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. 2013 Dec 13;2013(12):CD003388. doi: 10.1002/14651858.CD003388.pub4

Peniston 1991.

Methods Randomised controlled trial
Participants 29 male Vietnam War combat veterans with DSM‐III PTSD
Interventions 48 x 30‐minute sessions of EMG (n = 15) assisted desensitisation vs no treatment (n = 14)
Outcomes Nightmare and flashback frequency
Notes Therapist credentials/experience is not reported. It is unclear whether or not treatment adherence was assessed.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Comment: The method of sequence generation was not reported.
Allocation concealment (selection bias) Unclear risk Comment: There is no mention of any measures taken to conceal allocation.
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Comment: It is unclear if there were any missing data, or how this was handled.
Selective reporting (reporting bias) Low risk  Comment: All specified outcomes were reported.
Other bias Unclear risk Comment: The study is not well‐reported. It is difficult to judge other sources of bias.
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Comment: Participants were aware of their allocation.
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Comment: Blind assessors were used.