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Anxiety sensitivity in patients with psychosis regarding a non-clinical sample

Published online by Cambridge University Press:  16 April 2020

J. Pastor-Morales
Affiliation:
Equipo de Salud Mental de Distrito Guadalquivir, Área Hospitalaria Virgen del Rocío, Spain
E. Castillo-Gordillo
Affiliation:
Equipo de Salud Mental de Distrito Guadalquivir, Área Hospitalaria Virgen del Rocío, Spain
E. Fernández-Jiménez
Affiliation:
Departamento de Personalidad, Evaluación y Tratamiento Psicológicos, University of Seville, Seville, Spain
F. Rivas-Marín
Affiliation:
Equipo de Salud Mental de Distrito Guadalquivir, Área Hospitalaria Virgen del Rocío, Spain
V. Sanz-Largo
Affiliation:
Equipo de Salud Mental de Distrito Guadalquivir, Área Hospitalaria Virgen del Rocío, Spain

Abstract

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Introduction

There is increasing empirical evidence that links the classical separated psychopathological spectrums neurosis and psychosis. In this sense, anxiety is a factor for delusional/hallucinative development and maintenance (Freeman and Garety, 2003).

Objectives

We intended to assess differences in Anxiety Sensitivity dimensions between patients with psychosis and a non-clinical sample.

Methods

Participants: 49 patients with DSM psychosis diagnosis (42 men and 7 women; mean age: 40), who attended a Mental Health Rehabilitation Service in 2008, were compared with a non-clinical sample (n = 582) from another study (Sandín, Valiente, Chorot and Santed, 2007).

Design, materials and procedure

A Cross-sectional design (one measurement) for a co-relational method of comparison between groups.

We used the Spanish validated Anxiety Sensitivity Index-3 -ASI 3- (Sandín et al., 2007), a 18-item Likert self-report that assesses fears of anxious symptoms. It presents a hierarchical structure (a general factor and three subscales -Physical, Cognitive and Social Concerns-). It's also used the first and third items (delusions and hallucinatory behaviour) of The Positive and Negative Syndrome Scale -PANSS- (Kay, Opler and Lindenmayer, 1988) to detect positive symptoms.

Results

Patients present a higher anxiety sensitivity in the General Factor (t = 2.06, p < 0.05) and Cognitive Subscale (t = 3.91, p < 0.001) than nonpatient sample.

Conclusions

Patients with psychosis show significant fears of symptoms of different anxious domains (ASI-total) regarding a non-clinical sample. Particularly, they are worried about the possibility that concentration difficulties and restlessness lead to mental incapacitation (ASI-cognitive).

Type
P03-301
Copyright
Copyright © European Psychiatric Association 2011
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