Bernstein 2000.
Methods | Randomised double‐blind control trial of imipramine versus placebo each in combination with cognitive behavioural therapy | |
Participants | Outpatients aged 12‐18 years referred with school refusal 38 females, 25 males 31 active treatment, 32 placebo 16 withdrawals |
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Interventions | Imipramine up to 3 mg/kg in 2 divided dose | |
Outcomes | Anxiety Rating for Children‐Revised Children's Depression Rating Scale‐Revised Revised Children's Manifest Anxiety Scale Beck Depression Inventory School attendance Side Effects Rating Clinical Global Impressions Follow‐up interval 2 weeks Family Adaptability and Cohesion Evaluation Scale II |
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Notes | Study quality score = 28 | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Study was described as random but no further description was provided |
Allocation concealment (selection bias) | Unclear risk | No description was provided |
Blinding (performance bias and detection bias) of participants | Unclear risk | No description was provided |
Blinding (performance bias and detection bias) of personnel | Unclear risk | No description was provided |
Blinding (performance bias and detection bias) of outcome assessors | Low risk | Assessors were an independent child psychiatrist who was not involved with the earlier stages of the study |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Number and reason for withdrawal was provided but analysis was not modified |
Selective reporting (reporting bias) | Unclear risk | ‐ |
Other bias | Unclear risk | Previous treatment was not stated |