Skip to main content
. 2021 Dec 7;2021(12):CD004044. doi: 10.1002/14651858.CD004044.pub5

Meyers 2009.

Study characteristics
Methods Randomised double‐blind study
Participants 259 participants; DSM‐IV‐TR psychotic depression; 18 years of age or older; HAM‐D ≧ 21 and SADS delusional severity rating ≧ 3
Inpatients
Interventions 12 weeks' treatment with olanzapine + placebo and olanzapine + sertraline
Outcomes Remission rates (HAM‐D 17 ≦ 10 and SADS delusional item score = 1)
Notes 53% dropout in olanzapine arm and 37% dropout in olanzapine + sertraline arm
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk As reported: "computer generated randomisation list"
Allocation concealment (selection bias) Unclear risk No further data
Blinding (performance bias and detection bias)
of participants Low risk Study was double‐blind (reported as: "sertraline and placebo under double‐blind conditions")
Blinding (performance bias and detection bias)
of personnel Low risk Well‐described double‐blinding. "Sertraline and placebo under double‐blind conditions". As reported: "investigators and raters were blind to treatment assignment"
Blinding (performance bias and detection bias)
of outcome assessors Low risk Well‐described double‐blinding. "Sertraline and placebo under double‐blind conditions". As reported: "investigators and raters were blind to treatment assignment"
Incomplete outcome data (attrition bias)
All outcomes Low risk None
Selective reporting (reporting bias) Low risk Protocol available. Generally accepted outcomes have been used
Other bias Unclear risk Relatively high dropout rate with significant differences between treatment groups (53% olanzapine and 37% olanzapine + sertraline)
Patients with only hallucinations excluded