He 2005.
Methods | Parallel design. 3 groups: paroxetine, paroxetine plus psychotherapy, control. We are using paroxetine and control data in this review Analysis: according to treatment group |
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Participants | Location: China Setting: inpatient Stroke criteria: first ever stroke; ischaemic and haemorrhagic, timing: "acute", clinical diagnosis plus confirmation by imaging (though not clear whether a stroke lesion had to be present or not) Mood criteria: meets ICD‐10 organic depression and organic anxiety diagnostic criteria on psychiatric interview, HAMD score ≥ 17 and HAMA score ≥ 14 Treatment: 27 people, mean age 62.4 ± 6.1 years, 14 men Control: 27 people, mean age 63.2 ± 5.7 years, 16 men Exclusion: previous psychiatric disorder, antidepressants and "nerve block agents" in recent 3 months, severe cognitive impairment, aphasia, severe cardiac, hepatic and renal function impairment, allergy to paroxetine, severe suicidal behaviour |
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Interventions | Treatment: paroxetine 20 mg plus routine stroke treatment Control: routine stroke treatment Duration of treatment: 6 weeks Duration of follow‐up: end of treatment to study end: 0 |
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Outcomes | SSS BI HAMD HAMA TESS Also reported GI upset and dizziness. They did not list any seizures in the list of AEs, so we are assuming no seizures in either groups Unclear how side effects were collected |
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Funding source | Funded by a local scientific academic fund | |
Notes | The authors mentioned using the SDS and the SAS for evaluation, but they did not report the results of SDS and SAS | |
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 | Low risk | No dropouts, analysed according to treatment group |
Selective reporting (reporting bias) | High risk | No protocol, the authors mentioned using the SDS and the SAS for evaluation but they did not report the results |
Other bias | Low risk | Balanced baseline |