The cognitive-behavioural treatment of low self-esteem in psychotic patients: A pilot study
Abstract
Low self esteem in individuals with a psychotic disorder is common and may be related to poorer clinical outcomes. However, there has been little research on devising treatment methods to improve self-esteem either generally or in psychotic patients in particular. The aims of this study were to evaluate the efficacy of a simple cognitive behavioural intervention to improve self esteem in psychotic patients who scored poorly on a self-esteem measure. This pilot study was a randomised control trial with a convenience sample of chronic psychotic inpatients. The cognitive behavioural self-esteem intervention, as an adjunct to treatment as usual (TAU), was compared to TAU alone in patients with psychosis. The individual self-esteem intervention as described by Tarrier (The use of coping strategies and self-regulation in the treatment of psychosis. (2001)) consisted of working with participants to elicit positive self-attributes and then identify specific behavioural examples to provide evidence of this attribute. Emphasis was given to any consequential change in the patient's belief that they had the attribute. The results indicated that this cognitive behavioural treatment for self-esteem used as an adjunct treatment in psychosis, resulted in clinical benefits in terms of increased self-esteem, decreased psychotic symptomatology and improved social functioning. These benefits were largely maintained at 3-month follow-up.
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CBTp given in the inpatient clinic was both acceptable and feasible.
“Studies have also reported that CBTp given in the inpatient clinic was both acceptable and feasible (Hall & Tarrier, 2003).”
From Acceptance and Commitment Therapy for inpatients with psychosis –an acceptability and feasibility single case AB designed study (2022) · cites this paper as Hall & Tarrier, 2003
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“…life and through behavioral tasks) and mental rehearsal can be used to strengthen conviction in and accessibility of positive schema (Tarrier, 2001; Hall and Tarrier, 2003), including self-efficacy beliefs such as “I have some control even when voices are around” (Morrison et al., 2004; Chadwick,…”
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A preliminary investigation of schematic beliefs and unusual experiences in children
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- Authors
- Hall, P. L., & Tarrier, N.
- Affiliations
- Trafford General Hospital (GB)
- University of Manchester (GB)
- Corresponding author
- Tarrier, Nicholas
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2003-03
- Volume
- 41
- Issue
- 3
- Pages
- 317-332
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2161178571
- Cited by
- 194
- References
- 41
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 8 · 2022: 5 · 2021: 7 · 2020: 8 · 2019: 6 · 2018: 16 · 2017: 4 · 2016: 13 · 2015: 11 · 2014: 15 · 2013: 10 · 2012: 12
- FWCI
- 4.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- low self-esteem, psychosis, cognitive-behavioural intervention, adjunctive therapy, self-regulation, coping strategies, psychotic symptoms, social functioning, maintenance of treatment effects
- MeSH terms
- Adult, Aged, Analysis of Variance, Chronic Disease, Female, Humans, Male, Middle Aged, Pilot Projects, Psychotic Disorders, Self Concept, Cognitive Behavioral Therapy
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