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

Sutliff, Stephanie; Roy, Marc‐André; Achim, Amélie M.

doi:10.1016/j.psychres.2015.02.017

Cited by 17 publications

(12 citation statements)

References 39 publications

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“…Positive symptoms increased by one unit; social anxiety symptoms decreased by 0.75 units. A study conducted in the USA recorded no difference between social anxiety symptoms and positive symptoms for schizophrenia [17], and PANSS positive symptoms subscale was significantly associated with social anxiety symptoms [45]. Our result was different from those of previous studies and needs further [45].…”

Section: Discussioncontrasting

confidence: 99%

“…A study conducted in the USA recorded no difference between social anxiety symptoms and positive symptoms for schizophrenia [17], and PANSS positive symptoms subscale was significantly associated with social anxiety symptoms [45]. Our result was different from those of previous studies and needs further [45]. The severity of psychotic episode in acute phase of schizophrenia predicted the severity of concurrent depression/anxiety symptoms [46].…”

Section: Discussioncontrasting

confidence: 98%

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The Prevalence and Correlates of Social Anxiety Symptoms among People with Schizophrenia in Ethiopia: An Institution-Based Cross-Sectional Study

Kibru¹,

Tesfaw

Demilew

et al. 2020

Schizophrenia Research and Treatment

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Background. The comorbidity of social anxiety disorder is very common in schizophrenia patients and affects almost all age groups. This social anxiety disorder negatively impacts the quality of life, medication adherence, and treatment outcomes of people with schizophrenia. It is not well recognized in clinical settings. Therefore, assessing social anxiety symptoms and its associated factors was significant to early intervention and management of schizophrenia patients in Ethiopia. Methods. An institution-based cross-sectional study was conducted at Amanuel Mental Specialized Hospital in Addis Ababa, Ethiopia. Data collectors randomly recruited 423 schizophrenic patients by using the systematic sampling technique. A face-to-face interviewer-administered questionnaire was used to collect data. The standardized Liebowitz Social Anxiety Scale (LSAS) was employed to assess individual social anxiety symptoms. We computed bivariate and multivariate binary logistic regressions to identify factors associated with social anxiety symptoms. Statistical significance was declared at p<0.05. Results. The prevalence of social anxiety symptoms was 36.2% (95% CI: 31.50, 40.80). Male sex (AOR=2.03, 95% CI: 1.20, 3.44), age of onset of schizophrenia (AOR=1.91, 95% CI:1.17, 3.12), positive symptoms (AOR=0.75, 95% CI:0.67, 0.83), depression/anxiety symptoms (AOR=1.29, 95% CI: 1.18, 1.41), number of hospitalizations (AOR=2.80, 95% CI:1.32, 5.80), and suicidal ideation (AOR=0.44, 95% CI: 0.26, 0.74) were factors significantly associated with social anxiety symptoms at p<0.001, whereas poor social support (AOR=5.23, 95% CI:2.03, 14.70) and suicide attempts (AOR=1.93, 95% CI: 1.14, 3.26) were statistically associated with social anxiety symptoms at p<0.01. Conclusion. The prevalence of social anxiety symptoms among schizophrenia patients was found to be high. Timely treatment of positive and depression/anxiety symptoms and suicide risk assessments and interventions need to be done to manage the problems.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussioncontrasting

confidence: 98%

The Prevalence and Correlates of Social Anxiety Symptoms among People with Schizophrenia in Ethiopia: An Institution-Based Cross-Sectional Study

Kibru¹,

Tesfaw

Demilew

et al. 2020

Schizophrenia Research and Treatment

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“…In particular, several epidemiological studies reported non-psychotic comorbid mental disorder prevalences as high as 58% among patients with schizophrenia spectrum disorders (Cassano et al, 1998;Cutler and Siris, 1991;Kendler et al, 1996;Strakowski et al, 1993;Sutliff et al, 2015). Retrospective studies have shown that depression and anxiety are the most frequent symptoms in the prodromal phase of a first psychotic episode (Hafner et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

Persistence or recurrence of non-psychotic comorbid mental disorders associated with 6-year poor functional outcomes in patients at ultra high risk for psychosis

Rutigliano

Valmaggia

Landi

et al. 2016

Journal of Affective Disorders

128

129

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“…Specifically, inhibited temperament was associated with higher scores on the MASQ negative affect measures, MASQ anxiety scale, MASQ depression scale, and PANSS Distress factor. Anxiety and depression symptoms are common in schizophrenia and are observed across all phases of the disease progression including in ultra-high risk individuals (Fusar-Poli et al, 2014), during the first episode of psychosis (Sutliff, Roy and Achim, 2015), and in chronic schizophrenia (Achim et al, 2011;Lim et al, 2015). In addition to heightened levels of anxiety in the current study, inhibited temperament was associated with a significant increase in odds of having a co-morbid anxiety disorder.…”

Section: Discussionmentioning

confidence: 52%

Childhood temperament is associated with distress, anxiety and reduced quality of life in schizophrenia spectrum disorders

Feola

Armstrong

Woodward

et al. 2019

Psychiatry Research

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Schizophrenia is conceptualized as a neurodevelopmental disorder and pre-morbid differences in social function and cognition have been well-established. Less is known about pre-morbid temperament and personality. Inhibited temperament-the predisposition to respond to novelty with wariness, fear, or caution-is a premorbid risk factor for anxiety, depression, and substance use but is understudied in schizophrenia. Participants were patients with schizophrenia spectrum disorders (n = 166) and healthy controls (n = 180). Patients completed measures of childhood inhibited temperament, clinical symptoms (anxiety, depression, PANSS factors), and quality of life. Patients had significantly higher levels of inhibited temperament relative to healthy controls. In patients with schizophrenia, higher inhibited temperament was significantly associated with comorbid anxiety disorders, greater anxiety and depression symptoms, higher PANSS Distress scores, lower PANSS Excitement scores, and lower quality of life. The current findings replicate and extend previous research with a larger sample and are consistent with vulnerability in an affective path to psychosis. In schizophrenia, higher inhibited temperament was associated with a cluster of mood and anxiety symptoms. Inhibited temperament was not associated with psychosis symptoms. Patients with high inhibited temperament may especially benefit from treatments that specifically target anxiety and depression.

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

Cited by 17 publications

References 39 publications

The Prevalence and Correlates of Social Anxiety Symptoms among People with Schizophrenia in Ethiopia: An Institution-Based Cross-Sectional Study

The Prevalence and Correlates of Social Anxiety Symptoms among People with Schizophrenia in Ethiopia: An Institution-Based Cross-Sectional Study

Persistence or recurrence of non-psychotic comorbid mental disorders associated with 6-year poor functional outcomes in patients at ultra high risk for psychosis

Childhood temperament is associated with distress, anxiety and reduced quality of life in schizophrenia spectrum disorders

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