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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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| Published in: | Social Psychiatry and Psychiatric Epidemiology 2024-06, Vol.59 (6), p.989-1002 |
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| container_end_page | 1002 |
| container_issue | 6 |
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| container_title | Social Psychiatry and Psychiatric Epidemiology |
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| creator | Hall, Lauren M. Moussa-Tooks, Alexandra B. Sheffield, Julia M. |
| description | 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 |
| doi_str_mv | 10.1007/s00127-023-02540-x |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2857854805</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3059104852</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-30cce463f3429728b4562295b0f0a8d2fed9396811458834b2346ee659392ea13</originalsourceid><addsrcrecordid>eNp9kc1O3TAQha2KqlygL9BFZYlNF6SM_xJ7iVBbKiGxgbXlJJMQlDghkwjo09fcS6nEgoVl68x3jmUfxr4I-C4AilMCELLIQKq0jIbs8QPbCK1U5qQ1e2wDLp0LZ_Q-OyC6AwDlCvWJ7asil1rncsPuz4jGqgtLN0biJS4PiJFvpZ5jbEOLA8blhHdxwTmGvvvTxZbT0zAt40AnPMSa19ivlAKSpatxm5V4vtwibzHinPRpnNZ-OzliH5vQE35-2Q_Zzc8f1-cX2eXVr9_nZ5dZpWS-ZAqqCnWuGqWlK6QttcmldKaEBoKtZYO1Uy63QmhjrdKlVDpHzE1SJQahDtm3Xe40j_cr0uKHjirs-xBxXMmnLyqs0RZMQo_foHfj-vxY8gqME6CtkYmSO6qaR6IZGz_N3RDmJy_APxfid4X4VIjfFuIfk-nrS_RaDli_Wv41kAC1AyiNYovz_7vfif0LJsyXBg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3059104852</pqid></control><display><type>article</type><title>Associations between social engagement, internalizing symptoms, and delusional ideation in the general population</title><source>Springer Nature</source><creator>Hall, Lauren M. ; Moussa-Tooks, Alexandra B. ; Sheffield, Julia M.</creator><creatorcontrib>Hall, Lauren M. ; Moussa-Tooks, Alexandra B. ; Sheffield, Julia M.</creatorcontrib><description>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 <
0.001) and lower social engagement (
r =
− 0.14,
p =
0.001). Within aspects of social engagement, perceived emotional support showed the strongest relationship with delusional ideation (
r =
− 0.17,
p <
0.001). Lower social engagement was also significantly associated with increased internalizing symptoms (
r =
− 0.29,
p <
0.001). Cross-sectional models suggest that internalizing symptoms have a significant indirect effect on the association between delusional ideation and social engagement.
Conclusions
These findings reveal that elevated delusional ideation in the general population is associated with lower social engagement. Elevated internalizing symptoms appear to play a critical role in reducing engagement, possibly exacerbating delusional thinking. Future work should examine the causal and temporal relationships between these factors.</description><identifier>ISSN: 0933-7954</identifier><identifier>EISSN: 1433-9285</identifier><identifier>DOI: 10.1007/s00127-023-02540-x</identifier><identifier>PMID: 37624462</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>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</subject><ispartof>Social Psychiatry and Psychiatric Epidemiology, 2024-06, Vol.59 (6), p.989-1002</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-30cce463f3429728b4562295b0f0a8d2fed9396811458834b2346ee659392ea13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37624462$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hall, Lauren M.</creatorcontrib><creatorcontrib>Moussa-Tooks, Alexandra B.</creatorcontrib><creatorcontrib>Sheffield, Julia M.</creatorcontrib><title>Associations between social engagement, internalizing symptoms, and delusional ideation in the general population</title><title>Social Psychiatry and Psychiatric Epidemiology</title><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><description>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 <
0.001) and lower social engagement (
r =
− 0.14,
p =
0.001). Within aspects of social engagement, perceived emotional support showed the strongest relationship with delusional ideation (
r =
− 0.17,
p <
0.001). Lower social engagement was also significantly associated with increased internalizing symptoms (
r =
− 0.29,
p <
0.001). Cross-sectional models suggest that internalizing symptoms have a significant indirect effect on the association between delusional ideation and social engagement.
