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. 2015 Mar 6;2015(3):CD003443. doi: 10.1002/14651858.CD003443.pub3

Bennett 1961.

Methods Allocation: randomised.
 Blindness: unclear.
 Duration: 12 weeks, preceded by 2 weeks wash‐out.
 Setting: hospital, single‐centre.
Participants Diagnosis: all except two had chronic schizophrenia.
 N = 30 (n = 25 relevant).
 Age: median ˜ 37 years.
 Sex: 30 M.
 History: chronic; 'ill for more than two years'; median number of years hospitalised 2.6; Multidimensional Scale for Rating Psychiatric Patients (MSRPP) showed patients to be more 'perceptually confused, paranoid and mentally agitated than the usual male patients confined to Veterans Administration hospitals'; n = 22 were previously receiving phenothiazine derivatives without sustained improvement; n = 10 received courses of electric shock therapy; n = 7 had been given insulin coma therapy.
Included: not stated.
 Excluded: history of central nervous system disease, seizures, lobotomy, somatic illnesses, which included duodenal ulcer, liver disease, blood dyscrasia, or those psychotic as a result of infection or toxic factors.
Consent: not stated.
Interventions 1. Perphenazine: 16 mg/day gradually increased until by the 5th week 48 mg/day, then until the 12th week 96 mg/day, N = 5.
 2. Chlorpromazine: 200 mg/day gradually increased until by the 5th week 600 mg/day, then until the 12th week 1200 mg/day, N = 5.
 3. Prochlorperazine: 25 mg/day gradually increased until by the 5th week 75 mg/day, then until the 12th week 150 mg/day, N = 5.
 4. Triflupromazine: 50 mg/day gradually increased until by the 5th week 150 mg/day, then until the 12th week 300 mg/day, N = 5.
 5. Mepazine: 50 mg/day gradually increased until by the 5th week 150 mg/day, then until the 12th week 300 mg/day, N = 5.
 [6. Phenobarbital: 32 mg/day gradually increased until by the 5th week 100 mg/day, then until the 12th week 200 mg/day, N = 5 ‐ not included in data and analysis, not an antipsychotic].
Outcomes Leaving the study early.
Adverse events: EEG results.
Unable to use ‐
 Global state: no better or worse (no data for individual groups).
 Mental state: MSRPP, CEPS (no data).
 Adverse events (no data).
 Laboratory tests (no data).
 Cognitive functioning: Porteus Maze (no data).
Notes Prior to treatment, participants were given inert identical‐appearing placebo for 14 days; "judicious use of conventional short‐acting sedatives was allowed during first 4 weeks to control behaviour/ insomnia".
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomised ‐ no further details.
Allocation concealment (selection bias) Unclear risk No details.
Blinding (performance bias and detection bias) 
 All outcomes High risk Single‐blind (implied) ‐ all participants were given identical‐looking placebo 14 days prior to treatment; there is no mention of blinding at treatment commencing.
Incomplete outcome data (attrition bias) 
 All outcomes High risk Follow‐up 90% ‐ n = 2 people left early (n = 1 from the chlorpromazine group; n = 1 from the prochlorperazine), no explanation provided; not clear which numbers are completed in full analysis and by which group.
Selective reporting (reporting bias) High risk Non‐reported data by group include: improvement; behaviour (MSRPP); mental state (CEPS); side effects; laboratory testing.
Other bias Unclear risk Funding: no details provided.
Raters: not stated to be independent of treatment.