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. 2002 Apr 22;2002(2):CD002305. doi: 10.1002/14651858.CD002305

Mulholland 1997.

Methods Allocation: randomised, computer generated numbers. 
 Blindness: double, identical placebo capsules. 
 Duration: 8 weeks.
Participants Diagnosis: schizophrenia (DSM‐III‐R), depression (>= 3 on BPRS depression and >= 15 on BDI). 
 N=26. 
 Sex: female 10, male 16. 
 Age: mean 38 years. 
 History: duration ill ˜ 15 years. 
 Setting: out‐patients. 
 Phase: stable, no admission to hospital in previous 6 months. 
 Medication History: people with significant EPS excluded. All on neuroleptic medication. 16 of the 26 were on anticholinergics.
Interventions 1. Sertraline: dose 50 mg/day 4 weeks, 100 mg/day next 4 weeks if tolerated. N=13. 
 2. Placebo. N=13. 
 Both groups: neuroleptic and anticholinergic.
Outcomes Mental State: HAM(D), BPRS. 
 Leaving the study early. 
 Clinical recovery: CGI minimal or better improvement.
Unable to use ‐ 
 Mental state: BDI (HAM(D) used in preference).
Notes ITT analysis performed. 
 Unpublished results provided by authors.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Low risk A ‐ Adequate