Cochrane · systematic review · CD008712
Cognitive behavioural therapy plus standard care versus standard care plus other psychosocial treatments for people with schizophrenia
Jones, C, Hacker, D, Meaden, A, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 28.6%Low 5 · 71.4%Moderate 0 · 0%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
Current version onlyCBT compared to ALL OTHER PSYCHOLOGICAL THERAPIES for schizophrenia
Population: people with schizophrenia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Global state: relapse CBT vs ALL OTHER PSYCHOLOGICAL THERAPIES | RR 1.05 [0.85, 1.29] | 5 studies · 375 participants | Low Downgraded: risk of bias |
Global state: rehospitalisation* CBT vs ALL OTHER PSYCHOLOGICAL THERAPIES | RR 0.96 [0.82, 1.14] | 8 studies · 943 participants | Low Downgraded: risk of bias |
Mental state: General ‐ clinically important change (no improvement) CBT vs ALL OTHER PSYCHOLOGICAL THERAPIES | RR 0.82 [0.67, 1.01] | 4 studies · 249 participants | Low Downgraded: risk of bias |
Adverse effect/event: death ‐ any cause CBT vs ALL OTHER PSYCHOLOGICAL THERAPIES | RR 1.57 [0.62, 3.98] | 6 studies · 627 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Functioning ‐ average scores (Social Functioning Scale, high = good) CBT vs ALL OTHER PSYCHOLOGICAL THERAPIES | no estimate extracted | 1 study · 65 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Quality of life: average scores (MSQOL, high = good, medium term) CBT vs ALL OTHER PSYCHOLOGICAL THERAPIES | no estimate extracted | 1 study · 64 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Satisfaction with treatment ‐ leaving the study early for any reason CBT vs ALL OTHER PSYCHOLOGICAL THERAPIES | RR 0.86 [0.75, 0.99] | 26 studies · 2392 participants | Low Downgraded: risk of bias |
Cognitive behavioural therapy compared with other psychosocial therapies for schizophrenia
Population: patients with schizophrenia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Adverse effect/event: 2. Adverse effects ‐ any ‐ medium‐termonly Cognitive behavioural therapy vs other psychosocial therapies | RR 2 [0.71, 5.64] | 1 study · 198 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
Global state: 1. Relapse ‐ long‐term Cognitive behavioural therapy vs other psychosocial therapies | RR 0.91 [0.63, 1.32] | 5 studies · 350 participants | Low Downgraded: risk of bias, publication bias |
Global state: 2. Rehospitalisation ‐ long‐term Cognitive behavioural therapy vs other psychosocial therapies | RR 0.86 [0.62, 1.21] | 5 studies · 294 participants | Low Downgraded: risk of bias, publication bias |
Mental state: 1. General ‐ No important or reliable change ‐ long‐term Cognitive behavioural therapy vs other psychosocial therapies | RR 0.84 [0.64, 1.09] | 4 studies · 244 participants | Very low Downgraded: risk of bias, indirectness, publication bias |
Social functioning: 1a. Average scores (Social Functioning Scale, high = good) Cognitive behavioural therapy vs other psychosocial therapies | no estimate extracted | 1 study · 65 participants | Very low Downgraded: risk of bias, indirectness, publication bias |
Quality of life: Average score (EuroQOL, high = good) ‐ long‐termonly Cognitive behavioural therapy vs other psychosocial therapies | no estimate extracted | 1 study · 37 participants | Very low Downgraded: risk of bias, imprecision, publication bias |