Prevalence of aggression in hospitalized patients with schizophrenia in C hina: A meta‐analysis

作者：Jiansong Zhou, Bao‐Liang Zhong, Yu‐Tao Xiang, Qiongni Chen, Xiao‐Lan Cao, Christoph U. Correll, Gábor S. Ungvári, Helen Chiu, Kelly Y. C. Lai, Xiaoping Wang · 发表于：Asia-Pacific Psychiatry · 年份：2015 · DOI：10.1111/appy.12209 · 被引用次数：81 · 研究领域：Psychopathy, Forensic Psychiatry, Sexual Offending、Healthcare Decision-Making and Restraints、Workplace Violence and Bullying

INTRODUCTION: Aggression is a major concern in psychiatric inpatient care. Variations in study designs, settings, populations and data collection methods render comparisons of the prevalence of aggressive behavior in high-risk settings difficult. We proposed to estimate the pooled prevalence of aggression among inpatients with schizophrenia in China. METHODS: Reports on aggressive behaviour involving physical contact or risks of interpersonal violence, in schizophrenia in Chinese general psychiatric wards were retrieved by using computer-assisted searches and manual searches of the reference lists of the relevant literature. Statistical analyses were conducted using the Comprehensive Meta-Analysis V2 software. Potential sources of heterogeneity were analyzed with Cochrane's Q analysis. RESULTS: The search yielded 19 eligible studies involving a total of 3,941 schizophrenia patients. The prevalence of aggressive behavior in psychiatric wards ranged between 15.3% and 53.2%. The pooled prevalence of aggression was 35.4% (95% CI: 29.7%, 41.4%). The most commonly reported significant risk factors for aggression were positive psychotic symptoms: hostility or suspiciousness, 78.9% (15 studies); delusions, 63.2% (12 studies); disorganized behavior, 26.3% (5 studies); and auditory hallucinations, 10.5% (2 studies); together with: past history of aggression, 42.1% (8 studies); and involuntary admission, 10.5% (2 studies). CONCLUSIONS: Aggressive behaviour is common in Chinese inpatient...