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

Brill 1964.

Methods Design: six group parallel trial 
 Purpose: to examine the effect of psycho‐ and pharmacotherapy on psychiatric out‐patients
Participants Patients: out‐patients with neuroses, borderline schizophrenia or personality disorders 
 Baseline comparability: yes (rating scales)
Interventions Placebo: capsule without meprobamate, phenobarbital or 
 prochlorperazine 
 Untreated: no capsule (waiting list group) 
 Experimental: capsule with ‐meprobamate 
 ‐phenobarbital 
 ‐prochlorperazine 
 (Co‐intervention: NS)
Outcomes Patient's rating (anxiety, tension, irritability, concentration, alertness, mood, sleep, appetite, general feeling) 
 Rating by relative and patient (getting along, nervousness, happiness, ability to handle personal problems, energy, physical health, presenting symptoms or problems, ability to work, ability to enjoy life, overall condition) 
 MMPI (Minnesota Multi phasic Personality Inventory) 
 Social Worker Interview Evaluation
Notes Number of patients assigned to untreated group was 34 contrasting the number in the other groups which had 50 to 54 patients. Relevant outcome data not accessible
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Low risk 'Used a double‐blind method of administration of drugs'
Blinding? 
 Outcome assessor Unclear risk Not relevant as patient reported outcome
Incomplete outcome data addressed? 
 All outcomes High risk Drop‐out >15% or NS
Free of selective reporting? High risk Relevant outcome data not accessible
Free of other bias? Low risk  
Trial size > 49? Low risk N = 89
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Drop‐out >15% or NS