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Understanding the Role of Emotion in Psychosis: Social Anxiety Disorder in First-Episode Psychosis

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Handbook of Schizophrenia Spectrum Disorders, Volume II

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Abstract

Affective disturbances are highly prevalent in non-affective psychosis and exert significant impact upon its course and outcome. Low mood and associated suicidality, anxiety symptoms, withdrawal and isolation have been consistently observed throughout the course of psychosis, during the prodromal phase and following symptomatic recovery. Social anxiety disorder in particular is among the most prevailing disturbances manifest in people with psychosis. Prevalence rates range between 17 and 36% in people with psychosis. The nature and phenomenology of social anxiety in psychosis are not well understood and the need to identify the developmental and psychological origins is of fundamental importance. In this chapter we will thoroughly examine the phenomenology of social anxiety in first-episode psychosis and we will also investigate its relationship with positive symptoms and particularly paranoia Understanding the pathways and psychological processes that lead to the development of affective dysfunction in psychosis will have important implications for psychological interventions and treatments.

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Abbreviations

CBT:

Cognitive behavioural therapy

DSM:

Diagnostic and statistical manual of mental disorder

FEP:

First-episode psychosis

PPD:

Post-psychotic depression

SaD:

Social anxiety disorder

References

  1. Cardno AG, Rijsdijl FV, Sham PC et al (2002) A twin study of genetic relationships between psychotic symptoms. Am J Psychiatry 159:539–545

    Article  PubMed  Google Scholar 

  2. Craddock N, O’Donovan MC, Owen MJ (2005) Genetics of schizophrenia and bipolar disorder: dissecting of psychosis. J Med Genet 42:193–204

    Article  CAS  PubMed  Google Scholar 

  3. Craddock N, Owen MJ (2005) The beginning of the end of the Kraepelian dichotomy. Br J Psychiatry 186:364–366

    Article  PubMed  Google Scholar 

  4. Wildenauer DB, Schwab SG, Maier W, Detera-Wadleigh SD (1999) Do schizophrenia and affective disorder share susceptibility genes? Schizophr Res 39:107–111

    Article  CAS  PubMed  Google Scholar 

  5. Tien YA, Eaton WW (1992) Psychological precursors and sociodemographic risk factors for the schizophrenia syndrome. Arch Gen Psychiatry 49:37–46

    CAS  PubMed  Google Scholar 

  6. Hollis C (2003) Developmental precursors of child- and adolescent- onset schizophrenia and affective psychoses: diagnostic specificity and continuity with symptom dimensions. Br J Psychiatry 182:37–44

    Article  PubMed  Google Scholar 

  7. Miller P, Byrne M, Hodges A, Lawrie MS, Owens GCD, Johnstone CE (2002) Schizotypal components in people at high-risk of developing schizophrenia: early findings from the Edinburgh high-risk study. Br J Psychiatry 180:179–184

    Article  PubMed  Google Scholar 

  8. Johnstone CE, Ebmeier PK, Miller P, Owens GCD, Lawrie MS (2005) Predicting schizophrenia: findings from the Edinburgh high-risk study. Br J Psychiatry 186:18–25

    Article  PubMed  Google Scholar 

  9. Upthergrove R, Birchwood M, Ross K et al (2010) The evolution of depression and suicidality in first-episode psychosis. Acta Psychiatr Scand 122(3):211–218

    Article  Google Scholar 

  10. DeLisi L (ed) (1990) Depression in Schizophrenia. USA: American Psychiatric Press

    Google Scholar 

  11. Nordentoft M, Jeppesen P, Abel M et al (2002) OPUS study: suicidal behaviour, suicidal ideation and hopelessness among patients with first-episode psychosis. One-year follow-up of a randomised controlled trial. Br J Psychiatry 181(43, suppl):s98–s106

    Article  Google Scholar 

  12. Barrett E, Sundet K, Faerden A, Nesvåg R, Ingrid Agartz I, Roar Fosse R, Mork E, Steen N, Ole A, Andreassen O, Melle I (2010) Suicidality before and in the early phases of first-episode psychosis. Schizophr Res 119(1–3):11–17

