Abstract:
:This review is focused on aggressive behavior in adult patients with major mental disorders. Aggression, agitation, and hostility are defined. The roles of intramuscular forms of ziprasidone and olanzapine in the treatment of acute agitation and aggression are discussed. We review general considerations pertaining to persistent aggression in inpatients and outpatients, including comorbidity of major mental disorders with substance use disorders and personality disorders. The role of clozapine as an antiaggressive agent is well established, particularly in inpatients. Evidence also exists for the efficacy of risperidone, olanzapine, quetiapine, and aripiprazole. Anticonvulsants and lithium are widely used with the intent to control aggression, but their efficacy lacks strong evidential support. Benzodiazepines have a role in controlling acute agitation, but their long-term use for persistent aggression is not recommended. There is evidence for antiaggressive effects of SSRIs and hormonal agents with antiandrogenic properties. Beta-adrenergic blockers and electroconvulstive treatment are rarely used in clinical practice to control aggression, but they may be effective. The heterogeneity of aggressive behavior is a challenge for developing rational treatments. Emerging genetic findings hold a promise of future treatments of aggressive behavior developed on the basis of individual patients' genotypes.
journal_name
Actas Esp Psiquiatrjournal_title
Actas espanolas de psiquiatriaauthors
Volavka J,Citrome L,Huertas Dsubject
Has Abstractpub_date
2006-03-01 00:00:00pages
123-35issue
2eissn
1139-9287issn
1578-2735pii
61110217journal_volume
34pub_type
杂志文章,评审abstract:INTRODUCTION:The InterDep Study analyzes the characteristics of patients with a depressive disorder who, in the last years, have received health services at Primary Care in an specific health care area. The InterDep Study evaluates the use of heath care resources attributable to depression (direct costs) and loss of pr...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章,多中心研究
doi:
更新日期:2014-11-01 00:00:00
abstract:INTRODUCTION:After the description of its involvement in amydalin lesions, there has been growing interest in the last decade on the neuropsychological examination of impaired emotional recognition in different diseases. This study aims to demonstrate the existence of emotional recognition impairment in a case of front...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章
doi:
更新日期:2006-11-01 00:00:00
abstract::The theory of mind (ToM) is a new concept which could be defined as the ability to make inferences on the intentions of others. This capacity has been used to explain childhood autism symptoms and recently an attempt has been made to refer it to schizophrenia. The authors aim to review the theory of mind concept, the ...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章,评审
doi:
更新日期:2003-11-01 00:00:00
abstract:INTRODUCTION:The main purpose of this study was to analyze the psychometric properties of the State-Trait Anxiety Inventory (STAI1). Previous studies have indicated different factor solutions. Nevertheless, there is still a lack of consensus about the best dimensional model of STAI scores. METHOD:The sample consisted ...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章
doi:
更新日期:2016-05-01 00:00:00
abstract::This series of patients was gathered to assess the use of last and slow titration dosage of venlafaxine in in-patients with major depression and to evaluate the action onset. An observational open study was performed in 3 centers in 18 in-patients. Nine patients were included in fast titration dosage group (FT) and 9 ...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract:INTRODUCTION:The main purpose of this study was to determine if olanzapine (OLZ) can improve the ability to recognize emotional expressions, in the facial, prosodic and contextual modalities in treatment refractory schizophrenics (TRS) and, if this could be related to its effects on depressive symptoms. METHOD:14 TRS ...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
abstract:INTRODUCTION:Freud introduced two concepts of illness gain-one was a more external conscious adaptive form of gain, called secondary gain, and the other was a more internal unconscious destructive form of gain, called the need to be ill. Both forms of illness gain are interdependent and secondary gain can generate a ne...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章,评审
doi:
更新日期:2005-03-01 00:00:00
abstract:INTRODUCTION:One of the most typical clinical problems is the assessment of malingering in the field of forensic and penitentiary psychiatry. OBJECTIVE:The purpose of this research was to find associations between different personality types and psychometric response styles. MATERIAL AND METHODS. SUBJECTS:participant...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章
doi:
更新日期:2004-09-01 00:00:00
abstract::Psychogenic Non-Epileptic Seizures (PNES) are paroxysmal episodes of altered behavior that superficially resemble epileptic seizures but lack both the expected electroencephalographical epileptic changes and the association to dysfunction of central nervous system. They account for 17 to 30% of the population admitted...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章
doi:
更新日期:2011-05-01 00:00:00
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journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章
doi:
更新日期:2015-03-01 00:00:00
abstract:INTRODUCTION:The high prevalence of bulimia nervosa among eating disorders and limited repertoire of assessment tools available for these disorders in Spanish have resulted in special interest regarding the adaptation of a specific instrument such as the Bulimia Test (BULIT). METHODOLOGY:A total of 119 outpatients, mo...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章
doi:
更新日期:2007-09-01 00:00:00
abstract:INTRODUCTION:To study working memory function in major depression using identification and memory tests with event-related potentials (ERP). METHODS:We compared behavioral performance and event-related potentials during the processing of the Sternberg working memory task in 26 patients with major depression and 64 hea...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章
doi:
更新日期:2003-07-01 00:00:00
abstract::Two psychiatric patients suffering from psychogenic polydipsia, hyponatremia and water intoxication were evaluated at emergency room. Both of them showed organic psychiatric disease which improve with medical treatment. We illustrated the physiological and clinical features of polydipsia, hyponatremia and water intoxi...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract::In recent years, interest in the effects of gender or sex on brain morphology has rapidly increased. Structural and functional imaging studies offer us important though preliminary results. In this review, we will first comment on research dealing with neurodevelopmental differences and the influence hormones appear t...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章,评审
