Skip to main content
. 2021 Apr 16;2021(4):CD010682. doi: 10.1002/14651858.CD010682.pub3

Robertson 1985.

Study characteristics
Methods A single‐centre, randomised, double‐blind, controlled trial (UK)
Baseline period: unclear
Treatment period: 12 weeks (6 weeks for all 3 arms of trial, then 6 weeks for the 2 antidepressants only)
Participants 42 people with epilepsy exceeding 15 points on the HAMD‐21 scale for depression
26 females and 13 males
Aged 18 to 60 years
Interventions Amitriptyline (N = 14) 25 mg TDS
Nomifensine (N = 14) 25mg TDS
Placebo (N = 14)
Outcomes 1) Improvement in depressive symptoms
2) Seizure frequency
3) Adverse effects
Notes 39 people included in the analysis. At 6 weeks, non‐responders in the active drug arms had dose doubled, and those in the placebo arm were withdrawn from the study
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Random number codes used, however generation of this randomisation sequence is unclear
Allocation concealment (selection bias) Low risk Pharmacy‐controlled allocation
Blinding of participants and personnel (performance bias)
All outcomes Low risk Study personnel and participants blinded
Blinding of outcome assessment (detection bias)
All outcomes Low risk Outcome assessor blinded
Incomplete outcome data (attrition bias)
All outcomes Unclear risk Missing data detected and attrition reported
Selective reporting (reporting bias) Low risk Outcomes stated in methods section of report are present in the results. No protocol available
Other bias Unclear risk After 6 weeks, placebo group removed from trial; only active antidepressant treatment groups continued in the trial