How does social functioning in the early stages of psychosis relate to depression and social anxiety?
How does social functioning in the early stages of psychosis relate to depression and social anxiety?
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DOI：
10.1111/j.1751-7893.2011.00280.x
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发表时间：
2011-08-01
影响因子：
2
通讯作者：
Hickie, Ian B.
中科院分区：
文献类型：
--
作者：
Chudleigh, Catherine;Naismith, Sharon L.;Hickie, Ian B.
目的：本研究的目的是比较社会功能的年轻人被认为是在精神病的风险与那些符合标准的精神病首次发作（FEP）和控制，并确定社会功能和阳性和阴性症状，抑郁症状，和social anxiety.Methods：本研究探讨了社会功能在20个人的精神病风险，20 FEP患者和20名健康对照。采用社会功能量表和世界卫生组织残疾评估量表测量社会功能。精神病变量也测量使用的综合评估风险的精神状态，简短的精神病评定量表，简短的社交恐惧症量表，抑郁症焦虑和压力scale.Results：在风险的个人有可比的社会赤字的FEP组，和两个病人组有显着较差的社会功能比对照组。重要的是，社交功能与抑郁和社交焦虑症状的相关性最强，与阳性症状的相关性较小。然而，阴性症状似乎并没有涉及到社会functioning.Conclusion：社会功能障碍之前的全阈值精神病的发病，因此可能是一个显着的标志物的疾病。此外，相关的精神症状，如抑郁症和社交焦虑，可能提供了一个途径，早期干预精神病的社会功能缺陷。
Aims: The study aims to compare social functioning in young people considered to be at risk of psychosis with those meeting criteria for first episode psychosis (FEP) and controls, and to determine the association between social functioning and positive and negative symptoms, depressive symptoms, and social anxiety.Methods: This study examined social functioning in 20 individuals at risk of psychosis, 20 FEP patients and 20 healthy controls. Social functioning was measured using the Social Functioning Scale and World Health Organization Disability Assessment Scale. Psychiatric variables were also measured using the Comprehensive Assessment of At-Risk Mental States, the Brief Psychiatric Rating Scale, the Brief Social Phobia Scale, and the Depression Anxiety and Stress Scale.Results: At-risk individuals had comparable social deficits to the FEP group, and both patient groups had significantly poorer social functioning than controls. Importantly, social functioning was most strongly associated with depressive and social anxiety symptoms and to a lesser extent with positive symptoms. However, negative symptoms did not appear to relate to social functioning.Conclusion: Social functioning impairments precede the onset of full-threshold psychosis and may therefore be a significant marker for the illness. Additionally, associated psychiatric symptoms such as depression and social anxiety may provide an avenue for early interventions of social functioning deficits in psychosis.