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Social anxiety in first-episode psychosis: the role of childhood trauma and adult attachment

Michail, Maria; Birchwood, Max


Maria Michail

Max Birchwood


Background: Social anxiety is among the most prevalent affective disturbances among people with psychosis. The developmental pathways associated with its emergence in psychosis, however, remain unclear. The aim of this study is to identify the developmental risk factors associated with social anxiety disorder in first-episode psychosis and to investigate whether social anxiety in psychosis and nonpsychosis is associated with similar or different adult attachment styles.
Method: This is a cross-sectional study. A sample of individuals with social anxiety disorder (with or without psychosis) was compared with a sample with psychosis only and healthy controls on childhood trauma, dysfunctional parenting and adult attachment.
Results: Childhood trauma and dysfunctional parenting (po0.05) were significantly elevated in people with social anxiety (with or without psychosis) compared to those with psychosis only and healthy controls. There were no differences in childhood trauma and dysfunctional parenting between socially anxious people with and without psychosis. Higher levels of insecure adult attachment (x2₁=38.5, p

Journal Article Type Article
Journal Journal of Affective Disorders
Print ISSN 0165-0327
Electronic ISSN 1573-2517
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 163
Institution Citation Michail, M., & Birchwood, M. (in press). Social anxiety in first-episode psychosis: the role of childhood trauma and adult attachment. Journal of Affective Disorders, 163, doi:10.1016/j.jad.2014.03.033
Keywords Childhood Trauma, Attachment, Social Anxiety, Psychosis
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