Loneliness and psychosis: an integrative review

Loneliness in psychosis is multidimensional, driven by interacting cognitive, interpersonal, developmental, and contextual processes. Future research should refine definitional distinctions of loneliness in psychosis phenomenology, incorporate dynamic and mixed-methods paradigms, and examine individual-specific and interpersonal mechanisms. Clinically, evidence supports treatments that prioritize meaning making, improving existing relationships, and addressing social biases, integrating cognitive, meta-cognitive, and narrative approaches.