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. 2014 Jul 1;2014(7):CD004687. doi: 10.1002/14651858.CD004687.pub4

Winston 1994.

Methods RCT with 3 parallel conditions
Participants 93 psychiatric outpatients
Inclusion criteria: aged 18‐60 years; evidence of at least 1 close personal relationship; no evidence of psychosis, organic brain syndrome, or mental retardation; no active DSM‐III‐R axis III medical diagnosis; no evidence of current substance abuse; no acute suicidal behaviour; no history of violent behaviour or destructive impulse control problems; and no use of psychotropic medications, such as lithium, neuroleptics or antidepressants in the past year
Exclusion criteria: axis II diagnoses of schizoid, paranoid, schizotypal, narcissistic and borderline personality disorders
Interventions Intervention 1: STDP, manualised, based on Davanloo 1980 
 Intervention 2: BAP based on Pollack 1991 
 Control: waiting list (mean wait‐list time 14.9 weeks)
 24 therapists (13 for STDP, 11 for BAP), mean experience 11.6 years, mean number of sessions, both techniques combined, 40.3
 All sessions videotaped, adherence rated through systematic scales
Outcomes Assessed at pre‐treatment and 1 month post‐treatment: GSI of SCL‐90‐R, SAS, target complaints rating
 6 months post: target complaints
Notes SCL‐90 and SAS data used in review
STDP and BAP entered separately as contrasting forms of STPP models
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Comment: insufficient information
Allocation concealment (selection bias) Unclear risk Comment: insufficient information
Blinding (performance bias and detection bias) 
 All outcomes Low risk Comment: self report ratings (SCL‐90, SAS) considered low risk of bias
No psychotherapist was blinded to the treatment delivered
Blinding participants to treatment group not possible
Incomplete outcome data (attrition bias) 
 All outcomes High risk Quote: "the patients who dropped out of the study were similar to the treated patients in both demographic characteristics and diagnosis, although no formal analyses were conducted because of the small number of dropouts"
Comment: 6/31 participants in STDP dropped out vs. 2/32 in BAP: this is considered significant enough to warrant analysis to rule out attrition bias
Selective reporting (reporting bias) Unclear risk Comment: insufficient information to permit judgement. No published report on pre‐specified outcomes
Other bias Unclear risk Comment: insufficient information to permit judgement

BAI: Beck Anxiety Inventory; BAP: brief adaptive psychotherapy; BDI: Beck Depression Inventory; BDT: brief dynamic therapy; BSI: Brief Symptom Inventory; CBT: cognitive behavioural therapy; CGI: Clinical Global Impressions; CGI‐I: Clinical Global Impression ‐ Improvement scale; CGI‐S: Clinical Global Impression ‐ Severity scale; CPRS: complex regional pain syndrome; DSM‐III: Diagnostic and Statistical Manual of Mental Disorders ‐ third edition; DSM‐IV: Diagnostic and Statistical Manual of Mental Disorders ‐ fourth edition; EPDS: Edinburgh Postnatal Depression Scale; GAF: Global Assessment of Functioning; GAS: Global Assessment Scale; GP: general practitioner; GSI: Global Severity Index; HAI: Health Anxiety Inventory; HAM‐A: Hamilton Anxiety Rating Scale; HAM‐D: Hamilton Depression Rating Scale; HDRS: Hamilton Depression Rating Scale; HQ: Health Questionnaire; hr: hour; IBS: irritable bowel syndrome; ICD‐10: International Statistical Classification of Diseases and Health Related Problems 10th Revision; IIP: Inventory of Interpersonal Problems; ISTDP: intensive short‐term dynamic psychotherapy; ITT: intention to treat; LWASQ: Lehrer Woolfolk Anxiety Symptom Questionnaire; MDD: major depressive disorder; min: minute; OCD: obsessive‐compulsive disorder; OQ: Outcome Questionnaire; PAAS: Panic Attack and Anxiety Scale; PBT: psychodynamic body therapy; PHQ: Patient Health Questionnaire; PIT: psychodynamic interpersonal therapy; PPD: postpartum depression; PTO: Post‐traumatic Stress Treatment Outcome scale; PTSD: post‐traumatic stress disorder; QLDS: Quality of Life Depression Scale; QOR Quality of Object Relations; RCT: randomised controlled trial; SAS: Social Adjustment Scale; SCID: Structured Clinical Interview for DSM‐IV Disorders; SCL‐90: Symptom Checklist‐90; SCL‐90‐GSI: Symptom Checklist‐90 Global Severity Index; SCL‐90‐R: Symptom Checklist‐90 ‐ Revised; SCORAD: Scoring of Atopic Dermatitis Index; SF‐36 MCS: 36‐item Short Form ‐ Mental Component Summary; SF‐36 PCS: 36‐item Short Form ‐ Physical Component Summary; SF‐36: 36‐item Short Form; SPRS: Sydney Psychosocial Reintegration Scale; SPSP: short psychodynamic supportive psychotherapy; SSIAM: Structured and Scaled Interview to Assess Maladjustment; STAI: State‐trait Anxiety Inventory; STDP: short‐term dynamic psychotherapy; STPP: short‐term psychodynamic psychotherapy; TAU: treatment as usual; TLP: time‐limited psychotherapy; VAS: visual analogue scale; WHO: World Health Organization; Y‐BOCS: Yale‐Brown Obsessive Compulsive Scale.