Table 5.
Psychological intervention to improve quality of life and functioning
| Reference | Final analysis, n (intervention/control) | Intervention | Follow-up duration after post-intervention (month) | Outcome | Test statistics and P | Measure of effect |
|---|---|---|---|---|---|---|
| Husain et al 2017 (Pakistan)37 | 16/11 | I-PE v. TAU | 3 | Overall QoL in EQ-5D index | Z = 2.47, P = 0.01 | AMD = 0.24 (95% CI 0.1–0.5), SES = 0.88 |
| Overall QoL in EQ-5D VAS | Z = 3.65, P < 0.001 | AMD = 26.8 (95% CI 12.2–41.8), SES = 1.14 | ||||
| Dogan & Sabanciogullari 2003 (Turkey)28 | 14/12 | I-PE v. TAU | 3 | General health domain | Z = 2.56, P < 0.01a | |
| Physical aspect | Z = 2.67, P < 0.01a | |||||
| Psychological | Z = 1.58, P > 0.05a | |||||
| Social aspects | Z = 2.10, P < 0.05a | |||||
| Environmental | Z = 1.38, P > 0.05a | |||||
| Javadpour et al 2013 (Iran)31 | 45/41 | I-PE v. TAU | 18 | Physical aspect | P < 0.001 | |
| Mental health | P < 0.001 | |||||
| Social aspects | P < 0.001 | |||||
| Environmental | P < 0.001 | |||||
| Faridhosseini et al 2017 (Iran)30 | 12/12 | G-PE v. TAU | − | Overall QoL | P = 0.196 | Mean 3.12 (s.d. = 2.34) |
| Cuhadar et al 2014 (Turkey)2,7 | 24/23 | G-PE v. TAU | – | Emotional functioning | Z = −0.21, P = 0.08a | |
| Mental functioning | Z = −1.93, P = 0.05a | |||||
| Sexual functioning | Z = −0.34, P = 0.73a | |||||
| Feelings of stigmatisation | Z = −0.95, P = 0.34a | |||||
| Introversion | Z = −1.50, P = 0.13a | |||||
| Domestic relationships | Z = −2.18, P = 0.03a | |||||
| Relations with friends | Z = −1.59, P = 0.11a | |||||
| Participating in social activities | Z = −1.80, P = 0.07a | |||||
| Daily and recreational activities | Z = −0.15; P = 0.88a | |||||
| Taking initiative and using one's potential | Z = −0.00, P = 1.00a | |||||
| Work | Z = −0.54, P = 0.59a | |||||
| Kurdal et al 2014 (Turkey)26 | 40/40 | G-PE v. TAU | 3 | Emotional functioning | t = 4.04, P < 0.001 | |
| Intellectual functioning | t = 7.46, P < 0.001 | |||||
| Sexual functioning | t = 1.87, P > 0.050 | |||||
| Feelings of stigmatisation | t = 7.84, P < 0.001 | |||||
| Social withdrawal | t = 7.00, P < 0.001 | |||||
| Household relations | t = 7.84, P < 0.001 | |||||
| Relations with friends | t = 3.46, P < 0.001 | |||||
| Participating in social activities | t = 3.66, P < 0.001 | |||||
| Daily and recreational activities | t = 3.11, P < 0.005 | |||||
| Taking initiative and self-sufficiency | t = 3.61, P < 0.001 | |||||
| Occupation | t = 2.01, P < 0.050 | |||||
| Bahredar et al 2014 (Iran)32 | 15/15/15 | G-PE v. placebo and TAU | 6 | GAF score | F(2,31) = 90.93, P < 0.001 | |
| Cardoso 2014 (Brazil)21 | 19/26 | G-PE v. TAU | 6 | Functional capacity | F = 0.08, P = 0.78 | |
| Pain | F = 1.98, P = 0.17 | |||||
| General health status | F = 0.04, P = 0.84 | |||||
| Vitality | F = 0.39, P = 0.54 | |||||
| Social aspects | F = 0.62, P = 0.44 | |||||
| Emotional aspects | F = 0.24, P = 0.63 | |||||
| Mental health | F = 1.19, P = 0.28 | |||||
| de Barros et al 2012 (Brazil)22 | 28/18 | G-PE v. placebo | 12 | Social domain | P = 0.42 | ES = 0.42 |
| Environmental domain | P = 0.82 | |||||
| Functioning | P = 0.59 | ES = 0.03 | ||||
| Clinical improvement patient view | P = 0.02 | ES = 0.35 | ||||
| Clinical improvement clinician view | P = 0.57 | ES = 0.04 | ||||
| Costa et al 2012 (Brazil)23 | 25/12 | G-CBT v. TAU | 6 | Functional capacity | P = 0.007 | R2 = 0.65 |
| Pain | P = 0.020 | R2 = 0.60 | ||||
| General health status | P = 0.002 | R2 = 0.77 | ||||
| Vitality | P = 0.036 | R2 = 0.46 | ||||
| Social aspects | P = 0.044 | R2 = 0.41 | ||||
| Emotional aspects | P = 0.001 | R2 = 0.56 | ||||
| Mental health | P = 0.081 | R2 = 0.46 |
I-PE, individual psychoeducation; TAU, treatment as usual; AMD, adjusted mean difference; SES, standardised effect size; VAS, visual analogue scale; G-PE, group psychoeducation; QoL, quality of life; GAF, Global Assessment of Functioning; ES, effect size; G-CBT, group cognitive–behavioural therapy; R2, squared value of correlation coefficient or the proportion of explained variation.
a. The comparison was made within arm and the reported result for the treatment group.