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. 2022 Nov 14;2022(11):CD012956. doi: 10.1002/14651858.CD012956.pub2

Jariani 2010.

Study characteristics
Methods 12‐week trial with 2 arms:
  1. olanzapine

  2. sertraline


Duration of trial: 12 weeks
Country: Iran
Setting: outpatient
Participants Methods of recruitment of patients: no information other than patients on methadone maintenance treatment with BPD diagnosis
Overall sample size: 120
Diagnosis of borderline personality disorder: DSM‐IV‐TR
Means of assessment: clinical interview
Mean age: 27 years (SD = no information; range = no information)
Sex: no information on percentage for overall sample size
Comorbidity: 100% had a substance use disorder.
Inclusion criteria: no information
Exclusion criteria: no information; however, stated that patients did not suffer from any axis I disorders or other somatic disorders such as hepatitis or AIDS
Interventions Experimental groupTreatment name: olanzapine (5‐10 mg/d, exact mean final dose unclear)
Number randomised to group: no information*
Duration: 12 weeks
Control/comparison groupComparison name: sertraline (50‐100 mg/d, exact mean final dose unclear)
Number randomised to group: no information*
Duration: 12 weeks
Both groupsConcomitant psychotherapy: no information
Concomitant pharmacotherapy: methadone
Proportions of participants taking standing medication during trial observation period: 100% of participants were concomitantly treated with methadone.
Outcomes Primary outcomes
  1. Self‐harm (not further specified); not reported in trial, but reported a significant difference. Assessed at baseline, and at week 4, 8 and 12 (EOT)

  2. Mental health status (functioning), measured by SCL‐90‐R. Assessed at baseline, and at week 4, 8 and 12 (EOT)


Secondary outcomes
  1. Anger, measured by SCL‐90‐R. Assessed at baseline, and at week 4, 8 and 12 (EOT)

  2. Interpersonal problems, measured by SCl‐90‐R. Assessed at baseline, and at week 4, 8 and 12 (EOT)

  3. Dissociation and psychotic‐like symptoms, measured by SCl‐90‐R. Assessed at baseline, and at week 4, 8 and 12 (EOT)

  4. Depression, measured by SCL‐90‐R. Assessed at baseline, and at week 4, 8 and 12 (EOT)

Notes Sample calculation: yes
Ethics approval: yes, "This clinical trial was granted an approval from Medical Ethics Committee at Lorestan Medical University on 12/04/2007". (Jariani 2010, p. 545)
Funding source: unclear funding
Conflicts of interest: No conflicts of interest were reported.
Comments from trial authors (limitations): none mentioned
Comments from review authors: *No information provided for the number of participants in each group and not possible to contact the authors
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Comment: According to the sample size formula, 120 males and females on MMT with a diagnosis of BPD were chosen and randomly placed in two groups in which they received either olanzapine (5‐10 mg daily) or sertraline (50‐100 mg daily) (Jariani 2010, p. 545).
Allocation concealment (selection bias) Unclear risk Comment: no information on allocation concealment reported to permit a judgement of low or high risk of bias
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk Comment: no information on blinding reported to permit a judgement of low or high risk of bias
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Comment: no information on blinding reported to permit a judgement of low or high risk of bias
Incomplete outcome data (attrition bias)
All outcomes Unclear risk Comment: The complete numbers of participants in each group were not provided for analysis results. No details given about patient flow after randomisation
Selective reporting (reporting bias) Unclear risk Comment: no protocol found
Vested Interest (funding and/or author affiliations) Unclear risk Comment: no information
Other bias Low risk Comment: no other sources found