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Increasing self-esteem: Efficacy of a group intervention for individuals with severe mental disorders

Published online by Cambridge University Press:  16 April 2020

L. Borras ,
M. Boucherie ,
S. Mohr ,
T. Lecomte ,
N. Perroud  and
Ph. Huguelet
L. Borras*
Affiliation:
University Hospitals of Geneva, Department of Psychiatry, Division of Adult Psychiatry, Secteur 1 Eaux-Vives, Rue du XXXI Décembre 36, 1207 Geneva, Switzerland
M. Boucherie
Affiliation:
University Hospitals of Geneva, Department of Psychiatry, Division of Adult Psychiatry, Secteur 1 Eaux-Vives, Rue du XXXI Décembre 36, 1207 Geneva, Switzerland
S. Mohr
Affiliation:
University Hospitals of Geneva, Department of Psychiatry, Division of Adult Psychiatry, Secteur 1 Eaux-Vives, Rue du XXXI Décembre 36, 1207 Geneva, Switzerland
T. Lecomte
Affiliation:
University of Montréal, Department of Psychology, Bur C-363, 90 rue Vincent d'Indy, C.P. 6128, Succ. Centre-Ville, Montréal, QC H3C 3J7, Canada
N. Perroud
Affiliation:
University Hospitals of Geneva, Department of Psychiatry, Division of Adult Psychiatry, Secteur 1 Eaux-Vives, Rue du XXXI Décembre 36, 1207 Geneva, Switzerland
Ph. Huguelet
Affiliation:
University Hospitals of Geneva, Department of Psychiatry, Division of Adult Psychiatry, Secteur 1 Eaux-Vives, Rue du XXXI Décembre 36, 1207 Geneva, Switzerland
*
*Corresponding author. E-mail address: laurence.borras@hcuge.ch (L. Borras).
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Abstract

Background

Individuals with psychosis are known to have a lower self-esteem compared to the general population, in part because of social stigma, paternalistic care, long periods of institutionalization and negative family interactions. This study aimed at assessing the efficacy of a self-esteem enhancement program for individuals with severe mental illness and at analyzing the results in their European context.

Method

A randomized cross-over study including 54 outpatients with a diagnosis of schizophrenia from Geneva, Switzerland, was conducted. Twenty-four were recruited from an outpatient facility receiving traditional psychiatric care whereas 30 came from an outpatient facility with case-management care. Psychosocial, diagnostic and symptom measures were taken for all the subjects before treatment, after treatment, and at 3-months' follow-up.

Results

Results indicated significant positive self-esteem module effects on self-esteem, self-assertion, active coping strategies and symptom for the participants receiving case-management care. Results were not significant for those receiving traditional care. However, 71% of all participants expressed satisfaction with the module.

Conclusion

Individuals with schizophrenia appear to be benefit from the effects of the self-esteem module, particularly when they are involved in a rehabilitation program and followed by a case manager who liaises with the other partners of the multidisciplinary team. This encourages reconsidering the interventions' format and setting in order to ensure lasting effects on the environment and in turn on coping, self-esteem and overall empowerment.

Keywords

SchizophreniaSelf-esteemGroupPsychosisCognitiveTherapy
Type
Original article
Information
European Psychiatry , Volume 24 , Issue 5 , June 2009 , pp. 307 - 316
Copyright
Copyright © Elsevier Masson SAS 2009

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Footnotes

1

Tel.: 001 514 343 6274; fax: +1 514 343 2285.

2

Tel.: +41 22 305 47 60; fax: +41 22 305 47 59.

