Perry 1989.
Methods | Six‐week randomised, double‐blind study | |
Participants | Outpatients fulfilling DSM‐III criteria for major depression (lasting more than 1 month), with a score of at least 20 on the Hamilton Rating Scale for Depression‐17 item (HDRS‐17). Age: over 18 years Exclusion criteria: pregnancy, lactation, absence of contraception, serious suicide risk, glaucoma, presence of cardiovascular arrythmias, hypertension, serious medical illness, including hepatic, renal, respiratory, hematologic disease, histiory of seizure, severe allergies or multiple drug reaction, psychotic patients and patients with DSM‐III diagnosis of organic mental disorder, substance abuse disorder within the past year, schizophrenia, paraniod disorder, bipolar disorder, use of MAOI in the past 14 days, lithium or any other psychotropic drug, use of trazodone or fluoxetine within 4 weeks of study entry. | |
Interventions | Fluoxetine: 21 participants Trazodone: 19 participants Fluoxetine dose range: 20‐60 mg/day Trazodone dose range: 50‐400 mg/day | |
Outcomes | HDRS‐17, Clinical Global Impression (CGI) | |
Notes | Funding: unclear | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Randomised, no further information |
Allocation concealment (selection bias) | Unclear risk | No information provided |
Blinding (performance bias and detection bias) All outcomes | Unclear risk | Double blind, no further information |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Double blind, no further information |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Double blind, no further information |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Number and reasons for dropout were reported. Scores reported without denominator |
Selective reporting (reporting bias) | Unclear risk | Only most frequent (at least 10%) adverse events reported Vital signs described |
Other bias | Unclear risk | Funding: unclear |