Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-26T13:09:04.376Z Has data issue: false hasContentIssue false
  • English
  • Français

An investigation into the efficacy of a cognitive behavioural therapy group for low self-esteem in a primary care setting

Published online by Cambridge University Press:  28 September 2018

Sarah Beattie  and
David Beattie
Sarah Beattie
Affiliation:
Southern Health NHS Foundation Trust
David Beattie
Affiliation:
Solent NHS Trust
Get access Rights & Permissions [Opens in a new window]

Abstract

Self-esteem refers to how an individual appraises themselves and is associated with good mental health. A number of studies have identified the efficacy of cognitive behavioural therapy (CBT) in the treatment of low self-esteem based on the formulation and treatment trajectory developed by Fennell (1999). However, there has been little empirical enquiry into the efficacy of the programme delivered in primary care. The current study investigated the effectiveness of a CBT programme for low self-esteem delivered within primary care. Fifty-four participants attended a 9-week ‘Boost Your Mood’ group programme. Paired sample t-tests were conducted on pre- and post-group scores on measures of depression, anxiety and self-esteem. Results indicated that there were statistically significant improvements in levels of depression, anxiety and self-esteem post-treatment. Findings are consistent with the suggestion that group CBT may be effective at increasing levels of self-esteem and reducing levels of depression and anxiety when delivered in a primary care setting.

Keywords

self-esteemcognitive behavioural therapydepressionanxietyprimary care
Type
Original Research
Information
the Cognitive Behaviour Therapist , Volume 11 , 2018 , e12
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Recommended follow-up reading

Fennell, M (1997). Low self-esteem: a cognitive perspective. Behavioural and Cognitive Psychotherapy 25, 1–25.Google Scholar
Neff, KD (2003). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity 2, 85–102.Google Scholar
Pack, S, Condren, E (2014). An evaluation of group cognitive behaviour therapy for low self-esteem in primary care. the Cognitive Behaviour Therapist 7, e7.Google Scholar

