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Co-Morbid Social Phobia in Schizophrenia

Author

Listed:
  • Doron Mazeh

    (Abarbanel Mental Health Centre, Bat-Yam; Bar-Ilan University, Israel, mazehdor@netvision.net.il)

  • Ehud Bodner

    (Bar-Ilan University, Israel)

  • Ronit Weizman

    (Sackler School of Medicine, Tel-Aviv University, Israel)

  • Yael Delayahu

    (Abarbanel Mental Health Centre, Bat-Yam, Israel)

  • Alexander Cholostoy

    (Abarbanel Mental Health Centre, Bat-Yam, Israel)

  • Tatiana Martin

    (Abarbanel Mental Health Centre, Bat-Yam, Israel)

  • Yoram Barak

    (Abarbanel Mental Health Centre, Bat-Yam; Sackler School of Medicine, Tel-Aviv University, Israel)

Abstract

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.

Suggested Citation

  • Doron Mazeh & Ehud Bodner & Ronit Weizman & Yael Delayahu & Alexander Cholostoy & Tatiana Martin & Yoram Barak, 2009. "Co-Morbid Social Phobia in Schizophrenia," International Journal of Social Psychiatry, , vol. 55(3), pages 198-202, May.
    • Handle: RePEc:sae:socpsy:v:55:y:2009:i:3:p:198-202
    DOI: 10.1177/0020764008093447
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