Cognitive Behaviour Leading to Low-self Esteem: Therapy of Schizophrenia

Nidhi Pathak

Department of Pyschology, Faculty of Humanities and Social Sciences, Shri Ramswaroop Memorial University, Lucknow-Deva Road, Barabanki, Uttar Pradesh, India.

Akanksha Singh *

Shalom Institute of Health and Allied Sciences, SHUATS, Prayagraj, Uttar Pradesh, India.

Apala Gupta

Department of Psychiatry, KGMU, Lucknow, Uttar Pradesh, India.

Pavitra Bajpai

Department of Pyschology, Faculty of Humanities and Social Sciences, Shri Ramswaroop Memorial University, Lucknow-Deva Road, Barabanki, Uttar Pradesh, India.

*Author to whom correspondence should be addressed.


Schizophrenia is one of the most debilitating disorders worldwide.

Objective: To identify the effects of therapies on Schizophrenia patients.

Methodology: This is a review paper where different studies and views of various authors are observed for getting information and stats, many websites like PubMed, Google Scholars, Research Gate etc. and journals by the various authors have been referred.

Focus: Low self-esteem is an individual's assessment of personal originating from an individual's assessment or from outside the individual obtained by analyzing behavior with an ideal self, in the form of negative feelings towards the ability of the individual itself, in order to overcome the problem cognitive therapy can be given to patients with low self-esteem. Schizophrenia is a mental disorder characterized by impaired thought processes and weak emotional responses.

Results: This situation is generally a chaotic way of speaking and thinking and is accompanied by significant social and work dysfunction. Early symptoms usually appear during young adulthood. One of the negative symptoms of schizophrenia is low self-esteem. Here an effort is done to find out how cognitive behavior therapy heals the patients. In most cases therapies are given known as Acceptance and Commitment Therapy (ACT). This review article is an effort to focus on the effect of cognitive therapy and changes in behavior on individuals with schizophrenia.

Keywords: Cognitive therapy, self-esteem, schizophrenia, mental disorders

How to Cite

Pathak , N., Singh , A., Gupta , A., & Bajpai , P. (2023). Cognitive Behaviour Leading to Low-self Esteem: Therapy of Schizophrenia. Journal of Scientific Research and Reports, 29(10), 1–6.


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Fortinash KM, Worret PAH. Psychiatri mental health nursing. 3rd ed. Mosby; 2004.

Videbeck SL. Psychiatric mental health nursing. 5th ed. Philadelphia: Wolters Kluwer, Lippincott William &. Wilkins; 2011.

Riskesdas. Penyajian Pokok-Pokok hasil riset kesehatan dasar; 2013.

Riskesdas. Hasil Utama Riset Kesehatan dasar; 2018.

Twosend MC. Psychiatric mental health nursing: concept of care in evidence based practice. 6th ed. F A Davis Company; 2013.

Stuart GW. Principles and practice of psychiatric nursing. 9th ed. St. Louis: Moby Elsevier. USA; 2013.

Morton M, Roach L, Reid H, Stewart SH. An evaluation of a CBT group for women with low self-esteem. Behavio Cogn Psych. 2012;40:221-5.

Sasmita H, Keliat BudiA, Budiharto B. Peningkatan Kemampuan Kognitif dan Perilaku Pada Klien dengan Harga Diri Rendah Melalui. Cogn Behavio Ther. 2010;13:26-3.

Hidayat E. Pengaruh Cognitive Behavioral Therapy (CBT) dan Rational Emotive Behavioral Therapy (REBT). Indonesia: Universitas Indonesia; 2011.

Spett M. Cognitive-behavioral treatment of low self-esteem. The New Press Jersy Association of Cognitive-Behavioral Therapists; 2013.

Silverstone PH, Salsali M. Low self-esteem and psychiatric patients: Part I–The relationship between low self-esteem and psychiatric diagnosis. Ann Gen Hosp Psychiatry. 2003;2(1):1-9.

Pardede JA, Damanik RK, Simanullang RH, Sitanggang R. The effect of cognitive therapy on changes in self-esteem on schizophrenia patients. Eur J Mol Clin Med. 2020;7(11).

Link BG, Struening EL, Neese-Todd S, Asmussen S, Phelan JC. Stigma as a barrier to recovery: the consequences of stigma for the self-esteem of people with mental illnesses. Psychiatr Serv. 2001;52(12):1621-6.

Kumar S, Mohanty S. Factors associated with self-esteem in patients with chronic schizophrenia. SIS J Proj Psychol Ment Health. 2016;23(1):56-60.

Herman H, Deswita RS. Hospitalization stress in children in DR. M. Padang: Djamil General Hospital; 2013.

Rahmayani A. Mengontrol pikiran negatif Klien Skizofrenia dengan terapi kognitif. J Islamic Nurs. 2018;3(1):47-54.

Yoo T, Kim SW, Kim SY, Lee JY, Kang HJ, Bae KY, et al. Relationship between suicidality and low self-esteem in patients with schizophrenia. Clin Psychopharmacol Neurosci. 2015;13(3):296-301.

Widianti E, Keliat BA, Wardhani IY. Aplikasi terapi spesialis Keperawatan Jiwa pada pasien Skizofrenia dengan harga Diri rendah kronis di Rsmm jawa barat. J Pendidikan Keperawatan Indones. 2017;3(1):83-99.

Nyumirah S. Manajemen Asuhan Keperawatan Spesialis Jiwa pada Klien Halusinasi di Ruang Sadewa di Rs Dr. H Marzoeki Mahdi Bogor. J Keperawatan Jiwa. 2014;2(1):1-13.

GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: A systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396(10258):1204-22.

Bouwmans C, de Sonneville C, Mulder CL, Hakkaart-van Roijen L. Employment and the associated impact on quality of life in people diagnosed with schizophrenia. Neuropsychiatr Dis Treat. 2015;11:2125-42.

Keepers GA, Fochtmann LJ, Anzia JM, Benjamin S, Lyness JM, Mojtabai R, et al. The American Psychiatric Association practice guideline for the treatment of patients with schizophrenia. Am J Psychiatry. 2020;177(9):868-72.

Schneider-Thoma J, Chalkou K, Dörries C, Bighelli I, Ceraso A, Huhn M, et al. Comparative efficacy and tolerability of 32 oral and long-acting injectable antipsychotics for the maintenance treatment of adults with schizophrenia: A systematic review and network meta-analysis. Lancet. 2022;399(10327): 824-36.

Xia J, Merinder LB, Belgamwar MR. Psychoeducation for schizophrenia. Cochrane Database Syst Rev. 2011;6.

McGrath J, Saha S, Chant D, Welham J. Schizophrenia: A concise overview of incidence, prevalence, and mortality. Epidemiol Rev. 2008;30(1):67-76.

Hjorthøj C, Stürup AE, McGrath JJ, Nordentoft M. Years of potential life lost and life expectancy in schizophrenia: A systematic review and meta-analysis. Lancet Psychiatry. 2017;4(4):295-301.

Morrison AP, Turkington D, Pyle M, Spencer H, Brabban A, Dunn G, et al. Cognitive therapy for people with schizophrenia spectrum disorders not taking antipsychotic drugs: A single-blind randomised controlled trial. Lancet. 2014;383(9926):1395-403.

Anityo A. Pengaruh terapi kognitif terhadap kemampuan berinteraksi pasien Skizofrenia dengan Solasi sosial di rumah sakit Jiwa Grhasia Yogyakarta. Jendela Nurs J. 2013;2(1):297-305.

Rosenberg M. Society and the adolescent self-image. Princeton University Press; 1965.