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. 2018 Dec 20;2018(12):CD007964. doi: 10.1002/14651858.CD007964.pub2

Comparison 1. COMPARISON 1: CBT+ STANDARD CARE versus STANDARD CARE ALONE.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Global state: 1a. Relapse 17   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.1 Short term 2 92 Risk Ratio (M‐H, Random, 95% CI) 0.22 [0.04, 1.24]
1.2 Medium term 5 667 Risk Ratio (M‐H, Random, 95% CI) 0.53 [0.39, 0.72]
1.3 Long term 13 1538 Risk Ratio (M‐H, Random, 95% CI) 0.78 [0.61, 1.00]
2 Global state: 1b. Relapse (skewed data)     Other data No numeric data
2.1 Medium term     Other data No numeric data
2.2 Long term     Other data No numeric data
3 Global state: 2. Clinically important change (no improvement) ‐ defined by individual studies 3   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
3.1 Short term 1 48 Risk Ratio (M‐H, Fixed, 95% CI) 1.01 [0.61, 1.66]
3.2 Long term 2 82 Risk Ratio (M‐H, Fixed, 95% CI) 0.57 [0.39, 0.84]
4 Global state: 3a. Rehospitalisation 7   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
4.1 Short term 1 30 Risk Ratio (M‐H, Fixed, 95% CI) 1.0 [0.07, 14.55]
4.2 Long term 6 648 Risk Ratio (M‐H, Fixed, 95% CI) 0.79 [0.60, 1.04]
5 Global state: 3b. Hospitalisation ‐ number of admissions (skewed data)     Other data No numeric data
5.1 Medium term     Other data No numeric data
5.2 Long term     Other data No numeric data
6 Global state: 4. Average endpoint total score CGI, high = poor 3   Mean Difference (IV, Fixed, 95% CI) Subtotals only
6.1 Short term 3 128 Mean Difference (IV, Fixed, 95% CI) ‐0.32 [‐0.63, ‐0.01]
6.2 Medium term 2 80 Mean Difference (IV, Fixed, 95% CI) ‐0.52 [‐0.89, ‐0.15]
6.3 Long term 1 32 Mean Difference (IV, Fixed, 95% CI) ‐0.67 [‐1.07, ‐0.27]
7 Mental state: 1. General ‐ clinically important change (no improvement) 11   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
7.1 Short term 7 680 Risk Ratio (M‐H, Random, 95% CI) 0.44 [0.21, 0.92]
7.2 Long term 5 501 Risk Ratio (M‐H, Random, 95% CI) 0.81 [0.65, 1.02]
8 Mental state: 2a. General (average total endpoint score BPRS, high = poor) 8   Mean Difference (IV, Random, 95% CI) Subtotals only
8.1 Short term 5 541 Mean Difference (IV, Random, 95% CI) ‐5.09 [‐8.44, ‐1.74]
8.2 Medium term 3 199 Mean Difference (IV, Random, 95% CI) ‐2.57 [‐5.73, 0.60]
8.3 Long term 3 175 Mean Difference (IV, Random, 95% CI) ‐8.77 [‐14.08, ‐3.46]
9 Mental state: 2b. General (average total endpoint score PANSS, high = poor) 22   Mean Difference (IV, Random, 95% CI) Subtotals only
9.1 Short term 11 962 Mean Difference (IV, Random, 95% CI) ‐7.21 [‐10.12, ‐4.30]
9.2 Medium term 11 963 Mean Difference (IV, Random, 95% CI) ‐3.68 [‐6.12, ‐1.24]
9.3 Long term 12 1284 Mean Difference (IV, Random, 95% CI) ‐3.74 [‐6.46, ‐1.02]
10 Mental state: 2c. General (average total endpoint score PsyRAT, high = poor) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
10.1 Medium term 1 197 Mean Difference (IV, Fixed, 95% CI) 1.05 [‐1.20, 3.30]
10.2 Long term 1 197 Mean Difference (IV, Fixed, 95% CI) 0.63 [‐1.48, 2.74]
11 Mental state: 2d. General (average total change score, various scales) 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
11.1 CHOICE ‐ short term 1 136 Mean Difference (IV, Fixed, 95% CI) 9.10 [1.74, 16.46]
11.2 CPRS ‐ medium term 1 336 Mean Difference (IV, Fixed, 95% CI) 1.32 [‐0.97, 3.61]
