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Brain Sciences
Special Issues
Social Anxiety Disorder in Emerging or Early Psychosis
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Social Anxiety Disorder in Emerging or Early Psychosis

A special issue of Brain Sciences (ISSN 2076-3425).

Deadline for manuscript submissions: closed (30 August 2017) | Viewed by 23754

Special Issue Editors

Dr. Maria Michail

E-Mail Website
Guest Editor
School of Health Sciences, Jubilee Campus, University of Nottingham, Nottingham, UK
Interests: psychosis; affective dysregulation; social anxiety disorder; youth suicide; cognitive-behavioural therapy; resilience
Dr. Ruchika Gajwani

E-Mail Website
Guest Editor
Institute of Health and Wellbeing, University of Glasgow, Glasgow, G3 8SJ, UK
Interests: attachment theory and maltreatment; neurodevelopmental disorders; affective dysregulation; emerging psychosis and borderline personality disorder; youth mental health risk and resilience

Special Issue Information

Dear Colleagues,

Social anxiety is among the most prevalent and debilitating affective disturbances manifest in people with emerging and early psychosis. Social anxiety is usually accompanied by high levels of depression and leads to significant social disability, lower quality of life and poorer prognosis, as it raises the possibility of an early relapse. Despite the high prevalence and its debilitating nature, social anxiety has not been extensively investigated and the processes that underlie its emergence in early psychosis remain unclear. In addition, there is lack of evidence on the clinical effectiveness and cost effectiveness of psychological interventions (e.g., cognitive-behaviour therapy) for the treatment of social anxiety and associated distress in emerging and early psychosis.

To this end, in this Special Issue, we are interested in articles that address the psychological processes and pathways underlying the development and maintenance of social anxiety disorder in emerging and/or early psychosis; developmental vulnerabilities and risk factors for social anxiety disorder in emerging and/or early psychosis; and, therapeutic interventions including psychological therapies, self-help, Internet-based, virtual reality for the management/treatment of social anxiety disorder in emerging and/or early psychosis. We welcome original research, systematic reviews, critical reviews, as well as case reports.

Dr. Maria Michail
Dr. Ruchika Gajwani
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Brain Sciences is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Social anxiety
  • psychosis
  • treatment
  • risk factors
  • attachment
  • aetiology

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Published Papers (3 papers)

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Research

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378 KiB  
Article
Connecting the Dots between Schizotypal Symptoms and Social Anxiety in Youth with an Extra X Chromosome: A Mediating Role for Catastrophizing
by Anne C. Miers, Tim Ziermans and Sophie Van Rijn
Brain Sci. 2017, 7(9), 113; https://doi.org/10.3390/brainsci7090113 - 6 Sep 2017
Cited by 7 | Viewed by 6278
Abstract
Youth with an extra X chromosome (47, XXY & 47, XXX) display higher levels of schizotypal symptoms and social anxiety as compared to typically developing youth. It is likely that the extra X chromosome group is at-risk for clinical levels of schizotypy and [...] Read more.
Youth with an extra X chromosome (47, XXY & 47, XXX) display higher levels of schizotypal symptoms and social anxiety as compared to typically developing youth. It is likely that the extra X chromosome group is at-risk for clinical levels of schizotypy and social anxiety. Hence, this study investigated how schizotypal and social anxiety symptoms are related and mechanisms that may explain their association in a group of 38 children and adolescents with an extra X chromosome and a comparison group of 109 typically developing peers (8–19 years). Three cognitive coping strategies were investigated as potential mediators, rumination, catastrophizing, and other-blame. Moderated mediation analyses revealed that the relationship between schizotypal symptoms and social anxiety was mediated by catastrophizing coping in the extra X chromosome group but not in the comparison group. The results suggest that youth with an extra X chromosome with schizotypal symptoms could benefit from an intervention to weaken the tendency to catastrophize life events as a way of reducing the likelihood of social anxiety symptoms. Full article
(This article belongs to the Special Issue Social Anxiety Disorder in Emerging or Early Psychosis)
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Review

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473 KiB  
Review
An Overview of Recent Findings on Social Anxiety Disorder in Adolescents and Young Adults at Clinical High Risk for Psychosis
by Maria Pontillo, Silvia Guerrera, Ornella Santonastaso, Maria Cristina Tata, Roberto Averna, Stefano Vicari and Marco Armando
Brain Sci. 2017, 7(10), 127; https://doi.org/10.3390/brainsci7100127 - 11 Oct 2017
Cited by 17 | Viewed by 6421
Abstract
Background: Some studies have shown that anxiety is particularly frequent in the Clinical High Risk (CHR) for psychosis population. Notably, social anxiety disorder is identified as one of the most common anxiety disorders in CHR adolescents and young adults. Despite this, the frequency [...] Read more.
Background: Some studies have shown that anxiety is particularly frequent in the Clinical High Risk (CHR) for psychosis population. Notably, social anxiety disorder is identified as one of the most common anxiety disorders in CHR adolescents and young adults. Despite this, the frequency and the clinical significance of social anxiety in this population have been underestimated. Methods: A selective review of literature published between 2011 and 2017 on social anxiety disorder in CHR adolescents and young adults. Results: Five studies are included. In particular, three studies demonstrated that CHR adolescents and young adults have higher levels of anxiety compared to controls. Furthermore, anxiety, including social anxiety, is related to the severity of psychotic symptoms. The other studies included show inconsistent results regarding the possible relationship between social anxiety and social functioning. Conclusions: To date, the eidence concerning the comorbidity of social anxiety disorder and CHR in adolescents and young adults is not sufficient to provide clear guidelines for clinical practice. Future longitudinal studies on larger samples of the CHR adolescents and young adults are required to examine the relationship between social anxiety disorder and the presence of attenuated psychotic symptomatology. Full article
(This article belongs to the Special Issue Social Anxiety Disorder in Emerging or Early Psychosis)
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278 KiB  
Review
Systematic Review of Cognitive-Behavioural Therapy for Social Anxiety Disorder in Psychosis
by Maria Michail, Max Birchwood and Lynda Tait
Brain Sci. 2017, 7(5), 45; https://doi.org/10.3390/brainsci7050045 - 25 Apr 2017
Cited by 16 | Viewed by 10057
Abstract
Background: Social anxiety is highly prevalent among people with psychosis and linked with significant social disability and poorer prognosis. Although cognitive-behavioural therapy (CBT) has shown to be effective for the treatment of social anxiety in non-psychotic populations, there is a lack of evidence [...] Read more.
Background: Social anxiety is highly prevalent among people with psychosis and linked with significant social disability and poorer prognosis. Although cognitive-behavioural therapy (CBT) has shown to be effective for the treatment of social anxiety in non-psychotic populations, there is a lack of evidence on the clinical effectiveness of CBT for the treatment of social anxiety when this is co-morbid in psychosis. Methods: A systematic review to summarise and critically appraise the literature on the effectiveness of CBT interventions for the treatment of social anxiety in psychosis. Results: Two studies were included in the review assessing the effectiveness of group CBT for social anxiety in schizophrenia, both of poor methodological quality. Preliminary findings suggest that group-based CBT is effective in treating symptoms of social anxiety, depression and associated distress in people with schizophrenia. Conclusion: The evidence-base is not robust enough to provide clear implications for practice about the effectiveness of CBT for the treatment of social anxiety in psychosis. Future research should focus on methodologically rigorous randomised controlled trials with embedded process evaluation to assess the effectiveness of CBT interventions in targeting symptoms of social anxiety in psychosis and identify mechanisms of change. Full article
(This article belongs to the Special Issue Social Anxiety Disorder in Emerging or Early Psychosis)
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