Social anxiety and negative symptoms as the characteristics of patients with schizophrenia who show competence–performance discrepancy in social functioning
Aim Although competence and performance in relation to social functioning usually go hand in hand, it is not uncommon to observe a discrepancy between the two in patients with schizophrenia. The present study was aimed at examining the characteristics of patient groups showing such discrepancy. Meth...
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| Veröffentlicht in: | Psychiatry and clinical neurosciences 2019-07, Vol.73 (7), p.394-399 |
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| creator | Nemoto, Takahiro Uchino, Takashi Aikawa, Sayaka Saito, Junichi Matsumoto, Hiroshi Funatogawa, Tomoyuki Yamaguchi, Taiju Katagiri, Naoyuki Tsujino, Naohisa Mizuno, Masafumi |
| description | Aim
Although competence and performance in relation to social functioning usually go hand in hand, it is not uncommon to observe a discrepancy between the two in patients with schizophrenia. The present study was aimed at examining the characteristics of patient groups showing such discrepancy.
Methods
A total of 205 outpatients with schizophrenia aged ≤40 years old were enrolled. The symptomatology and social functioning were widely assessed. The patients were divided into four groups by the cut‐off scores for competence and performance in relation to social functioning calculated using a comprehensive dataset.
Results
The subjects were divided according to their level of competence and performance as follows: high competence and high performance (CP) group, 108 (52.7%) patients; high competence, but low performance (Cp) group, 40 (19.5%) patients; low competence, but high performance (cP) group, 13 (6.3%) patients; low competence and low performance (cp) group, 44 (21.5%) patients. One‐way analysis of variance and post‐hoc comparisons revealed significantly worse negative symptoms, general psychopathology scores, global functioning, and quality of life in the Cp group than in the CP group, and significantly better social anxiety symptoms, global functioning, and quality of life in the cP group than in the cp group.
Conclusion
In patients who are capable, but do not perform well, negative symptoms may be involved in the discrepancy. Patients who are able to maintain themselves well despite low social competence appear to have milder social anxiety symptoms as compared to patients who are neither competent nor perform well. |
| doi_str_mv | 10.1111/pcn.12848 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2207160390</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2207160390</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4128-7f6295eab8dace891a5b9b23c8f8d529fb67468917742d4bc981b19c6987ec0f3</originalsourceid><addsrcrecordid>eNp1kc1u1TAQhS0EoqWw4AWQJTawSGs7uY69RFdQkCpAAtaR44wbV4ltbKeXdMU7sOfheBIMKSyQmM386NPRGR2EHlNySkudBe1OKRONuIOOadOQigoq75a5ZnVFa8qP0IOUrgghdc3pfXRUE8lF04pj9P2D11ZNWLkvFvJa-oAdXKpsrwGndQ7ZzwmrhPMIWI8qKp0h2pStTtgbHAoJLid8sHnESY_2xocxgrMKH0aP0-gPWPs5QAan4cfXbwGi8XFWZcODTTpCKPOKrcNp82IWp7P1zrrLh-ieUVOCR7f9BH169fLj_nV18e78zf7FRaWb8njVGs7kDlQvBqVBSKp2vexZrYURw45J0_O24eXetg0bml5LQXsqNZeiBU1MfYKebboh-s8LpNzNxRpMk3Lgl9QxRlrKSS1JQZ_-g175JbrirlC7RrCWcFGo5xulo08pgulCtLOKa0dJ9yu0roTW_Q6tsE9uFZd-huEv-SelApxtwMFOsP5fqXu_f7tJ_gTjOaXW</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2254827068</pqid></control><display><type>article</type><title>Social anxiety and negative symptoms as the characteristics of patients with schizophrenia who show competence–performance discrepancy in social functioning</title><source>MEDLINE</source><source>Wiley Journals</source><source>Wiley Online Library Free Content</source><source>Open Access Titles of Japan</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Nemoto, Takahiro ; Uchino, Takashi ; Aikawa, Sayaka ; Saito, Junichi ; Matsumoto, Hiroshi ; Funatogawa, Tomoyuki ; Yamaguchi, Taiju ; Katagiri, Naoyuki ; Tsujino, Naohisa ; Mizuno, Masafumi</creator><creatorcontrib>Nemoto, Takahiro ; Uchino, Takashi ; Aikawa, Sayaka ; Saito, Junichi ; Matsumoto, Hiroshi ; Funatogawa, Tomoyuki ; Yamaguchi, Taiju ; Katagiri, Naoyuki ; Tsujino, Naohisa ; Mizuno, Masafumi</creatorcontrib><description>Aim
Although competence and performance in relation to social functioning usually go hand in hand, it is not uncommon to observe a discrepancy between the two in patients with schizophrenia. The present study was aimed at examining the characteristics of patient groups showing such discrepancy.
