TY - JOUR PY - 1999// TI - Propranolol treatment of chronically hospitalized aggressive patients JO - Journal of neuropsychiatry and clinical neurosciences A1 - Silver, J. M. A1 - Yudofsky, S. C. A1 - Slater, J. A. A1 - Gold, R. K. A1 - Stryer, B. L. A1 - Williams, D. T. A1 - Wolland, H. A1 - Endicott, J. SP - 328 EP - 335 VL - 11 IS - 3 N2 - Violent behavior in psychiatric patients may result in long-term hospitalization. There is no FDA-approved psychopharmacologic treatment for aggression. In this study, 20 chronically aggressive hospitalized patients were administered 1 week of placebo followed by an open trial of increasing doses of propranolol. Patients who had an equivocal or definite clinical response were entered into an open add-on double-blind discontinuation study phase. Aggressive behavior was objectively documented throughout the study. After the open phase of the study, 7 patients had a greater than 50% decrease in aggressive behavior. Four patients entered the double-blind discontinuation phase. The clinical course of 3 of those patients was consistent with the positive response to propranolol. The results of this study are consistent with a therapeutic effect of propranolol in some patients with aggressive behavior. Further studies are indicated.

Language: en

LA - en SN - 0895-0172 UR - http://dx.doi.org/ ID - ref1 ER -