Wang 2005.
Methods | Allocation: randomised Blinding: not addressed Location: inpatients, China Length of follow‐up: 8 weeks |
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Participants | Diagnosis: chronic schizophrenia (CCMD‐2‐R) N = 64 Sex: 48 M, 16 F Age: 16 ‐ 40 years, mean ˜ 31 years, SD ˜ 6.4 years Included: length of illness: mean ˜ 12 years, SD ˜ 3 years; length of illness ≥ 2 years Excluded: obvious clinical response after receiving antipsychotics; with severe physical disorder |
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Interventions | 1. CBT group*: N = 32 Content: help for participants to understand their symptoms and the impact of symptoms on emotion, realise the relationship between behaviour and disease; strengthened behaviour therapy; cognitive behavioural therapy Delivered by: not reported Frequency: four 30‐minute sessions per week for 8 weeks Treatment duration: 8 weeks 2. Standard care group: N = 32 Delivered by: not reported Frequency: not reported Treatment duration: 8 weeks |
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Outcomes | Mental state: positive symptoms (SAPS scores), negative symptoms (SANS scores) Unable to use: Behaviour: NOSIE ‐ not predefined outcome for this review |
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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.548). 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 |