Chen XL, Deng XT, Sun FG, Huang QJ. Effect of cognitive behavioral group therapy on rehabilitation of community patients with schizophrenia: A short-term randomized control trial. World J Psychiatry 2023; 13(8): 583-592 [PMID: 37701538 DOI: 10.5498/wjp.v13.i8.583]
Corresponding Author of This Article
Qing-Jun Huang, PhD, Professor, Mental Health Center, Shantou University, Mount Taishan North Road, Wanji District, Shantou 515041, Guangdong Province, China. huangqj@stu.edu.cn
Research Domain of This Article
Psychiatry
Article-Type of This Article
Randomized Controlled Trial
Open-Access Policy of This Article
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World J Psychiatry. Aug 19, 2023; 13(8): 583-592 Published online Aug 19, 2023. doi: 10.5498/wjp.v13.i8.583
Table 1 Patient characteristics, n (%)
Variables
Control group (n = 60)
Intervention group (n = 60)
t/χ2
P value
Age (yr)
37.95 ± 10.33
38.47 ± 10.68
0.269
0.788
Gender
2.719
0.099
Male
37 (61.67)
28 (46.67)
Female
23 (38.33)
32 (53.33)
Educational level
5.967
0.113
Primary school
10 (16.67)
13 (21.67)
Junior high school
40 (66.67)
29 (48.33)
Technical secondary school/high school
8 (13.33)
10 (16.67)
College/undergraduate
2 (3.33)
8 (13.33)
Medical burden (CNY)
3300 ± 2700
3000 ± 1600
-0.865
0.389
Annual household income (CNY)
45200 ± 32800
38500 ± 29200
-1.178
0.241
Table 2 Family member characteristics, n (%)
Variables
Control group (n = 60)
Intervention group (n = 60)
t/χ2
P value
Age (yr)
43.02 ± 10.44
42.38 ± 9.40
-0.349
0.727
Gender
2.344
0.126
Male
35 (58.33)
43 (71.67)
Female
25 (41.67)
17 (28.33)
Educational level
9.226
0.026
Primary school
3 (5.00)
13(21.67)
Junior high school
40 (66.67)
32 (53.33)
Technical secondary school/high school
3 (5.00)
6 (10.00)
College/undergraduate
14 (23.33)
9 (15.00)
Medical burden (CNY)
3300 ± 2700
3000 ± 1600
-0.865
0.389
Annual household income (CNY)
45200 ± 32800
38500 ± 29200
-1.178
0.241
Table 3 Repeated measures analysis of variance on psychopathology, social function, activities of daily living and psychological condition of family members of patients with schizophrenia
Variables
Control group (n = 60), mean ± SD
Intervention group (n = 60), mean ± SD
Repeated measurement, F-test
Before intervention
After intervention
4 wk after intervention
Before intervention
After intervention
4 wk after intervention
Main effect for groups (F, P value, η2partial)
Main effect for time points (F, P value, η2partial)
Group by time point interaction (F, P value, η2partial)
Overall score
101.67 ± 21.48
75.78 ± 19.36
57.90 ± 16.52
97.02 ± 24.40
68.15 ± 18.85
48.72 ± 11.28
F = 5.617, P = 0.019, η2partial = 0.045
F = 344.924, P = 0.000, η2partial = 0.855
F = 0.829, P = 0.439, η2partial = 0.014
Negative factor
35.00 ± 5.42
26.58 ± 5.83
19.77 ± 5.26
32.27 ± 7.48
24.05 ± 6.37
16.45 ± 4.22
F = 9.777, P = 0.002, η2partial = 0.077
F = 452.858, P = 0.000, η2partial = 0.886
F = 0.451, P = 0.638, η2partial = 0.008
Positive factor
14.45 ± 3.50
10.77 ± 3.01
8.07 ± 2.56
13.70 ± 3.53
9.60 ± 2.83
7.40 ± 1.43
F = 3.766, P = 0.055, η2partial = 0.031
F = 243.801, P = 0.000, η2partial = 0.420
F = 0.873, P = 0.420, η2partial = 0.015
Excitatory factor
10.53 ± 3.84
7.45 ± 2.89
5.85 ± 2.28
10.45 ± 3.52
6.85 ± 2.28
5.00 ± 1.29
F = 1.437, P = 0.233, η2partial = 0.012
F = 140.501, P = 0.000, η2partial = 0.451
F = 0.801, P = 0.451, η2partial = 0.014
Cognitive factor
22.75 ± 4.72
17.38 ± 4.35
13.45 ± 3.72
21.37 ± 5.61
15.37 ± 4.25
11.23 ± 2.83
F = 7.751, P = 0.006, η2partial = 0.062
F = 275.171, P = 0.000, η2partial = 0.825
F = 0.505, P = 0.605, η2partial = 0.009
Anxiety and depression factor
18.82 ± 6.04
13.70 ± 5.36
11.15 ± 4.31
18.45 ± 6.61
12.07 ± 4.82
8.77 ± 3.00
F = 3.409, P = 0.067, η2partial = 0.028
F = 153.796, P = 0.000, η2partial = 0.724
F = 2.130, P = 0.123, η2partial = 0.035
SDSS score
12.98 ± 3.55
11.1 ± 3.50
8.72 ± 3.82
12.82 ± 3.03
9.48 ± 3.23
6.18 ± 3.40
F = 5.798, P = 0.018, η2partial = 0.047
F = 593.573, P = 0.000, η2partial = 0.910
F = 30.062, P = 0.000, η2partial = 0.339
ADL score
20.13 ± 8.49
16.78 ± 3.95
16.25 ± 3.23
21.05 ± 8.94
16.90 ± 4.00
16.23 ± 2.99
F = 0.134, P = 0.715, η2partial = 0.001
F = 28.065, P = 0.000, η2partial = 0.324
F = 0.323, P = 0.724, η2partial = 0.005
Table 4 Medication compliance in the two groups using χ2 test, n (%)
Pre-intervention compliance
Post-intervention compliance
Compliance at 4 wk after intervention
Complete compliance
Partial compliance
Complete compliance
Partial compliance
Complete compliance
Partial compliance
Control group (n = 60)
49 (81.67)
11 (18.33)
48 (80.00)
12 (20.00)
53 (88.33)
7 (11.67)
Intervention group (n = 60)
52 (86.67)
8 (13.33)
50 (83.33)
10 (16.67)
55 (91.67)
5 (8.33)
χ2
0.563
0.223
0.370
P value
0.453
0.637
0.543
Citation: Chen XL, Deng XT, Sun FG, Huang QJ. Effect of cognitive behavioral group therapy on rehabilitation of community patients with schizophrenia: A short-term randomized control trial. World J Psychiatry 2023; 13(8): 583-592