Skip to main content
. 2018 Dec 20;2018(12):CD007964. doi: 10.1002/14651858.CD007964.pub2

Jia 2005.

Methods Allocation: randomised
Blinding: not addressed
Location: inpatients, China
Length of follow‐up: 8 weeks
Participants Diagnosis: schizophrenia (CCMD ‐ 3/DSM ‐ IV)
N = 60
Sex: 44 M, 16 F
Age: mean ˜ 22.1 years, SD ˜ 3.98 years
Included: length of illness: mean ˜ 2.04 years, SD ˜ 1.16 years; 15 ‐ 35 years old; participants able to give signed, informed consent; stable condition with current antipsychotics use; no aggressive action, participants with consistent hallucination, delusion, and volitional behaviour disturbance
Excluded: participants who are with organic brain disease or had received CBT therapy; participants who were addicted to alcohol or had drug abuse
Interventions 1. CBT group*: N = 22
Content: rational thinking training, help for the participants to realise their inappropriate cognition, behavioural training, diary and health education
Delivered by: not stated
Frequency: once or twice per week for 8 weeks
Treatment duration: 8 weeks
2. Standard care group: N = 38
Content: standard psychiatry nursing care, emotional support and health education
Delivered by: not reported
Frequency: not reported
Treatment duration: 8 weeks
Outcomes Mental state: clinically important change (no improvement)**; general, positive symptoms, negative symptoms, hallucinations, delusions (PANSS)
Unable to use:
Mental state: excitement, cognition, passive/apathetic social withdrawal, disturbance of volition, lack of judgement & insight (PANSS item scores) ‐ not validated item scores
Notes *Participants in the CBT group also received the standard care intervention.
**Defined as reducing rate of PANSS score < 25%
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "Participants were randomly assigned..." (p.10)
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 author did not address this information. However, participants and personnel were not likely to be blinded because participants in the treatment group received CBT, and the control group only received standard care.
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 Low risk Comments: no attrition
Selective reporting (reporting bias) Low risk Comments: All measured outcomes were reported.
Other bias Low risk Comments: none obvious