Citation

Martínez-Martín N, Fraguas D, García-Portilla MP, Sáiz PA, Bascarán MT, Arango C, Bobes J. J. Nerv. Ment. Dis. 2011; 199(9): 666-671.

Affiliation

Hospital Universitario 12 de Octubre, Secretaría de Psiquiatría, Madrid; Complejo Universitario Hospitalario de Albacete, Albacete; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid; School of Medicine, Psychiatry Department, University of Oviedo, Oviedo; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Oviedo; and ¶Adolescent Unit, Psychiatry Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.

Copyright

(Copyright © 2011, Lippincott Williams and Wilkins)

DOI

10.1097/NMD.0b013e318229d0d5

PMID

21878780

Abstract

This study assessed the relationship between self-perceived clinical and social needs and aggressive behavior in outpatients with schizophrenia. A total of 895 outpatients with schizophrenia were enrolled. The presence of aggressive episodes was assessed using the Modified Overt Aggression Scale. Self-perceived needs were assessed using the Camberwell Assessment of Need in six areas of needs (food, household skills, self-care, daytime activities, psychotic symptoms, satisfaction with treatment, and company). The most common areas of needs were "psychotic symptoms" (81.6%), "daytime activities" (60.6%), and "household skills" (57.5%). More needs were expressed by patients who had more severe illnesses (p < 0.001) and more aggressive behavior (p < 0.001). Multivariate analysis showed that, in schizophrenia outpatients, self-perceived needs were associated with aggressive behavior (adjusted odds ratio, 11.43; 95% confidence interval, 5.11 to 25.56). Appropriate compliance with antipsychotic treatment was related with lower aggressive behavior (p < 0.001).

Language: en