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. 2019 Nov 26;2019(11):CD009286. doi: 10.1002/14651858.CD009286.pub3

Cheng 2003.

Methods Parallel design
Aim: to treat depression and augment rehabilitation
Analysis: according to allocated treatment group
Participants Location: China
Setting: inpatient
Treatment: 25 people
Control: 32 people
Whole group (including non‐depression group, depression control group and depression treatment group): 132 (mean age 62 ± 12 years, 79 men)
Stroke: ischaemic stroke or PICH, clinical diagnosis plus confirmation on brain imaging (not clear that a stroke lesion had to be present), clear consciousness
Depression diagnosis (at 2 weeks after stroke onset): psychiatric interview, DSM IV criteria
Excluded: major psychological trauma history in previous 1 year, severe mental retardation, severe impairment of lingual expression or comprehension, major complicated medical event in previous 1 year
Interventions Treatment: fluoxetine 20 mg daily
Control: no fluoxetine
Duration of treatment: 6 months
Duration of follow‐up (post‐treatment to study end): 6 months
Outcomes SSS
ADL
HAMD
Zung SDS
Zung SAS
No deaths, none left trial early
No data on AEs
Funding source No description of funding
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Method not described
Allocation concealment (selection bias) Unclear risk Not described
Blinding of participants and personnel (performance bias) 
 All outcomes High risk No placebo
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not described
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk 59 participants were diagnosed to have depression by symptoms but only 57 were included in the results table
Selective reporting (reporting bias) High risk No protocol, no report of the results of the self‐rating anxiety scale
Other bias Unclear risk No clear description of differences between the treatment and control group