Co-Morbid social phobia in schizophrenia

Doron Mazeh, Ehud Bodner, Ronit Weizman, Yael Delayahu, Alexander Cholostoy, Tatiana Martin, Yoram Barak

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The co-morbid occurrence of anxiety disorders a d schizophrenia has recently begun to be investigated. Social anxiety may be especially important to diagnose and manage among patients with schizophrenia. Aim: To investigate the prevalence and correlates of social phobia in patients with schizophrenia. Method: Diagnosis of schizophrenia and schizoaffective disorders as well as co-morbid anxiety disorders was established according to DSM-IV and the Structured Clinical Interview for Diagnosis (SCID-P Hebrew version). Severity of psychotic symptoms and social anxiety symptoms was assessed with the Positive and Negative Symptom Scale (PANSS) and the Liebowitz Social Anxiety Scale (LSAS). Results: The cohort studied included 117 patients with schizophrenia. Thirteen patients were diagnosed as suffering from co-morbid social phobia (11%). There was a tendency for patients with co-morbid social phobia to have higher severity PANSS total score. There was a significant correlation between the score of the LSAS 'fear' and PANSS positive subscales. Avoidance scores were higher among patients with negative signs. Conclusion: Co-morbidity of schizophrenia and social anxiety disorder is not rare among patients with schizophrenia. Treatment implications need be further investigated.

Original languageEnglish
Pages (from-to)198-202
Number of pages5
JournalInternational Journal of Social Psychiatry
Volume55
Issue number3
DOIs
StatePublished - 2009

Keywords

  • Co-morbidity
  • Fear
  • Schizophrenia
  • Social anxiety

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