title: Social relationships and quality of life moderate distress associated with delusional ideation.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Psychology, Washington University in St Louis, 1 Brookings Drive, Campus Box 1125, Psychology Bldg., St. Louis, MO, 63130, USA, michelle.lim@wustl.edu.
authors.forename: Michelle H
authors.initials: MH
authors.lastname: Lim
authors.forename: John F
authors.initials: JF
authors.lastname: Gleeson
authors.forename: Henry J
authors.initials: HJ
authors.lastname: Jackson
authors.forename: Katya C
authors.initials: KC
authors.lastname: Fernandez
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D016022:Case-Control Studies; D003702:Delusions / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000175:diagnosis / Q000523:psychology*; D011788:Quality of Life; D012067:Religion; D012944:Social Support; D013315:Stress, Psychological / Q000523:psychology*; D055815:Young Adult