title: Self-perceived needs are related to violent behavior among schizophrenia outpatients.
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).
authors: Hospital Universitario 12 de Octubre, Secretaría de Psiquiatría, Madrid, Spain.
authors: Nuria
authors: N
authors: Martínez-Martín
authors: David
authors: D
authors: Fraguas
authors: María Paz
authors: MP
authors: García-Portilla
authors: Pilar Alejandra
authors: PA
authors: Sáiz
authors: María Teresa
authors: MT
authors: Bascarán
authors: Celso
authors: C
authors: Arango
authors: Julio
authors: J
authors: Bobes
mesh_terms: D000328:Adult; D000374:Aggression / Q000523:psychology; D014150:Antipsychotic Agents / Q000627:therapeutic use; D003156:Community Mental Health Services; D003430:Cross-Sectional Studies; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D010045:Outpatients / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D012559:Schizophrenia / Q000188:drug therapy; D012565:Schizophrenic Psychology; D014754:Violence / Q000523:psychology*
chemical_list: D014150:Antipsychotic Agents