Skip to main content
. 2001 Jul 23;2001(3):CD001360. doi: 10.1002/14651858.CD001360

Gunderson 1984.

Methods Allocation: randomised, no further details. 
 Blindness: open study. 
 Duration: two years, had to stay in therapy for six months to be eligible to go on to two year follow up. 
 Setting: all hospitalised initially, then in community.
Participants Diagnosis: schizophrenia (DSM II & III) diagnosis confirmed three times. 
 N=164 (almost 2000 screened). 
 Age:18 to 35 years. 
 Sex: not reported. 
 Inclusion criteria: minimal prior treatment, no drug or alcohol problems, no organic illnesses, able to function outside of hospital for four consecutive months in some major role without medication in the previous two years.
Interventions 1. Insight‐oriented psychotherapy. N=88*. 
 2. Reality‐adaptive, supportive psychotherapy. N=76*.
Outcomes Leaving the study early. 
 Global impression: re‐hospitalised, unable to take household responsibilities, unable to have key relationship, not self supporting.
Unable to use ‐ 
 Mental state: cognition, ego functioning (no SD). 
 Signs and symptoms of illness: no SD. 
 Use of medication: no SD. 
 Hospitalisation: no SD.
Notes *Gunderson reports randomising 95 people. In earlier report of same study (Stanton 1984) 164 people were said to have been randomised. For the 69 people that left early there are no other available data other than leaving the study early. There are only usable data of 95 people staying in therapy beyond six months.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk Randomised, no further details.
Allocation concealment? Unclear risk No further details.
Blinding? 
 All outcomes High risk Open study.
Incomplete outcome data addressed? 
 All outcomes High risk Numbers randomised were not clearly reported.
Free of selective reporting? Unclear risk No further details.
Free of other bias? Unclear risk No details.