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. 2008 Oct 8;2008(4):CD000448. doi: 10.1002/14651858.CD000448.pub3

Shelton 2001.

Methods Concealment: numbered pharmacy 
 Blinding: double‐blind 
 Drop‐outs/withdrawals:15 of 98 (hypericum), 13 of 102 (placebo) 
 Jadad score: 2‐2‐1 
 IV score: 1‐1‐1‐1‐1‐1
Participants Patients included/analyzed: 200/195 
 Demographics: 64% female, mean age 42 years 
 Diagnosis: major depression (DSM‐IV) 
 Setting: 11 academic medical centers in the USA 
 Baseline: mean HAMD values above 22 in both groups
Interventions Treatment: Hypericum extract LI 160 3x1 to 4x1 tablet (900 to 1200 mg) for 8 weeks 
 Control: placebo for 8 weeks
Outcomes Observation period: 1 week run‐in, 8 weeks treatment 
 Phsician‐rated: Hamilton Depression Scale (HAMD, 17 items, at least 50% reduction), Clinical Global Impression Index (CGI), Hamilton Anxiety Scale (HAMA) 
 Patient‐rated: Beck Depression Inventory (BDI)
Notes Average duration of current depressive episode more than 2 years. Additional information provided from authors
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate