Collins 1967.
Methods | Allocation: randomised. Blindness: unclear. Duration: 10 weeks, preceded by 2 weeks wash‐out . Setting: hospital, single‐centre. | |
Participants | Diagnosis: chronic schizophrenia.
N = 87.
Age: mean ˜ 41 years.
Sex: all male.
History: chronic 'long‐stay' inpatient. Included: no details. Excluded: no details. Consent: not stated. |
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Interventions | 1. Perphenazine: 4 mg/day for five weeks, then 8 mg/day for another five weeks, n = 29.
2. Placebo: one tablet daily for the first five weeks, then two tablets daily for another five weeks, n = 29. [3. Perphenazine and amitriptyline: 4 mg/day and 25 mg/day for five weeks, then 8 mg/day and 50 mg/day for another five weeks, n = 29 ‐ not included in data and analysis, combined with anti‐depressant]. |
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Outcomes | Leaving the study early.
Behaviour: Wing‐Scale B ‐ social withdrawal, socially embarrassing behaviour (SD imputed from standard error).
Adverse events. Unable to use ‐ Global state: overall improvement; relative improvement (unusable data). Physical: body weight (no SD). Other side effects: nausea; dizziness; skin rash (no data reported). |
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Notes | *Night sedatives as needed, but no other medication administered. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Random – “allotted to treatment groups at random”. |
Allocation concealment (selection bias) | Unclear risk | No details. |
Blinding (performance bias and detection bias) All outcomes | Low risk | Double – quote, “neither nursing staff nor doctors concerned knew which tablets were which” (p1428). |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No losses ‐ N = 29 participants in each treatment group completed the trial. |
Selective reporting (reporting bias) | Low risk | Not all adverse effects reported in full; not all means and SD reported. |
Other bias | Unclear risk | Funding: Messrs. Allen & Hanburys Ltd supplied matching tablets of Triptafen Forte, Fentazin and placebo. Raters: not stated to be independent of treatment. |