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An evaluation of a group-based cognitive behavioural therapy intervention for low self-esteem

Published online by Cambridge University Press:  15 March 2021

Samantha Swartzman ,
Jenny Kerr  and
Rowena McElhinney
Samantha Swartzman*
Affiliation:
Psychology Department, NHS Fife, Lynebank Hospital, Halbeath Road, DunfermlineKY11 8JH, UK University of Edinburgh, Department of Clinical Psychology, School of Health in Social Science, Teviot Place, Edinburgh, UK
Jenny Kerr
Affiliation:
Psychology Department, NHS Fife, Lynebank Hospital, Halbeath Road, DunfermlineKY11 8JH, UK
Rowena McElhinney
Affiliation:
Psychology Department, NHS Fife, Lynebank Hospital, Halbeath Road, DunfermlineKY11 8JH, UK
*
*Corresponding author. Email: [email protected]
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Abstract

Background:

Self-esteem is a common factor in many mental health problems, including anxiety and depression. A cognitive behavioural therapy (CBT)-based protocol called ‘Overcoming Low Self-Esteem’ is available; the use of this protocol in a group format has been associated with improvements in self-esteem. However, it is unclear whether improvements persist after the end of a group-based version of this programme.

Aims:

We aimed to assess whether changes in self-esteem, anxiety and depression persist 3 months after the end of a group version of the Overcoming Low Self-Esteem programme.

Method:

Using data from the National Health Service in Fife, Scotland, we analysed whether there were improvements on self-report measures of self-esteem, anxiety and depression from the beginning of the group to the end of the group and at a follow-up session 3 months later.

Results:

Significant improvements in self-esteem, anxiety and depression are maintained at 3 months follow-up.

Conclusions:

The Overcoming Low Self-Esteem group seems to be associated with improved self-esteem, anxiety and depression. However, further research from randomised controlled trials is needed to establish a causal link between the programme and improved psychological outcomes.

Keywords

anxietycognitive behavioural therapydepressiongroup psychotherapyself-esteem
Type
Main
Information
Behavioural and Cognitive Psychotherapy , Volume 49 , Issue 4 , July 2021 , pp. 485 - 494
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the British Association for Behavioural and Cognitive Psychotherapies

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References

Beck, A. T., & Steer, R. A. (1993). Beck Anxiety Inventory Manual. San Antonio, TX, USA: Psychological Corporation.Google Scholar
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX, USA: Psychological Corporation.Google Scholar
Doughty, C. (2015). Self-Esteem Group Evaluation. Unpublished coursework. Clinical Psychology, University of Edinburgh, Edinburgh, UK.Google Scholar
Dutra, L., Callahan, K., Forman, E., Mendelsohn, M., & Herman, J. (2008). Core schemas and suicidality in a chronically traumatized population. Journal of Nervous and Mental Disease, 196, 71–74.CrossRefGoogle Scholar
Ellemers, N. (2012). The group self. Science, 336, 848–852.CrossRefGoogle ScholarPubMed
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191.CrossRefGoogle ScholarPubMed
Fennell, M. (1999). Overcoming Low Self-Esteem: A Self-Help Guide Using Cognitive Behavioral Techniques. London, UK: Constable & Robinson Ltd.Google Scholar
Greenberg, J., Solomon, S., Pyszczynski, T., Rosenblatt, A., Burling, J., Lyon, D., Simon, L., & Pinel, E. (1992). Why do people need self-esteem? Converging evidence that self-esteem serves an anxiety-buffering function. Journal of Personality and Social Psychology, 63, 913–922.CrossRefGoogle ScholarPubMed
Horrell, L., Goldsmith, K. A., Tylee, A. T., Schmidt, U. H., Murphy, C. L., Bonin, E.-M., Beecham, J., Kelly, J., Raikundalia, S., & Brown, J. S. L. (2014). One-day cognitive-behavioural therapy self-confidence workshops for people with depression: randomised controlled trial. British Journal of Psychiatry, 204, 222–233.CrossRefGoogle ScholarPubMed
Jacobson, N. S., & Truax, P. (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19.CrossRefGoogle ScholarPubMed
Kolubinski, D. C., Frings, D., Nikčević, A. V., Lawrence, J. A., & Spada, M. M. (2018). A systematic review and meta-analysis of CBT interventions based on the Fennell model of low self-esteem. Psychiatry Research, 267, 296–305.CrossRefGoogle ScholarPubMed
McElhinney, R., Reid, H., & Morton, L. (2016). A controlled trial of a CBT group for women with low self esteem. Clinical Psychology Forum, 287.Google Scholar
Morton, L., Roach, L., Reid, H., & Stewart, S. H. (2012). An evaluation of a CBT group for women with low self-esteem. Behavioural and Cognitive Psychotherapy, 40, 221–225.CrossRefGoogle Scholar
Neff, K. D. (2003). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–101.CrossRefGoogle Scholar
Neff, K. D., & Vonk, R. (2009). Self-compassion versus global self-esteem: two different ways of relating to oneself. Journal of Personality, 77, 23–50.CrossRefGoogle ScholarPubMed
Noordenbos, G., Aliakbari, N., & Campbell, R. (2014). The relationship among critical inner voices, low self-esteem, and self-criticism in eating disorders. Eating Disorders, 22, 337–351.CrossRefGoogle ScholarPubMed
Orth, U., Robins, R. W., & Roberts, B. W. (2008). Low self-esteem prospectively predicts depression in adolescence and young adulthood. Journal of Personality and Social Psychology, 95, 695–708.CrossRefGoogle ScholarPubMed
Osman, A., Kopper, B. A., Barrios, F. X., Osman, J. R., & Wade, T. (1997). The Beck Anxiety Inventory: reexamination of factor structure and psychometric properties. Journal of Clinical Psychology, 53, 7–14.3.0.CO;2-S>CrossRefGoogle ScholarPubMed
Rigby, L., & Waite, S. (2006). Group therapy for self-esteem, using creative approaches and metaphor as clinical tools. Behavioural and Cognitive Psychotherapy, 35, 361–364.CrossRefGoogle Scholar
Robson, P. (1989). Development of a new self-report questionnaire to measure self esteem. Psychological Medicine, 19, 513–518.CrossRefGoogle ScholarPubMed
Rosenberg, M. (1965). Society and the Adolescent Self-Image. Rahway, NJ, USA: Princeton University Press.CrossRefGoogle Scholar
Waite, P., McManus, F., & Shafran, R. (2012). Cognitive behaviour therapy for low self-esteem: a preliminary randomized controlled trial in a primary care setting. Journal of Behavior Therapy and Experimental Psychiatry, 43, 1049–1057.CrossRefGoogle Scholar
Wang, Y. P., & Gorenstein, C. (2013). Psychometric properties of the Beck Depression Inventory-II: a comprehensive review. Brazilian Journal of Psychiatry, 35, 416–431.CrossRefGoogle ScholarPubMed
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