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

Noyes 1996.

Methods Study design: Randomised controlled trial
Participants Diagnosis: DSM‐III panic disorder or agoraphobia with panic attacks
Method of diagnosis: Structured Clinical Interview for DSM‐III, Upjohn Version
Age: M = 36.6; SD = 10.5
Sex: women = 157, men = 84
Location: USA, Australia; setting: outpatients
Co‐morbidities: patients with major psychiatric co‐morbidities, head trauma or seizures were excluded
Rescue medication: none
Interventions Participants were randomly assigned to either:
(1) diazepam arm (n = 81)
Duration: 8 weeks
Treatment Protocol: flexible dosage, range = 10 ‐ 100 mg, M = 43, SD not provided
(2) alprazolam arm (n = 78)
Duration: 8 weeks
Treatment Protocol: flexible dosage, range = 1 ‐ 10 mg, M = 4.9, SD not provided
(3) placebo arm (n = 79)
Duration: 8 weeks
Outcomes Time points for assessment: baseline, 4 weeks, 8 weeks
Outcomes:
1. frequency of panic attacks
2. Sheehan Self Rated Scale for Anxiety
3. Hamilton Rating Scale for Anxiety (HAMA)
4. Marks and Mathews Agoraphobia Scale
5. Profile of Mood States
6. Hamilton Rating Scale for Depression (HRSD)
7. Work and Social Disability Scale
8. Systematic Assessment for Treatment‐Emergent Events
Notes Date of study: not stated
Funding source: supported by a grant from the Upjohn Company
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 Low risk Quote: "to examine differences in treatment groups over time we completed ITT analysis using logistic regression procedures. The results of analysis using the completer sample were very similar to those using the III subjects".
Selective reporting (reporting bias) Low risk All outcomes were reported.
Other bias High risk Supported by a grant from the Upjohn Company; the role of the funder in planning, conducting and writing the study is not discussed.