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

Published online by Cambridge University Press:  25 April 2018

Sven Hilbert
Affiliation:
Department of Psychiatry and Psychotherapy, Ludwig-Maximilians-University, Munich, Germany Faculty of Psychology, Educational Science and Sport Science, University of Regensburg, Germany
Stephan Goerigk
Affiliation:
Department of Psychological Methodology and Assessment, Ludwig-Maximilians-University, Munich, Germany Department of Psychiatry and Psychotherapy, Ludwig-Maximilians-University, Munich, Germany Hochschule Fresenius, University of Applied Sciences, Germany
Frank Padberg
Affiliation:
Department of Psychiatry and Psychotherapy, Ludwig-Maximilians-University, Munich, Germany
Annekatrin Nadjiri
Affiliation:
Department of Psychiatry and Psychotherapy, Ludwig-Maximilians-University, Munich, Germany
Aline Übleis
Affiliation:
Department of Psychiatry and Psychotherapy, Ludwig-Maximilians-University, Munich, Germany
Andrea Jobst
Affiliation:
Department of Psychiatry and Psychotherapy, Ludwig-Maximilians-University, Munich, Germany
Julia Dewald-Kaufmann
Affiliation:
Department of Psychiatry and Psychotherapy, Ludwig-Maximilians-University, Munich, Germany Hochschule Fresenius, University of Applied Sciences, Germany
Peter Falkai
Affiliation:
Department of Psychiatry and Psychotherapy, Ludwig-Maximilians-University, Munich, Germany
Markus Bühner
Affiliation:
Department of Psychological Methodology and Assessment, Ludwig-Maximilians-University Munich, Germany
Felix Naumann
Affiliation:
Department of Psychological Methodology and Assessment, Ludwig-Maximilians-University Munich, Germany
Nina Sarubin*
Affiliation:
Department of Psychological Methodology and Assessment, Ludwig-Maximilians-University, Munich, Germany Department of Psychiatry and Psychotherapy, Ludwig-Maximilians-University, Munich, Germany Hochschule Fresenius, University of Applied Sciences, Germany
*
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

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.

Type
Brief Clinical Report
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2018 

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References

American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders: DSM-IV. American Psychiatric Association.Google Scholar
Dumont, M. and Provost, M. A. (1999). Resilience in adolescents: protective role of social support, coping strategies, self-esteem, and social activities on experience of stress and depression. Journal of Youth and Adolescence, 28, 343363.Google Scholar
Kunikata, H., Yoshinaga, N. and Nakajima, K. (2016). Effect of cognitive behavioral group therapy for recovery of self-esteem on community-living individuals with mental illness: non-randomized controlled trial. Psychiatry and Clinical Neurosciences, 70, 457468. https://doi.org/10.1111/pcn.12418Google Scholar
Morton, L., Roach, L., Reid, H. and Stewart, S. H. (2012). An evaluation of CBT group for women with low self-esteem. Behavioural and Cognitive Psychotherapy, 40, 221225.Google Scholar
Potreck-Rose, F. and Jacob, G. (2003). Selbstzuwendung, Selbstakzeptanz, Selbstvertrauen: Psychotherapeutische Interventionen zum Aufbau von Selbstwertgefühl. Stuttgart: Pfeiffer bei Klett-Cotta.Google Scholar
Sowislo, J. F. and Orth, U. (2013). Does low self-esteem predict depression and anxiety? A meta-analysis of longitudinal studies. Psychological Bulletin, 139, 213.Google Scholar
Wittchen, H.-U., Wunderlich, U., Gruschwitz, S. and Zaudig, M. (1997). SKID I. Strukturiertes Klinisches Interview für DSM-IV. Achse I: Psychische Störungen. Interviewheft und Beurteilungsheft. Eine deutschsprachige, erweiterte Bearb. d. amerikanischen Originalversion des SKID I.Google Scholar
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