Aggression in Psychoses
Author
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-20, 20 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-02-12
Country of Publication
Egypt
No. of Pages
20
Main Subjects
Abstract EN
Most individuals diagnosed with a mental illness are not violent, but some mentally ill patients commit violent acts.
PubMed database was searched for articles published between 1980 and November 2013 using the combination of key words “schizophrenia” or “bipolar disorder” with “aggression” or “violence.” In comparison with the general population, there is approximately a twofold increase of risk of violence in schizophrenia without substance abuse comorbidity and ninefold with such comorbidity.
The risk in bipolar disorder is at least as high as in schizophrenia.
Most of the violence in bipolar disorder occurs during the manic phase.
Violence among adults with schizophrenia may follow two distinct pathways: one associated with antisocial conduct and another associated with the acute psychopathology, particularly anger and delusions.
Clozapine is the most effective treatment of aggressive behavior in schizophrenia.
Emerging evidence suggests that olanzapine may be the second most effective treatment.
Treatment nonadherence greatly increases the risk of violent behavior, and poor insight as well as hostility is associated with nonadherence.
Nonpharmacological methods of treatment of aggression in schizophrenia and bipolar disorder are increasingly important.
Cognitive behavioral approaches appear to be effective in cases where pharmacotherapy alone is not sufficient.
American Psychological Association (APA)
Volavka, Jan. 2014. Aggression in Psychoses. Advances in Psychiatry،Vol. 2014, no. 2014, pp.1-20.
https://search.emarefa.net/detail/BIM-453679
Modern Language Association (MLA)
Volavka, Jan. Aggression in Psychoses. Advances in Psychiatry No. 2014 (2014), pp.1-20.
https://search.emarefa.net/detail/BIM-453679
American Medical Association (AMA)
Volavka, Jan. Aggression in Psychoses. Advances in Psychiatry. 2014. Vol. 2014, no. 2014, pp.1-20.
https://search.emarefa.net/detail/BIM-453679
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-453679