    Article  PubMed  Google Scholar 

  13. Penn DL, Hope DA, Spaulding W, Kucera J (1994) Social anxiety in schizophrenia. Schizophr Res 11:277–284

    Article  CAS  PubMed  Google Scholar 

  14. Cossof J, Hafner R (1998) The prevalence of comorbid anxiety in schizophrenia, schizoaffective disorder and bipolar disorder. Aust N Z J Psychiatry 32:67–72

    Article  Google Scholar 

  15. Mazeh D, Bodner E, Weizman Z et al (2009) Co-morbid social phobia in schizophrenia. Int J Psychiatry 55:198–202

    Article  Google Scholar 

  16. McGorry P, Chanen A, McGarthy E, Riel R, McKenzie D, Singh B (1991) Posttraumatic stress disorder following recent-onset psychosis. J Nerv Ment Dis 179(5):253–258

    Article  CAS  PubMed  Google Scholar 

  17. Kessler R, Sonnega A, Bromet E, Hughes M, Nelson C (1995) Posttraumatic stress disorder in the national comorbidity survey. Arch Gen Psychiatry 52:1048–1060

    CAS  PubMed  Google Scholar 

  18. Birchwood M, Iqbal Z, Chadwick P, Trower P (2000) Cognitive approach to depression and suicidal thinking in psychosis I. Ontogeny of post-psychotic depression. Br J Psychiatry 177:516–521

    Article  CAS  PubMed  Google Scholar 

  19. Mueser KT, Lu W, Rosenberg SD, Wolfe R (2010) The trauma of psychosis: post-traumatic stress disorder and recent onset psychosis. Schizophr Res 116(2–3):217–227

    Article  PubMed  Google Scholar 

  20. Jackson C, Knott C, Skeate A, Birchwood M (2004) The trauma of first-episode psychosis: the role of cognitive mediation. Aust N Z J Psychiatry 38(5):327–333

    PubMed  Google Scholar 

  21. Michail M, Birchwood M (2009) Social anxiety disorder in first-episode psychosis: incidence, phenomenology and relationship with paranoia. Br J Psychiatry 195:234–241

    Article  PubMed  Google Scholar 

  22. Birchwood M, Trower P, Brunet K, Gilbert P, Iqbal Z, Jackson C (2007) Social anxiety and the shame of psychosis: A study in first-episode psychosis. Behav Res and Ther 45(5):1025–1037

    Article  Google Scholar 

  23. American Psychiatric Association (1994) Diagnostic and statistical manual of mental health disorders, 4th ed. American Psychological Association, Washington, DC

    Google Scholar 

  24. World Health Organisation (1992) International statistical classification of diseases and related health problems, World Health Organization (WHO), Geneva

    Google Scholar 

  25. Clark D, Wells A (1995) A cognitive model of social phobia. In: Heimberg RG, Liebowitz MR eds. Social Phobia. New York, NY: Guildford Press

    Google Scholar 

  26. Wittchen H-U, Stein M, Kessler R (1999) Social fears and social phobia in a community sample of adolescents and young adults: prevalence, risk factors and comorbidity. Psychol Med 29:309–323

    Article  CAS  PubMed  Google Scholar 

  27. Kessler R, Murray B, Berglund M (1998) Social phobia subtypes in the national comorbidity survey. Am J Psychiatry 155:613–619

    CAS  PubMed  Google Scholar 

  28. Schneier F, Johnson J, Horing C, Liebowitz A, Weissman M (1992) Social phobia. comorbidity and morbidity in an epidemiological sample. Arch Gen Psychiatry 49:282–288

    CAS  PubMed  Google Scholar 

  29. Stein MB, Walker JR, Forde DR (1996) Public speaking fears in a community sample: prevalence, impact on functioning, and diagnostic classification. Arch Gen Psychiatry 53:169–174

