Evidence map›Paper›PMID 39202542›Full record

ReviewMedicina (Kaunas, Lithuania)2024

The Relationship between Cognitive Impairment and Violent Behavior in People Living with Schizophrenia Spectrum Disorders: A Critical Review and Treatment Considerations.

Gabriele Nibbio, Lorenzo Bertoni, Irene Calzavara-Pinton, Nicola Necchini, Stefano Paolini, Antonio Baglioni, Daniela Zardini, Laura Poddighe, Viola Bulgari, Jacopo Lisoni and 3 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

13 authors.

Gabriele NibbioDepartment of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, Italy.
Lorenzo BertoniDepartment of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, Italy.
Irene Calzavara-PintonDepartment of Mental Health and Addiction Services, ASST Spedali Civili of Brescia, 25123 Brescia, Italy.ORCID 0009-0008-3098-4668
Nicola NecchiniDepartment of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, Italy.
Stefano PaoliniDepartment of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, Italy.
Antonio BaglioniDepartment of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, Italy.
Daniela ZardiniDepartment of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, Italy.
Laura PoddigheDepartment of Mental Health and Addiction Services, ASST Spedali Civili of Brescia, 25123 Brescia, Italy.
Viola BulgariDepartment of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, Italy.
Jacopo LisoniDepartment of Mental Health and Addiction Services, ASST Spedali Civili of Brescia, 25123 Brescia, Italy.ORCID 0000-0002-4091-6502
Giacomo DesteDepartment of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, Italy.
Stefano BarlatiDepartment of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, Italy.ORCID 0000-0002-1784-3915
Antonio VitaDepartment of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cognitive impairment is a core feature of schizophrenia spectrum disorders (SSD). Violent and aggressive behavior represents a complex issue in psychiatry, and people with SSD have been shown to be at risk of being both victims and perpetrators of violence. In this review, the complex relationship between cognitive impairment and violent behavior is explored, also considering the usefulness of treating cognitive impairment to improve violence-related outcomes. Several studies report that cognitive impairment is linked to violent behavior, but significant differences between domains and conflicting results are also present, leaving the identification of specific cognitive profiles predicting violent behavior in SSD as an important aim for future research. Evidence regarding the effectiveness of treating cognitive impairment to improve violent behavior, while heterogeneous, provides more consistent results: cognition-targeting interventions appear to provide significant benefits also in the prevention of aggression in people living with SSD, and preliminary evidence shows cognition-focused interventions targeting violent behavior improve both cognition- and violence-related outcomes. Implementing these interventions in clinical practice could be of great usefulness, particularly in forensic contexts. Physical exercise, which improves cognitive performance and psychosocial functioning in SSD, appears to reduce violent behavior in healthy individuals, but requires further studies in clinical samples.

Indexed as

Cognitive DysfunctionSchizophreniaViolenceAggressionHumansSchizophrenic Psychologyaggressive behaviorcognitioncognitive remediationphysical exerciseschizophrenia spectrum disorderssocial cognitionviolence

Identifiers

PMID39202542
PMCPMC11356552

What OpenQuestion holds

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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.