Zukerman 2005.
Methods | Design: randomised controlled trial Allocation method: not stated Blinding: not stated | |
Participants | Diagnosis: vaginismus (primary or secondary not reported) Criteria: not stated Setting: outpatient Number: 65 Age: control group 25.3 years, SD = 3.8, experimental group 25.2 years, SD = 3.5 Duration of vaginismus: control group range 6 to 144 months, experimental group range 6 to 108 months | |
Interventions | Intervention 1: systematic desensitisation
Number of sessions: until symptoms abated
Duration of sessions: not stated
Therapist level: not stated
Adjunctive interventions: not stated Intervention 2: systematic desensitisation + pelvic floor exercises + relaxation Number of sessions: until symptoms abated Duration of sessions: not stated Therapist level: not stated Adjunctive interventions: not stated |
|
Outcomes | Drop‐outs | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk | Alternation |
Allocation concealment (selection bias) | Unclear risk | Not reported |
Blinding (performance bias and detection bias) All outcomes | Unclear risk | Not reported |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | 5 women dropped out of the study after the first or second meeting, 2 from the intervention arm and 3 from the control. Analysis was per protocol (no ITT analysis undertaken). |
Selective reporting (reporting bias) | Unclear risk | Outcome data provided for all stated outcomes but we have no access to study protocols so cannot be certain other outcomes were not assessed |
Other bias | High risk | Participants kept in treatment until symptoms abated |
DSM‐III‐R: Diagnostic and Statistical Manual of Mental Disorders III ‐ revision DSM‐IV: Diagnostic and Statistical Manual of Mental Disorders IV ITT: intention‐to‐treat LOCF: last observation carried forward NA: not applicable SD: standard deviation