TY - JOUR PY - 2015// TI - Neurocognitive features in male patients with schizophrenia exhibiting serious violence: a case control study JO - Annals of general psychiatry A1 - Kashiwagi, Hiroko A1 - Kuroki, Noriomi A1 - Ikezawa, Satoru A1 - Matsushita, Masateru A1 - Ishikawa, Masanori A1 - Nakagome, Kazuyuki A1 - Hirabayashi, Naotsugu A1 - Ikeda, Manabu SP - e46 EP - e46 VL - 14 IS - N2 - BACKGROUND: The relationship between violence and neurocognitive function in schizophrenia is unclear. We examined the backgrounds and neurocognitive functions of violent and nonviolent patients with schizophrenia to identify factors associated with serious violence.

METHODS: Thirty male patients with schizophrenia who were hospitalized after committing serious violent acts were compared with 24 hospitalized male patients with schizophrenia and no history of violence. We evaluated psychiatric symptoms using the Positive and Negative Syndrome Scale (PANSS) and neurocognitive functions using the Brief Assessment of Cognition in Schizophrenia (BACS)-Japanese version.

RESULTS: Repeated-measures analyses of variance on BACS subcomponents z-scores showed that the violent and control groups had different neuropsychological profiles at trend level (p = 0.095). Post hoc analyses of variance indicated that the violent group had significantly better working memory and executive function than the control group. In post hoc ANOVAs also controlling for the effect of the presence of substance abuse on cognitive function, violent or nonviolent group had a significant main effect on executive function but not on working memory.

CONCLUSIONS: Patient with violent or non-violent schizophrenia have distinct neuropsychological profiles. These results may help develop improved psychosocial treatments.

Language: en

LA - en SN - 1744-859X UR - http://dx.doi.org/10.1186/s12991-015-0086-7 ID - ref1 ER -