PMID- 20826497 OWN - NLM STAT- MEDLINE DCOM- 20120430 LR - 20191210 IS - 1741-2854 (Electronic) IS - 0020-7640 (Linking) VI - 58 IP - 1 DP - 2012 Jan TI - The role of self-esteem for outcome in first-episode psychosis. PG - 41-6 LID - 10.1177/0020764010382698 [doi] AB - 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 < 0.01). A linear regression analysis conducted with GAF and depression at baseline in addition to gender, pre-morbid adjustment, duration of untreated psychosis (DUP), and self-esteem as predictors and GAF at six months as the outcome variable revealed only self-esteem to be a significant predictor of GAF at six months (beta = 0.290, p < 0.01). However, no association was found between self-esteem and remission at six months (beta = 0.003, 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. FAU - Vracotas, Nadia AU - Vracotas N AD - McGill University, PEPP Montreal, Douglas Hospital Research Centre, Montreal, Canada. FAU - Iyer, Srividya N AU - Iyer SN FAU - Joober, Ridha AU - Joober R FAU - Malla, Ashok AU - Malla A LA - eng GR - Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100908 PL - England TA - Int J Soc Psychiatry JT - The International journal of social psychiatry JID - 0374726 SB - IM MH - Adolescent MH - Female MH - Humans MH - Interviews as Topic MH - Male MH - *Outcome Assessment, Health Care MH - Psychotic Disorders/*psychology MH - Quebec MH - *Self Concept MH - Young Adult EDAT- 2010/09/10 06:00 MHDA- 2012/05/01 06:00 CRDT- 2010/09/10 06:00 PHST- 2010/09/10 06:00 [entrez] PHST- 2010/09/10 06:00 [pubmed] PHST- 2012/05/01 06:00 [medline] AID - 0020764010382698 [pii] AID - 10.1177/0020764010382698 [doi] PST - ppublish SO - Int J Soc Psychiatry. 2012 Jan;58(1):41-6. doi: 10.1177/0020764010382698. Epub 2010 Sep 8.