Dare 2001.
Methods | RCT of 3 forms of therapy vs. routine care for anorexia nervosa | |
Participants | 84 participants with DSM‐IV anorexia nervosa Exclusion criteria: people with severe low weight, severe health consequences or suicidality |
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Interventions | Intervention 1: 1 year of focal analytic therapy (derived from Malan 1976) (mean 24.9 sessions) Intervention 2: 7 months of cognitive analytic therapy (mean 12.9 sessions) Intervention 3: 1 year of family therapy Control: routine care |
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Outcomes | Primary outcome measure was body weight measured as body mass index. Morgan‐Russell Assessment Schedule for anorexia nervosa | |
Notes | Both individual psychotherapies were methods of STPP | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Stratified randomisation method called the 'minimisation method' was used. Method of sequence generation was unclear |
Allocation concealment (selection bias) | Low risk | Sealed envelopes were used |
Blinding (performance bias and detection bias) All outcomes | High risk | Some ratings were done by unblinded clinicians No psychotherapist was blinded to the treatment delivered Blinding participants to treatment group not possible |
Incomplete outcome data (attrition bias) All outcomes | Low risk | ITT analyses were performed. None of the differences between treatments in the rates of engagement was statistically significant |
Selective reporting (reporting bias) | Unclear risk | Some measures of the Morgan Russell Schedule were not reported by therapy group, rather for the whole group only. The stated reason for this was that there were no intra‐group differences |
Other bias | Unclear risk | Comment: insufficient information to permit judgement |