Cochrane · systematic review · CD004716
Supportive therapy for schizophrenia
Buckley, LA, Maayan, N, Soares‐Weiser, K, et al. · Cochrane Database of Systematic Reviews · 2015 · 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
35
current version
GRADE rated
30
No studies
5
Included studies
NR
No studies 5 · 14.3%Ungraded 0 · 0%Very low 28 · 80%Low 0 · 0%Moderate 2 · 5.7%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
SUPPORTIVE THERAPY versus STANDARD CARE for schizophrenia
Population: patients with schizophrenia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Global state: Relapse SUPPORTIVE THERAPY vs STANDARD CARE | RR 0.96 [0.44, 2.11] | 1 study · 54 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
Service outcomes: Hospitalisation SUPPORTIVE THERAPY vs STANDARD CARE | RR 1 [0.07, 15.08] | 1 study · 48 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
Mental state: no clinically important improvement SUPPORTIVE THERAPY vs STANDARD CARE | RR 0.95 [0.82, 1.11] | 2 studies · 98 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
Leaving the study early SUPPORTIVE THERAPY vs STANDARD CARE | RR 0.86 [0.53, 1.4] | 4 studies · 354 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
General functioning GAS SUPPORTIVE THERAPY vs STANDARD CARE | no estimate extracted | 1 study · 29 participants | Very low Downgraded: risk of bias, imprecision, indirectness, publication bias |
Satisfaction with treatment: Recipient of care not satisfied with treatment SUPPORTIVE THERAPY vs STANDARD CARE | RR 1.83 [0.75, 4.47] | 1 study · 44 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
Quality of life WBS SUPPORTIVE THERAPY vs STANDARD CARE | no estimate extracted | 1 study · 260 participants | Very low Downgraded: risk of bias, imprecision, indirectness, publication bias |
SUPPORTIVE THERAPY versus ANY OTHER PSYCHOLOGICAL OR PSYCHOSOCIAL TREATMENT for schizophrenia
Population: patients with schizophrenia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Global state: Relapse SUPPORTIVE THERAPY vs ANY OTHER PSYCHOLOGICAL OR PSYCHOSOCIAL TREATMENT | RR 1.19 [0.66, 2.16] | 5 studies · 270 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Service outcomes: Hospitalisation SUPPORTIVE THERAPY vs ANY OTHER PSYCHOLOGICAL OR PSYCHOSOCIAL TREATMENT | RR 1.82 [1.11, 2.99] | 4 studies · 306 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
Mental state: No clinically important improvement SUPPORTIVE THERAPY vs ANY OTHER PSYCHOLOGICAL OR PSYCHOSOCIAL TREATMENT | RR 1.27 [1.04, 1.54] | 3 studies · 194 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Leaving the study early SUPPORTIVE THERAPY vs ANY OTHER PSYCHOLOGICAL OR PSYCHOSOCIAL TREATMENT | RR 1.03 [0.87, 1.21] | 19 studies · 1412 participants | Moderate Downgraded: risk of bias, imprecision |
General functioning GAF and GAS SUPPORTIVE THERAPY vs ANY OTHER PSYCHOLOGICAL OR PSYCHOSOCIAL TREATMENT | no estimate extracted | 2 studies · 78 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Satisfaction with treatment: Recipient of care not satisfied with treatment SUPPORTIVE THERAPY vs ANY OTHER PSYCHOLOGICAL OR PSYCHOSOCIAL TREATMENT | RR 3.19 [1.01, 10.07] | 1 study · 45 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
Quality of life QLS SUPPORTIVE THERAPY vs ANY OTHER PSYCHOLOGICAL OR PSYCHOSOCIAL TREATMENT | no estimate extracted | 1 study · 19 participants | Very low Downgraded: risk of bias, imprecision, indirectness, publication bias |
SUPPORTIVE THERAPY versus COGNITIVE BEHAVIOURAL THERAPY for schizophrenia
