Low self-esteem has a negative influence on psychological symptoms like depression and anxiety and can cause patients to relapse after treatment. Research indicates that low self-esteem can even be a causal factor in developing psychiatric disorders like depression and anxiety. For this reason treatment should be focused more on changing low self-esteem instead of only treating the DSM-IV disorder. Cognitive interventions that focus on learning patients to formulate more positive and realistic thoughts, seem to be effective.
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Griffioen, B.T., van der Vegt, A.A., de Groot, I.W. and de Jongh, A.
Frontiers in Psychology, 2017
https://doi.org/10.3389/fpsyg.2017.01910