Skip to main content
×
Home
    • Aa
    • Aa

Concomitants of paranoia in the general population

  • D. Freeman (a1), S. McManus (a2), T. Brugha (a3), H. Meltzer (a3), R. Jenkins (a1) and P. Bebbington (a4)...
Abstract
Background

Paranoia is an unregarded but pervasive attribute of human populations. In this study we carried out the most comprehensive investigation so far of the demographic, economic, social and clinical correlates of self-reported paranoia in the general population.

Method

Data weighted to be nationally representative were analysed from the Adult Psychiatric Morbidity Survey in England (APMS 2007; n=7281).

Results

The prevalence of paranoid thinking in the previous year ranged from 18.6% reporting that people were against them, to 1.8% reporting potential plots to cause them serious harm. At all levels, paranoia was associated with youth, lower intellectual functioning, being single, poverty, poor physical health, poor social functioning, less perceived social support, stress at work, less social cohesion, less calmness, less happiness, suicidal ideation, a great range of other psychiatric symptoms (including anxiety, worry, phobias, post-traumatic stress and insomnia), cannabis use, problem drinking and increased use of treatment and services.

Conclusions

Overall, the results indicate that paranoia has the widest of implications for health, emotional well-being, social functioning and social inclusion. Some of these concomitants may contribute to the emergence of paranoid thinking, while others may result from it.

Copyright
Corresponding author
*Address for correspondence: D. Freeman, Ph.D., King's College London, Department of Psychology, PO Box 077, Institute of Psychiatry, Denmark Hill, London SE5 8AF, UK. (Email: Daniel.Freeman@kcl.ac.uk)
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

D Freeman , T Brugha , H Meltzer , R Jenkins , D Stahl , P Bebbington (2010 a). Persecutory ideation and insomnia: findings from the second British National Survey of Psychiatric Morbidity. Journal of Psychiatric Research. Published online: 28 April 2010. doi:10.1016/j.jpsychires.2010.03.018.

M Harrow , T Jobe , EB Astrachan-Fletcher (2008). Prognosis of persecutory delusions in schizophrenia: a 20-year longitudinal study. In Persecutory Delusions (ed. D. Freeman , R. Bentall and P. Garety ), pp. 7390. Oxford University Press: Oxford.

C Henquet , M Di Forti , RM Murray , J van Os (2008). The role of cannabis in inducing paranoia and psychosis. In Persecutory Delusions (ed. D. Freeman , R. Bentall and P. Garety ), pp. 267280. Oxford University Press: Oxford.

BPF Rutten , J van Os , M Dominguez , L Krabbendam (2008). Epidemiology and social factors: findings from the Netherlands Mental Health Survey and Incidence and Incidence Study (NEMESIS). In Persecutory Delusions (ed. D. Freeman , R. Bentall and P. Garety ), pp. 5371. Oxford University Press: Oxford.

D Vermissen , I Janssen , I Myin-Germeys , R Mengelers , J a Campo , J van Os , L Krabbendam (2008). Evidence for a relationship between mentalising deficits and paranoia over the psychosis continuum. Schizophrenia Research 99, 103110.

JL Vázquez-Barquero , I Lastra , MJC Nuñez , SH Castanedo , G Dunn (1996). Patterns of positive and negative symptoms in first episode schizophrenia. British Journal of Psychiatry 168, 693701.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 12
Total number of PDF views: 85 *
Loading metrics...

Abstract views

Total abstract views: 315 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 22nd July 2017. This data will be updated every 24 hours.