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. 2016 Sep 12;2016(9):CD011567. doi: 10.1002/14651858.CD011567.pub2

Garvey 1989.

Methods Study design: Randomised controlled trial
Participants Diagnosis: DSM‐III panic disorder with agoraphobia
Method of diagnosis: Not stated
Age: M = 40.0 (SD = 12)
Sex: 61% women
Location: USA; setting unclear
Co‐morbidities: patients with MDD, alcoholism during the previous six months, current or past mania or psychotic disorder, major medical problems were excluded
Rescue medication: Not stated
Interventions Participants were randomly assigned to either:
(1) alprazolam arm
Duration: 3 weeks
Treatment Protocol: dosage gradually increased to a maximum of 6 mg
(2) diazepam arm
Duration: 3 weeks
Treatment Protocol: dosage gradually increased to a maximum of 60 mg
(3) placebo arm
Duration: 3 weeks
Total number of randomised patients = 30; number of patients per arm not provided.
Outcomes The study is about urinary MHPG levels in relation to Panic Disorder treatment.
Time points for assessment: before the beginning of treatment and after 3 weeks of treatment
Outcomes:
1. MHPG urinary levels
2. Hamilton Rating Scale for Anxiety (HAMA)
Notes Date of study: Not stated
Funding source: Not stated
Declarations of interest among the primary researchers: Not stated.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "thirty consecutive patients meeting study criteria were randomly assigned"
Allocation concealment (selection bias) Unclear risk No information provided.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Quote "double‐blind treatment". No further details.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Quote "double‐blind treatment". No further details.
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk No information provided.
Selective reporting (reporting bias) Unclear risk Study on urinary MHPG levels; HAMA mentioned in methods section, but no results reported.
Other bias Unclear risk Sponsorship bias cannot be ruled out.