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. 2020 Jul 17;2020(7):CD005331. doi: 10.1002/14651858.CD005331.pub3

Khattak 2006.

Study characteristics
Methods Study design: randomised controlled trial
Study grouping: parallel group
Adequate power (evidence of power calculation): no information provided
Allocation concealment method: no information provided
Blinding of outcome assessors: no information provided
Check of blinding: no information provided
Duration of study: April 2004 to September 2004
Randomisation method: method not mentioned
Participants Baseline characteristics
Intervention
  • n: 50


Control
  • n: 50


Overall
  • n: 100

  • Age (mean): 24.3 (SD 8.76) years

  • Sex (% woman): 88%

  • Marital status currently married (%): 60%

  • Educational status: 71% uneducated


Inclusion criteria: symptoms according to ICD‐10 (WHO classification of psychiatric diseases) criteria for dissociative disorder were included in the study. People presenting with convulsions only were included in this study.
Exclusion criteria: co‐existing physical illness or another psychiatric disorder except anxiety and depressive disorder
Pretreatment: no statistically significant differences at baseline between groups.
Interventions Intervention characteristics
Intervention
  • Description: behaviour therapy sessions daily during admission + RCC. The salient features of behaviour therapy were developed in consultation with clinical psychologist.

  • Length of treatment: 5 weeks

  • Longest follow‐up after end of treatment: no follow up

  • Comedications/other treatments while in the study: RCC, defined as all the measures taken for controlling symptoms, which includes drug treatment, reassurance and explanation given to patients and their relatives about the illness.


Control
  • Description: RCC, defined as all the measures taken for controlling symptoms, which includes drug treatment, reassurance and explanation given to patients and their relatives about the illness.

  • Length of treatment: 5 weeks

  • Longest follow‐up after end of treatment: no follow up

  • Comedications/other treatments while in the study: none

Outcomes Symptom severity (CGI)
  • Outcome type: continuous


Mental stateanxiety (HADS)
  • Outcome type: continuous


Mental statedepression (HADS)
  • Outcome type: continuous


Dropout
  • Outcome type: dichotomous

  • Data value: endpoint

Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "After entry into the study, patients were allocated randomly, either to the intervention or control group on 1:1 ratio."
Comment: method not mentioned.
Allocation concealment (selection bias) Unclear risk No information provided.
Blinding of participants and personnel (performance bias)
All outcomes High risk Personnel were not blinded, unclear if patient groups were kept separately.
Blinding of outcome assessment (detection bias)
All outcomes High risk Quote: "absence of a blind rater,"
Incomplete outcome data (attrition bias)
All outcomes Low risk Did not seem so. Dropouts were reported.
Selective reporting (reporting bias) High risk Baseline characteristics were not provided, which hindered an assessment on whether sufficient randomisation was obtained.
Other bias Low risk No other apparent sources of bias.