Department of Psychology, Washington University in St Louis, 1 Brookings Drive, Campus Box 1125, Psychology Bldg., St. Louis, MO, 63130, USA,
Soc Psychiatry Psychiatr Epidemiol. 2014 Jan;49(1):97-107. doi: 10.1007/s00127-013-0738-3. Epub 2013 Jul 17.
In a previous study, individuals who followed a particular new religious movement (NRM) reported significantly less distress even though they reported similar levels of delusional ideation when compared with individuals diagnosed with psychotic disorders. Protective factors such as social relationship quality and quality of life (QOL) were hypothesized to explain attenuated distress associated with delusional ideation.
NRM individuals (n = 29), individuals diagnosed with psychotic disorders (n = 25), and control individuals (n = 63) were recruited. Psychotic symptoms, delusion-proneness, and facets of social relationships quality and QOL were examined across group. Potential moderators of the relationship between group membership and distress were further examined in multiple regression models.
NRM participants reported more social relationships that were of higher quality (as demonstrated by more crisis supports, unique and overlap supports, more helpful supports and more reciprocated supports) than individuals with psychotic disorders. NRM participants also reported significantly higher QOL than individuals with psychotic disorders. Furthermore, NRM participants reported more distinct and less reciprocated supports, and significantly higher psychological, environmental, and total QOL, when compared with control participants. The relationship between group membership, delusional ideation, and distress was moderated by relationship reciprocity as well as by total QOL.
Findings highlight the importance of establishing healthy reciprocal social relationships and improving QOL in people diagnosed with psychotic disorders, as these factors may act as a buffer against distress associated with delusional beliefs.
在之前的一项研究中，与被诊断患有精神病障碍的个体相比，即使报告的妄想观念水平相似，追随特定新兴宗教运动（NRM）的个体报告的痛苦程度明显较低。假设社会关系质量和生活质量（QOL）等保护因素可以解释与妄想观念相关的减轻痛苦。
招募了 NRM 个体（n=29）、被诊断患有精神病障碍的个体（n=25）和对照组个体（n=63）。在组间检查了精神病症状、妄想倾向以及社会关系质量和 QOL 的各个方面。在多元回归模型中进一步检查了群体成员身份与痛苦之间关系的潜在调节因素。
NRM 参与者报告的社会关系质量更高（表现为更多的危机支持、更多独特和重叠的支持、更多有帮助的支持和更多相互支持），比患有精神病障碍的个体更多。NRM 参与者还报告了明显更高的 QOL 比患有精神病障碍的个体。此外，与对照组参与者相比，NRM 参与者报告了更多独特和更少相互支持，以及更高的心理、环境和总 QOL。群体成员身份、妄想观念和痛苦之间的关系受到关系互惠性以及总 QOL 的调节。
研究结果强调了在被诊断患有精神病障碍的人群中建立健康互惠社会关系和提高生活质量的重要性，因为这些因素可能作为减轻与妄想观念相关的痛苦的缓冲。
