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The Role of Self-Esteem in Depression: A Longitudinal Study

  • Sven Hilbert (a1) (a2), Stephan Goerigk (a3) (a1) (a4), Frank Padberg (a5), Annekatrin Nadjiri (a5), Aline Übleis (a5), Andrea Jobst (a5), Julia Dewald-Kaufmann (a5) (a4), Peter Falkai (a5), Markus Bühner (a6), Felix Naumann (a6) and Nina Sarubin (a3) (a1) (a4)...

Abstract

Background: Based on the vulnerability model, several studies indicate that low self-esteem seems to contribute to depressive symptoms. Aims: The aim of this study was to treat depressive symptoms in a cognitive behavioural group therapy, focusing on the enhancement of self-esteem, and to explore co-variation in depressive symptoms and the level of self-esteem. Method: The Multidimensional Self-esteem Scale (MSWS) and the Beck Depression Inventory (BDI) were administered to 147 psychiatric in-patients with current depressive symptoms due to an affective disorder (major depression, bipolar I, dysthymia). Self-esteem was measured pre-treatment (t0) and post-treatment (t4, after 5 weeks of eight group sessions); the BDI was applied weekly. A linear mixed growth analysis was conducted to estimate the change in depressive symptoms including interactions with self-esteem. Results: Within the 5 weeks of group therapy, depressive symptoms showed a linear decline, which was stronger for patients with higher gains in self-esteem between t0 and t4. Self-esteem at t0 was unrelated to the change in depression but predicted self-esteem at t4. Conclusions: Treating depressive symptoms in a cognitive behavioural group therapy in a naturalistic setting might have a positive effect on the process of recovery. Moreover, depressive symptoms and level of self-esteem seemed to co-vary.

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Corresponding author

Correspondence to Nina Sarubin, Department of Psychiatry and Psychotherapy, Ludwig-Maximilians-University, Nussbaumstrasse 7, 80336 Munich, Germany. E-mail: nina.sarubin@med.uni-muenchen.de

References

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The Role of Self-Esteem in Depression: A Longitudinal Study

  • Sven Hilbert (a1) (a2), Stephan Goerigk (a3) (a1) (a4), Frank Padberg (a5), Annekatrin Nadjiri (a5), Aline Übleis (a5), Andrea Jobst (a5), Julia Dewald-Kaufmann (a5) (a4), Peter Falkai (a5), Markus Bühner (a6), Felix Naumann (a6) and Nina Sarubin (a3) (a1) (a4)...

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The Role of Self-Esteem in Depression: A Longitudinal Study

  • Sven Hilbert (a1) (a2), Stephan Goerigk (a3) (a1) (a4), Frank Padberg (a5), Annekatrin Nadjiri (a5), Aline Übleis (a5), Andrea Jobst (a5), Julia Dewald-Kaufmann (a5) (a4), Peter Falkai (a5), Markus Bühner (a6), Felix Naumann (a6) and Nina Sarubin (a3) (a1) (a4)...
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