12 Mental state: 2e. General (average total endpoint score SCL‐90, high = poor) ‐ long term     Other data No numeric data
13 Mental state: 3a. Specific ‐ positive symptoms (average endpoint score PANSS subscale, high = poor) 22   Mean Difference (Random, 95% CI) Subtotals only
13.1 Short term 11   Mean Difference (Random, 95% CI) ‐3.11 [‐4.97, ‐1.24]
13.2 Medium term 12   Mean Difference (Random, 95% CI) ‐1.23 [‐1.90, ‐0.55]
13.3 Long term 12   Mean Difference (Random, 95% CI) ‐0.98 [‐1.63, ‐0.34]
14 Mental state: 3b. Specific ‐ positive symptoms (average endpoint score BPRS/SAPS, high = poor) ‐ short term 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
14.1 BPRS 1 48 Mean Difference (IV, Fixed, 95% CI) ‐1.84 [‐3.40, ‐0.27]
14.2 SAPS 1 64 Mean Difference (IV, Fixed, 95% CI) ‐1.83 [‐3.61, ‐0.05]
15 Mental state: 4a. Specific ‐ hallucination ‐ clinically important change (no improvement ‐ < 3 point improvement BPRS (hallucination severity score)) 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
15.1 Short term 1 65 Risk Ratio (M‐H, Fixed, 95% CI) 0.09 [0.03, 0.27]
15.2 Long term 1 65 Risk Ratio (M‐H, Fixed, 95% CI) 0.08 [0.03, 0.26]
16 Mental state: 4b. Specific ‐ hallucination (average endpoint score various scales, high = poor) 6   Mean Difference (IV, Random, 95% CI) Subtotals only
16.1 AHRS ‐ short term 1 50 Mean Difference (IV, Random, 95% CI) ‐3.60 [‐6.74, ‐0.46]
16.2 PANSS ‐ short term 1 60 Mean Difference (IV, Random, 95% CI) ‐0.48 [‐0.92, ‐0.04]
16.3 AHRS ‐ medium term 2 128 Mean Difference (IV, Random, 95% CI) ‐2.57 [‐7.07, 1.93]
16.4 PANSS ‐ medium term 1 197 Mean Difference (IV, Random, 95% CI) ‐0.33 [‐0.79, 0.13]
16.5 Malevolence ‐ BAVQ ‐ medium term 1 29 Mean Difference (IV, Random, 95% CI) 1.0 [‐5.26, 7.26]
16.6 Omniscience ‐ BAVQ ‐ medium term 1 29 Mean Difference (IV, Random, 95% CI) ‐0.90 [‐3.47, 1.67]
16.7 VPD ‐ medium term 1 29 Mean Difference (IV, Random, 95% CI) ‐11.10 [‐15.73, ‐6.47]
16.8 AHRS ‐ long term 1 78 Mean Difference (IV, Random, 95% CI) ‐4.40 [‐6.60, ‐2.20]
16.9 PANSS ‐ long term 1 197 Mean Difference (IV, Random, 95% CI) 0.14 [‐0.30, 0.58]
16.10 BPRS ‐ long term 1 65 Mean Difference (IV, Random, 95% CI) ‐2.82 [‐3.74, ‐1.90]
17 Mental state: 4c. Specific ‐ hallucinations (average endpoint score, PsyRATs, high = poor) 3   Mean Difference (Random, 95% CI) Totals not selected
17.1 Short term 2   Mean Difference (Random, 95% CI) 0.0 [0.0, 0.0]
17.2 Medium term 1   Mean Difference (Random, 95% CI) 0.0 [0.0, 0.0]
18 Mental state: 4d. Specific ‐ hallucinations (average endpoint score various scales, high = poor) (skewed data)     Other data No numeric data
18.1 PsyRATs ‐ short term     Other data No numeric data
18.2 PsyRATs ‐ long term     Other data No numeric data
18.3 BPRS ‐ short term     Other data No numeric data
18.4 VCS ‐ short term     Other data No numeric data
18.5 VCS ‐ medium term     Other data No numeric data
19 Mental state: 5a. Specific ‐ delusions (average endpoint score, PsyRATs , high = poor)) ‐ short term 5   Mean Difference (Random, 95% CI) ‐4.33 [‐7.58, ‐1.08]
20 Mental state: 5b. Specific ‐ delusions (average endpoint score PANSS, high = poor) 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
20.1 Short term 1 60 Mean Difference (IV, Fixed, 95% CI) ‐0.64 [‐1.16, ‐0.12]
20.2 Medium term 1 197 Mean Difference (IV, Fixed, 95% CI) ‐0.30 [‐0.71, 0.11]
