Skip Navigation LinksHome > September 2011 - Volume 199 - Issue 9 > Self-Perceived Needs Are Related to Violent Behavior Among S...
Journal of Nervous & Mental Disease:
doi: 10.1097/NMD.0b013e318229d0d5
Original Articles

Self-Perceived Needs Are Related to Violent Behavior Among Schizophrenia Outpatients

Martínez-Martín, Nuria MD, PhD*; Fraguas, David MD†‡; García-Portilla, María Paz MD, PhD§∥; Sáiz, Pilar Alejandra MD, PhD§∥; Bascarán, María Teresa MD, PhD§∥; Arango, Celso MD, PhD‡¶; Bobes, Julio MD, PhD§∥

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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).

© 2011 Lippincott Williams & Wilkins, Inc.

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