Exploring the Relationship Between Cognitive Insight and Self-Esteem in Psychiatric Outpatients: A Cross-Sectional Study From Türkiye
Perspectives in Psychiatric Care, cilt.2026, sa.1, 2026 (SCI-Expanded, SSCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 2026 Sayı: 1
- Basım Tarihi: 2026
- Doi Numarası: 10.1155/ppc/2151069
- Dergi Adı: Perspectives in Psychiatric Care
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, Psycinfo
- Anahtar Kelimeler: cognitive insight, mental health nursing, psychiatric outpatients, self-esteem, treatment adherence and compliance
- Maltepe Üniversitesi Adresli: Evet
Özet
Background: Cognitive insight and self-esteem are vital psychological constructs that influence treatment engagement, self-regulation, and recovery in psychiatric populations. Although both have been studied independently, limited research, particularly in Türkiye, has examined their relationship in outpatient settings, where long-term self-management is crucial. Understanding how cognitive insight is associated with self-esteem could help inform personalized and culturally appropriate mental health interventions. Methods: This cross-sectional correlational study was conducted at a large, urban, publicly funded outpatient psychiatric clinic in Istanbul, Turkey. A total of 148 adult outpatients were recruited using convenience sampling. Participants completed the Rosenberg Self-Esteem Scale (RSES) and the Beck Cognitive Insight Scale. Descriptive statistics and Pearson’s correlation analyses were then performed. Results: A moderate positive correlation was found between cognitive insight and RSES total scores (r = 0.275, p < 0.01). Since higher RSES scores indicate lower self-esteem, this finding suggests that greater cognitive insight is associated with lower self-esteem in this sample. Conclusions: The findings show a significant link between cognitive insight and self-esteem scores. Due to the scoring method of the RSES, higher cognitive insight was linked to lower self-esteem in this sample. These results highlight the potential clinical value of adding insight-focused assessments and interventions in outpatient psychiatric care within similar settings. Considering the limited data from Türkiye and comparable healthcare systems, this study provides culturally relevant insights for improving patient-centered mental health practices.