Li 2006.
Methods | RCT | |
Participants | Country: China
Diagnostic tool: Chinese Classification of Mental Disorders (CCMD‐3) criteria for AN
No. screened: No detail
No. randomised: No detail
No. started trial: No detail
No. dropped out during intervention: No detail
No. dropped out during follow‐up: No detail
No. analysed (observed case): Total: 42; FT + DT: 21; DT: 21 Mean age in years (SD): Total: 41.3 (18.5); FT + DT: 40.1 (20.3); DT: 38.7 (20.5) Age range in years: Total: No detail Gender %: No detail Subtype purging %: 42 Subtype restricting %: No detail Age of onset: No detail Duration of illness: FT + DT: 5.6 (2.4); DT: 5.4 (3.0) Baseline weight: FT + DT: 34.8 (2.8); DT: 34.8 (2.9) Baseline BMI: No detail Baseline eating disorder scale score: No detail Baseline eating disorder scale score: No detail Baseline purging: No detail Comorbidity, HAMD: FT + DT: 29.2 (4.7); DT: 29.0 (4.9) Details on living arrangements: No detail Family education/employment/income: No detail Recruitment strategy: Recruited from inpatients, no further information Exclusion criteria:
|
|
Interventions | Setting of care: Inpatient and 1‐year follow‐up as outpatient after discharge Training/qualification of care provider(s): Professionally‐trained psychiatrists Treatment manual: Unclear. "The treatment was structured", no further information Supervision of treatment: No detail Adherence to treatment: This was assessed, but results not reported Intervention group 1 Description: Family therapy + drug therapy: Citalopram (20 mg ‐ 60 mg/day) Length: 60 min, 6 sessions on average; 12 weeks Intervention group 2 Description: Drug therapy: Citalopram (20 mg ‐ 60 mg/day) Length: 12 weeks | |
Outcomes |
Behavioural indices
Weight Relapse General Psychopathology and Obsessionality HAMD (Hamilton 1960) |
|
Notes | Foreign‐language article. Screened and data extracted by researcher outside of the main review team. Data extracted by only 1 researcher | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk | Participants were randomised according to the order of their hospital admission, no further information about randomisation method |
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 | No detail |
Selective reporting (reporting bias) | High risk | The paper describes a method, LOWE, to judge the efficacy of the treatment but the results are not reported. Interview records and other psychiatric evaluation results not reported at baseline. Additional medicine used for sleeping disorders was not reported. No useable data |
Other bias | Low risk |