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

Qian 2012.

Methods Allocation: randomised
Blinding: not addressed
Location: inpatients, China
Length of follow‐up: 1 year
Participants Diagnosis: stable schizophrenia (CCMD‐3)
N = 90
Sex: not reported
Age: not reported
Included: length of illness not reported
Excluded: severe physical disorder
Interventions 1. CBT group*: N = 45
Content: CBT combined with antipsychotics. CBT involves: 1) establish the consultant connection between participants and investigator; 2) help the participants recognise their wrong beliefs and thinking process; 3) help the participants realise their wrong recognition based on their problematic beliefs and guiding them to the correct recognition style; 4) help the participants realise and correct the inappropriate points in their thinking process; 5) encourage the participant to express his or her own viewpoint and promote introspectiveness; 6) help the participants inspect their external misconceptions and correct the deep cause of misconceptions by demonstration, imitation, or didactic suggestion; 7) help participants consolidate their reestablished conceptions and beliefs.
Delivered by: not reported
Frequency: not reported
Treatment duration: 1 year
2. Standard care group: N = 45
Content: antipsychotics and health education
Delivered by: not reported
Frequency: not reported
Treatment duration: 1 year
Outcomes Global state: relapse
Mental state: negative symptoms (PANSS scores)
Engagement with services: compliance with medication (MARS scores)
Unable to use:
Mental state: general (PANSS scores) (data not reported)
Functioning: social (SDSS scores) (data not reported)
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.294).
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 participants left the study early.
Selective reporting (reporting bias) High risk Comments: The author did not report PANSS total score and SDSS.
Other bias Low risk Comments: none obvious