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

Chen 2014.

Methods Allocation: randomised
Blinding: not reported
Location: inpatients, China
Length of follow‐up: 8 weeks
Participants Diagnosis: schizophrenia with depression (CCMD‐3)
N = 90
Sex: 44 M, 46 F
Age: 24 ‐ 51 years
Included: length of illness: not stated; achieved clinical response (the decrease rate of PANSS total score ≥ 50% or PANSS total score ≤ 60) after drug therapy
Excluded: participants combined with mental retardation or drug abuse; participants with bipolar disorder; participants with severe physical disorder or severe brain organic disorder; suicidal attempts
Interventions 1. CBT group*: N = 45
Content: psychoeducation; help for participants to figure out their inappropriate beliefs and attitude; help for participants to recognise their cognitive problems and rebuild their personality and behaviour; psychoeducation to families
Delivered by: not reported
Frequency: 30 minutes each session; once per week for 8 weeks
Treatment duration: 8 weeks
2. Standard care group: N = 45
Content: received usual nursing care and antipsychotics
Treatment duration: 8 weeks
Outcomes Mental state: depression (HAMD score)
Satisfaction with treatment: leaving the study early
Engagement with services: compliance to medication
Notes * Participants in CBT group also received the standard care intervention.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "Participants were randomly assigned..." (p.85).
Comments: insufficient information about the sequence generation process to permit judgement of 'Low risk' or 'High risk'
Allocation concealment (selection bias) Unclear risk Comments: The method of concealment was not described.
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Comments: The method of blindness was not described. It was likely that the blinding could have been broken, because participants in the treatment group received CBT.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Comments: The method of blindness was not described.
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Comments: Eight participant from the CBT group and seven participants from the antipsychotic and nursing group failed to complete the trial. No reasons were reported.
Selective reporting (reporting bias) Low risk Comments: All measured outcomes were reported.
Other bias Low risk Comments: none obvious