    CAS  PubMed  Google Scholar 

  30. Hook JN, Valentiner DP (2002) Are Specific and generalized social phobias qualitiatively distinct. Clin Psychol Sci Pract 9:379–395

    Article  Google Scholar 

  31. Stein M, Torgrud JL, Walker RJ (2000) Social phobia subtypes, symptoms and severity. Arch Gen Psychiatry 57:1046–1105

    Article  CAS  PubMed  Google Scholar 

  32. Furmark T, Tillfors M, Stattin H, Ekselius L, Fredikson M (2000) Social phobia subtypes in the general population revealed by cluster analysis. Psychol Med 30:1335–1344

    Article  CAS  PubMed  Google Scholar 

  33. Furmark T (2000) Social phobia: overview of community surveys. Acta Psychiatr Scand 105:84–93

    Article  Google Scholar 

  34. Stein M, Deutch R (2003) In search of social phobia subtypes: similarity of feared social situations. Depress Anxiety 17:94–97

    Article  PubMed  Google Scholar 

  35. Kessler RC, McGonagle KA, Zhao S, Nelson CB, Hughes M, Eshleman S, Wittchen H-U, Kendler KS (1994) Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: results from the national comorbidity survey. Arch Gen Psychiatry 51:8–19

    CAS  PubMed  Google Scholar 

  36. Favarelli C, Zucchi T, Viviani B, Salmoria R, Perone A, Paionni A, Scarpato A, Vigliaturo D, Rosi S, Dadamo D, Bartolozzi D, Cecchi C, Abrardi L (2000) Epidemiology of social phobia: a clinical approach. Europ Psychiatr 15:17–24

    Article  Google Scholar 

  37. Furmark T, Tillfors M, Everz P-O, Marteinsdottir I, Gefrert O, Fredrikson M (1999) Social phobia in the general population: prevalence and sociodemographic profile. Soc Psychiatry Psychiatr Epidemiol 34:416–424

    Article  CAS  PubMed  Google Scholar 

  38. Chartier MJ, Hazen AL, Stein MB (1998) Lifetime patterns of social phobia: a retrospective study of the course of social phobia in a nonclinical population. Depress Anxiety 7(3):113–121

    Article  CAS  PubMed  Google Scholar 

  39. Yonkers KA, Dyck IR, Keller MB (2001) An eight-year longitudinal comparison of clinical course and characteristics of social phobia among men and women. Psychiatr Serv 52(5):637–643

    Article  CAS  PubMed  Google Scholar 

  40. Cairney J, McCabe L, Veldhuizen S, Corna L, Streiner D, Herrmann N (2007) Epidemiology of social phobia in later life. Am J Geriatr Psychiatry 15(3):224–233

    Article  PubMed  Google Scholar 

  41. Davidson J, Hughes D, George L, Blazer D (1993) The epidemiology of social phobia: findings from the duke epidemiological catchment area study. Psychol Med 23:709–718

    Article  CAS  PubMed  Google Scholar 

  42. Magee WJ, Eaton WW, Wittchen HU, McGonagle KA, Kessler RC (1996) Agoraphobia, simple phobia, and social phobia in the national comorbidity survey. Arch Gen Psychiatry 53:159–168

    CAS  PubMed  Google Scholar 

  43. Keller B (2003) The lifelong course of social anxiety disorder: a clinical perspective. Acta Psychiatr Scand 108:85–94

    Article  Google Scholar 

  44. Wittchen HU, Fuetsch M, Sonntag H, Muller N, Liebowitz M (2000) Disability and quality of life in pure and comorbid social phobia. Findings from a controlled study. Europ Psychiatry 15:46–58

    Article  CAS  Google Scholar 

  45. Wang PS, Lane M, Olfson M et al (2005) Twelve month use of mental health services in the US: Results from the National Comorbidity Survey Replication (NCS-R). Arch Gen Psychiatry 62:629–640