20.3 Long term 1 197 Mean Difference (IV, Fixed, 95% CI) ‐0.10 [‐0.53, 0.33]
21 Mental state: 5c. Specific ‐ delusions (average change score PsyRATs, high = poor) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
21.1 Medium term 1 336 Mean Difference (IV, Fixed, 95% CI) ‐0.43 [‐1.82, 0.96]
22 Mental state: 5d. Specific ‐ delusions (average endpoint score PsyRATS, high = poor) (skewed data)     Other data No numeric data
22.1 Medium term     Other data No numeric data
22.2 Long term     Other data No numeric data
23 Mental state: 6a. Specific ‐ negative symptoms (average endpoint score, PANSS subscale, high = poor) 24   Mean Difference (Fixed, 95% CI) Subtotals only
23.1 Short term 12   Mean Difference (Fixed, 95% CI) ‐3.35 [‐3.84, ‐2.85]
23.2 Medium term 13   Mean Difference (Fixed, 95% CI) ‐1.43 [‐1.94, ‐0.93]
23.3 Long term 13   Mean Difference (Fixed, 95% CI) ‐1.47 [‐1.94, ‐0.99]
24 Mental state: 6b. Specific ‐ negative symptoms (average endpoint score SANS, high = poor) 4   Mean Difference (IV, Random, 95% CI) Subtotals only
24.1 Short term 4 231 Mean Difference (IV, Random, 95% CI) ‐4.11 [‐10.40, 2.17]
24.2 Long term 1 49 Mean Difference (IV, Random, 95% CI) ‐1.07 [‐3.29, 1.15]
25 Mental state: 6c. Specific ‐ negative symptoms (average endpoint score NSRS, high = poor) ‐ medium term 1 336 Mean Difference (IV, Fixed, 95% CI) 0.60 [‐0.05, 1.25]
26 Mental state: 7a. Specific ‐ affective symptoms (average enpoint score, PANSS subscale, high = poor) 19   Mean Difference (Fixed, 95% CI) Subtotals only
26.1 Short term 10   Mean Difference (Fixed, 95% CI) ‐4.86 [‐5.75, ‐3.96]
26.2 Medium term 10   Mean Difference (Fixed, 95% CI) ‐0.80 [‐1.70, 0.09]
26.3 Long term 10   Mean Difference (Fixed, 95% CI) ‐1.00 [‐1.82, ‐0.18]
27 Mental state: 8. Specific ‐ distress (average endpoint score PsyRATs/SADS, high = poor) 3   Mean Difference (IV, Random, 95% CI) Subtotals only
27.1 Short term 1 140 Mean Difference (IV, Random, 95% CI) ‐1.10 [‐1.77, ‐0.43]
27.2 Medium term 2 226 Mean Difference (IV, Random, 95% CI) 0.08 [‐0.50, 0.66]
27.3 Long term 1 197 Mean Difference (IV, Random, 95% CI) ‐0.10 [‐0.47, 0.27]
28 Mental state: 9. Specific ‐ anxiety (average endpoint score various scales, high = poor) 10   Mean Difference (IV, Fixed, 95% CI) Subtotals only
28.1 BAI ‐ short term 2 105 Mean Difference (IV, Fixed, 95% CI) ‐0.32 [‐5.40, 4.77]
28.2 SAS ‐ short term 2 188 Mean Difference (IV, Fixed, 95% CI) ‐6.21 [‐7.36, ‐5.05]
28.3 HAMA ‐ short term 1 75 Mean Difference (IV, Fixed, 95% CI) ‐1.79 [‐2.29, ‐1.29]
28.4 SCL‐90 ‐ short term 1 90 Mean Difference (IV, Fixed, 95% CI) ‐1.43 [‐1.53, ‐1.33]
28.5 BAI ‐ medium term 2 108 Mean Difference (IV, Fixed, 95% CI) ‐1.34 [‐6.55, 3.87]
28.6 BAI ‐ long term 3 335 Mean Difference (IV, Fixed, 95% CI) 1.50 [‐1.19, 4.19]
28.7 HADS ‐ long term 1 92 Mean Difference (IV, Fixed, 95% CI) 0.66 [‐1.22, 2.54]
29 Mental state: 10a. Specific ‐ depression ‐ clinically important change (no improvement = reduction HAMD score < 25%) ‐ short term 1 68 Risk Ratio (M‐H, Fixed, 95% CI) 0.67 [0.21, 2.15]
30 Mental state: 10b. Specific ‐ depression (average endpoint score various scales, high = poor) ‐ short term 7   Mean Difference (IV, Fixed, 95% CI) Subtotals only
30.1 BDI 2 78 Mean Difference (IV, Fixed, 95% CI) ‐1.11 [‐4.25, 2.03]
30.2 SDS 2 188 Mean Difference (IV, Fixed, 95% CI) ‐3.29 [‐4.40, ‐2.19]
