Lepola 1990.
Methods | Study design: Randomised controlled trial | |
Participants |
Diagnosis: DMS‐III panic disorder with or without agoraphobia Method of diagnosis: Not stated Age: M = 37.4, SD not provided Sex: not stated Location: Finland; setting: inpatients Co‐morbidities: patients with psychiatric co‐morbidities were excluded; medical co‐morbidities are not mentioned; six patients suspected cases of epilepsy Rescue medication: "the patients did not receive any other treatment during the trial period" |
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Interventions |
Participants were randomly assigned to either: (1) alprazolam arm (n = 27) Duration: 9 weeks Treatment Protocol: flexible dosage, range = 1.5 ‐ 8 mg, M = 4.9, SD not provided (2) imipramine arm (n = 28) Duration: 9 weeks Treatment Protocol: flexible dosage, range = 30 ‐ 225 mg, M = 130, SD not provided |
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Outcomes |
Time points for assessment: baseline, 3 weeks, 9 weeks Outcomes: 1. panic attack frequency 2. Hamilton Rating Scale for Anxiety (HAMA) 3. Montgomery–Åsberg Depression Rating Scale (MADRS) 4. seven‐point evaluation scale of the clinical state (not better specified) |
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Notes |
Date of study: Not stated Funding source: Not stated Declarations of interest among the primary researchers: None (but authors' affiliations refer to pharmaceutical companies). |
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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 | Unclear risk | No information provided about management of incomplete outcome data. |
Selective reporting (reporting bias) | Low risk | All relevant outcomes were reported. |
Other bias | Unclear risk | Authors' affiliations refer to pharmaceutical companies. |