Persecutory delusions and psychological well-being.

PURPOSE: Persecutory delusions are one of the key problems seen in psychotic conditions. The aim of the study was to assess for the first time the levels of psychological well-being specifically in patients with current persecutory delusions. METHOD: One hundred and fifty patients with persecutory d...

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Main Authors: Freeman, D, Startup, H, Dunn, G, Wingham, G, Černis, E, Evans, N, Lister, R, Pugh, K, Cordwell, J, Kingdon, D
Format: Journal article
Language:English
Published: 2014
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author Freeman, D
Startup, H
Dunn, G
Wingham, G
Černis, E
Evans, N
Lister, R
Pugh, K
Cordwell, J
Kingdon, D
author_facet Freeman, D
Startup, H
Dunn, G
Wingham, G
Černis, E
Evans, N
Lister, R
Pugh, K
Cordwell, J
Kingdon, D
author_sort Freeman, D
collection OXFORD
description PURPOSE: Persecutory delusions are one of the key problems seen in psychotic conditions. The aim of the study was to assess for the first time the levels of psychological well-being specifically in patients with current persecutory delusions. METHOD: One hundred and fifty patients with persecutory delusions in the context of a diagnosis of non-affective psychosis, and 346 non-clinical individuals, completed the Warwick-Edinburgh Mental Well-Being Scale and symptom assessments. RESULTS: Well-being scores were much lower in the persecutory delusions group compared with the non-clinical control group. 47 % of the persecutory delusions group scored lower than two standard deviations below the control group mean score. Within the patient group, psychological well-being was negatively associated with depression, anxiety, and hallucinations. In both groups, lower levels of well-being were associated with more severe paranoia. CONCLUSIONS: Levels of psychological well-being in patients with current persecutory delusions are strikingly low. This is likely to arise from the presence of affective symptoms and psychotic experiences. Measurement of treatment change in positive mental health for patients with psychosis is recommended.
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spelling oxford-uuid:091f7980-50b9-4e84-b71c-5c4a12dc6d0b2022-03-26T09:16:32ZPersecutory delusions and psychological well-being.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:091f7980-50b9-4e84-b71c-5c4a12dc6d0bEnglishSymplectic Elements at Oxford2014Freeman, DStartup, HDunn, GWingham, GČernis, EEvans, NLister, RPugh, KCordwell, JKingdon, DPURPOSE: Persecutory delusions are one of the key problems seen in psychotic conditions. The aim of the study was to assess for the first time the levels of psychological well-being specifically in patients with current persecutory delusions. METHOD: One hundred and fifty patients with persecutory delusions in the context of a diagnosis of non-affective psychosis, and 346 non-clinical individuals, completed the Warwick-Edinburgh Mental Well-Being Scale and symptom assessments. RESULTS: Well-being scores were much lower in the persecutory delusions group compared with the non-clinical control group. 47 % of the persecutory delusions group scored lower than two standard deviations below the control group mean score. Within the patient group, psychological well-being was negatively associated with depression, anxiety, and hallucinations. In both groups, lower levels of well-being were associated with more severe paranoia. CONCLUSIONS: Levels of psychological well-being in patients with current persecutory delusions are strikingly low. This is likely to arise from the presence of affective symptoms and psychotic experiences. Measurement of treatment change in positive mental health for patients with psychosis is recommended.
spellingShingle Freeman, D
Startup, H
Dunn, G
Wingham, G
Černis, E
Evans, N
Lister, R
Pugh, K
Cordwell, J
Kingdon, D
Persecutory delusions and psychological well-being.
title Persecutory delusions and psychological well-being.
title_full Persecutory delusions and psychological well-being.
title_fullStr Persecutory delusions and psychological well-being.
title_full_unstemmed Persecutory delusions and psychological well-being.
title_short Persecutory delusions and psychological well-being.
title_sort persecutory delusions and psychological well being
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