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. 2010 Jan 20;2010(1):CD003974. doi: 10.1002/14651858.CD003974.pub3

Goldstein 2000.

Methods Design: three group parallel trial 
 Purpose: study the effect of eye movement desensitization and reprocessing (EMDR) on panic disorder with agoraphobia
Participants Patients: out‐patients with panic disorder with agoraphobia 
 Baseline comparability: NS
Interventions Placebo: sessions with a credible attention‐placebo ('association and relaxation therapy') 
 Untreated: no sessions 
 Experimental: sessions with EMDR 
 (Co‐intervention: anxiolytic drugs in moderate doses)
Outcomes Frequency of panic attacks 
 Daily and weekly expectancy of panic attack 
 Daily highest anxiety 
 Daily average anxiety 
 The agoraphobic cognitions questionnaire 
 Body sensations questionnaire 
 Brief body sensations interpretations 
 Panic appraisal inventory 
 The mobility inventory 
 Beck depression inventory 
 Beck anxiety inventory 
 Brief symptom inventory 
 Social adjustment scale (self‐report) 
 Distress questionnaire
Notes After completion of waiting‐list period the no treatment group was randomised to placebo and active treatment. Results from the placebo group also included patients who originally were in the no‐treatment group. Contact with the authors made it clear that the data from the originally randomised patients had been lost.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider High risk Not described as double‐blind (placebo/EMDR)
Blinding? 
 Outcome assessor Unclear risk Not relevant as patient reported outcome
Incomplete outcome data addressed? 
 All outcomes Low risk Drop‐out < 15%
Free of selective reporting? High risk No protocol available. Contact to the authors made it clear that the data from the originally randomised patients had been lost.
Free of other bias? Low risk  
Trial size > 49? High risk N = 27
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49