Methods
A total of 205 outpatients with schizophrenia aged ≤40 years old were enrolled. The symptomatology and social functioning were widely assessed. The patients were divided into four groups by the cut‐off scores for competence and performance in relation to social functioning calculated using a comprehensive dataset.
Results
The subjects were divided according to their level of competence and performance as follows: high competence and high performance (CP) group, 108 (52.7%) patients; high competence, but low performance (Cp) group, 40 (19.5%) patients; low competence, but high performance (cP) group, 13 (6.3%) patients; low competence and low performance (cp) group, 44 (21.5%) patients. One‐way analysis of variance and post‐hoc comparisons revealed significantly worse negative symptoms, general psychopathology scores, global functioning, and quality of life in the Cp group than in the CP group, and significantly better social anxiety symptoms, global functioning, and quality of life in the cP group than in the cp group.
Conclusion
In patients who are capable, but do not perform well, negative symptoms may be involved in the discrepancy. Patients who are able to maintain themselves well despite low social competence appear to have milder social anxiety symptoms as compared to patients who are neither competent nor perform well.</description><identifier>ISSN: 1323-1316</identifier><identifier>EISSN: 1440-1819</identifier><identifier>DOI: 10.1111/pcn.12848</identifier><identifier>PMID: 30968478</identifier><language>eng</language><publisher>Melbourne: John Wiley & Sons Australia, Ltd</publisher><subject>Adult ; Anxiety ; Anxiety - physiopathology ; Cognitive Dysfunction - etiology ; Cognitive Dysfunction - physiopathology ; cognitive function ; Emotional behavior ; Female ; Humans ; Interpersonal Relations ; Male ; Mental disorders ; psychological rehabilitation ; Psychopathology ; Quality of life ; Schizophrenia ; Schizophrenia - complications ; Schizophrenia - physiopathology ; Social anxiety ; Social Behavior ; social competence ; Social Skills ; Young Adult</subject><ispartof>Psychiatry and clinical neurosciences, 2019-07, Vol.73 (7), p.394-399</ispartof><rights>2019 The Authors. Psychiatry and Clinical Neurosciences © 2019 Japanese Society of Psychiatry and Neurology</rights><rights>2019 The Authors. Psychiatry and Clinical Neurosciences © 2019 Japanese Society of Psychiatry and Neurology.</rights><rights>2019 The Author. Psychiatry and Clinical Neurosciences © 2019 Japanese Society of Psychiatry and Neurology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4128-7f6295eab8dace891a5b9b23c8f8d529fb67468917742d4bc981b19c6987ec0f3</citedby><cites>FETCH-LOGICAL-c4128-7f6295eab8dace891a5b9b23c8f8d529fb67468917742d4bc981b19c6987ec0f3</cites><orcidid>0000-0002-7318-7377 ; 0000-0001-5507-8946</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpcn.12848$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpcn.12848$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30968478$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nemoto, Takahiro</creatorcontrib><creatorcontrib>Uchino, Takashi</creatorcontrib><creatorcontrib>Aikawa, Sayaka</creatorcontrib><creatorcontrib>Saito, Junichi</creatorcontrib><creatorcontrib>Matsumoto, Hiroshi</creatorcontrib><creatorcontrib>Funatogawa, Tomoyuki</creatorcontrib><creatorcontrib>Yamaguchi, Taiju</creatorcontrib><creatorcontrib>Katagiri, Naoyuki</creatorcontrib><creatorcontrib>Tsujino, Naohisa</creatorcontrib><creatorcontrib>Mizuno, Masafumi</creatorcontrib><title>Social anxiety and negative symptoms as the characteristics of patients with schizophrenia who show competence–performance discrepancy in social functioning</title><title>Psychiatry and clinical neurosciences</title><addtitle>Psychiatry Clin Neurosci</addtitle><description>Aim
Although competence and performance in relation to social functioning usually go hand in hand, it is not uncommon to observe a discrepancy between the two in patients with schizophrenia. The present study was aimed at examining the characteristics of patient groups showing such discrepancy.