    Article  PubMed  Google Scholar 

  46. Kessler RC, Stang P, Wittchen H-U, Stein M, Walters EE (1999) Lifetime comorbidities between social phobia and mood disorders in the U.S. national comorbidity survey. Psychol Medicine 29:555–567

    Article  CAS  Google Scholar 

  47. Pini S, Cassano G, Simonini E, Savino M, Russo A, Montgomery S (1997) Prevalence of anxiety disorders comorbidity in biporal depression, unipolar depression and dysthymia. J Affect Disord 42:145–153

    Article  CAS  PubMed  Google Scholar 

  48. Lewinsohn P, Zinbarg R, Seeley J, Lewisohn M, Sack W (1997) Lifetime comorbidity among anxiety disorders and between anxiety disorders and other mental disorders in adolescents. J Anxiety Disord 11(4):37–394

    Article  Google Scholar 

  49. Godart NT, Flament MF, Perdereau F, Jeammet P (2000) Anxiety disorders in anorexia nervosa and bulimia nervosa: comorbidity and chronology of appearance. Europ Psychiatry 15:38–45

    Article  CAS  Google Scholar 

  50. Lecrubier Y, Weiller E (1997) Comorbidities in social phobia. Int Clin Psychopharmacol 12(suppl. 6):S17–S21

    Article  PubMed  Google Scholar 

  51. Stein MB, Fuetsch M, Müller N, Höfler M, Lieb R, Wittchen H (2001) Social anxiety disorder and the risk of depression: a prospective community study of adolescents and young adults. Arc Gen Psychiatry 58:251–256

    Article  CAS  Google Scholar 

  52. Stein MB, Tancer ME, Gelernter CS, Vittone BJ, Uhde T (1990) Major depression in patients with social phobia. Am J Psychiatry 147:637–639

    CAS  PubMed  Google Scholar 

  53. Laessle RG, Wittchen HU, Fichter MM, Pirke KM (1989) The significance of subgroups of bulimia and anorexia nervosa: lifetime frequency of psychiatric disorders. Int J Eat Disord 8:569–574

    Article  Google Scholar 

  54. Herzog DB, Keller MB, Sacks NR, Yeh CJ, Lavori PW (1992) Psychiatric comorbidity in treatmentseeking anorexics and bulimics. J Am Acad Child Adolesc Psychiatry 31:810–818

    Article  CAS  PubMed  Google Scholar 

  55. Stein M, Chavira D (1998) Subtypes of social phobia and comorbidity with depression and other anxiety disorders. J Affect Disord 50(suppl.):S11–S162

    Article  PubMed  Google Scholar 

  56. Ollendick TH, Hirshfeld-Becker DR (2002) The developmental psychopathology of social anxiety disorder. Biol Psychiatry 51:44–58

    Article  PubMed  Google Scholar 

  57. Rowe DC, Stever C, Gard JMC, Cleveland HH, Sander ML, Abramowitz A, Kozol ST, Mohr JH, Sherman SL, Waldman ID (1998) The relation of the dopamine transporter gene (DAT1) to symptoms of internalizing disorders in children. Behav Genet 28:215–225

    Article  CAS  PubMed  Google Scholar 

  58. Gelernter J, Page G, Stein M, Woods S (2004) Genome-wide linkage scan for loci predisposing to social phobia: evidence for a chromosome 16 risk locus. Am J Psychiatry 161:59–66

    Article  PubMed  Google Scholar 

  59. Kendler KS, Neale MC, Kessler RC, Heath AC, Eaves LJ (1992) The genetic epidemiology of phobias in women. The interrelationship of agoraphobia, social phobia, situational phobia and simple phobia. Arch Gen Psychology 49:273–281

    CAS  Google Scholar 

  60. Kendler KS, Karkowski LM, Prescott CA (1999) Fears and phobias: reliability and heritability. Psychol Medicine 29(3):539–553

