Evidence map›Paper›PMID 24379014›Full record

ArticleSocial psychiatry and psychiatric epidemiology2014

Psychological characteristics of religious delusions.

Robel Iyassu, Suzanne Jolley, Paul Bebbington, Graham Dunn, Richard Emsley, Daniel Freeman, David Fowler, Amy Hardy, Helen Waller, Elizabeth Kuipers and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Pivotal mental states.Journal of psychopharmacology (Oxford, England) · 2021
    Review
  3. Article
  4. Article
  5. Review
  6. Therapeutic advances for people with delusions will come from greater specification and empirical investigation.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 2 countries.

Robel IyassuPO77 Department of Psychology, King's College London, Institute of Psychiatry, University of London, Denmark Hill, London, SE5 8AF, UK.
Suzanne Jolley
Paul Bebbington
Graham Dunn
Richard Emsley
Daniel Freeman
David Fowler
Amy Hardy
Helen Waller
Elizabeth Kuipers
Philippa Garety
King's College School · GBUniversidad de Londres · MXUniversity of Manchester · GBKing's College London · GBMental Health Research UK · GBUniversity of East Anglia · GBUniversity of Oxford · GB

Funding

Department of HealthMedical Research Council G0902308Wellcome TrustWellcome Trust 062452Wellcome Trust 085396
6 · The paper itself

Abstract

purposeReligious delusions are common and are considered to be particularly difficult to treat. In this study we investigated what psychological processes may underlie the reported treatment resistance. In particular, we focused on the perceptual, cognitive, affective and behavioural mechanisms held to maintain delusions in cognitive models of psychosis, as these form the key treatment targets in cognitive behavioural therapy. We compared religious delusions to delusions with other content.

methodsComprehensive measures of symptoms and psychological processes were completed by 383 adult participants with delusions and a schizophrenia spectrum diagnosis, drawn from two large studies of cognitive behavioural therapy for psychosis.

resultsBinary logistic regression showed that religious delusions were associated with higher levels of grandiosity (OR 7.5; 95 % CI 3.9-14.1), passivity experiences, having internal evidence for their delusion (anomalous experiences or mood states), and being willing to consider alternatives to their delusion (95 % CI for ORs 1.1-8.6). Levels of negative symptoms were lower. No differences were found in delusional conviction, insight or attitudes towards treatment.

conclusionsLevels of positive symptoms, particularly anomalous experiences and grandiosity, were high, and may contribute to symptom persistence. However, contrary to previous reports, we found no evidence that people with religious delusions would be less likely to engage in any form of help. Higher levels of flexibility may make them particularly amenable to cognitive behavioural approaches, but particular care should be taken to preserve self-esteem and valued aspects of beliefs and experiences.

Indexed as

Religion and PsychologyAdolescentAdultAgedAttitudeCognitive Behavioral TherapyDelusionsFemaleHumansLogistic ModelsMaleMiddle AgedPsychotic DisordersSelf ConceptYoung Adult

Identifiers

PMID24379014
PMCPMC4173112
OpenAlexW2099004406

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.