30.3 HAMD 2 143 Mean Difference (IV, Fixed, 95% CI) ‐4.95 [‐6.69, ‐3.20]
30.4 SCL‐90 1 90 Mean Difference (IV, Fixed, 95% CI) ‐0.58 [‐0.65, ‐0.51]
31 Mental state: 10c. Specific ‐ depression (average change score MADRS, high = poor) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
31.1 Medium term 1 336 Mean Difference (IV, Fixed, 95% CI) 0.15 [‐1.26, 1.56]
32 Mental state: 10d. Specific ‐ depression (average endpoint score various scales, high = poor) (skewed data)     Other data No numeric data
32.1 CDS ‐ short term     Other data No numeric data
32.2 CDS ‐ medium term     Other data No numeric data
32.3 BDI ‐ medium term     Other data No numeric data
32.4 HAMD ‐ medium term     Other data No numeric data
32.5 MADRS ‐ medium term     Other data No numeric data
32.6 BDI ‐ long term     Other data No numeric data
32.7 CDS ‐ long term     Other data No numeric data
32.8 HADS ‐ long term     Other data No numeric data
32.9 HAMD ‐ long term     Other data No numeric data
33 Mental state: 11a. Specific ‐ self esteem (average endpoint score various scales, high = good) 10   Mean Difference (IV, Random, 95% CI) Subtotals only
33.1 RSES ‐ short term 1 144 Mean Difference (IV, Random, 95% CI) 0.40 [‐1.43, 2.23]
33.2 SES ‐ short term 2 188 Mean Difference (IV, Random, 95% CI) 3.29 [2.43, 4.16]
33.3 RSCQ ‐ short term 2 95 Mean Difference (IV, Random, 95% CI) 8.29 [‐0.08, 16.66]
33.4 GSES ‐ short term 1 190 Mean Difference (IV, Random, 95% CI) 1.48 [0.05, 2.91]
33.5 RSES ‐ medium term 1 144 Mean Difference (IV, Random, 95% CI) 0.90 [‐0.79, 2.59]
33.6 RSCQ ‐ medium term 1 66 Mean Difference (IV, Random, 95% CI) 0.40 [‐7.46, 8.26]
33.7 SERS ‐ medium term 1 35 Mean Difference (IV, Random, 95% CI) 16.90 [1.25, 32.55]
33.8 GSES ‐ medium term 1 104 Mean Difference (IV, Random, 95% CI) 0.76 [0.53, 0.99]
33.9 RSES ‐ long term 2 236 Mean Difference (IV, Random, 95% CI) ‐0.33 [‐1.79, 1.14]
33.10 RSCQ ‐ long term 2 131 Mean Difference (IV, Random, 95% CI) 6.23 [‐8.56, 21.03]
34 Mental state: 11b. Specific ‐ self esteem (average endpoint score various scales) ‐ short term (skewed data)     Other data No numeric data
34.1 SCS (high = good)     Other data No numeric data
34.2 positive self ‐ BCSS (high = good)     Other data No numeric data
34.3 negative self ‐ BCSS (high = poor)     Other data No numeric data
35 Mental state: 12a. Specific ‐ insight (average endpoint score various scales, high = good) 4   Mean Difference (IV, Fixed, 95% CI) Subtotals only
35.1 ITAQ ‐ short term 1 75 Mean Difference (IV, Fixed, 95% CI) 4.92 [3.19, 6.65]
35.2 BCIS ‐ medium term 1 65 Mean Difference (IV, Fixed, 95% CI) 1.33 [‐1.24, 3.90]
35.3 ITAQ ‐ medium term 1 74 Mean Difference (IV, Fixed, 95% CI) ‐0.10 [‐2.97, 2.77]
35.4 SRIS ‐ long term 1 92 Mean Difference (IV, Fixed, 95% CI) 0.02 [‐1.30, 1.34]
35.5 BCIS ‐ long term 1 64 Mean Difference (IV, Fixed, 95% CI) ‐0.54 [‐3.70, 2.62]
35.6 ITAQ ‐ long term 1 74 Mean Difference (IV, Fixed, 95% CI) 0.40 [‐2.20, 3.00]
36 Mental state: 12b. Specific ‐ insight (average endpoint score SAI, high = good) ‐ short term 3   Mean Difference (Fixed, 95% CI) Subtotals only
36.1 Short term 3   Mean Difference (Fixed, 95% CI) 6.50 [5.84, 7.16]
36.2 Medium term 1   Mean Difference (Fixed, 95% CI) 1.6 [‐0.19, 3.39]
36.3 Long term 1   Mean Difference (Fixed, 95% CI) 2.9 [0.96, 4.84]
