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Cognitive behavioral group treatment for low self-esteem in psychosis : a proof of concept study

van der Stouwe, Elisabeth C.D. ; Geraets, Chris N.W. LU ; Rutgers, Mirjam and Veling, Wim (2021) In BMC Psychiatry 21(1).
Abstract

Background: Patients with a psychotic disorder often suffer from low self-esteem, which has been related to higher suicidal risk, poor quality of life and, the maintenance of psychotic and depression symptoms. However, intervention studies are scarce and reported interventions concern individual therapies provided by highly educated psychologists. Both the individual setting and the required qualifications of the therapist may contribute to a low level of availability of an intervention. Therefore we aimed to investigate the efficacy of an easily accessible psychological group treatment targeting self-esteem in patients with a psychotic disorder. Methods: Thirty patients with a psychotic disorder were included in this pilot study. All... (More)

Background: Patients with a psychotic disorder often suffer from low self-esteem, which has been related to higher suicidal risk, poor quality of life and, the maintenance of psychotic and depression symptoms. However, intervention studies are scarce and reported interventions concern individual therapies provided by highly educated psychologists. Both the individual setting and the required qualifications of the therapist may contribute to a low level of availability of an intervention. Therefore we aimed to investigate the efficacy of an easily accessible psychological group treatment targeting self-esteem in patients with a psychotic disorder. Methods: Thirty patients with a psychotic disorder were included in this pilot study. All participants received nine weekly group sessions of 90 min. The therapy was offered in groups of six to eight patients and was provided by a psychiatry nurse and a graduate psychologist. To assess self-esteem the Rosenberg Self-esteem Scale and the Self-Esteem Rating Scale were used, to measure depression symptoms the Beck Depression Inventory-II was administered. Questionnaires were completed at baseline and post-treatment. Results: Twenty-seven patients (90%) completed treatment. At post-treatment, self-esteem was significantly increased and depression symptoms were significantly decreased compared to baseline. Discussion: This pilot study demonstrates the feasibility and treatment potential of a self-esteem group treatment provided by a psychiatry nurse and graduate psychologist in a patient population that receives little psychological treatment. Results suggest that this easily accessible intervention may be effective in improving self-esteem and reducing depression symptoms.

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Please use this url to cite or link to this publication:
author
; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
CBT, Depression, Group therapy, Intervention, Psychosis, Self-esteem, Treatment
in
BMC Psychiatry
volume
21
issue
1
article number
567
publisher
BioMed Central (BMC)
external identifiers
  • scopus:85119072320
  • pmid:34772387
ISSN
1471-244X
DOI
10.1186/s12888-021-03579-3
language
English
LU publication?
no
additional info
Publisher Copyright: © 2021, The Author(s).
id
f48b3b67-afb6-4a2b-bb86-31b21b0fad65
date added to LUP
2024-10-21 10:45:54
date last changed
2025-06-03 05:54:12
@article{f48b3b67-afb6-4a2b-bb86-31b21b0fad65,
  abstract     = {{<p>Background: Patients with a psychotic disorder often suffer from low self-esteem, which has been related to higher suicidal risk, poor quality of life and, the maintenance of psychotic and depression symptoms. However, intervention studies are scarce and reported interventions concern individual therapies provided by highly educated psychologists. Both the individual setting and the required qualifications of the therapist may contribute to a low level of availability of an intervention. Therefore we aimed to investigate the efficacy of an easily accessible psychological group treatment targeting self-esteem in patients with a psychotic disorder. Methods: Thirty patients with a psychotic disorder were included in this pilot study. All participants received nine weekly group sessions of 90 min. The therapy was offered in groups of six to eight patients and was provided by a psychiatry nurse and a graduate psychologist. To assess self-esteem the Rosenberg Self-esteem Scale and the Self-Esteem Rating Scale were used, to measure depression symptoms the Beck Depression Inventory-II was administered. Questionnaires were completed at baseline and post-treatment. Results: Twenty-seven patients (90%) completed treatment. At post-treatment, self-esteem was significantly increased and depression symptoms were significantly decreased compared to baseline. Discussion: This pilot study demonstrates the feasibility and treatment potential of a self-esteem group treatment provided by a psychiatry nurse and graduate psychologist in a patient population that receives little psychological treatment. Results suggest that this easily accessible intervention may be effective in improving self-esteem and reducing depression symptoms.</p>}},
  author       = {{van der Stouwe, Elisabeth C.D. and Geraets, Chris N.W. and Rutgers, Mirjam and Veling, Wim}},
  issn         = {{1471-244X}},
  keywords     = {{CBT; Depression; Group therapy; Intervention; Psychosis; Self-esteem; Treatment}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Psychiatry}},
  title        = {{Cognitive behavioral group treatment for low self-esteem in psychosis : a proof of concept study}},
  url          = {{http://dx.doi.org/10.1186/s12888-021-03579-3}},
  doi          = {{10.1186/s12888-021-03579-3}},
  volume       = {{21}},
  year         = {{2021}},
}