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Evaluation of Treatment Effectiveness in Psychiatric Research

Published online by Cambridge University Press:  02 January 2018

R. G. Newcombe*
Affiliation:
University of Wales College of Medicine, Department of Medical Computing and Statistics, Heath Park, Cardiff CF4 4XN

Extract

A paper referred to me for statistical review has drawn my attention to the issue of appropriate evaluation of the effectiveness of treatments used in psychiatry. It has been suggested that the classical randomised controlled trial (RCT) is inappropriate to many aspects of psychiatry. I feel it is important that this issue should be looked into closely. I believe that the principle that treatment evaluation should be by RCT wherever this is feasible is certainly no less important in psychiatry than in other medical specialties. Discussion of this issue is needed, so that guidelines can be set out which will both be acceptable to researchers in psychiatry and meet scientific standards accepted in other areas of medicine.

Type
Point of View
Copyright
Copyright © Royal College of Psychiatrists, 1988 

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References

Gardner, M. J., Machin, D. & Campbell, M. J. (1986) Use of check lists in assessing the statistical content of medical studies. British Medical Journal, 292, 810812.CrossRefGoogle ScholarPubMed
Newcombe, R. G. (1987) Towards a reduction in publication bias. British Medical Journal, 295, 656659.Google Scholar
Pocock, S. J. (1983) Clinical Trials: a Practical Approach. New York: Wiley.Google Scholar
Schwartz, D. & Lellouch, J. (1967) Explanatory and pragmatic approaches in clinical trials. Journal of Chronic Diseases, 20, 637648.Google Scholar
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