Impact of social anxiety on social cognition and functioning in patients with recent-onset schizophrenia spectrum disorders

Achim, Amélie M.; Ouellet, Richard; Lavoie, Marie; Vallières, Chantal; Jackson, Philip L.; Roy, Marc‐André

doi:10.1016/j.schres.2013.01.012

Cited by 57 publications

(57 citation statements)

References 36 publications

(50 reference statements)

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“…It is probable that unstable evaluative descriptions and weakened action attitudes contribute to both diminished emotional expression [15,18,19] and disturbed understanding of interpersonal contexts [52]. If we consider the reported association between social anxiety and poor mentalizing capabilities [30,31] on the one hand and the perturbing effect emotionally laden experiences/memories have on cognition [20,21,22] on the other, it seems probable that anxiety (as buffer) plays a common role in the deconstruction of both EmEx and social cognition. …”

Section: Discussionmentioning

confidence: 99%

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The Phenomenology of Emotion Experience in First-Episode Psychosis

Vodušek

Parnas²,

Tomori

et al. 2014

Psychopathology

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Background: Although it has been suggested that disturbances in emotion experience and regulation play a central role in the aetiology and psychopathology of schizophrenia spectrum disorders, the phenomenology of emotion experience in schizophrenia remains under-researched. Sampling and Methods: In-depth interviews were conducted twice with each of the 20 participants (firstly at admission and secondly 6 months later). Data collection and analysis were guided by the principles of phenomenological study of lived experience. Results: The emotion experiences described by our participants vary greatly in both quality and intensity, but appear to have a common phenomenology. Anxiety is reported as the basic emotion which buffers, transforms and sometimes supplants all others. Emotions in general are experienced as foreign, unstable and perturbing, thereby contributing greatly to feelings of ambivalence, perplexity and an unstable sense of self in general. Conclusions: The findings of this study have important therapeutic and theoretical implications because they suggest that emotion experiences in schizophrenia spectrum disorders may underlie a wide range of psychopathological phenomena in both the cognitive and social functioning domains. Due to the relatively small sample size and its selection from psychotherapeutic units, the results may not be generalizable to all schizophrenia patients.

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Section: Discussionmentioning

confidence: 99%

“…Social anxiety in SSD is associated with greater deficits in mentalizing and social cognition in general [30], worse performance on metacognitive tasks [31] and, consequently, greater disability in social functioning [28,30,32] and poorer quality of life [33]. …”

Section: Introductionmentioning

confidence: 99%

The Phenomenology of Emotion Experience in First-Episode Psychosis

Vodušek

Parnas²,

Tomori

et al. 2014

Psychopathology

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“…Passive social withdrawal is marked by a lack of motivation to engage in (social) activities and considered to be a main dimension of the negative syndrome (Docx et al, 2015, Messinger et al, 2011. Active social avoidance, exacerbates withdrawal and avoidance tendencies (Achim et al, 2011), profoundly affecting patients' daily lives (Achim et al, 2013, Pallanti et al, 2004, Penn et al, 1994. Moreover, positive symptoms such as delusional thoughts and paranoia may also negatively influence social outcomes and induce patients to further isolate themselves from their social environment.…”

Section: Introductionmentioning

confidence: 99%

Converging evidence of social avoidant behavior in schizophrenia from two approach-avoidance tasks

Asuncion

Docx

Sabbe

et al. 2015

Journal of Psychiatric Research

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“…299-300; 29, pp. 96-97] and that deficits in mentalization in turn lower functioning [30,31]. The ability to mentalize enables individuals to represent and understand inner mental states in oneself and others; deficits in mentalizing include not being self-reflective, not having emotional awareness, equating inner mental states with outer reality ("psychic equivalence mode" [32]), and not adequately regulating emotions.…”

mentioning

confidence: 99%

Mentalization and Self-Efficacy as Mediators between Psychological Symptom Severity and Disabilities in Activities and Participation in Psychotherapy Patients

Probst

Dehoust²,

Brütt

et al. 2018

Psychopathology

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Background: Psychotherapy patients can be more or less disabled by their psychological symptoms. The present study investigated whether mentalization and self-efficacy contribute to the association between psychological symptom severity and disabilities in activities and participation. Methods: The data of 216 psychotherapy inpatients were examined in a cross-sectional design. Bootstrapping-enhanced mediation analyses were performed to investigate whether self-efficacy and mentalization are mediators between psychological symptom severity and disabilities in activities and participation. The Hamburg Modules for the Assessment of Psychosocial Health-49 were used to measure psychological symptom severity and self-efficacy, mentalization was assessed with the Mentalization Questionnaire, and disabilities in activities and participation were operationalized with the ICF-Mental-A & P questionnaire. Results: Mentalization as well as self-efficacy functioned as mediators between psychological symptom severity and disabilities in activities and participation (p < 0.05). They were equally strong mediators, and both remained significant mediators when statistically controlling for the other mediator (p < 0.05). Conclusions: Mentalization as well as self-efficacy explain a significant proportion of the relationship between psychological symptom severity and disabilities in activities and participation. Working on mentalizing and self-efficacy might be important mechanisms to reduce disability due to symptoms. The cross-sectional design is a limitation of the study.

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Impact of social anxiety on social cognition and functioning in patients with recent-onset schizophrenia spectrum disorders

Cited by 57 publications

References 36 publications

The Phenomenology of Emotion Experience in First-Episode Psychosis

The Phenomenology of Emotion Experience in First-Episode Psychosis

Converging evidence of social avoidant behavior in schizophrenia from two approach-avoidance tasks

Mentalization and Self-Efficacy as Mediators between Psychological Symptom Severity and Disabilities in Activities and Participation in Psychotherapy Patients

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