Population: patients with schizophrenia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Global state: Relapse SUPPORTIVE THERAPY vs COGNITIVE BEHAVIOURAL THERAPY | RR 1.1 [0.51, 2.41] | 4 studies · 181 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Service outcomes: Hospitalisation SUPPORTIVE THERAPY vs COGNITIVE BEHAVIOURAL THERAPY | RR 1.6 [0.85, 3] | 3 studies · 153 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
Mental state: No clinically important improvement SUPPORTIVE THERAPY vs COGNITIVE BEHAVIOURAL THERAPY | RR 1.23 [0.89, 1.7] | 3 studies · 194 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Leaving the study early SUPPORTIVE THERAPY vs COGNITIVE BEHAVIOURAL THERAPY | RR 1.05 [0.77, 1.44] | 12 studies · 812 participants | Moderate Downgraded: risk of bias |
General functioning GAF and GAS SUPPORTIVE THERAPY vs COGNITIVE BEHAVIOURAL THERAPY | no estimate extracted | 2 studies · 78 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Satisfaction with treatment: Recipient of care not satisfied with treatment SUPPORTIVE THERAPY vs COGNITIVE BEHAVIOURAL THERAPY | RR 3.19 [1.01, 10.07] | 1 study · 45 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
Quality of life RSES SUPPORTIVE THERAPY vs COGNITIVE BEHAVIOURAL THERAPY | no estimate extracted | 1 study · 65 participants | Very low Downgraded: imprecision, indirectness, publication bias |
SUPPORTIVE THERAPY versus FAMILY THERAPY for schizophrenia
Population: patients with schizophrenia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Global state: Relapse SUPPORTIVE THERAPY vs FAMILY THERAPY | no estimate extracted | 2 studies · 87 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Service outcomes: Hospitalisation SUPPORTIVE THERAPY vs FAMILY THERAPY | RR 1.93 [0.89, 4.17] | 1 study · 39 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
Mental state: Episode of affective symptoms SUPPORTIVE THERAPY vs FAMILY THERAPY | RR 1.71 [0.82, 3.6] | 1 study · 48 participants | Very low Downgraded: risk of bias, imprecision, indirectness, publication bias |
Leaving the study early SUPPORTIVE THERAPY vs FAMILY THERAPY | RR 1.27 [0.56, 2.89] | 2 studies · 87 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
General functioning: No paid work SUPPORTIVE THERAPY vs FAMILY THERAPY | RR 0.96 [0.57, 1.63] | 1 study · 39 participants | Very low Downgraded: risk of bias, imprecision, indirectness, publication bias |
Satisfaction with treatment ‐ not reported SUPPORTIVE THERAPY vs FAMILY THERAPY | no estimate extracted | NR | No studies |
Quality of life ‐ not reported SUPPORTIVE THERAPY vs FAMILY THERAPY | no estimate extracted | NR | No studies |
SUPPORTIVE THERAPY versus PSYCHOEDUCATION for schizophrenia
Population: patients with schizophrenia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Global state: Relapse ‐ not reported SUPPORTIVE THERAPY vs PSYCHOEDUCATION | no estimate extracted | NR | No studies |
Service outcomes: Hospitalisation SUPPORTIVE THERAPY vs PSYCHOEDUCATION | RR 0.48 [0.05, 4.93] | 1 study · 47 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
Mental state. No clinically important improvement SUPPORTIVE THERAPY vs PSYCHOEDUCATION | RR 1.61 [0.96, 2.68] | 1 study · 19 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
Leaving the study early SUPPORTIVE THERAPY vs PSYCHOEDUCATION | RR 0.57 [0.21, 1.54] | 2 studies · 71 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
General functioning ‐ not reported SUPPORTIVE THERAPY vs PSYCHOEDUCATION | no estimate extracted | NR | No studies |
Satisfaction with treatment ‐ not reported SUPPORTIVE THERAPY vs PSYCHOEDUCATION | no estimate extracted | NR | No studies |
Quality of life QLS SUPPORTIVE THERAPY vs PSYCHOEDUCATION | no estimate extracted | 1 study · 19 participants | Very low Downgraded: risk of bias, imprecision, indirectness, publication bias |