37 Mental state: 12c. Specific ‐ insight (average change score SAI, high = good) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
37.1 Medium term 1 336 Mean Difference (IV, Fixed, 95% CI) ‐0.69 [‐1.41, 0.03]
38 Mental state: 13. Specific ‐ well‐being (average endpoint score WEMWS, high = good) ‐ short term 2 170 Mean Difference (IV, Fixed, 95% CI) 4.08 [0.90, 7.26]
39 Mental state: 14a. Specific ‐ various other symptoms (average endpoint score various scales high = poor) 6   Mean Difference (IV, Fixed, 95% CI) Subtotals only
39.1 Psychotic symptom ‐ SCL‐90 ‐ short term 1 90 Mean Difference (IV, Fixed, 95% CI) ‐0.58 [‐0.72, ‐0.44]
39.2 Somatization ‐ SCL‐90 ‐ short term 1 90 Mean Difference (IV, Fixed, 95% CI) ‐1.86 [‐1.98, ‐1.74]
39.3 Sensitivity of interpersonal relationship ‐ SCL‐90 ‐ short term 1 90 Mean Difference (IV, Fixed, 95% CI) ‐1.10 [‐1.19, ‐1.01]
39.4 Obsessive‐compulsive ‐ SCL‐90 ‐ short term 1 90 Mean Difference (IV, Fixed, 95% CI) ‐1.29 [‐1.36, ‐1.22]
39.5 Hostility ‐ SCL‐90 ‐ short term 1 90 Mean Difference (IV, Fixed, 95% CI) ‐0.84 [1.00, ‐0.68]
39.6 Phobia ‐ SCL‐90 ‐ short term 1 90 Mean Difference (IV, Fixed, 95% CI) ‐0.51 [‐0.61, ‐0.41]
39.7 Paranoia ‐ SCL‐90 ‐ short term 1 90 Mean Difference (IV, Fixed, 95% CI) ‐0.70 [‐0.80, ‐0.60]
39.8 Paranoia ‐ GPTS ‐ short term 2 170 Mean Difference (IV, Fixed, 95% CI) ‐13.32 [‐22.97, ‐3.68]
39.9 Worry ‐ PSWQ ‐ short term 1 141 Mean Difference (IV, Fixed, 95% CI) ‐3.70 [‐7.12, ‐0.28]
39.10 Rumination ‐ PTQ ‐ short term 1 135 Mean Difference (IV, Fixed, 95% CI) ‐5.40 [‐8.96, ‐1.84]
39.11 Hopelessness ‐ BHS ‐ medium term 2 232 Mean Difference (IV, Fixed, 95% CI) ‐0.56 [‐1.93, 0.82]
39.12 Hopelessness ‐ BHS ‐ long term 2 268 Mean Difference (IV, Fixed, 95% CI) 0.74 [‐0.54, 2.01]
40 Mental state: 14b. Specific ‐ various other symptoms (average endpoint score SCL‐90, high = poor) ‐ long term (skewed data)     Other data No numeric data
40.1 anxiety     Other data No numeric data
40.2 depression     Other data No numeric data
40.3 psychotic symptom     Other data No numeric data
40.4 somatization     Other data No numeric data
40.5 sensitivity of interpersonal relationship     Other data No numeric data
40.6 obsessive‐compulsiive     Other data No numeric data
40.7 hostility     Other data No numeric data
40.8 paranoid     Other data No numeric data
40.9 phobia     Other data No numeric data
41 Adverse effect/event(s): 1a. General ‐ any adverse event 2 146 Risk Ratio (M‐H, Fixed, 95% CI) 0.44 [0.27, 0.72]
42 Adverse effect/event(s): 1b. General (average total endpoint score TESS, high = poor) ‐ medium term 2 109 Mean Difference (IV, Random, 95% CI) 0.24 [‐1.43, 1.90]
43 Adverse effect/event(s): 2a. Specific ‐ various effects 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
43.1 Drowsiness 1 78 Risk Ratio (M‐H, Fixed, 95% CI) 0.53 [0.05, 5.57]
43.2 Headache 1 78 Risk Ratio (M‐H, Fixed, 95% CI) 1.05 [0.07, 16.24]
43.3 Mild lactation 1 78 Risk Ratio (M‐H, Fixed, 95% CI) 0.15 [0.01, 2.81]
43.4 Opsomenorrhea 1 78 Risk Ratio (M‐H, Fixed, 95% CI) 0.21 [0.01, 4.24]
44 Adverse effect/event(s): 2b. Specific ‐ suicide attempt 2 323 Risk Ratio (M‐H, Fixed, 95% CI) 1.84 [0.84, 4.04]
45 Adverse effect/event(s): 2c. Specific ‐ death 9 1341 Risk Ratio (M‐H, Fixed, 95% CI) 0.78 [0.38, 1.58]
45.1 Any cause 9 1341 Risk Ratio (M‐H, Fixed, 95% CI) 0.78 [0.38, 1.58]
