Cognitive Behavior Therapy in First-Episode Psychosis With a Focus on Depression, Anxiety, and Self-Esteem

Sönmez, Nasrettin; Hagen, Roger; Andreassen, Ole A.; Romm, Kristin Lie; Grande, Marit; Jensen, Lene Hunnicke; Morrison, Anthony P.; Melle, Ingrid; Røssberg, Jan Ivar

doi:10.1016/j.cbpra.2013.06.001

Cited by 8 publications

(5 citation statements)

References 61 publications

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“…Based on the above analysis, the core psychological mechanism for the link between family SES and social anxiety is impaired self-esteem caused by poverty. Self-esteem is a complex concept combining appraisal of self-worth based on personal achievements and the anticipated evaluation of others (Sönmez et al, 2014). Self-esteem has been found to act as a protective factor against depression and anxiety symptoms (Rosenberg, Schooler, Schoenbach, & Rosenberg, 1995; Sowislo & Orth, 2013), and low self-esteem in individuals with psychotic disorder is common and may be related to poor clinical outcomes (Bowins & Shugar, 1998; Romm, Melle, Thoresen, Andreassen, & Rossberg, 2012).…”

Section: Discussionmentioning

confidence: 99%

Self-esteem and fear of negative evaluation as mediators between family socioeconomic status and social anxiety in Chinese emerging adults

Cheng

Zhang

Ding

2014

Int J Soc Psychiatry

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Section: Discussionmentioning

confidence: 99%

Self-esteem and fear of negative evaluation as mediators between family socioeconomic status and social anxiety in Chinese emerging adults

Cheng

Zhang

Ding

2014

Int J Soc Psychiatry

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“…Consistent with cognitive models of psychosis (Freeman et al, 2002;Garety, Bebbington, Fowler, Freeman, & Kuipers, 2007;Morrison, 2001), low self-esteem and negative self-beliefs have been found to be associated with symptomrelated distress in UHR participants (Taylor et al, 2014;Xu et al, 2016), emphasizing its role as an important treatment target. In other settings, cognitive behavioural therapy (CBT) has been found to be successful in improving self-esteem (Fennell, 2005;Kolubinski, Frings, Nikcevic, Lawrence, & Spada, 2018), a finding which has been replicated in psychosis populations (Freeman et al, 2014;Gumley et al, 2006;Sönmez et al, 2014). Moreover, in a sample of individuals with first-episode psychosis, self-esteem and psychotic symptoms were found to influence one another during therapy (Lecomte, Leclerc, & Wykes, 2018), implying that improvements in self-esteem may lead to a reduction in symptoms.…”

Section: Discussionmentioning

confidence: 97%

Self‐esteem in individuals at ultra‐high risk for psychosis: A systematic review and meta‐analysis

Bemrose

Akande

Cullen

2020

Early Intervention Psych

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Aim: Low self-esteem (LSE) has been reported among individuals with psychosis and is hypothesized to act as a risk and maintenance factor for the disorder. However, the extent to which LSE also characterizes individuals deemed at ultra-high risk (UHR) for psychosis (who present features consistent with the prodromal phase of illness), has yet to be quantified using meta-analysis. This is important given that LSE is a potentially modifiable target for early intervention services aiming to reduce the risk of psychosis transition in this population.Methods: We searched Medline, Embase, PsycINFO and Web of Science Core Collection for studies examining self-esteem in UHR and healthy individuals. Randomeffects models were used to examine group differences in self-esteem (Hedges'g) with exploratory meta-regression analyses employed to investigate the effect of study characteristics (mean age of UHR group, the proportion of male participants in the UHR group and study quality) on standardized mean differences.Results: Six studies were eligible for inclusion. Significant differences in self-esteem were observed, with individuals at UHR showing reduced self-esteem relative to healthy controls (g = −1.33 [−1.73 to −0.94] P < .001).However, there was evidence of substantial heterogeneity (I 2 = 75%). Exploratory meta-regression analyses indicated a significant effect of the mean age of the UHR group on effect sizes (B = −0.26, P = .02).Conclusions: UHR youth present with lower levels of self-esteem than healthy individuals, a difference that appears to be more pronounced with advancing age. We discuss clinical implications and provide recommendations for future studies.

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“…Also, Sönmez et al . [ 28 ] found that the social function improved by increasing the self-esteem through a medical intervention. In addition, similar studies in other age groups have emphasized on the predicting role of social functions in promoting self-esteem.…”

Section: Discussionmentioning

confidence: 99%

Relationship between general health of older health service users and their self-esteem in Isfahan in 2014

Molavi¹,

Alavi²,

Keshvari³

2015

Iranian J Nursing Midwifery Res

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Background:Self-esteem is known to be one of the most important markers of successful aging. Older people's self-esteem is influenced by several factors that particularly may be health related. Therefore, this study aimed to explore some important general health-related predictors of the older people's self-esteem.Materials and Methods:In this study, 200 people, aged 65 years and older, who referred to health care centers were selected through stratified random sampling method. Data were collected by using Rosenberg's self-esteem scale and the 28-item Goldberg's general health questionnaire. Data were analyzed by Pearson's coefficient tests and multiple regression analysis.Results:Findings showed that the entered predictor variables accounted for 49% of the total variance (R2) of self-esteem in the model (P < 0.001, F4,195 = 46.717). Three out of the four predictor variables including somatic signs, anxiety/insomnia, and depression, significantly predicted the self-esteem. The results emphasized on the determinant role of both physical (somatic signs) and mental (anxiety/insomnia and depression) aspects of health in older patients’ self-esteem.Conclusions:The significant general health-related predictors found in the present study emphasize on some of the significant points that should be considered in planning for improving older patients’ self-esteem.

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Cognitive Behavior Therapy in First-Episode Psychosis With a Focus on Depression, Anxiety, and Self-Esteem

Cited by 8 publications

References 61 publications

Self-esteem and fear of negative evaluation as mediators between family socioeconomic status and social anxiety in Chinese emerging adults

Self-esteem and fear of negative evaluation as mediators between family socioeconomic status and social anxiety in Chinese emerging adults

Self‐esteem in individuals at ultra‐high risk for psychosis: A systematic review and meta‐analysis

Relationship between general health of older health service users and their self-esteem in Isfahan in 2014

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