Methods
A total of 205 outpatients with schizophrenia aged ≤40 years old were enrolled. The symptomatology and social functioning were widely assessed. The patients were divided into four groups by the cut‐off scores for competence and performance in relation to social functioning calculated using a comprehensive dataset.
Results
The subjects were divided according to their level of competence and performance as follows: high competence and high performance (CP) group, 108 (52.7%) patients; high competence, but low performance (Cp) group, 40 (19.5%) patients; low competence, but high performance (cP) group, 13 (6.3%) patients; low competence and low performance (cp) group, 44 (21.5%) patients. One‐way analysis of variance and post‐hoc comparisons revealed significantly worse negative symptoms, general psychopathology scores, global functioning, and quality of life in the Cp group than in the CP group, and significantly better social anxiety symptoms, global functioning, and quality of life in the cP group than in the cp group.
Conclusion
In patients who are capable, but do not perform well, negative symptoms may be involved in the discrepancy. Patients who are able to maintain themselves well despite low social competence appear to have milder social anxiety symptoms as compared to patients who are neither competent nor perform well.</description><subject>Adult</subject><subject>Anxiety</subject><subject>Anxiety - physiopathology</subject><subject>Cognitive Dysfunction - etiology</subject><subject>Cognitive Dysfunction - physiopathology</subject><subject>cognitive function</subject><subject>Emotional behavior</subject><subject>Female</subject><subject>Humans</subject><subject>Interpersonal Relations</subject><subject>Male</subject><subject>Mental disorders</subject><subject>psychological rehabilitation</subject><subject>Psychopathology</subject><subject>Quality of life</subject><subject>Schizophrenia</subject><subject>Schizophrenia - complications</subject><subject>Schizophrenia - physiopathology</subject><subject>Social anxiety</subject><subject>Social Behavior</subject><subject>social competence</subject><subject>Social Skills</subject><subject>Young Adult</subject><issn>1323-1316</issn><issn>1440-1819</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1u1TAQhS0EoqWw4AWQJTawSGs7uY69RFdQkCpAAtaR44wbV4ltbKeXdMU7sOfheBIMKSyQmM386NPRGR2EHlNySkudBe1OKRONuIOOadOQigoq75a5ZnVFa8qP0IOUrgghdc3pfXRUE8lF04pj9P2D11ZNWLkvFvJa-oAdXKpsrwGndQ7ZzwmrhPMIWI8qKp0h2pStTtgbHAoJLid8sHnESY_2xocxgrMKH0aP0-gPWPs5QAan4cfXbwGi8XFWZcODTTpCKPOKrcNp82IWp7P1zrrLh-ieUVOCR7f9BH169fLj_nV18e78zf7FRaWb8njVGs7kDlQvBqVBSKp2vexZrYURw45J0_O24eXetg0bml5LQXsqNZeiBU1MfYKebboh-s8LpNzNxRpMk3Lgl9QxRlrKSS1JQZ_-g175JbrirlC7RrCWcFGo5xulo08pgulCtLOKa0dJ9yu0roTW_Q6tsE9uFZd-huEv-SelApxtwMFOsP5fqXu_f7tJ_gTjOaXW</recordid><startdate>201907</startdate><enddate>201907</enddate><creator>Nemoto, Takahiro</creator><creator>Uchino, Takashi</creator><creator>Aikawa, Sayaka</creator><creator>Saito, Junichi</creator><creator>Matsumoto, Hiroshi</creator><creator>Funatogawa, Tomoyuki</creator><creator>Yamaguchi, Taiju</creator><creator>Katagiri, Naoyuki</creator><creator>Tsujino, Naohisa</creator><creator>Mizuno, Masafumi</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7318-7377</orcidid><orcidid>https://orcid.org/0000-0001-5507-8946</orcidid></search><sort><creationdate>201907</creationdate><title>Social anxiety and negative symptoms as the characteristics of patients with schizophrenia who show competence–performance discrepancy in social functioning</title><author>Nemoto, Takahiro ; Uchino, Takashi ; Aikawa, Sayaka ; Saito, Junichi ; Matsumoto, Hiroshi ; Funatogawa, Tomoyuki ; Yamaguchi, Taiju ; Katagiri, Naoyuki ; Tsujino, Naohisa ; Mizuno, Masafumi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4128-7f6295eab8dace891a5b9b23c8f8d529fb67468917742d4bc981b19c6987ec0f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Anxiety</topic><topic>Anxiety - physiopathology</topic><topic>Cognitive Dysfunction - etiology</topic><topic>Cognitive Dysfunction - physiopathology</topic><topic>cognitive function</topic><topic>Emotional behavior</topic><topic>Female</topic><topic>Humans</topic><topic>Interpersonal Relations</topic><topic>Male</topic><topic>Mental disorders</topic><topic>psychological rehabilitation</topic><topic>Psychopathology</topic><topic>Quality of life</topic><topic>Schizophrenia</topic><topic>Schizophrenia - complications</topic><topic>Schizophrenia - physiopathology</topic><topic>Social anxiety</topic><topic>Social Behavior</topic><topic>social competence</topic><topic>Social Skills</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nemoto, Takahiro</creatorcontrib><creatorcontrib>Uchino, Takashi</creatorcontrib><creatorcontrib>Aikawa, Sayaka</creatorcontrib><creatorcontrib>Saito, Junichi</creatorcontrib><creatorcontrib>Matsumoto, Hiroshi</creatorcontrib><creatorcontrib>Funatogawa, Tomoyuki</creatorcontrib><creatorcontrib>Yamaguchi, Taiju</creatorcontrib><creatorcontrib>Katagiri, Naoyuki</creatorcontrib><creatorcontrib>Tsujino, Naohisa</creatorcontrib><creatorcontrib>Mizuno, Masafumi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Psychiatry and clinical neurosciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nemoto, Takahiro</au><au>Uchino, Takashi</au><au>Aikawa, Sayaka</au><au>Saito, Junichi</au><au>Matsumoto, Hiroshi</au><au>Funatogawa, Tomoyuki</au><au>Yamaguchi, Taiju</au><au>Katagiri, Naoyuki</au><au>Tsujino, Naohisa</au><au>Mizuno, Masafumi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Social anxiety and negative symptoms as the characteristics of patients with schizophrenia who show competence–performance discrepancy in social functioning</atitle><jtitle>Psychiatry and clinical neurosciences</jtitle><addtitle>Psychiatry Clin Neurosci</addtitle><date>2019-07</date><risdate>2019</risdate><volume>73</volume><issue>7</issue><spage>394</spage><epage>399</epage><pages>394-399</pages><issn>1323-1316</issn><eissn>1440-1819</eissn><abstract>Aim
Although competence and performance in relation to social functioning usually go hand in hand, it is not uncommon to observe a discrepancy between the two in patients with schizophrenia. The present study was aimed at examining the characteristics of patient groups showing such discrepancy.
Methods
A total of 205 outpatients with schizophrenia aged ≤40 years old were enrolled. The symptomatology and social functioning were widely assessed. The patients were divided into four groups by the cut‐off scores for competence and performance in relation to social functioning calculated using a comprehensive dataset.
Results
The subjects were divided according to their level of competence and performance as follows: high competence and high performance (CP) group, 108 (52.7%) patients; high competence, but low performance (Cp) group, 40 (19.5%) patients; low competence, but high performance (cP) group, 13 (6.3%) patients; low competence and low performance (cp) group, 44 (21.5%) patients. One‐way analysis of variance and post‐hoc comparisons revealed significantly worse negative symptoms, general psychopathology scores, global functioning, and quality of life in the Cp group than in the CP group, and significantly better social anxiety symptoms, global functioning, and quality of life in the cP group than in the cp group.
Conclusion
In patients who are capable, but do not perform well, negative symptoms may be involved in the discrepancy. Patients who are able to maintain themselves well despite low social competence appear to have milder social anxiety symptoms as compared to patients who are neither competent nor perform well.</abstract><cop>Melbourne</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>30968478</pmid><doi>10.1111/pcn.12848</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-7318-7377</orcidid><orcidid>https://orcid.org/0000-0001-5507-8946</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Psychiatry and clinical neurosciences, 2019-07, Vol.73 (7), p.394-399 |
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| source | MEDLINE; Wiley Journals; Wiley Online Library Free Content; Open Access Titles of Japan; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adult Anxiety Anxiety - physiopathology Cognitive Dysfunction - etiology Cognitive Dysfunction - physiopathology cognitive function Emotional behavior Female Humans Interpersonal Relations Male Mental disorders psychological rehabilitation Psychopathology Quality of life Schizophrenia Schizophrenia - complications Schizophrenia - physiopathology Social anxiety Social Behavior social competence Social Skills Young Adult |
| title | Social anxiety and negative symptoms as the characteristics of patients with schizophrenia who show competence–performance discrepancy in social functioning |
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