    Article  CAS  Google Scholar 

  61. Hudson JL, Rapee RM (2000) The origins of social phobia. Behav Modif 24:102–129

    Article  CAS  PubMed  Google Scholar 

  62. Stein MB, Chartier MJ, Hazen AL, Kozak MV, Tancer ME, Lander S, Furer P, Chubaty D, Walker JR (1998) A direct-interview family study of generalized social phobia. Am J Psychiatry 155:90–97

    CAS  PubMed  Google Scholar 

  63. Lieb R, Wittchen H-U, Hofler M, Fuetsch M, Stein M, Merikangas K (2000) Parentatl psychopathology, parenting styles and the risk of social phobia in offspring. Arch Gen Psychiatry 57:859–866

    Article  CAS  PubMed  Google Scholar 

  64. Fyer AJ, Mannuzza S, Chapman TF, Martin LY, Klein DF (1995) Specificity in familial aggregation of phobic disorders. Arch Gen Psychiatry 52:564–573

    CAS  PubMed  Google Scholar 

  65. Mick MA, Telch MJ (1998) Social anxiety and history of behavioural inhibition in young adults. J Anxiety Disord 12(1):1–20

    Article  CAS  PubMed  Google Scholar 

  66. Neal JA, Edelmann RJ (2003) The etiology of social phobia: towards a developmental profile. Clin Psychol Rev 23:761–786

    Article  PubMed  Google Scholar 

  67. Kagan J, Reznick JS, Snidman N, Gersten M, Baak K, Rosenberg A (1986) Inhibited and uninhibited children: A follow-up study. Child Dev 57:660–680

    Google Scholar 

  68. Neal J, Edelmann RJ. Glashan, M (2002) Behavioral inhibition and symptoms of anxiety and depression: Is there a specific relationship with social phobia? Br J Clin. Psychol 41:361–374

    Article  PubMed  Google Scholar 

  69. Hirshfeld-Becker DR, Micco J, Henin A, Bloomfield A, Biederman J, Rosenbaum J (2008) Behavioral inhibition. Depress Anxiety 25:357–367

    Article  PubMed  Google Scholar 

  70. Schofield C, Cole. M, Gibb B (2009) Retrospective reports of behavioural inhibition and young adults’ current symptoms of social anxiety, depression and anxious arousal. J Anxiety Disord 23(7):884–890

    Article  PubMed  Google Scholar 

  71. Parker G, Tupling H, Brown LB (1979) A Parental bonding instrument. Br J Med Psychol 52:1–10

    Google Scholar 

  72. Bruch MA, Heimberg RG (1994) Differences in perceptions of parental and personal characteristics between generalized and nongeneralized social phobics. J Anxiety Disord 8(2):155–168

    Article  Google Scholar 

  73. Rapee R, Melville L (1997) Recall of family factors in social phobia and panic disorder: comparison of mother and offspring reports. Depress Anxiety 5:7–11

    Article  CAS  PubMed  Google Scholar 

  74. Warren LS, Huston L, Egeland B, Sroufe LA (1997) Child and adolescent anxiety disorders and early attachment. J Am Acad Child Adolesc Psychiatry 36(5):637–644

    Article  CAS  PubMed  Google Scholar 

  75. Muris P, Meesters C, van Melick M, Zwambag L (2001) Self-reported attachment style, attachment quality and symptoms of anxiety and depression in young adolescents. Personality and Individual Differences 30:809–818

    Article  Google Scholar 

  76. Arrindell WA, Emmelkamp PM, Monsma A, Brilman E (1983) The role of perceived parental rearing practices in the aetiology of phobic disorders: A controlled study. Br J Psychiatry 143:183–187

    Article  CAS  PubMed  Google Scholar 

  77. Knappe S, Beesdo K, Fehm L, Höfler M, Lieb R, Wittchen HU (2009) Do parental psychopathology and unfavourable family environment predict the persistence of social phobia? J Anxiety Disord 23(7):986–994

    Article  PubMed  Google Scholar 

  78. Rapee RM (1997) Potential role of childrearing practices in the development of anxiety and depression. Clin Psychology Rev 17(1):47–67

