The ideas of psychotic patients who have low self-esteem are prone to more serious illnesses. This concept was examined through both implicit and explicit perspectives by measuring the self-esteem of paranoia and depression patients. Previous research suggests that negative implicit cognition is not the symptoms for depression and paranoia, but it is an antecedent for the onset. Current research proposes that high implicit self-esteem is linked to less paranoia. It is imperative for patients who have low self-esteem to become more overt about these situations. Another study found a substantial association between adverse self-questioning in implicit cognition and depression. People who do not think highly of themselves are more likely to be depressed because of this involuntary implicit learning.