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The role of self-esteem for outcome in first-episode psychosis

Author

Listed:
  • Nadia Vracotas
  • Srividya N. Iyer
  • Ridha Joober
  • Ashok Malla

Abstract

Background : Self-esteem may be associated with a wide range of psychiatric disorders, including psychotic disorders. However, the relationship between self-esteem and outcome in psychosis has not been adequately examined, especially early in the course of the illness. Aim : The aim of the study was to examine the impact of self-esteem in individuals who presented for treatment of a first episode of psychosis on outcome early in the course of the illness. Methods : The Self-Esteem Rating Scale (SERS) was administered to 121 individuals with first-episode psychosis following entry into a specialized programme. Symptoms and the Global Assessment of Functioning (GAF) were assessed at six months after beginning treatment. A correlational analysis was followed by a linear regression controlling for potential confounds. Results : Self-esteem assessed early in the course of treatment was positively correlated with GAF at six months ( r = 0.281, p 0.05). Conclusion : Self-esteem is associated with global functional outcome at six months but not with remission of symptoms. Efforts should be made to provide interventions that may improve low self-esteem in the attempt to influence functional outcome.

Suggested Citation

  • Nadia Vracotas & Srividya N. Iyer & Ridha Joober & Ashok Malla, 2012. "The role of self-esteem for outcome in first-episode psychosis," International Journal of Social Psychiatry, , vol. 58(1), pages 41-46, January.
    • Handle: RePEc:sae:socpsy:v:58:y:2012:i:1:p:41-46
    DOI: 10.1177/0020764010382698
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