Conclusions
These findings reveal that elevated delusional ideation in the general population is associated with lower social engagement. Elevated internalizing symptoms appear to play a critical role in reducing engagement, possibly exacerbating delusional thinking. Future work should examine the causal and temporal relationships between these factors.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety - psychology</subject><subject>Delusions</subject><subject>Delusions - epidemiology</subject><subject>Delusions - psychology</subject><subject>Depression - epidemiology</subject><subject>Depression - psychology</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Psychiatry</subject><subject>Psychosis</subject><subject>Psychotic Disorders - epidemiology</subject><subject>Psychotic Disorders - psychology</subject><subject>Self Report</subject><subject>Signs and symptoms</subject><subject>Social Participation - psychology</subject><subject>Social Support</subject><subject>Young Adult</subject><issn>0933-7954</issn><issn>1433-9285</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kc1O3TAQha2KqlygL9BFZYlNF6SM_xJ7iVBbKiGxgbXlJJMQlDghkwjo09fcS6nEgoVl68x3jmUfxr4I-C4AilMCELLIQKq0jIbs8QPbCK1U5qQ1e2wDLp0LZ_Q-OyC6AwDlCvWJ7asil1rncsPuz4jGqgtLN0biJS4PiJFvpZ5jbEOLA8blhHdxwTmGvvvTxZbT0zAt40AnPMSa19ivlAKSpatxm5V4vtwibzHinPRpnNZ-OzliH5vQE35-2Q_Zzc8f1-cX2eXVr9_nZ5dZpWS-ZAqqCnWuGqWlK6QttcmldKaEBoKtZYO1Uy63QmhjrdKlVDpHzE1SJQahDtm3Xe40j_cr0uKHjirs-xBxXMmnLyqs0RZMQo_foHfj-vxY8gqME6CtkYmSO6qaR6IZGz_N3RDmJy_APxfid4X4VIjfFuIfk-nrS_RaDli_Wv41kAC1AyiNYovz_7vfif0LJsyXBg</recordid><startdate>20240601</startdate><enddate>20240601</enddate><creator>Hall, Lauren M.</creator><creator>Moussa-Tooks, Alexandra B.</creator><creator>Sheffield, Julia M.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20240601</creationdate><title>Associations between social engagement, internalizing symptoms, and delusional ideation in the general population</title><author>Hall, Lauren M. ; Moussa-Tooks, Alexandra B. ; Sheffield, Julia M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-30cce463f3429728b4562295b0f0a8d2fed9396811458834b2346ee659392ea13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Anxiety - epidemiology</topic><topic>Anxiety - psychology</topic><topic>Delusions</topic><topic>Delusions - epidemiology</topic><topic>Delusions - psychology</topic><topic>Depression - epidemiology</topic><topic>Depression - psychology</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Psychiatry</topic><topic>Psychosis</topic><topic>Psychotic Disorders - epidemiology</topic><topic>Psychotic Disorders - psychology</topic><topic>Self Report</topic><topic>Signs and symptoms</topic><topic>Social Participation - psychology</topic><topic>Social Support</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hall, Lauren M.</creatorcontrib><creatorcontrib>Moussa-Tooks, Alexandra B.</creatorcontrib><creatorcontrib>Sheffield, Julia M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hall, Lauren M.</au><au>Moussa-Tooks, Alexandra B.</au><au>Sheffield, Julia M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations between social engagement, internalizing symptoms, and delusional ideation in the general population</atitle><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle><stitle>Soc Psychiatry Psychiatr Epidemiol</stitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><date>2024-06-01</date><risdate>2024</risdate><volume>59</volume><issue>6</issue><spage>989</spage><epage>1002</epage><pages>989-1002</pages><issn>0933-7954</issn><eissn>1433-9285</eissn><abstract>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 <
0.001) and lower social engagement (
r =
− 0.14,
p =
0.001). Within aspects of social engagement, perceived emotional support showed the strongest relationship with delusional ideation (
r =
− 0.17,
p <
0.001). Lower social engagement was also significantly associated with increased internalizing symptoms (
r =
− 0.29,
p <
0.001). Cross-sectional models suggest that internalizing symptoms have a significant indirect effect on the association between delusional ideation and social engagement.
Conclusions
These findings reveal that elevated delusional ideation in the general population is associated with lower social engagement. Elevated internalizing symptoms appear to play a critical role in reducing engagement, possibly exacerbating delusional thinking. Future work should examine the causal and temporal relationships between these factors.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37624462</pmid><doi>10.1007/s00127-023-02540-x</doi><tpages>14</tpages></addata></record> |
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| source | Springer Nature |
| 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 |
| title | Associations between social engagement, internalizing symptoms, and delusional ideation in the general population |
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