Moene 2003.
Study characteristics | ||
Methods |
Study design: randomised controlled trial Study grouping: parallel group Adequate power (evidence of power calculation): No. Quote: "Another limitation is the lack of power of the study because of the small sample size". Allocation concealment method: participants were told they would receive same treatment, only at different starting points. Blinding of outcome assessors: 3 trained and independent raters blind to group membership and study rational rated the performance of motor tasks. Check of blinding: no information provided Duration of study: 1991–1996 Randomisation method: block randomisation |
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Participants |
Baseline characteristics Intervention
Control
Overall
Inclusion criteria: positive diagnosis of conversion disorder, motor type (such as paresis or paralysis, gait disturbances, co‐ordinations problems, aphonia, seizures, or pseudo‐epileptic seizures with motor activity) or a diagnosis of somatisation disorder with conversion symptoms, motor type according to DSM‐III‐R criteria; duration of symptoms ≥ 1 month; aged 18–65 years; no problem speaking the Dutch language; available for full course of treatment and assessment sessions; no other psychological treatment during the project; no imminent change in medication. Exclusion criteria: evidence of a neurological disorder explaining the conversion symptom; major affective disorder or other severe psychiatric diagnosis requiring immediate treatment. Pretreatment: no significant differences between groups with respect to demographic variable, psychiatric history or dependent values at baseline. All Chi2 P values were > 0.15. |
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Interventions |
Intervention characteristics Intervention
Control
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Outcomes |
Severity of impairment (VRMC)
Dropout
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Method used for randomisation was not provided. |
Allocation concealment (selection bias) | Unclear risk | All participants knew they would get the same treatment at different times. No evidence of this being a problem. |
Blinding of participants and personnel (performance bias) All outcomes | High risk | All participants knew they would get the same treatment as informed of cross‐over study. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | 2 trained and independent raters viewed the pretreatment video followed randomly by the posttreatment or follow‐up video. |
Incomplete outcome data (attrition bias) All outcomes | High risk | Incomplete data as data were not reported for the 2 groups (control and intervention) separately. Dropouts accounted for. But no baseline characteristics reported. |
Selective reporting (reporting bias) | Unclear risk | Results only reported for end of treatment, as follow‐up data were not comparable, as the control/wait list group had started treatment. |
Other bias | Low risk | None described. |