Xiong 2009.
Methods | Two‐armed randomised controlled trial, DMT plus standard care versus control group being standard care (routine medication and psychological support nursing), using a standardised test of depression. | |
Participants | Setting: China, urban, hospital. 76 patients (33 males & 43 females), mean age 32.26 ± 8.71 yrs. Inclusion criteria:
Exclusion criteria:
38 people were randomised to the standard care group (21 women and 17 men) 38 people were randomised to intervention (22 women and 16 men) |
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Interventions | Group DMT informed by Chace methods, with 8 to 9 people in each group. Four‐phase session included: warm‐up; body extension (to connect with psychological function); creative section (to include connection with other group members and expression of inner states); relationship experience. The therapy was conducted by a qualified rehabilitation nurse who had also received further professional training (the national secondary qualification of psychological counselling). The treatment lasted for 4 weeks, 5 sessions per week (Monday to Friday), 2 hours for each session, over a 4 week period. All received standard care. Control group was standard care, which consisted of medication and nursing psychological support. |
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Outcomes |
All outcomes shown are for the post‐intervention scores. Primary outcome measure: 24‐item Hamilton Rating Scale for Depression (HAM‐D). No other measurements noted and no follow‐up data was reported beyond the end of treatment. Continuous outcome: HAM‐D at 4 weeks (end of treatment): Intervention: mean: 10.13; SD:± 3.20 (n = 38) Control: mean 17.20; SD: ± 8.34 (n = 38) Dichotomous outcome: Number of people with remission or improvement at end of trial Remission (defined as ≥ 75% reduction on HAMD); Intervention, N = 13, Control, N = 9 Significant Improvement (defined as 50% to 74% reduction on HAMD); Intervention, N = 21, Control, N = 14 Modest Improvement (defined as 25% to 49% reduction on HAMD) Intervention, N = 2, Control, N = 6 Recovery (defined as Remission + Improvement (significant)) Intervention, data from trial report given as 89.47% Control, data from trial report given as 60.53%, Chi² = 8.48, P < 0.05 |
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Notes | Initial data extraction kindly provided by Lufia Chen, with full translation by Dr. Li Weixiao. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | The authors do not say how randomisation was achieved. |
Allocation concealment (selection bias) | Unclear risk | Authors did not adequately report on allocation methods. |
Blinding of participants and personnel (performance bias) All outcomes | High risk | It is not possible to blind participants for this kind of activity and so this item must be considered high risk. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | No information is given on who conducted the assessment.. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | The authors state that there were no drop‐outs. |
Selective reporting (reporting bias) | Low risk | The protocol is not available, but all expected outcomes are reported (Higgins 2011, Section 8.5.c) |
Other bias | High risk | A lack of information about treatment fidelity combined with a low level of therapist training (nursing plus counselling). |