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Low self-esteem and psychiatric patients: Part I – The relationship between low self-esteem and psychiatric diagnosis

Overview of attention for article published in Annals of General Psychiatry, February 2003
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Title
Low self-esteem and psychiatric patients: Part I – The relationship between low self-esteem and psychiatric diagnosis
Published in
Annals of General Psychiatry, February 2003
DOI 10.1186/1475-2832-2-2
Pubmed ID
Authors

Peter H Silverstone, Mahnaz Salsali

Abstract

BACKGROUND: The objective of the current study was to determine the prevalence and the degree of lowered self-esteem across the spectrum of psychiatric disorders. METHOD: The present study was carried out on a consecutive sample of 1,190 individuals attending an open-access psychiatric outpatient clinic. There were 957 psychiatric patients, 182 cases with conditions not attributable to a mental disorder, and 51 control subjects. Patients were diagnosed according to DSM III-R diagnostic criteria following detailed assessments. At screening, individuals completed two questionnaires to measure self-esteem, the Rosenberg self-esteem scale and the Janis and Field Social Adequacy scale. Statistical analyses were performed on the scores of the two self-esteem scales. RESULTS: The results of the present study demonstrate that all psychiatric patients suffer some degree of lowered self-esteem. Furthermore, the degree to which self-esteem was lowered differed among various diagnostic groups. Self-esteem was lowest in patients with major depressive disorder, eating disorders, and substance abuse. Also, there is evidence of cumulative effects of psychiatric disorders on self-esteem. Patients who had comorbid diagnoses, particularly when one of the diagnoses was depressive disorders, tended to show lower self-esteem. CONCLUSIONS: Based on both the previous literature, and the results from the current study, we propose that there is a vicious cycle between low self-esteem and onset of psychiatric disorders. Thus, low self-esteem increases the susceptibility for development of psychiatric disorders, and the presence of a psychiatric disorder, in turn, lowers self-esteem. Our findings suggest that this effect is more pronounced with certain psychiatric disorders, such as major depression and eating disorders.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 228 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 <1%
Malaysia 1 <1%
Argentina 1 <1%
Australia 1 <1%
Unknown 224 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 42 18%
Student > Bachelor 33 14%
Student > Ph. D. Student 22 10%
Student > Doctoral Student 19 8%
Researcher 13 6%
Other 35 15%
Unknown 64 28%
Readers by discipline Count As %
Psychology 88 39%
Medicine and Dentistry 27 12%
Nursing and Health Professions 15 7%
Social Sciences 11 5%
Neuroscience 6 3%
Other 12 5%
Unknown 69 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 January 2016.
All research outputs
#22,759,452
of 25,373,627 outputs
Outputs from Annals of General Psychiatry
#473
of 561 outputs
Outputs of similar age
#138,572
of 140,975 outputs
Outputs of similar age from Annals of General Psychiatry
#1
of 1 outputs
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