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. 2019 May 1;2019(5):CD004780. doi: 10.1002/14651858.CD004780.pub4

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:
  1. Education level < senior high school;

  2. Serious disable or organic disease

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 1Description: Family therapy + drug therapy: Citalopram (20 mg ‐ 60 mg/day)
 Length: 60 min, 6 sessions on average; 12 weeks
 
 Intervention group 2Description: 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