Cited by 194Schizophrenia research and treatmentPsychological Treatments and AssessmentsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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The cognitive-behavioural treatment of low self-esteem in psychotic patients: a pilot study

Hall, Pauline L, Tarrier, Nicholas·2003·Behaviour Research and Therapy

DOI 10.1016/s0005-7967(02)00013-x

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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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“…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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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)
DOI: 10.1016/s0005-7967(02)00013-x
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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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The cognitive-behavioural treatment of low self-esteem in psychotic patients: a pilot study

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