Department of Psychiatry, University of Groningen, University Medical Center Groningen, PO Box 30.001, Groningen, RB, 9700, the Netherlands.
BMC Psychiatry. 2021 Nov 12;21(1):567. doi: 10.1186/s12888-021-03579-3.
Patients with a psychotic disorder often suffer from low self-esteem, which has been related to higher suicidal risk, poor quality of life and, the maintenance of psychotic and depression symptoms. However, intervention studies are scarce and reported interventions concern individual therapies provided by highly educated psychologists. Both the individual setting and the required qualifications of the therapist may contribute to a low level of availability of an intervention. Therefore we aimed to investigate the efficacy of an easily accessible psychological group treatment targeting self-esteem in patients with a psychotic disorder.
Thirty patients with a psychotic disorder were included in this pilot study. All participants received nine weekly group sessions of 90 min. The therapy was offered in groups of six to eight patients and was provided by a psychiatry nurse and a graduate psychologist. To assess self-esteem the Rosenberg Self-esteem Scale and the Self-Esteem Rating Scale were used, to measure depression symptoms the Beck Depression Inventory-II was administered. Questionnaires were completed at baseline and post-treatment.
Twenty-seven patients (90%) completed treatment. At post-treatment, self-esteem was significantly increased and depression symptoms were significantly decreased compared to baseline.
This pilot study demonstrates the feasibility and treatment potential of a self-esteem group treatment provided by a psychiatry nurse and graduate psychologist in a patient population that receives little psychological treatment. Results suggest that this easily accessible intervention may be effective in improving self-esteem and reducing depression symptoms.
患有精神障碍的患者通常自尊心较低，这与更高的自杀风险、较差的生活质量以及精神和抑郁症状的维持有关。然而，干预研究很少，报道的干预措施涉及由受过高等教育的心理学家提供的个体疗法。个体治疗环境和治疗师的所需资质都可能导致干预措施的可及性降低。因此，我们旨在研究针对精神障碍患者自尊心的易获取的心理团体治疗的疗效。
这项初步研究纳入了 30 名患有精神障碍的患者。所有参与者都接受了 9 周、每周一次、每次 90 分钟的团体治疗。治疗以 6 到 8 名患者为一组进行，由精神科护士和研究生心理学家提供。使用罗森伯格自尊量表和自尊评定量表评估自尊，使用贝克抑郁量表第二版评估抑郁症状。在基线和治疗后完成问卷调查。
27 名患者（90%）完成了治疗。与基线相比，治疗后自尊显著增加，抑郁症状显著降低。
这项初步研究证明了由精神科护士和研究生心理学家提供的自尊团体治疗在接受心理治疗较少的患者群体中的可行性和治疗潜力。结果表明，这种易于获取的干预措施可能对提高自尊心和减轻抑郁症状有效。
