Jia 2005.
Methods | Allocation: randomised Blinding: not addressed Location: inpatients, China Length of follow‐up: 8 weeks |
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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 |
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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 |
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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 |
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Notes | *Participants in the CBT group also received the standard care intervention. **Defined as reducing rate of PANSS score < 25% |
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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 |