Anxiety symptoms in a major mood and schizophrenia spectrum disorders

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Karpov , B , Joffe , G , Aaltonen , K , Suvisaari , J , Baryshnikov , I , Naatanen , P , Koivisto , M , Melartin , T , Oksanen , J , Suominen , K , Heikkinen , M , Paunio , T & Isometsa , E 2016 , ' Anxiety symptoms in a major mood and schizophrenia spectrum disorders ' , European Psychiatry , vol. 37 , pp. 1-7 . https://doi.org/10.1016/j.eurpsy.2016.04.007

Title: Anxiety symptoms in a major mood and schizophrenia spectrum disorders
Author: Karpov, B.; Joffe, G.; Aaltonen, K.; Suvisaari, J.; Baryshnikov, I.; Naatanen, P.; Koivisto, M.; Melartin, T.; Oksanen, J.; Suominen, K.; Heikkinen, M.; Paunio, T.; Isometsa, E.
Contributor: University of Helsinki, Department of Psychiatry
University of Helsinki, Department of Psychiatry
University of Helsinki, Department of Psychiatry
University of Helsinki, Department of Psychiatry
University of Helsinki, Clinicum
University of Helsinki, Department of Psychiatry
University of Helsinki, Clinicum
University of Helsinki, Department of Psychiatry
University of Helsinki, Clinicum
University of Helsinki, Clinicum
Date: 2016-09
Language: eng
Number of pages: 7
Belongs to series: European Psychiatry
ISSN: 0924-9338
URI: http://hdl.handle.net/10138/228035
Abstract: Background: Comorbid anxiety symptoms and disorders are present in many psychiatric disorders, but methodological variations render comparisons of their frequency and intensity difficult. Furthermore, whether risk factors for comorbid anxiety symptoms are similar in patients with mood disorders and schizophrenia spectrum disorders remains unclear. Methods: The Overall Anxiety Severity and Impairment Scale (OASIS) was used to measure anxiety symptoms in psychiatric care patients with schizophrenia or schizoaffective disorder (SSA, n = 113), bipolar disorder (BD, n = 99), or depressive disorder (DD, n = 188) in the Helsinki University Psychiatric Consortium Study. Bivariate correlations and multivariate linear regression models were used to examine associations of depressive symptoms, neuroticism, early psychological trauma and distress, self-efficacy, symptoms of borderline personality disorder, and attachment style with anxiety symptoms in the three diagnostic groups. Results: Frequent or constant anxiety was reported by 40.2% of SSA, 51.5% of BD, and 55.6% of DD patients; it was described as severe or extreme by 43.8%, 41.4%, and 41.2% of these patients, respectively. SSA patients were significantly less anxious (P = 0.010) and less often avoided anxiety-provoking situations (P = 0.009) than the other patients. In regression analyses, OASIS was associated with high neuroticism, symptoms of depression and borderline personality disorder and low self-efficacy in all patients, and with early trauma in patients with mood disorders. Conclusions: Comorbid anxiety symptoms are ubiquitous among psychiatric patients with mood or schizophrenia spectrum disorders, and in almost half of them, reportedly severe. Anxiety symptoms appear to be strongly related to both concurrent depressive symptoms and personality characteristics, regardless of principal diagnosis. (C) 2016 Elsevier Masson SAS. All rights reserved.
Subject: Anxiety
Schizophrenia
Bipolar disorder
Depression
Comorbidity
BORDERLINE-PERSONALITY-DISORDER
COMMON MENTAL-DISORDERS
IMPAIRMENT SCALE OASIS
NATIONAL EPIDEMIOLOGIC SURVEY
QUALITY-OF-LIFE
IV BIPOLAR-I
DEPRESSIVE DISORDER
AXIS-I
PSYCHIATRIC-DISORDERS
NEGATIVE SYMPTOMS
3124 Neurology and psychiatry
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