46 Functioning: 1. General (average endpoint score GAF, high = good) 6   Mean Difference (IV, Random, 95% CI) Subtotals only
46.1 Short term 1 72 Mean Difference (IV, Random, 95% CI) ‐0.68 [‐5.82, 4.47]
46.2 Medium term 5 482 Mean Difference (IV, Random, 95% CI) 3.37 [‐1.66, 8.41]
46.3 Long term 5 446 Mean Difference (IV, Random, 95% CI) 1.79 [‐1.95, 5.53]
47 Functioning: 2a. Social (average endpoint score ILSS, high = good) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
47.1 Medium term 1 61 Mean Difference (IV, Fixed, 95% CI) 0.04 [‐0.02, 0.09]
47.2 Long term 1 63 Mean Difference (IV, Fixed, 95% CI) 0.05 [0.00, 0.11]
48 Functioning: 2b. Social (average endpoint score SFS, high = good) 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
48.1 Medium term 2 107 Mean Difference (IV, Fixed, 95% CI) 5.80 [1.85, 9.76]
48.2 Long term 2 103 Mean Difference (IV, Fixed, 95% CI) 6.88 [1.99, 11.76]
49 Functioning: 2c. Social (average endpoint score SOFAS, high = good) 4   Mean Difference (IV, Fixed, 95% CI) Subtotals only
49.1 Short term 1 48 Mean Difference (IV, Fixed, 95% CI) 0.98 [‐4.40, 6.36]
49.2 Medium term 1 81 Mean Difference (IV, Fixed, 95% CI) ‐1.0 [‐8.02, 6.02]
49.3 Long term 2 295 Mean Difference (IV, Fixed, 95% CI) 0.56 [‐2.64, 3.76]
50 Functioning: 2d. Social (average endpoint score PSP, high = good) 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
50.1 Short term 2 92 Mean Difference (IV, Fixed, 95% CI) 7.96 [3.15, 12.78]
50.2 Medium term 2 92 Mean Difference (IV, Fixed, 95% CI) 7.23 [2.91, 11.55]
50.3 Long term 2 92 Mean Difference (IV, Fixed, 95% CI) 12.66 [8.65, 16.67]
51 Functioning: 2e. Social (average endpoint score UPSA, high = good) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
51.1 Medium term 1 64 Mean Difference (IV, Fixed, 95% CI) ‐0.01 [‐0.10, 0.08]
51.2 Long term 1 58 Mean Difference (IV, Fixed, 95% CI) 0.02 [‐0.07, 0.11]
52 Functioning: 3. Life skills (average endpoint score LSP, high = poor) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
52.1 Long term 1 92 Mean Difference (IV, Fixed, 95% CI) ‐3.32 [‐8.40, 1.76]
53 Functioning: 4a. Cognitive ‐ overall (average total endpoint score WCST, high = poor) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
53.1 Medium term 1 100 Mean Difference (IV, Fixed, 95% CI) ‐0.30 [‐8.89, 8.29]
53.2 Long term 1 100 Mean Difference (IV, Fixed, 95% CI) ‐9.80 [‐17.76, ‐1.84]
54 Functioning: 4b. Cognitive ‐ memory (average endpoint score WMS, high = good) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
54.1 Short term 1 100 Mean Difference (IV, Fixed, 95% CI) 9.33 [1.54, 17.12]
55 Functioning: 4c. Cognitive ‐ memory (average endpoint score CMS, high = good) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
55.1 Medium term 1 100 Mean Difference (IV, Fixed, 95% CI) 0.40 [‐7.42, 8.22]
55.2 Long term 1 100 Mean Difference (IV, Fixed, 95% CI) 0.90 [‐6.24, 8.04]
56 Functioning: 4d. Cognitive ‐ various (average endpoint score MCCB, high = poor) ‐ medium term 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
56.1 Continuous performance 1 79 Mean Difference (IV, Fixed, 95% CI) ‐44.10 [‐52.40, ‐35.80]
56.2 Mood management 1 79 Mean Difference (IV, Fixed, 95% CI) ‐1.60 [‐2.15, ‐1.05]
56.3 Sematic influencing 1 79 Mean Difference (IV, Fixed, 95% CI) ‐2.40 [‐4.63, ‐0.17]
56.4 Verbal memory 1 79 Mean Difference (IV, Fixed, 95% CI) ‐2.80 [‐5.06, ‐0.54]
