On the other hand, the indirect effects are those that occur as a secondary process to the biological symptoms. This includes low self-esteem, poor academic and vocational performance in comparison to peer dependency and stigmatization from others. Within the same context, Galderisi et al. [38] added that schizophrenic patients have particular difficulty with the social skills of interpersonal relations, assertiveness, expression of thoughts and feeling. This was emphasized and supported by the results of the current study through the pre assessment data of experimental and control group in relation to psychosocial skills.