Cochrane · systematic review · CD001258

Carbamazepine for schizophrenia

Leucht, S, Helfer, B, Dold, M, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

SchizophreniaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 16.7%Very low 1 · 16.7%Low 3 · 50%Moderate 1 · 16.7%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Adjunctive carbamazepine + antipsychotics compared with placebo/no adjunctive treatment + antipsychotics for schizophrenia

Population: People with schizophrenia
6 questions
OutcomeEffectEvidenceStatus / GRADE
Acceptability of treatment Leaving the study early due to any reason
Adjunctive carbamazepine + antipsychotics vs placebo/no adjunctive treatment + antipsychotics
RR 0.47 [0.16, 1.35]8 studies · 182 participantsVery low
Downgraded: risk of bias, inconsistency, indirectness
No clinically important change in general mental state Scale used: less than 50% BPRS reduction
Adjunctive carbamazepine + antipsychotics vs placebo/no adjunctive treatment + antipsychotics
RR 0.86 [0.67, 1.12]6 studies · 147 participantsLow
Downgraded: risk of bias, imprecision
Average endpoint general mental state score Scale used: Average BPRS endpoint score. Scale from: 0 to 108.
Adjunctive carbamazepine + antipsychotics vs placebo/no adjunctive treatment + antipsychotics
no estimate extracted3 studies · 79 participantsLow
Downgraded: imprecision, inconsistency
Average endpoint positive symptom score Scale used: Mean PANSS positive subscore at endpoint. Scale from: 7 to 49.
Adjunctive carbamazepine + antipsychotics vs placebo/no adjunctive treatment + antipsychotics
no estimate extracted1 study · 18 participantsModerate
Downgraded: imprecision
Average endpoint depressive symptom score Scale used: Hamilton scale at endpoint. Scale from: 0 to 54.
Adjunctive carbamazepine + antipsychotics vs placebo/no adjunctive treatment + antipsychotics
no estimate extracted1 study · 26 participantsLow
Downgraded: imprecision
Aggression
Adjunctive carbamazepine + antipsychotics vs placebo/no adjunctive treatment + antipsychotics
no estimate extracted0 studies · 0 participantsUngraded