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Negative Symptoms & Social Anxiety in Schizophrenia

In patients with schizophrenia who are capable of social functioning, but do not perform well, negative symptoms may be involved in the discrepancy, a new study suggests. 205 outpatients aged ≤40 years with schizophrenia were enrolled in the study. The symptomatology and social functioning were widely assessed. Patients were divided into 4 groups by the cutoff scores for competence and performance in relation to social functioning. Researchers found:

  • Patients were divided into 4 groups: high competence and high performance (CP) group (n=108 patients; 52.7%); high competence, but low performance (Cp) group (n=40 patients; 19.5%); low competence, but high performance (cP) group (n=13 patients; 6.3%); and low competence and low performance (cp) group (n=44 patients; 21.5%).
  • Patients who were able to maintain themselves well despite low social competence appeared to have milder social symptoms compared to patients who were neither competent nor perform well.

Citation:

Nemoto T, Uchino T, Aikawa S, et al. Social anxiety and negative symptoms as the characteristics of patients with schizophrenia who show competence-performance discrepancy in social functioning. [Published online ahead of print April 9, 2019]. Psychiatry Clin Neurosci. doi:10.1111/pcn.12848.