CO-MORBID SOCIAL PHOBIA IN SCHIZOPHRENIA

被引:31
|
作者
Mazeh, Doron [1 ,2 ]
Bodner, Ehud [2 ]
Weizman, Ronit [3 ]
Delayahu, Yael [1 ]
Cholostoy, Alexander [1 ]
Martin, Tatiana [1 ]
Barak, Yoram [1 ,3 ]
机构
[1] Abarbanel Mental Hlth Ctr, Bat Yam, Israel
[2] Bar Ilan Univ, IL-52100 Ramat Gan, Israel
[3] Tel Aviv Univ, Sackler Sch Med, Tel Aviv, Israel
关键词
social anxiety; schizophrenia; fear; co-morbidity; QUALITY-OF-LIFE; ANXIETY; PREVALENCE; OUTPATIENTS; DISORDERS; COMORBIDITY; COMMUNITY;
D O I
10.1177/0020764008093447
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: The co-morbid occurrence of anxiety disorders and 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.
引用
收藏
页码:198 / 202
页数:5
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