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

Zhang 2014.

Methods Allocation: randomised
Blinding: not addressed
Location: inpatients, China
Length of follow‐up: 6 weeks
Participants Diagnosis: schizophrenia (CCMD‐3)
N = 79
Sex: not reported
Age: not reported
Included: not reported
Excluded: not reported
Interventions 1. CBT group: N = 39
Content: psychoeducation and cognition modification
Delivered by: three psychologists
Frequency: not reported
Treatment duration: 6 weeks
2. Standard care group: N = 40
Content: antipsychotics and nursing care
Delivered by: not reported
Frequency: not reported
Treatment duration: 6 weeks
Outcomes Mental state: insight (ITAQ scores)
Satisfaction with treatment: leaving the study early
Engagement with services: compliance with medication
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.117).
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: Four cases withdrew from the study early. Two cases in each group. Low proportion of dropouts.
Selective reporting (reporting bias) Low risk Comments: All measured outcomes were reported.
Other bias Low risk Comments: none obvious