Prevalence and Functional Consequences of Social Anxiety in Individuals at Clinical High-Risk for Psychosis: Perspective from a Community Sample Comparison

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dc.contributor.authorKuhney, Franchesca S.
dc.contributor.authorDamme, Katherine S. F.
dc.contributor.authorPelletier-Baldelli, Andrea
dc.contributor.authorChun, Charlotte
dc.contributor.authorEllman, Lauren M.
dc.contributor.authorSchiffman, Jason
dc.contributor.authorMittal, Vijay A.
dc.date.accessioned2021-07-07T19:38:29Z
dc.date.available2021-07-07T19:38:29Z
dc.date.issued2021-06-26
dc.description.abstractBackground Social anxiety disorder (SAD) commonly occurs among individuals at clinical high-risk (CHR) for psychosis. Extant research has yet to examine the prevalence and clinical/functional correlates of SAD in this population compared to a community control (CC) sample. This comparison may improve the generalizability that traditional non-psychiatric control samples cannot provide. Additionally, it remains unknown how SAD contributes to symptom severity and social impairments in individuals at CHR for psychosis. Methods Both CHR and CC groups were recruited from general community sources; CC participants were not excluded in this analysis on the basis of any psychopathology except psychosis. A total of 245 adolescents and young adults (CHR=81; CC=164) were administered the Social Phobia Scale (SPS), the Structured Interview for Psychosis-risk Syndromes (SIPS), Structured Clinical Interview for DSM-5 Research Version (SCID-5-RV), and the Social Functioning Scale (SFS). Results The CHR group was at increased risk for having SAD relative to CC (42% CHR; 13% CC; RR=3.28) and, to a lesser degree, a non-SAD anxiety disorder (41% CHR; 29% CC; RR=1.42). Greater social anxiety was related to higher levels of negative (r=0.29) but not positive (r=0.05) symptoms within the CHR group. Furthermore, elevated social anxiety was found to be linked with poor social functioning in the CHR group (r=-0.31). Conclusions These findings demonstrate the specificity of SAD over and above other anxiety disorders in individuals at CHR for psychosis and the critical target of SAD to treat subclinical psychotic symptoms and social functioning.en_US
dc.description.sponsorshipThis work was supported by the National Institute of Mental Health (MH094650, MH112545, MH103231, MH094650, VM; 5R01MH112613-03, 3R01MH112613-02S1, and 5R01MH112613-02, LME; 5R01MH112612-03, 5R01MH112612-02, and 1R01MH112612-01).en_US
dc.description.urihttps://academic.oup.com/schizbullopen/advance-article/doi/10.1093/schizbullopen/sgab025/6309969?login=trueen_US
dc.format.extent2 filesen_US
dc.genrejournal articles postprintsen_US
dc.identifierdoi:10.13016/m2i0ml-83g5
dc.identifier.citationKuhney, Franchesca S. et al.; Prevalence and Functional Consequences of Social Anxiety in Individuals at Clinical High-Risk for Psychosis: Perspective from a Community Sample Comparison; Schizophrenia Bulletin Open, sgab025, 26 June, 2021; https://doi.org/10.1093/schizbullopen/sgab025en_US
dc.identifier.urihttps://doi.org/10.1093/schizbullopen/sgab025
dc.identifier.urihttp://hdl.handle.net/11603/21869
dc.language.isoen_USen_US
dc.publisherOxford University Pressen_US
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofUMBC Psychology Department Collection
dc.relation.ispartofUMBC Faculty Collection
dc.rightsThis item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author.
dc.rightsAttribution-NonCommercial 4.0 International (CC BY-NC 4.0)*
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/*
dc.titlePrevalence and Functional Consequences of Social Anxiety in Individuals at Clinical High-Risk for Psychosis: Perspective from a Community Sample Comparisonen_US
dc.typeTexten_US

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