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

Li 2013a.

Methods Allocation: randomised
Blinding: not addressed
Location: China
Length of follow‐up: 8 weeks
Participants Diagnosis: schizophrenia (CCMD‐3)
N = 118
Sex: 62 M, 56 F
Age: 19 ‐ 60 years
Included: Further description of illness not reported.
Excluded: Participants with cerebrovascular disease or severe physical disorder were excluded. Pregnant or breast feeding females were also excluded.
Interventions 1. CBT group*: N = 60
Content: Ziprasidone was titrated from 20 ‐ 40 mg/d to 80 ‐ 120mg/d, taken orally Cognitive therapy was conducted to help the participant correct his or her wrong beliefs or thinking process; establish and intensify the right cognition.
Delivered by: not reported
Frequency: not reported
Treatment duration: 8 weeks
2. Standard care group: N = 58
Content: ziprasidone, no more details
Delivered by: not reported
Frequency: not reported
Treatment duration: 8 weeks
Outcomes Mental state: general, positive symptoms, negative symptoms, affective symptoms (PANSS scores)
Engagement with services: refusing treatment
Notes *Participants in the 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.111).
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: The author did not describe the dropouts. However from the reported data, there was no attrition.
Selective reporting (reporting bias) Low risk Comments: All measured outcomes were reported.
Other bias Low risk Comments: none obvious