References

Addeo, RR, Greene, AF, Geisser, ME (1994). Construct validity of the Robson Self-Esteem Questionnaire in a college sample. Educational and Psychological Measurement 54, 439–446.Google Scholar
Brown, GW, Bifulco, A, Veiel, HOF, Andrews, B (1990). Self-esteem and depression. Social Psychiatry and Psychiatric Epidemiology 25, 225–234.Google Scholar
Campbell, DT, Stanley, JC (2015). Experimental and Quasi-experimental Designs for Research. Ravenio Books.Google Scholar
Cohen, J (1988). Statistical Power Analysis for the Behavioural Sciences. Hillsdale, New Jersey: Erlbaum.Google Scholar
Dancy, CP, Reidy, J (2004). Statistics Without Maths for Psychology. Harlow: Pearson Education Limited.Google Scholar
Department of Health (2007). Improving Access to Psychological Therapies. Implementation Plan: National guidelines for regional delivery. Available at: www.iapt.nhs.uk/silo/files/implementation-plan-national-guidelines-for-regional-delivery.pdf (accessed 15 December 2014).Google Scholar
Department of Health (2012). IAPT three-year report: the first million patients. Available at: //www.iapt.nhs.uk/silo/files/iapt-3-year-summary-leaflet.pdf (accessed 28 January 2016).Google Scholar
Faul, F, Erdfelder, E, Buchner, A, Lang, AG (2009) Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behavior Research Methods 41, 1149–1160.Google Scholar
Feinstein, L (2000). The Relative Economic Importance of Academic, Psychological and Behavioural Attributes Developed on Childhood. Centre for Economic Performance, London School of Economics and Political Science.Google Scholar
Fennell, M (1997). Low self-esteem: a cognitive perspective. Behavioural and Cognitive Psychotherapy 25, 1–25.Google Scholar
Fennell, M (1999). Overcoming Low Self-Esteem. London: Constable and Robinson Ltd.Google Scholar
Fennell, M (2009). Overcoming Low Self-Esteem: A Self-Help Guide Using Cognitive Behavioural Techniques. London: Robinson.Google Scholar
Field, A (2013). Discovering statistics using IBM SPSS statistics. London: Sage Publication Limited.Google Scholar
Guillon, MS, Crocq, MA, Bailey, PE (2003). The relationship between self-esteem and psychiatric disorders in adolescents. European Psychiatry 18, 59–62.Google Scholar
HM Government (2011) No health without mental health: a cross-government mental health outcomes strategy for people of all ages.Google Scholar
Improving Access to Psychological Therapies (IAPT) (2011). IAPT Data Handbook. Available at: www.iapt.nhs.uk/silo/files/the-iapt-data-handbook.pdf (accessed 15 December 2014).Google Scholar
Kjelsberg, E, Neegaard, E, Dahl, AA (1994). Suicide in adolescent psychiatric inpatients: incidence and predictive factors. Acta Psychiatrica Scandinavica 89, 235–241.Google Scholar
Kroenke, K, Spitzer, RL, Williams, JB (2001). The PHQ-9. Journal of General Internal Medicine 16, 606–613.Google Scholar
Martin, A, Rief, W, Klaiberg, A, Braehler, E (2006). Validity of the brief patient health questionnaire mood scale (PHQ-9) in the general population. General Hospital Psychiatry 28, 71–77.Google Scholar
McManus, F, Waite, P, Shafran, R (2009). Cognitive-behavior therapy for low self-esteem: a case example. Cognitive and Behavioral Practice 16, 266–275.Google Scholar
Morton, L, Roach, L, Reid, H, Stewart, SH (2012). An evaluation of a CBT group for women with low self-esteem. Behavioural and Cognitive Psychotherapy 40, 221–225.Google Scholar
Neff, KD (2003). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity 2, 85–102.Google Scholar
Neff, KD (2009). Self-Compassion. In Leary, MR and Hoyle, RH (eds), Handbook of Individual Differences in Social Behavior (pp. 561–573). New York: Guilford PressGoogle Scholar
Pack, S, Condren, E (2014). An evaluation of group cognitive behaviour therapy for low self-esteem in primary care. the Cognitive Behaviour Therapist 7, e7.Google Scholar
Raes, F (2010). Ruminating and worrying as mediators of the relationship between self-compassion and anxiety and depression. Personality and Individual Differences 48, 757–761.Google Scholar
Raes, F (2011). The effect of self-compassion on the development of depression symptoms in a non-clinical sample. Mindfulness 2, 33–36.Google Scholar
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.Google Scholar
Robson, P (1989). Development of a new self-report questionnaire to measure self esteem. Psychological Medicine 19, 513–518.Google Scholar
Rosenberg, M (1965). Society and the Adolescent Self-Image. Princeton: Princeton University Press.Google Scholar
Rosenthal, R (1991). Meta-Analytic Procedures for Social Research. Newbury Park, CA: SAGE Publications, Incorporated.Google Scholar
Spitzer, RL, Kroenke, K, Williams, JB, Löwe, B (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine 166, 1092–1097.Google Scholar
Spitzer, RL, Kroenke, K, Williams, JB, Patient Health Questionnaire Primary Care Study Group. (1999). Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Journal of the American Medical Association 282, 1737–1744.Google Scholar
Swann, WB (1996). Self-Traps: The Elusive Quest for Higher Self-Esteem. New York: FreemanGoogle Scholar
Trzesniewski, KH, Donnellan, MB, Robins, RW (2003). Stability of self-esteem across the life span. Journal of Personality and Social Psychology 84, 205.Google 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.Google Scholar
Westbrook, D, Kennerley, H, Kirk, J (2011). An Introduction to Cognitive Behaviour Therapy (2nd edition). London: Sage Publications.Google Scholar
Yalom, ID, Leszcz, M (2005). Theory and Practice of Group Psychotherapy. Basic Books.Google Scholar
Submit a response

Comments

No Comments have been published for this article.