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. 2013 Jun 18;2013(6):CD002317. doi: 10.1002/14651858.CD002317.pub2

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
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
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