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International Journal of Social Psychiatry
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Co-Morbid Social Phobia in Schizophrenia

Doron Mazeh

Abarbanel Mental Health Centre, Bat-Yam; Bar-Ilan University, Israel, mazehdor{at}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

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.

Key Words: social anxiety • schizophrenia • fear • co-morbidity

International Journal of Social Psychiatry, Vol. 55, No. 3, 198-202 (2009)
DOI: 10.1177/0020764008093447
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