“Panic-like” symptomatology in schizophrenic and schizoaffective patients with postpsychotic depression: Observations and implications

Cutler, Janis L.; Siris, Samuel G.

doi:10.1016/0010-440x(91)90025-8

Cited by 48 publications

(24 citation statements)

References 72 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Outcome measures reported in schizophrenia and comorbid anxiety studies are few but include variables of clinical global impression (CGI) scores, length of schizophrenic illness, employment, reliance on disability support or sickness benefits, and course of illness [Cosof f and Hafner, 1998;Cutler and Siris, 1991;Emsley et al, 1999;Garvey et al, 1991;Strakowsky et al, 1993]. Most studies support our findings that comorbid anxiety does not significantly affect outcome.…”

Section: Discussionsupporting

confidence: 86%

Prevalence and relationship to delusions and hallucinations of anxiety disorders in schizophrenia

et al. 2003

View full text Add to dashboard Cite

We investigated the prevalence of anxiety disorders in a sample of individuals with chronic schizophrenia, controlling for anxiety symptoms that may be related to delusions and hallucinations, and the possible differences in clinical variables between the groups. Individuals with a diagnosis of schizophrenia and able to give informed consent were recruited from the community. The Mini International Neuropsychiatric Interview (MINI) was administered to both confirm the DSM-IV diagnosis of schizophrenia and screen for comorbid anxiety disorders. If a comorbid anxiety disorder was found, its relation to the individual's delusions and hallucinations was examined. Clinical rating scales for schizophrenia were administered as well as rating scales for specific anxiety disorders where appropriate. Overall, anxiety disorders ranged from 0% [ for Post Traumatic Stress Disorder (PTSD)] to 26.7% [ for generalized anxiety disorder (GAD) and agoraphobia without panic] with lower rates when controlled for anxiety symptoms related to delusions and hallucinations. In investigating clinical variables, the cohort was initially divided into schizophrenics with no anxiety disorders and those with an anxiety disorder; with further analyses including schizophrenics with anxiety disorders related to delusions and hallucinations and those with anxiety disorders not related to delusions and hallucinations. The most consistent difference between all the groups was on the PANSS-G subscale. No significant differences were found on the remaining clinical variables. Comorbid anxiety disorders in schizophrenia can be related to the individual's delusions and hallucinations, though anxiety disorders can occur exclusive of these positive symptoms. Clinicians must be aware that this comorbidity exists in order to optimize an individual's treatment.

show abstract

Section: Discussionsupporting

confidence: 86%

Prevalence and relationship to delusions and hallucinations of anxiety disorders in schizophrenia

et al. 2003

View full text Add to dashboard Cite

show abstract

“…While there are some reports of a neutral impact of comorbid panic on the severity of psychotic symptoms, functioning and outcome [79,37,49], they are greatly outweighed by the number of studies showing a negative impact of this comorbidity. For example, Boyd [78] analysed the ECA Study data and drew attention to the higher use of mental health services by people with comorbid panic, compared to those with other comorbidities [78].…”

Section: Comorbid Panic and Outcomementioning

confidence: 92%

Prevalence of Comorbid Anxiety Disorders in Schizophrenia Spectrum Disorders: A Literature Review

Castle¹

2006

CPSR

View full text Add to dashboard Cite

Objective: We conducted a comprehensive review of the English language literature on the comorbidity of anxiety symptoms/disorders in schizophrenia spectrum disorders (SSDs) in order to determine: their prevalence rates in clinical and non-clinical populations, the temporal relationship of anxiety comorbidity to SSDs, and the effect of comorbidity on outcome.Results: Overall lifetime prevalence rates for any anxiety disorder ranged from 30% to 85% with most studies showing rates higher than in the general population. In more than 50% of patients, the anxiety disorder preceded the onset of psychosis. Patients with comorbid panic symptoms were more frequent service users, had additional comorbidities and were more likely to be suicidal. Comorbid obsessive-compulsive symptoms (OCS) tended to be associated with poorer social functioning, worse cognitive impairment and motor symptoms.Conclusions: There is a clear link between SSDs and anxiety disorders though its nature remains unclear. This has important implications for psychiatric nosology, aetiology and treatment.

show abstract

“…In a sample of schizophrenia and schizoaffective patients with postpsychotic depression, approximately one quarter suffered from panic attacks [29]. Moreover, significant associations have been drawn between a lifetime history of panic attacks or disorder and a lifetime history of suicidal ideation in schizophrenia patients with postpsychotic depression [30].…”

Section: Panic Disorder and Schizophreniamentioning

confidence: 99%

Anxiety disorders and schizophrenia

Muller

Koen²,

Seedat³

et al. 2004

Curr Psychiatry Rep

View full text Add to dashboard Cite

Anxiety symptoms and disorders have long been described in schizophrenia. This article reviews the epidemiology, phenomenology, and neurobiologic underpinnings of comorbid anxiety symptoms and disorders in schizophrenia. Recent literature was obtained by Medline searches using key words relating to schizophrenia and anxiety symptoms or disorders. There is some evidence that anxiety may be a core symptom dimension in schizophrenia, although further work is required. There is evidence that comorbid obsessive-compulsive disorder, panic disorder, post-traumatic stress disorder, and social anxiety disorder are all more common than expected by chance in schizophrenia, although additional work is needed to determine the mechanisms that underlie these associations and their clinical implications. In the interim, however, the data emphasize the importance of assessing and treating comorbid anxiety symptoms and disorders in schizophrenia.

show abstract

“Panic-like” symptomatology in schizophrenic and schizoaffective patients with postpsychotic depression: Observations and implications

Cited by 48 publications

References 72 publications

Prevalence and relationship to delusions and hallucinations of anxiety disorders in schizophrenia

Prevalence and relationship to delusions and hallucinations of anxiety disorders in schizophrenia

Prevalence of Comorbid Anxiety Disorders in Schizophrenia Spectrum Disorders: A Literature Review

Anxiety disorders and schizophrenia

Contact Info

Product

Resources

About