Severe social anxiety in early psychosis is associated with poor premorbid functioning, depression, and reduced quality of life

Social anxiety disorder in recent onset schizophrenia spectrum disorders: The relation with symptomatology, anxiety, and social rank

“…While several studies have reported a relation with levels of positive symptoms in patients with schizophrenia and social anxiety (Penn et al, 1994;Lysaker and Hammersley, 2006;Lysaker and Salyers, 2007;Mazeh et al, 2009), others have failed to find such a relation (Pallanti et al, 2004;Voges and Addington, 2005;Birchwood et al, 2006;Michail and Birchwood, 2009;Romm et al, 2012). Additionally, an association between social anxiety in schizophrenia and negative symptoms has been reported by some (Penn et al, 1994; Mazeh et al, 2009), but not all studies (Birchwood et al, 2006).…”

“…Despite these differences, increasing evidence suggests that a specific subgroup of patients do in fact meet the diagnostic criteria for both schizophrenia and SAD. This comorbid subgroup (SZ þ) tends to have worse outcomes than patients with schizophrenia without social anxiety disorder (SZ À ); this includes greater impairment of social functioning (Pallanti et al, 2004;Voges and Addington, 2005;Romm et al, 2012) and even heightened risk for suicide (Pallanti et al, 2004). Conversely, recent data from Achim et al (2013) has found that individuals with SZþ show less encompassing deficits in social cognition than patients with only SZ À , suggesting that the presentation of SAD may not necessarily mean greater overall impairment.…”

Determinants of quality of life among people diagnosed with schizophrenia at outpatient clinics

“…29 The apparent overlap between the type of antipsychotic medication and QoL scores is comparable to other studies. 70,71 Typical forms of antipsychotic medication yield more serious and undesirable side effects. This is reflected in the current study in the DIEPSS scores.…”

Self‐reported symptoms and health service use in adolescence in persons who later develop psychotic disorders: A prospective case‐control study

“…20,21 Studies report that patients in the early phases of psychotic disorders can experience symptoms of somatoform disorders, anxiety disorders, posttraumatic stress disorders or eating disorders, including hypochondriac-cenesthopathic symptoms. [22][23][24][25][26][27][28] There are limited reports on the co-occurrence of eating disorders with schizophrenia spectrum disorders outside of case reports. 24,29,30 However, one study evaluating the co-occurrence of eating disorders with bipolar disorders indicated a 14% co-morbidity.…”