Accurate evaluations of the dangers posed by psychiatric inpatients are necessary, although a number of studies have questioned the accuracy of violence prediction. In this prospective study, we evaluated several variables in the prediction of violence in 63 inpatients with a DSM-IV diagnosis of schizophrenia or schizoaffective disorder. Nurses rated violent incidents with the Overt Aggression Scale. During hospitalization, sociodemographic variables, clinical history, neurological soft signs, community alcohol or drug abuse, and electroencephalographic abnormalities did not differ between violent and nonviolent groups. Violent patients had significantly more positive symptoms as measured by the Positive and Negative Syndrome Scale (PANSS), higher scores on the PANSS general psychopathology scale, and less insight in the different constructs assessed. A logistic regression was performed to discriminate between violent and nonviolent patients. Three variables entered the model: insight into symptoms, PANSS general psychopathology score, and violence in the previous week. The actuarial model correctly classified 84.13 percent of the sample; this result is significantly better than chance for the base rate of violence in this study. At hospital admission, clinical rather than sociodemographic variables were more predictive of violence. This finding has practical importance because clinical symptoms are amenable to therapeutic approaches. This study is the first to demonstrate that insight into psychotic symptoms is a predictor of violence in inpatients with schizophrenia.

Some patients with schizophrenia and prior violent behaviour may benefit from the depot formulation of antipsychotic medication.

The aim of this study was to evaluate the reliability and validity of the Spanish-language version of the diagnostic interview for depressive personality (DIDP). The DIDP was administered to 328 consecutive outpatients and the test-retest and inter-rater reliability were assessed. Factor analysis was used in search of factors capable of explaining the scale and a cutoff point was established. The DIDP scales showed adequate Cronbach's α values and acceptable test-retest and inter-rater reliability coefficients. Convergent and discriminant validity were explored, the latter with respect to avoidant and borderline personality disorders. The results of the factor analysis were consistent with the four-factor structure of the DIDP scales. The receiver operating characteristic (ROC) analysis revealed the area under the curve to be 0.848. We found 30 to be a good cutoff point, with a sensitivity of 74.5% and a specificity of 78.5%. The DIDP proved to be a reliable and valid instrument for assessing depressive personality disorder, at least among our outpatients. The psychometric properties of the DIDP support its clinical usefulness in assessing depressive personality.

Introduction:Attention-deficit/hyperactivity disorder (ADHD) is a developmental disorder that persists into adulthood. Though symptoms of inattention and hyperactivity-impulsivity are the two core symptom sets of the disorder, recent reviews argue that emotional dysregulation is an additional feature of ADHD criteria. In the DSM-5 emotional dysregulation does not appear. In a study by the Mental Health Center (MHC) of Arganda, 42 outpatients, all older than 18, we'll look for:Objectives:Examine the comorbidity of ADHD, in relation to Axis I and personality disorder (PD) from the DSM-IV. In addition, to see if emotional dysregulation is present in these patients.Aims:The proposal is that there exist comorbidity with PD, in addition to emotional dysregulation symptoms.Methods:Transversal descriptive study of out-patients.A diagnosis of ADHD with: ASRS-V1.1, the ADHD, the CAADID and the WURS scale, reduced version.Emotion dysregulation was assessed by the Impulsivity/Emotional Lability scale from the CAARS and by the DERS and PD with the SCID-II questionary.Results:A high comorbidity is observed with PD and depressive symptoms. The combined type of ADHD is the most frequently found, with higher severity and frequency of PD. The association with depressive symptoms is more often found in the inattentive subtype and the combined type with substance abuse. Preliminary data is included on emotional dysregulation and ADHD.Conclusions:ADHD is a disease observed in out-patient adults with a high frequency of comorbidity with PD and depression.It is necessary to look for the dimension of emotional dysregulation.