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Akathisia and
violence.
Crowner ML, Douyon R, Convit A, Gaztanaga
P, Volavka J, Bakall R.
Research Department, Manhattan
Psychiatric Center, Ward's Island, New York, NY 10035.
Akathisia
is a common side effect of neuroleptic drugs that may present with
behavioral disturbances. There have been preliminary reports on the
association between violence and akathisia. We report the first
observational study of this relationship. Patients studied were from a
special unit for violent patients. A closed-circuit television camera
was installed in each of the corners in its dayroom. Incidents of
assault plus the 5 minutes preceding each assault were recorded on
videotape. Participants and bystanders were rated for the motor
component of akathisia. For each of nine incidents, we compared the
akathisia scores for participants and for bystanders. Both victims and
assailants were akathisic before about half of all incidents; bystanders
rarely were. The classification of the movements we rated and the
implications for further studies are discussed.
PMID: 1973544
[PubMed - indexed for MEDLINE]
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