56.5 Visual memory 1 79 Mean Difference (IV, Fixed, 95% CI) ‐2.60 [‐5.64, 0.44]
57 Functioning: 5. Intelligence (average endpoint score WAIS, high = good) 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
57.1 Short term 1 100 Mean Difference (IV, Fixed, 95% CI) 4.89 [‐2.43, 12.21]
57.2 Medium term 1 80 Mean Difference (IV, Fixed, 95% CI) 11.83 [9.27, 14.39]
58 Functioning: 6. Disability (average endpoint score WHODAS, high = poor) 1   Mean Difference (Fixed, 95% CI) ‐10.52 [‐14.65, ‐6.39]
59 Quality of life: 1a. General (average total endpoint score various scales, high = good) ‐ short term 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
59.1 QLS 1 48 Mean Difference (IV, Fixed, 95% CI) ‐1.90 [‐10.63, 6.83]
59.2 WHOQOL‐BREF 1 28 Mean Difference (IV, Fixed, 95% CI) 6.64 [‐1.36, 14.64]
60 Quality of life: 1b. General (average total endpoint score various scales, high = good) ‐ medium term 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
60.1 WHOQOL‐BREF 1 28 Mean Difference (IV, Fixed, 95% CI) 8.20 [0.66, 15.74]
61 Quality of life: 1c. General (average total endpoint score various scales, high = good) ‐ long term 4   Mean Difference (IV, Fixed, 95% CI) Subtotals only
61.1 QLS 1 71 Mean Difference (IV, Fixed, 95% CI) ‐3.60 [‐11.32, 4.12]
61.2 GQOLI‐74 1 80 Mean Difference (IV, Fixed, 95% CI) 2.82 [1.62, 4.02]
61.3 WHOQOL‐BREF 1 28 Mean Difference (IV, Fixed, 95% CI) 8.85 [1.01, 16.69]
61.4 EuroQOL 1 190 Mean Difference (IV, Fixed, 95% CI) ‐4.50 [‐10.65, 1.65]
62 Quality of life: 1d. General (average total endpoint score SQLS, high = poor) 1   Mean Difference (IV, Random, 95% CI) Subtotals only
62.1 Medium term 1 104 Mean Difference (IV, Random, 95% CI) ‐29.5 [‐40.28, ‐18.72]
63 Quality of life: 2a. Specific ‐ physical (average endpoint score WHOQOL‐BREF, high = good) 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
63.1 Short term 1 28 Mean Difference (IV, Fixed, 95% CI) 1.71 [‐1.01, 4.43]
63.2 Medium term 2 109 Mean Difference (IV, Fixed, 95% CI) 2.60 [0.20, 5.00]
63.3 Long term 1 28 Mean Difference (IV, Fixed, 95% CI) 2.71 [0.11, 5.31]
64 Quality of life: 2b. Specific ‐ physical (average endpoint score GQOLI‐74, high = good) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
64.1 Long term 1 80 Mean Difference (IV, Fixed, 95% CI) 13.69 [9.62, 17.76]
65 Quality of life: 3a. Specific ‐ psychological (average endpoint score WHOQOL‐BREF, high = good) 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
65.1 Short term 1 28 Mean Difference (IV, Fixed, 95% CI) 2.22 [0.28, 4.16]
65.2 Medium term 2 109 Mean Difference (IV, Fixed, 95% CI) 2.52 [0.71, 4.33]
65.3 Long term 1 28 Mean Difference (IV, Fixed, 95% CI) 2.37 [0.56, 4.18]
66 Quality of life: 3b. Specific ‐ psychological (average endpoint score GQOL‐74, high = good) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
66.1 Long term 1 80 Mean Difference (IV, Fixed, 95% CI) 17.03 [13.07, 20.99]
67 Quality of life: 3c. Specific ‐ psychological (average endpoint score SQLS, high = poor) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
67.1 Medium term 1 50 Mean Difference (IV, Fixed, 95% CI) ‐1.26 [‐5.19, 2.67]
68 Quality of life: 4a. Specific ‐ various other aspects (average endpoint score WHQOL‐BREF, high = good) ‐ short term 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
68.1 Environment 1 28 Mean Difference (IV, Fixed, 95% CI) 1.82 [‐1.71, 5.35]