    Article  CAS  Google Scholar 

  79. Dadds MR, Barrett PM, Rapee RM, Ryan SM (1996) Family process and child anxiety and aggression: An observational analysis of the FEAR effect. J Abnorm Child Psychol 24(6):715–734

    Article  CAS  PubMed  Google Scholar 

  80. Bowlby J (1977) The making and breaking of affectional bonds. Br J Psychiatry 130:201–210

    Article  CAS  PubMed  Google Scholar 

  81. Ainsworth MDS, Blehar MC, Waters E, Wall S (1978) Patterns of attachment: a psychological study of the strange situation. Hillsdale, NJ: Erlbaum

    Google Scholar 

  82. Hazan C, Shaver P (1987) Romantic love conceptualized äs an attachment process. J Pers Soc Psychol 52:511–524

    Article  CAS  PubMed  Google Scholar 

  83. Muris P, Meesters C (2002) Attachment, behavioural inhibition and anxiety disorder symptoms in normal adolescents. J Psychopathol Behav Assessments 24(2):97–106

    Article  Google Scholar 

  84. Essakow-Shamir G, Ungerer J, Rapee MR (2005) Attachment, behavioural inhibition and anxiety in preschool children. J Abnorm Child Psychol 33(2):131–143

    Article  Google Scholar 

  85. Brumariu LE, Kerns KA (2008) Mother-child attachment and social anxiety symptoms in middle childhood. J Appl Developm Psychol 29:393–402

    Article  Google Scholar 

  86. Vertue MF (2003) From adaptive emotion to dysfunction: an attachment perspective on social anxiety disorder. Personal Social Psychol Rev 7(2):170–191

    Article  Google Scholar 

  87. Bowlby J (1982) Attachment and Loss. Vol. 1: Attachment, 2nd Ed. New York, NY: Basic Books

    Google Scholar 

  88. Kessler RC, Davis CG, Kendler KS (1997) Childhood adversity and adult psychiatric disorder in the US national comorbidity survey. Psychol Medicine 27:1101–1119

    Article  CAS  Google Scholar 

  89. Dinwiddie S, Heath A, Dunne M, Bucholz K, Madden P, Slutske W, Bierut L, Statham D, Martin N (2000) Early sexual abuse and lifetime psychopathology: a co-twin control study. Psychol Medicine 30(1):41–52

    Article  CAS  Google Scholar 

  90. Chartier MJ, Walker JR, Stein MB (2001) Social phobia and potential childhood risk factors in a community sample. Psychol Medicine 31:307–315

    CAS  Google Scholar 

  91. Peleikis DE, Mykletun A, Dahl AA (2004) The relative influence of childhood sexual abuse and other family background risk factors on adult adversities in female outpatients treated for anxiety disorders and depression. Child Abuse Negl 28:61–76

    Article  PubMed  Google Scholar 

  92. Magee WJ (1999) Effects of negative life experiences on phobia onset. Soc Psychiatr Psychiatr Epidemiol 34:343–351

    Article  CAS  Google Scholar 

  93. Brook CA, Schmidt LA (2008) Social anxiety disorder: a review of environmental risk factors. Neuropsych Dis Treatment 4(1):123–143

    Google Scholar 

  94. Manassis K, Bradley SJ (1994) The development of childhood anxiety disorders: toward and integrated model. J Appl Develop Psychol 15:345–366

    Article  Google Scholar 

  95. Voges M, Addington J (2005) Association between social anxiety and social functioning in first-episode psychosis. Schizophr Research 76:287–291

    Article  Google Scholar 

  96. Tibbo P, Swainson J, Chue P, LeMelledo J-M (2003) Prevalence and relationship to delusions and hallucinations of anxiety disorders in schizophrenia. Depress Anxiety 17:65–72

    Article  PubMed  Google Scholar 

  97. Pallanti S, Quercioli L, Hollander E (2004) Social anxiety in outpatients with schizophrenia. a relevant cause of disability. Am J Psychol 161:53–58