doi:
更新日期:2002-05-01 00:00:00
abstract::The concept of Typus Melancholicus (TM) was shaped by Tellenbach to describe the premorbid and intermorbid personality vulnerable to endogenous depression. The first part of this paper aims to point out the basic principles of Tellenbach’s theory – the method, the concept of endon, of rhythmic, of situation, of rimane...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章,评审
doi:
更新日期:2011-09-01 00:00:00
abstract::Cyproheptadine is a drug with direct antimuscarinic, antihistaminic (H1) and antiseronergic (5HT2) effects. In spite of its use as an orexigenic agent in normal or anorectic subjects, little is known about its effect in affective, anxiety or psychotic disorders. We present the case of a 14-year patient beginning with ...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00
abstract:BACKGROUND:The victims of terrorist attacks have a lower level of mental health than general population. However this effects has been only demonstrated in short term after the terrorist attack. METHODS:2998 people from 544 families who have suffered a terrorist attacks. General Health Questionnaire-28 (GHQ-28) as a p...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章
doi:
更新日期:2002-03-01 00:00:00
abstract:INTRODUCTION:The Social Functioning Scale (SFS) was designed to evaluate social functioning essential to schizophrenic patients. Its length may be difficult to use in clinical practice. The objective of this study was to develop and validate a short version of the SFS. METHODS:Data from 445 patients with schizophrenia...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章
doi:
更新日期:2008-03-01 00:00:00
abstract::Rheumatic fibromyalgia, also known as fibrositis or myofascial pain, is a common syndrome whose diagnoses, founded mainly on physical examination, usually delays due to symptom unspecificity, amount of complementary tests requested and intercourse with psychiatric disorders. Psychyatrists and psychologists get often i...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章,评审
doi:
更新日期:2002-11-01 00:00:00
abstract:INTRODUCTION:To describe benzodiazepine use in the adult population from Santiago, Chile and attempt to establish associations with different sociodemographic and medical variables. METHODS:This is a cross-sectional study whose sampling frame was the adult population, aged 16 to 64 years (n = 3,237,286). The sampling ...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章
doi:
更新日期:2005-09-01 00:00:00
abstract:INTRODUCTION:There are no conclusive data on the effectiveness of antidepressant drugs in the treatment of comorbid cases of alcohol dependence and depression. OBJECTIVES:To determine the effectiveness of venlafaxine on depression and on severity (need of treatment) of alcohol dependence and related problems. METHODS...
journal_title:Actas espanolas de psiquiatria
pub_type: 临床试验,杂志文章,多中心研究
doi:
更新日期:2005-01-01 00:00:00
abstract:INTRODUCTION:Due to the fact that various research studies have shown that drug users usually have a father with negative characteristics, it is convenient to investigate this phenomenon and take it into consideration in addict treatment efforts. METHODOLOGY:This is a qualitative study that explores the fatherly perce...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVE:To measure health related quality of life (HRQL) and social functioning in schizophrenic patients treated with olanzapine under regular clinical practice conditions. METHODS:Out-patients diagnosed of schizophrenia and beginning treatment with olanzapine, quetiapine, risperidone or typical oral antipsychotics...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章
doi:
更新日期:2006-01-01 00:00:00
abstract:INTRODUCTION:Psychiatrists use few symptoms when diagnosing depression. This study has aimed to know what symptoms are used by the psychiatrists to evaluate the severity of a depressive person compared to how they are evaluated when using a standardized instrument such as Hamilton's Rating Scale for Depression (HRSD-17...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章
doi:
更新日期:2009-07-01 00:00:00
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journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章,评审
doi:
更新日期:2000-09-01 00:00:00
abstract:INTRODUCTION:Satisfaction with life and psychological well-being have been extensively studied as measures of mental health, which has led to the development of two major traditions, the hedonic and eudaimonic. A difference has been found between subjective emotional well-being, which is often called psychological well...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章
doi:
更新日期:2016-03-01 00:00:00
abstract:INTRODUCTION:The Social Adaptation Self-evaluation Scale (SASS) allows a very easy evaluation of the individual's perspective about himself and his environment, together with his behaviour and social motivation. Taking into account that social maladjustment is high prevalent and well documented for depressed subjects a...
journal_title:Actas espanolas de psiquiatria
pub_type: 临床试验,杂志文章,多中心研究
doi:
更新日期:1999-03-01 00:00:00
abstract:UNLABELLED:There is a fairly widespread belief regarding the influence of the moon phases on the psychological behavior in humans. This relationship could be more pronounced among patients with mental disorders. OBJECTIVE:To study the possible association between the incidence of psychiatric emergencies and moon phase...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章
doi:
更新日期:2010-01-01 00:00:00
abstract:INTRODUCTION:Depression is associated with a dysfunction of regulation of the hypothalamic-pituitary-adrenal, HPA, which is reflected in the alteration of the dexamethasone suppression test, DST. Escitalopram and other SSRIs decrease the HPA axis response to the DST, beeing the aim of this study validate the DST as a s...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章
doi:
更新日期:2012-09-01 00:00:00
abstract:INTRODUCTION:The obsessivity and the impulsivity as personality traits have been object of few studies on the general population. The authors outline as objective to study if such features are co-existing constructs, as advocate some authors or the opposite extremes of a continuum as assert other. MATERIAL AND METHODS...
journal_title:Actas espanolas de psiquiatria
pub_type: 杂志文章
doi:
更新日期:2010-11-01 00:00:00