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. 2020 May 4;2020(5):CD012955. doi: 10.1002/14651858.CD012955.pub2

Jahangard 2012.

Study characteristics
Methods 4‐week trial with 2 arms
  1. Emotional intelligence training (EIT)

  2. Treatment‐as‐usual (control group)


Duration of trial: 4 weeks
Country: Iran
Setting: inpatient
Participants Method of recruitment of participants: inpatients at the Farshchian Psychiatric Center of Hamadan were approached.
Sample size: 30
Diagnosis of borderline personality disorder: evaluated with Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM‐IV)
Means of assessment: Millon Clinical Multiaxial Inventory, 3rd edition (MCMI‐III) and a score on the subscale “Personality Disorders” of the MCMI‐III of at least 84. Base rate (cut‐off score) on the Hamilton Depression Rating Scale
Mean age: 24.63 years (range = 18‐35)
Sex: 53% female
Comorbidity: generalised anxiety disorder (GAD), post‐traumatic stress disorder (PTSD), current substance dependence, and other affective disorders
Inclusion criteria
  1. Diagnosed with borderline personality disorder with depression by psychiatrists according to DSM‐IV criteria

  2. Except major depressive disorder, lack of other axis I psychiatric disorders based on the clinical psychiatric interview such as Generalised Anxiety Disorder (GAD), Post‐traumatic Stress Disorder (PTSD), current substance dependence, and other affective disorders such as bipolar I and II disorders of dysthymia

  3. Borderline personality disorder via Millon Clinical Multiaxial Inventory, 3rd Edition (MCMI‐III) and score on the subscale ‘personality disorders’ of the Millon Clinical Multiaxial Inventory, 3rd Edition (MCMI‐III) of at least 84 (cut‐off score)

  4. Aged 18‐35

  5. No history of previous hospitalisations or treatments

  6. Educational level to third grade


Exclusion criteria
  1. Refusal to participate in emotional intelligence components training or discharge from hospital with personal satisfaction before starting the emotional intelligence training prevention

Interventions Experimental groupTreatment name: emotional intelligence training
Number randomised to group: 15
Duration: 4 weeks, at least 3 sessions (45‐minute/session) per week
Concomitant psychotherapy: not stated
Concomitant pharmacotherapy: at baseline, all had antidepressants (SSRI), and 8/15 had benzodiazepines
Control/comparison groupComparison name: control group
Number randomised to group: 15
Duration: 4 weeks
Concomitant psychotherapy: no psychoeducation, and no instructions in improving emotional intelligence or other interventions, which might be considered as a supportive psychotherapy
Concomitant pharmacotherapy: “All patients were pharmacologically treated with SSRIs for depressive disorders, and, if necessary, with benzodiazepines in case of acute sleep difficulties.” (p. 199) At baseline, all had the antidepressants, selective serotonin reuptake Inhibitors (SSRIs).
Proportions of participants taking standing psychotropic medication during trial observation period: all took SSRIs, benzodiazepines were taken by 87.5% of the EIT group and 66.7% of the control group (P = 0.44)
Outcomes Secondary
  1. Depression, assessed by the Hamilton Depression Rating Scale

  2. Attrition, in terms of patients lost after randomisation in each group

Notes Sample size calculation: no
Ethics approval: yes
Comments from review authors:
  1. Information about the randomisation procedure, allocation concealment, missing data and whether or not the outcome assessors were blinded was received by email from Dr Brand.

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "We used a simple sample random software: http://www.secutrial.com/blog/2012/05/21/randomisierungen‐in‐ secutrialr/". (Jahangard 2012) [pers comm]
Allocation concealment (selection bias) Low risk Quote: "patients got codes known only to the study supervisor not otherwise involved in the assessment or intervention". (Jahangard 2012) [pers comm]
Blinding of outcome assessment (detection bias)
All outcomes Low risk Quote: "Raters of the outcome variables were unaware of patients' group allocations".(Jahangard 2012) [pers comm]
Incomplete outcome data (attrition bias)
All outcomes Low risk Quote: "All patients sticked on the study conditions, accordingly, we had no missings".(Jahangard 2012) [pers comm]
Selective reporting (reporting bias) Unclear risk Comment: Outcomes were identical in protocol and publication. However, in the protocol primary and secondary outcomes were stated and not in the publication.
Other bias Unclear risk Treatment adherence: no information on treatment adherence was provided.
Allegiance bias: no indication of bias
Attention bias: no indication of bias
Vested interest: no indication of bias