, in one half of cases, just prior to initiating nonstudy medication, which was initiated on the basis of the clinical judgment of the investigators when insomnia and/or other PTSD‐related symptoms that were distressing to the subject did not diminish during or shortly after the trial (intent‐to‐treat analysis)"