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Addressing Antisocial and Aggressive Behavior in Schizophrenia

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Objective

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    Review of clinical findings on antisocial and aggressive behavior in schizophrenia.

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    Understanding the development of these behaviors from childhood.

Findings

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    Individuals with schizophrenia show cognitive deficits and behavioral problems from childhood.

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    Early identification of aggressive behavior can be achieved at first contact with clinical services.

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    Two types of aggressive behaviors are identified: longstanding and onset-related.

Treatment Strategies

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    Both types of patients need antipsychotic medications.

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    Cognitive-behavioral programs are suggested for those with a history of antisocial behavior.

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    Reducing cannabis use and fostering social behaviors can help in aggression reduction.

Risk Factors

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    Childhood conduct disorder (CD) is a significant predictor of future aggressive behavior.

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    Substance misuse amplifies the risk of aggression.

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    Victimization and difficulty in emotion recognition are also contributing factors.

Future Research Needs

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    Need for studies on gene-environment interactions related to aggression.

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    More longitudinal investigations on children at risk for schizophrenia.

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    Development of effective therapeutic interventions for aggression in schizophrenia.