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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.


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.