Addressing Antisocial and Aggressive Behavior in Schizophrenia
Objective
Review of clinical findings on antisocial and aggressive behavior in schizophrenia.
Understanding the development of these behaviors from childhood.
Findings
Individuals with schizophrenia show cognitive deficits and behavioral problems from childhood.
Early identification of aggressive behavior can be achieved at first contact with clinical services.
Two types of aggressive behaviors are identified: longstanding and onset-related.
Treatment Strategies
Both types of patients need antipsychotic medications.
Cognitive-behavioral programs are suggested for those with a history of antisocial behavior.
Reducing cannabis use and fostering social behaviors can help in aggression reduction.
Risk Factors
Childhood conduct disorder (CD) is a significant predictor of future aggressive behavior.
Substance misuse amplifies the risk of aggression.
Victimization and difficulty in emotion recognition are also contributing factors.
Future Research Needs
Need for studies on gene-environment interactions related to aggression.
More longitudinal investigations on children at risk for schizophrenia.
Development of effective therapeutic interventions for aggression in schizophrenia.