References

Andresen, R., Caputi, P., Oades, L.Stages of recovery instrument: development of a measure of recovery from serious mental illness. Aust N Z J Psychiatry 2006;40:972–980.CrossRefGoogle ScholarPubMed
Beck, A.T., Rector, N.A.Cognitive therapy of schizophrenia: a new therapy for the new millennium. Am J Psychother 2000;54:291–300.CrossRefGoogle ScholarPubMed
Bentall, R.P., Rouse, G., Kinderman, P., Blackwood, N., Howard, R., Moore, R.et al.Paranoid delusions in schizophrenia spectrum disorders and depression: the transdiagnostic role of expectations of negative events and negative self-esteem. J Nerv Ment Dis 2008;196:375–383.CrossRefGoogle ScholarPubMed
Benton, M.K., Schroeder, H.E.Social skills training with schizophrenics: a meta-analytic evaluation. J Consult Clin Psychol 1990;58:741–747.CrossRefGoogle ScholarPubMed
Birchwood, M., Mason, R., MacMillan, F., Healy, J.Depression, demoralization and control over psychotic illness: a comparison of depressed and non-depressed patients with a chronic psychosis. Psychol Med 1993;23:387–395.CrossRefGoogle ScholarPubMed
Bouvard, M., Charles, S., Mollard, E., Guerin, J., Aimard, G., Cottraux, J.Etude de validation et analyse factorielle de la version française du questionnaire des pensées automatiques. J Ther Comport Cogn 1992;2:25–28.Google Scholar
Bouvard, M., Cottraux, J., Mollard, E., Messy, P., Defayolle, M.Validation et analyse factorielle de l'échelle d'affirmation de soi de Rathus. Psychologie Médicale 1986;18:89–103.Google Scholar
Edwards, J.R., Baglioni, J.The measurement of coping with stress: construct validity of the Ways of Coping Checklist and the Cybernetic Coping Scale. Work Stress 1993;7:17–31.CrossRefGoogle Scholar
Fenton, W.S., Blyler, C.R., Wyatt, R.J., McGlashan, T.H.Prevalence of spontaneous dyskinesia in schizophrenic and non-schizophrenic psychiatric patients. Br J Psychiatry 1997;171:265–268.CrossRefGoogle ScholarPubMed
Greenberg, J.R., Mitchell, S.A.Object relations in psychoanalytic theory Cambridge: Harvard University Press; 1983.CrossRefGoogle Scholar
Guy, W.Clinical Global Impression. ECDEU assessment manual for psychopharmacology, revised Rockville, MD: National Institute of Mental Health; 1976.Google Scholar
Haan, N.Coping and defending: processes of self-environment organization New York: Academic Press; 1977.Google Scholar
Henry, C., Ghaemi, S.N.Insight in psychosis: a systematic review of treatment interventions. Psychopathology 2004;37:194–199.Google ScholarPubMed
Kay, S.R., Fiszbein, A., Opler, L.A.The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull 1987;13:261–276.CrossRefGoogle Scholar
Khazaal, Y., Favrod, J., Libbrecht, J., Finot, S.C., Azoulay, S., Benzakin, L.et al.A card game for the treatment of delusional ideas: a naturalistic pilot trial. BMC Psychiatry 2006;6:48CrossRefGoogle ScholarPubMed
Kingdon, D.G., Turkington, D.A role for cognitive-behavioural strategies in schizophrenia?. Soc Psychiatry Psychiatr Epidemiol 1991;26:101–103.CrossRefGoogle Scholar
Lazarus, R.S.Stress, appraisal, and coping New York: Springer; 1984.Google Scholar
Lecomte, T., Corbière, M., Laisné, F.Investigating self-esteem in individuals with schizophrenia: relevance of the Self-Esteem Rating Scale-Short Form. Psychiatry Res 2006 Jun 30;143:99–108.CrossRefGoogle Scholar
Lecomte, T., Cyr, M., Lesage, A.D., Wilde, J., Leclerc, C., Ricard, N.Efficacy of a self-esteem module in the empowerment of individuals with schizophrenia. J Nerv Ment Dis 1999;187(7):406–413.CrossRefGoogle ScholarPubMed
Liberman, R.P.Psychosocial treatments for schizophrenia. Psychiatry 1994;57:104–114.Google Scholar
Lindenmayer, J.P.Treatment refractory schizophrenia. Psychiatr Q 2000;71:373–384.CrossRefGoogle ScholarPubMed
Morrison, A.P., French, P., Walford, L., Lewis, S.W., Kilcommons, A., Green, J.et al.Cognitive therapy for the prevention of psychosis in people at ultra-high risk: randomised controlled trial. Br J Psychiatry 2004;185:291–297.CrossRefGoogle ScholarPubMed
Reasoner, R.W.Building self-esteem in the elementary schools–teacher's manual 2nd ed.Palo Alto, California: Consulting Psychologists Press; 1992.Google Scholar
Roe, D., Lachman, M.The subjective experience of people with severe mental illness: a potentially crucial piece of the puzzle. Isr J Psychiatry Relat Sci 2005;42:223–230.Google ScholarPubMed
Rosenberg, M.Society and the adolescent self-image Princeton, NJ: Princeton University Press; 1965.CrossRefGoogle Scholar
Sheehan, D.V.The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 1998;59:22–33.Google ScholarPubMed
Silverstone, P.H.Low self-esteem in different psychiatric conditions. Br J Clin Psychol 1991;30:185–188.CrossRefGoogle ScholarPubMed
Sowers, W.Recovery: an opportunity to transcend our differences. Psychiatr Serv 2007;58:5CrossRefGoogle ScholarPubMed
Subbotsky, E.The development of pragmatic and non-pragmatic motivation. Hum Dev 1995;38:217–234.CrossRefGoogle Scholar
Tarrier, N.Cognitive behaviour therapy for schizophrenia – a review of development, evidence and implementation. Psychother Psychosom 2005;74:136–144.CrossRefGoogle ScholarPubMed
Thompson, K., Kulkarni, J., Sergejew, A.A.Reliability and validity of a new Medication Adherence Rating Scale (MARS) for the psychoses. Schizophr Res 2000;42:241–247.Google ScholarPubMed
Torrey, W.C., Mueser, K.T., McHugo, G.H., Drake, R.E.Self-esteem as an outcome measure in studies of vocational rehabilitation for adults with severe mental illness. Psychiatr Serv 2000 Feb;51:229–233.CrossRefGoogle Scholar
Van den Bosch, R.J., Van Asma, M.J., Rombouts, R., Louwerens, J.W.Coping style and cognitive dysfunction in schizophrenic patients. Br J Psychiatry Suppl 1992;18:123–128.CrossRefGoogle Scholar
Waschull, S.B., Kernis, M.H.Level and stability of self-esteem as predictors of children's intrinsic motivation and reasons for anger. Pers Soc Psychol Bull 1996;22:4–13.CrossRefGoogle Scholar
Wiedl, K.H.Assessment of coping with schizophrenia. Stressors, appraisals, and coping behaviour. Br J Psychiatry 1992;18:114–122.CrossRefGoogle Scholar
Winick, B.J.The side effects of incompetency labelling and the implications for mental health law. Psychol Public Policy Law 1995;1:6–42.CrossRefGoogle Scholar
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