Evidence map›Paper›PMID 26657597›Full record

ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2016

Hostility in schizophrenia: An integrated analysis of the combined Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) and the European First Episode Schizophrenia Trial (EUFEST) studies.

J Volavka, R A Van Dorn, L Citrome, R S Kahn, W W Fleischhacker, P Czobor

Open access · greenAbstract read
In one paragraph

Article in European psychiatry : the journal of the Association of European Psychiatrists, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Systematic review of risk factors for violence in psychosis: 10-year update.The British journal of psychiatry : the journal of mental science · 2025
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 4 countries.

J VolavkaDepartment of Psychiatry, New York University School of Medicine, New York, NY, PO Box 160663, Big Sky, MT 59716, USA. Electronic address: janvolavka@gmail.com.
R A Van DornBehavioral Health Epidemiology Program, RTI International, 3040 E. Cornwallis Road, PO Box 12194 Research Triangle Park, NC 27709-2194, USA.
L CitromeDepartment of Psychiatry and Behavioral Sciences, New York Medical College, Valhalla, 11 Medical Park Drive, Suite 106, Pomona, NY 10970, USA.
R S KahnBrain Center Rudolf Magnus, University Medical Center Utrecht (UMC), PO box 85500, 3508 GA Utrecht, The Netherlands.
W W FleischhackerBiological Psychiatry Division Department of Psychiatry and Psychotherapy, Medical University Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria.
P CzoborDepartment of Psychiatry and Psychotherapy, Semmelweis University, 1083 Budapest, Balassa u. 6, Budapest, Hungary.
Innsbruck Medical University · ATNew York Medical College · USNew York University · USRTI International · USSemmelweis University · HUUniversity Medical Center Utrecht · NL

Funding

Violence and Victimization in Adults with Mental IllnessR01MH093426 · NIMH · RESEARCH TRIANGLE INSTITUTE · PI VAN DORN, RICHARD · 2012 to 2014
$580k
NIMH NIH HHS R01 MH093426NIMH NIH HHS R01MH093426
6 · The paper itself

Abstract

Phase 1 of the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) study enrolled a sample of 1493 chronic schizophrenia patients. The European First Episode Schizophrenia Trial (EUFEST) enrolled 498 patients. We have combined these two samples to study the effects of hostility on study discontinuation as well as to examine correlates and predictors of hostility. Individual data from 1154 patients with complete data were used for analyses. Survival analysis demonstrated that higher hostility was associated with earlier all-cause treatment discontinuation. Furthermore, regression analysis indicated that increased hostility was associated with more severe positive symptoms, lower adherence to pharmacological treatment, younger age, impaired insight, and more drug or alcohol consumption. The clinical implications of the results point to the importance of establishing therapeutic alliance while managing patient's symptoms of hostility with antipsychotics such as olanzapine combined with psychosocial interventions to improve insight and reduce substance use.

Indexed as

HostilitySchizophrenic PsychologyAdultAntipsychotic AgentsBenzodiazepinesClinical Trials as TopicDrug MonitoringEuropeFemaleHumansLogistic ModelsMaleMedication AdherenceMiddle AgedOlanzapinePredictive Value of TestsAntipsychotic AgentsBenzodiazepinesOlanzapineAntipsychoticsHostilitySchizophrenia

Identifiers

PMID26657597
PMCPMC4838039
OpenAlexW2183006426

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.