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

Wang 2015.

Methods Allocation: randomised
Blinding: not addressed
Location: inpatients, China
Length of follow‐up: 64 weeks
Participants Diagnosis: schizophrenia (ICD‐10)
N = 32
Sex: 17 M, 15 F
Age: mean ˜ 39.9 years, SD ˜ 11.4 years
Included: length of illness: mean ˜ 175.6 months, SD ˜ 96.9 months; at least one item score of PANSS scale ≤ 3; 18 ‐ 60 years old
Excluded: admitted to hospital due to severe condition; participants combined with severe physical disorder or other mental disorder; participants received modified electroconvulsive therapy
Interventions 1. CBT group*: N = 16
Content: The intervention was based on two published cognitive behavioural therapy handbooks.
Delivered by: psychologist who had been trained to conduct CBT
Frequency: 8 sessions for 12 weeks, 45 to 60 minutes each session
Treatment duration: 3 months
2. Standard care group: N = 16
Content: antipsychotics, case management, entertainment therapy, social support, and psychoeducation
Delivered by: not reported
Frequency: not reported
Treatment duration: 3 months
Outcomes Global state: relapse, clinically important change (no improvement)**, (CGI scores)
Mental state: general, positive symptoms, negative symptoms, affective symptoms (PANSS scores)
Functioning: social function (PSP scores)
Quality of life: general (WHOQOL‐BREF scores)
Satisfaction with treatment: leaving the study early
Notes *Participants in the CBT group also received the standard care intervention.
**Defined as the score of CGI‐GI more than 2
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "Participants were randomly assigned..." (p.17).
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: Two participants left the study early; one from each group before intervention. Low proportion of dropouts.
Selective reporting (reporting bias) Low risk Comments: All measured outcomes were reported.
Other bias Low risk Comments: none obvious