PMID- 19363384 OWN - NLM STAT- MEDLINE DCOM- 20090511 LR - 20090413 IS - 1539-736X (Electronic) IS - 0022-3018 (Linking) VI - 197 IP - 4 DP - 2009 Apr TI - Passive/apathetic social withdrawal and active social avoidance in schizophrenia: difference in underlying psychological processes. PG - 274-7 LID - 10.1097/NMD.0b013e31819dbd36 [doi] AB - OBJECTIVE: Social withdrawal, a core feature of negative symptoms, is differentiated into passive social withdrawal (PSW) and active social avoidance (ASA). We examined whether this differentiation was related to differences in underlying psychological processes of object relations and reality testing. METHOD: Two hundred seventy-two outpatients with schizophrenia and schizoaffective disorders from VA Connecticut Healthcare System/Connecticut Mental Health Center were evaluated using the Bell Object Relations and Reality Testing Inventory (BORRTI) and the Positive And Negative Symptoms Scale. RESULTS: Distinct patterns were found; PSW was associated with object relation subscales explaining 5% of the variance, ASA was associated with object relations and all reality testing subscales explaining 12% of the variance. CONCLUSIONS: Findings suggest differences in the underlying mechanisms behind PSW and ASA, confirming that PSW is a primary negative symptom, while ASA is related more to positive symptoms. FAU - Hansen, Charlotte Fredslund AU - Hansen CF AD - Department Of Psychology, University of Oslo, Oslo, Norway. c.f.hansen@psykologi.uio.no FAU - Torgalsboen, Anne-Kari AU - Torgalsboen AK FAU - Melle, Ingrid AU - Melle I FAU - Bell, Morris D AU - Bell MD LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - J Nerv Ment Dis JT - The Journal of nervous and mental disease JID - 0375402 SB - IM MH - Adult MH - Female MH - Humans MH - Interpersonal Relations MH - Male MH - Middle Aged MH - Psychiatric Status Rating Scales MH - Psychotic Disorders/epidemiology/*psychology MH - *Schizophrenia/epidemiology MH - *Schizophrenic Psychology MH - Social Isolation/*psychology EDAT- 2009/04/14 09:00 MHDA- 2009/05/12 09:00 CRDT- 2009/04/14 09:00 PHST- 2009/04/14 09:00 [entrez] PHST- 2009/04/14 09:00 [pubmed] PHST- 2009/05/12 09:00 [medline] AID - 00005053-200904000-00009 [pii] AID - 10.1097/NMD.0b013e31819dbd36 [doi] PST - ppublish SO - J Nerv Ment Dis. 2009 Apr;197(4):274-7. doi: 10.1097/NMD.0b013e31819dbd36.