{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T04:21:27Z","timestamp":1790223687320,"version":"4.1.0"},"reference-count":56,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,9,7]],"date-time":"2015-09-07T00:00:00Z","timestamp":1441584000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Key Projects in the National Science & Technology Pillar Program during the Twelfth Five-Year Plan Period","award":["2012BAK16B00"],"award-info":[{"award-number":["2012BAK16B00"]}]},{"name":"MOE","award":["13YJC190033"],"award-info":[{"award-number":["13YJC190033"]}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["30800368"],"award-info":[{"award-number":["30800368"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["81371500"],"award-info":[{"award-number":["81371500"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asia-Pacific Psychiatry"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>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\u2010risk settings difficult. We proposed to estimate the pooled prevalence of aggression among inpatients with schizophrenia in <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hina.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Reports on aggressive behaviour involving physical contact or risks of interpersonal violence, in schizophrenia in <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hinese general psychiatric wards were retrieved by using computer\u2010assisted searches and manual searches of the reference lists of the relevant literature. Statistical analyses were conducted using the <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>omprehensive <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>eta\u2010<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>nalysis <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>2 software. Potential sources of heterogeneity were analyzed with <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ochrane's <jats:styled-content style=\"fixed-case\">Q<\/jats:styled-content> analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>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% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 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).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Aggressive behaviour is common in <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hinese inpatients with schizophrenia. The prevalence figures indicate the need to identify reliable clinical and illness predictors for aggression in inpatient psychiatric wards and to test investigations aimed at reducing aggressive episodes and their adverse outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/appy.12209","type":"journal-article","created":{"date-parts":[[2015,9,8]],"date-time":"2015-09-08T03:15:03Z","timestamp":1441682103000},"page":"60-69","source":"Crossref","is-referenced-by-count":71,"title":["Prevalence of aggression in hospitalized patients with schizophrenia in <scp>C<\/scp>hina: A meta\u2010analysis"],"prefix":"10.1111","volume":"8","author":[{"given":"Jian\u2010Song","family":"Zhou","sequence":"first","affiliation":[{"name":"Mental Health Institute of The Second Xiangya Hospital National Technology Institute of Psychiatry Key Laboratory of Psychiatry and Mental Health of Hunan Province Central South University  Changsha Hunan 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