    Article  Google Scholar 

  98. Penn LD, Hope AD, Spaulding W, Kucera J (1994) Social anxiety in schizophrenia. Schizophr Research 11:277–284

    Article  CAS  Google Scholar 

  99. Freeman D, Garety PA, Kuipers E (2001) Persecutory delusions: developingthe understanding of belief maintenance and emotional distress. Psychol Med 31:1293–1306

    Article  CAS  PubMed  Google Scholar 

  100. Freeman D, Garety PA, Phillips ML (2000) An examination of hypervigilance for external threat in individuals with Generalised anxiety disorder and individuals with persecutory delusions using visual scanpaths. Hum Exp Psychology 53(2):549–567

    Article  CAS  Google Scholar 

  101. Birchwood M (2003) Pathways to emotional dysfunction in psychosis. Br J Psychiatry 182:373–375

    Article  PubMed  Google Scholar 

  102. Birchwood M, Mason R, MacMillan F, Healy J (1993) Depression, demoralization and control over psychotic illness: a comparison of depressed and non-depressed patients with a chronic psychosis. Psychol Medicine 23:387–395

    Article  CAS  Google Scholar 

  103. Iqbal Z, Birchwood M, Chadwick P, Trower P (2000b) Cognitive approach to depression and suicidal thinking II. Testing the validity of a social ranking model. Br J Psychiatry 177:522–528

    Article  CAS  PubMed  Google Scholar 

  104. Haghighat R, Crisp AH (2001) Towards a unitary theory of stigmatisation. Br J Psychiatry 178(4):378–379

    Article  CAS  PubMed  Google Scholar 

  105. Cumming E, Cumming J (1957) Closed Ranks. Cambridge: Harvard University Press, for the Commonwealth Fund

    Google Scholar 

  106. Hayward P, Bright J (1997) Stigma and mental illness: a review and critique. J Mental Health 6:345–354

    Article  Google Scholar 

  107. Gumley A, O’Grady M, Power K, Schwannauer M (2004) Negative beliefs about self and illness: a comparison of individuals with psychosis with and without comorbid social anxiety disorder. Aust N Z J Psychiatry 38:960–964

    PubMed  Google Scholar 

  108. National Institute for Clinical Excellence (2002) Core interventions in the treatment and management of schizophrenia in primary and secondary care. National Institute for Health and Clinical Excellence, London (UK)

    Google Scholar 

  109. Tarrier N, Wykes T (2004) Is there evidence that cognitive behaviour therapy is an effective treatment for schizophrenia? A cautious or cautionary tale. Behav Res Therapy 42:1377–1401

    Article  Google Scholar 

  110. Kingsep P, Nathan P, Castle D (2003) Cognitive behavioural group treatment for social anxiety in schizophrenia. Schizophr Research 63(1–2):121–129

    Google Scholar 

  111. Halperin S, Nathan P, Drummond P, Castle D (2000) A cognitive-behavioural, group-based intervention for social anxiety in schizophrenia. Aust N Z J Psychiatry 34:809–813

    CAS  PubMed  Google Scholar 

  112. Bircwhood M, Trower P (2006) The future of cognitive–behavioural therapy for psychosis: not a quasi-neuroleptic. Br J Psychiatry 188:107–108

    Article  Google Scholar 

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Authors and Affiliations

  1. School of Psychology, University of Birmingham, Birmingham, UK

    Maria Michail

  2. University of Birmingham, Birmingham, UK

    Max Birchwood

  3. Solihull Mental Health Foundation Trust, Birmingham, UK

    Max Birchwood

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  1. Maria Michail
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  2. Max Birchwood
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  1. , Rappaport Faculty of Medicine, Technion - Israel Institute of Technolog, Haifa, Israel

    Michael Ritsner

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Michail, M., Birchwood, M. (2011). Understanding the Role of Emotion in Psychosis: Social Anxiety Disorder in First-Episode Psychosis. In: Ritsner, M. (eds) Handbook of Schizophrenia Spectrum Disorders, Volume II. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-0831-0_4

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