68.2 Social relationship 1 28 Mean Difference (IV, Fixed, 95% CI) 0.87 [‐0.62, 2.36]
69 Quality of life: 4b. Specific ‐ various other aspects (average endpoint score various scales, high = good) ‐ medium term 3   Mean Difference (IV, Fixed, 95% CI) Subtotals only
69.1 Environment (WHOQOL‐BREF) 2 109 Mean Difference (IV, Fixed, 95% CI) 2.56 [‐0.21, 5.34]
69.2 Physical functioning (SF‐36) 1 89 Mean Difference (IV, Fixed, 95% CI) 22.30 [17.65, 26.95]
69.3 Role emotional (SF‐36) 1 89 Mean Difference (IV, Fixed, 95% CI) 26.9 [19.74, 34.06]
69.4 Role physical (SF‐36) 1 89 Mean Difference (IV, Fixed, 95% CI) 31.20 [25.94, 36.46]
69.5 Social relationship (WHOQOL‐BREF) 2 109 Mean Difference (IV, Fixed, 95% CI) 0.90 [‐0.60, 2.39]
70 Quality of life: 4c. Specific ‐ various other aspects (average endpoint score various scales, high = good) ‐ long term 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
70.1 Environment (WHOQOL‐BREF) 1 28 Mean Difference (IV, Fixed, 95% CI) 2.76 [‐0.31, 5.83]
70.2 Social function (GQOLI‐74) 1 80 Mean Difference (IV, Fixed, 95% CI) 16.19 [11.72, 20.66]
70.3 Social relationship (WHOQOL‐BREF) 1 28 Mean Difference (IV, Fixed, 95% CI) 1.02 [‐0.55, 2.59]
71 Quality of life: 4d. Specific ‐ various aspects (average endpoint score various scales, high = poor) ‐ medium term 3   Mean Difference (IV, Fixed, 95% CI) Subtotals only
71.1 Insight / treatment attitude (SQLS) 1 50 Mean Difference (IV, Fixed, 95% CI) 3.14 [1.96, 4.32]
71.2 Motivation / vitality (SQLS) 2 154 Mean Difference (IV, Fixed, 95% CI) ‐3.43 [‐5.45, ‐1.40]
71.3 Social function (SDSS) 1 59 Mean Difference (IV, Fixed, 95% CI) ‐1.51 [‐2.34, ‐0.68]
71.4 Symptoms / side effects (SQLS) 1 50 Mean Difference (IV, Fixed, 95% CI) ‐0.25 [‐2.76, 2.26]
72 Quality of life: 5a. Specific ‐ psychological (average endpoint score SQLS, high = poor) ‐ medium term (skewed data)     Other data No numeric data
73 Quality of life: 5b. Specific ‐ role functioning (average endpoint score QLS, high = good) ‐ long term (skewed data)     Other data No numeric data
74 Quality of life: 5c. Specific ‐ symptoms/side effects (average endpoint score SQLS, high = poor) ‐ medium term (skewed data)     Other data No numeric data
75 Satisfaction with treatment: 1. Leaving the study early ‐ for any reason 35   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
75.1 Short term 12 1214 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.77, 1.35]
75.2 Medium term 11 1402 Risk Ratio (M‐H, Fixed, 95% CI) 0.91 [0.74, 1.11]
75.3 Long term 19 1945 Risk Ratio (M‐H, Fixed, 95% CI) 0.93 [0.77, 1.12]
76 Engagement with services: 1a. Compliance to medication 6   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
76.1 Short term 4 261 Risk Ratio (M‐H, Random, 95% CI) 1.45 [0.81, 2.60]
76.2 Medium term 2 128 Risk Ratio (M‐H, Random, 95% CI) 1.23 [1.02, 1.49]
76.3 Long term 2 148 Risk Ratio (M‐H, Random, 95% CI) 1.35 [1.10, 1.65]
77 Engagement with services: 1b. Refusing treatment 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
77.1 Short term 2 190 Risk Ratio (M‐H, Fixed, 95% CI) 0.49 [0.18, 1.38]
78 Engagement with services: 1c. Compliance with medication (average endpoint score MARS, high = good) 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
78.1 Medium term 1 81 Mean Difference (IV, Fixed, 95% CI) ‐0.60 [‐1.41, 0.21]
78.2 Long term 1 90 Mean Difference (IV, Fixed, 95% CI) 38.02 [33.48, 42.56]