Skip to main content
. 2016 Sep 12;2016(9):CD011567. doi: 10.1002/14651858.CD011567.pub2

Holland 1999.

Methods Study design: Randomised controlled trial
Participants Diagnosis: DSM ‐ III ‐ R panic disorder with or without agoraphobia
Method of diagnosis: Not stated
Age: for adinazolam, M = 36.5; for clomipramine, M = 35.8; SD not provided
Sex: for adinazolam, 36% male; for clomipramine 38% male
Location: UK; setting unclear
Co‐morbidities: patients with psychiatric co‐morbidities were excluded
Rescue medication: Not stated
Interventions Participants were randomly assigned to either:
(1) adinazolam arm (n = 166)
Duration: 24 weeks
Treatment Protocol: flexible dosage; range = 30 ‐ 90 mg, M and SD not provided
(2) clomipramine arm (n = 149)
Duration: 24 weeks
Treatment Protocol: flexible dosage; range = 50 ‐ 150 mg, M and SD not provided
Outcomes Time points for assessment: weeks 1, 2, 4, 8, 12, 16, 20 and 24
Outcomes:
1. total number of panic attacks (Panic Attack and Anticipatory Anxiety scale)
2. Clinical Global Impression Improvement Score (CGI‐I)
3. SCL ‐ 90, Phobic Anxiety Dimension
4. Sheehan Disability Scale
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: "randomized".
Allocation concealment (selection bias) Unclear risk No information provided.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Quote: "double‐blind". No further details.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Quote: "double‐blind". No further details.
Incomplete outcome data (attrition bias) 
 All outcomes High risk LOCF data are reported, but without specifying number of patients evaluated.
Selective reporting (reporting bias) Unclear risk All outcomes were reported, but without specifying number of patients evaluated.
Other bias Unclear risk Authors' affiliations refer to pharmaceutical companies.