Taylor 1990.
| Methods | Study design: Randomised controlled trial | |
| Participants |
Diagnosis: 79 patients with panic disorder. Method of diagnosis: Structured Clinical Interview for Diagnoses‐Upjohn version (SCID‐UP). Age: Alprazolam: M = 35.0; Imipramine: M=34.1; Placebo: M = 34.9 Sex: Alprazolam: Male = 19%, Imipramine: 30%, Placebo: 31%. Location: USA; setting: outpatients Co‐morbidities: none Rescue medication: none |
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| Interventions |
Participants were randomly assigned to either: (1) alprazolam (n = 26) Duration: 8 weeks Treatment Protocol: flexible dosage; range = 1 ‐ 8 mg, M = 3.7 (2) imipramine (n=27) Duration: 8 weeks Treatment Protocol: flexible dosage; range = 30 ‐ 270 mg, M = 147 (3) placebo (n = 26) Duration: 8 weeks |
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| Outcomes |
Time points for assessment: baseline, weeks 1, 4, 8. Outcomes: (1) Frequency/Intensity of panic attacks: panic diary (2) Anxiety: Hamilton Anxiety rating scale (HAMA) (3) Depression: Beck Depression Inventory (BDI) (4) Overall psychiatric symptomatology: Symptom Check List‐ 90 (SCL‐90) (5) Global improvement: 7‐point scale. (6) Work and social disability: 5‐point scale (7) Avoidance: Marks/Mathews Fear Questionnaire (8) Adverse effects: SAFTEE‐UP |
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| Notes |
Date of study: not stated Funding source: this research was supported in part by NIMH grant 40118 and by a gift from the Upjohn Company. Declarations of interest among the primary researchers: not stated |
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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 | "Double blind": no further information provided. |
| Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | See above. |
| Incomplete outcome data (attrition bias) All outcomes | High risk | Completer analysis only, unequal drop‐out rate (Alprazolam: 8%, Imipramine: 19%) |
| Selective reporting (reporting bias) | High risk | Almost all the efficacy outcome measures described in the methods are reported in the results, but data are incomplete (standard deviations are not always presented). Furthermore, SAFTEE‐UP event form is not reported. |
| Other bias | High risk | This research was supported in part by NIMH grant 40118 and by a gift from the Upjohn Company. The role of the funder in planning, conducting and writing the study is not discussed. |