Associations between social engagement, internalizing symptoms, and delusional ideation in the general population

Background Delusions are a hallmark feature of psychotic disorders and lead to significant clinical and functional impairment. Internalizing symptoms—such as symptoms of depression, anxiety, and trauma exposure—are commonly cited to be related to delusions and delusional ideation and are often assoc...

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Bibliographic Details
Published in:Social Psychiatry and Psychiatric Epidemiology 2024-06, Vol.59 (6), p.989-1002
Main Authors: Hall, Lauren M., Moussa-Tooks, Alexandra B., Sheffield, Julia M.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Anxiety - epidemiology
Anxiety - psychology
Delusions
Delusions - epidemiology
Delusions - psychology
Depression - epidemiology
Depression - psychology
Epidemiology
Female
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Psychiatry
Psychosis
Psychotic Disorders - epidemiology
Psychotic Disorders - psychology
Self Report
Signs and symptoms
Social Participation - psychology
Social Support
Young Adult
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Summary:Background Delusions are a hallmark feature of psychotic disorders and lead to significant clinical and functional impairment. Internalizing symptoms—such as symptoms of depression, anxiety, and trauma exposure—are commonly cited to be related to delusions and delusional ideation and are often associated with deficits in social functioning. While emerging studies are investigating the impact of low social engagement on psychotic-like experiences, little work has examined the relationship between social engagement, internalizing symptoms, and delusional ideation, specifically. Methods Using general population data from the Nathan Kline Institute-Rockland (NKI-Rockland) database ( N  = 526), we examined the relationships between self-reported delusional ideation, internalizing symptoms, and social engagement and tested four indirect effect models to understand how these factors interrelate. Results Delusional ideation was significantly associated with both increased internalizing symptoms ( r =  0.41, p 
ISSN:0933-7954
1433-9285
DOI:10.1007/s00127-023-02540-x