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Characteristic hostility in schizophrenic outpatients.

S J Bartels1, R E Drake, M A Wallach

  • 1New Hampshire-Dartmouth Psychiatric Research Center, Lebanon, NH.

Schizophrenia Bulletin
|January 1, 1991
PubMed
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Hostility is common in schizophrenia patients, with factors like housing instability and hallucinations predicting aggressive behavior. Understanding these predictors can aid in managing patient care and reducing rehospitalization.

Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Hostility is a significant concern in schizophrenia treatment.
  • Understanding its predictors is crucial for effective patient management.

Purpose of the Study:

  • To assess characteristic hostility in schizophrenic outpatients over six months.
  • To identify correlates of hostility and its impact on rehospitalization.

Main Methods:

  • A cohort of 133 schizophrenic outpatients was studied over a 6-month period.
  • Multiple regression analysis was used to identify predictors of hostility.
  • Follow-up data on rehospitalization and inpatient days were collected over one year.

Main Results:

  • 48% of patients exhibited no hostility, while 13% were violent, 18% threatening, and 21% irritable/argumentative.

Related Experiment Videos

  • Six variables (housing instability, hallucinations/delusions, schizoaffective diagnosis, lack of depression, alcohol use, bizarre behavior) explained over 50% of hostility variance.
  • Characteristic hostility predicted increased rehospitalization and inpatient days.
  • Conclusions:

    • Hostility is a prevalent issue in schizophrenia with identifiable predictors.
    • These findings can inform clinical assessments and guide targeted interventions.
    • Further research should explore these correlates to improve treatment outcomes.