Social Work Examination Services (SWES) Individual Practice Test

Anxiety in individuals with schizophrenia can lead to which of the following effects?

1. Clarity of thought

2. Enhanced social interactions

3. Disorganized thinking and poor reality testing

4. Increased self-awareness

The correct answer is: Disorganized thinking and poor reality testing

Individuals with schizophrenia often experience anxiety, which can exacerbate their symptoms and lead to disorganized thinking and poor reality testing. Anxiety may cause heightened emotional responses and exacerbate cognitive distortions, making it difficult for individuals to maintain a coherent thought process. This disorganization can manifest as confusion, difficulty concentrating, and challenges in distinguishing between reality and delusions or hallucinations. The interplay between anxiety and the already fragile cognitive functioning seen in schizophrenia can lead to an intensified inability to assess situations accurately, further complicating the individual's grasp of reality. This is particularly concerning as it may hinder effective communication and social interaction, making treatment and support more challenging. In contrast, clarity of thought is not typically enhanced under conditions of anxiety, and social interactions may decline rather than improve due to exacerbated symptoms. Increased self-awareness is often impaired in individuals with schizophrenia, especially when anxiety is present, further impacting their mental health and daily functioning. Understanding how anxiety influences cognitive and emotional processes is crucial for effective treatment planning and support for individuals with schizophrenia.