Besharat 2001.
Methods | RCT | |
Participants | Country: Not reported in paper (author affiliation listed as Iran; personal correspondence revealed study undertaken in the UK)
Diagnostic tool: DSM‐IV and ICD‐10
No. screened: No detail
No. randomised: 58 (although the results of 62 participants are reported)
No. started trial: No detail
No. dropped out during intervention: No detail
No. dropped out during follow‐up:
No. analysed (observed case): 62 (despite 58 being included in study) Mean age in years (SD): Total: 26.1 (6.6) Age range in years: Total: No detail Gender %: No detail Subtype purging %: No detail Subtype restricting %: No detail Age of onset: Total: No detail Duration of illness: No detail Baseline weight: The ABW, expressed as a percentage of the mean population weight matched for age and height, for the entire sample was 71.8 kg (7.8%) Baseline BMI: No detail Baseline eating disorder scale score: No detail Baseline eating disorder scale score: No detail Baseline purging: No detail Comorbidity: No detail (although must be BN as mixed sample) Details on living arrangements: In 53.3% the family composition was dual‐parental, composed of mother, father and participant, while 26.6% were single‐parent families, mainly mother and the participant, and 20% were marital families, husband and wife Family education/employment/income: Recruitment strategy: No detail Exclusion criteria: No detail |
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Interventions | Setting of care: No detail
Training/qualification of care provider(s): No detail
Treatment manual: No detail
Supervision of treatment: No detail
Adherence to treatment: No detail
Intervention group 1
Description: Family therapy No further details Length: Up to 1 year Intervention group 2 Description: Supportive therapy No further details Length: Up to 1 year Intervention group 3 Description: Individual focal psychoanalytic psychotherapy No further details Length: Up to 1 year Intervention group 4 Description: Cognitive analytic therapy No further details Length: Up to 1 year |
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Outcomes | Standardised clinical family interview expressed emotion Morgan‐Russell outcome assessment |
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Notes | The results from the studies are only reported as group totals for AN versus BN participants. No information is provided for study outcomes by treatment group | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Participants described as "randomly assigned" in abstract. No further details |
Allocation concealment (selection bias) | Unclear risk | No detail |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Therapists and participants cannot be blinded in trials of family‐based therapy |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | No detail |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | 58 study participants are described in the abstract. However, outcomes for 62 participants are reported in Table 1 |
Selective reporting (reporting bias) | High risk | No results from the actual RCT for therapy outcomes reported by intervention group. Outcomes only reported by AN vs BN and pre‐intervention Expressed Emotion results |
Other bias | Unclear risk | No useable data |