The Role of Self-Esteem and Autonomy in Improving Social Functioning in Patients with Depression: A Matter of Dignity (original) (raw)

Association of Lower Self Esteem with Depression: A Case Control Study

2011

Objective: To estimate the level of low-self esteem in index depressed patients and compare them with their first-degree relatives to determine low self esteem as a risk factor for depression. Material and Methods: This case control study (150 cases and 150 controls) was conducted on adult depressed patients (cases) and their healthy first-degree relatives (controls) attending psychiatric out patients' clinic of the Aga Khan University Hospital from April 1, 2005 to September 1, 2005. We used convenient method of sampling. Self-esteem was measured by Urdu version of Rosenberg Self-esteem Scale. Logistic regression was applied for multivariate analysis. Results: Out of 300 (169 males, 131 females) participants, 216(75%) were married. Cases and controls were fairly matched on socio demographic variables except on marital status, educational level and monthly income that showed significant difference. Main logistic regression shows that depressed patients had significantly lower se...

The central role of self-esteem in the quality of life of patients with mental disorders

Scientific Reports

In psychiatry, recent years have seen a change of focus from a clinician- to a patient-centered perspective that emphasizes quality of life as a treatment target. As a complex construct, quality of life is composed of multiple dimensions that interact with one-another (e.g. physical and psychological well-being, relationships, autonomy, self-esteem). Here, we used data from the REHABase cohort, which includes N = 2180 patients from 15 psychosocial rehabilitation centers in France, to explore networks of quality-of-life dimensions among six psychiatric disorders: schizophrenia, neurodevelopmental, bipolar, depressive, anxiety, and personality disorders. Stronger connections (edges) involved the Self-Esteem dimension, such as Self-Esteem–Physical Well-Being, Self-Esteem–Autonomy, Self-Esteem–Psychological Well-Being, and Self-Esteem–Resilience. Self-esteem was also consistently retrieved as the most central node (the dimension with the most connections within each network). Between-gr...

Self-Reported Low Self-Esteem. Intervention and Follow-Up in a Clinical Setting

TSW Holistic Health & Medicine, 2000

At the Research Clinic for Holistic Medicine in Copenhagen, 43 patients who presented with low or very low self-esteem were treated with psychodynamic short-term therapy complemented with bodywork. They received an average of 20 sessions at a cost of 1,600 EURO. The bodywork helped the patients to confront old emotional pain from childhood trauma repressed to the body-mind. Results showed that 60.5% recovered from low selfesteem (95% CI: 44.41-75.02%). Calculated from this, we have NNT = 1.33-2.25. Almost all aspects of life improved at the same time (p < 0.01): physical health, mental health, quality of life, and ability to function in a number of important areas (partner, friends, sexually, and socially). This indicated that we had successfully induced existential healing (Antonovsky salutogenesis). The strategy of improving self-esteem can be the key to a new life for patients presenting with low quality of life, poor health (physical and/or mental), and poor ability to function. The patients were strongly motivated and willing to endure strong emotional pain provoked by the therapy. The rate of recovery is comparable to the most successful interventions with psychological and psychiatric treatment. Clinical holistic treatment has many advantages: efficiency, low cost, lack of negative side effects, lasting results, lack of use of psychopharmacological drugs (often with side effects), and an important preventive dimension.

Low Chronic Self-Esteem and Low Situational Self-Esteem: a literature review

Revista Brasileira de Enfermagem, 2020

Objective: to develop a literature review about low self-esteem and components of the nursing diagnoses Low Chronic Self-Esteem and Low Situational Self-Esteem in patients with depressed mood. Method: an integrative literature review carried out in the Pubmed portal and in the Scopus and Web of Science electronic bibliographic databases. Depression and self-esteem descriptors were used, resulting in 32 articles. Results: literature indicated 7 clinical indicators and 14 etiological factors for low self-esteem. Conclusion: The clinical indicators Suicidal ideation and Ineffective treatment were more prevalent in the study. The etiological factors Stressful events and Stigmatization were the most frequent, both of which were suggested as new related factors for low self-esteem. Nursing diagnosis recognition can contribute to intervention strategy elaboration by the nurse, according to the urgent diagnostic and the individual’s particularities.

Self-esteem, social adjustment and suicidality in affective disorders

European Psychiatry, 2002

Self-esteem (SE) and social adjustment (SA) are often impaired during the course of affective disorders; this impairment is associated with suicidal behaviour. The aim of the present study was to investigate SE and SA in unipolar or bipolar patients in relation to demographic and clinical characteristics, especially the presence of suicidality (ideation and/or attempt). Forty-four patients, 28 bipolar and 16 unipolar, in remission for at least 3 months, and 50 healthy individuals were examined through a structured clinical interview. SE and SA were assessed by the Rosenberg self-esteem scale and the social adjustment scale, respectively. The results have shown that bipolar patients did not differ from controls in terms of SE, while unipolar patients had lower SE than bipolars and controls. No significant differences in the mean SA scores were found between the three groups. Suicidality during depression was associated only in bipolar patients with lower SE at remission; similar but not as pronounced was the association of suicidality with SA. It is concluded that low SE lasting into remission seems to be related to the expression of suicidality during depressive episodes of bipolar patients, while no similar pattern is evident in unipolar patients.

“Effectiveness of activity therapy on Self-esteem of patients with Depression in selected areas.”

2021

Background: Previous research indicated that lowered self-esteem frequently accompanies or became an etiological factor in many psychiatric conditions.Mentally ill people who experience negative self-appraisals performed badly in the community and were more likely to relapse. Patients with depression and low Self-esteem are expected to have a compromised quality of life and poor psychosocial life. Silverstone (2003), using Rosenberg’s Self-esteem scale found 24% of the people with depression had intermediate level of Self-esteem. However, when compared to other psychiatric conditions, this group of patients had significantly low Self-esteem.The objectives of the study: 1. To assess the self-esteem of patients with depression before activity therapy in experimental and control groups. 2.To assess the self-esteem of patients with depression after activity therapy in experimental and control groups. 3.To evaluate the effectiveness of activity therapy on Self-esteem of patients with dep...

The self in depression: Research trends and clinical implications

In Session: Psychotherapy in Practice, 1997

This article offers a brief selective review of basic research findings linking the self to clinical depression. Criteria used for identifying the most influential research trends included theoretical impact, extent of empirical support, and potential clinical utility. We discuss and summarize several of the most productive areas of research on the self: self-esteem, the self-schema, and selfinconsistency. Within each topic area, the most important findings and their applicability to psychotherapy for depression are presented. The article concludes with a discussion of issues raised by the review itself and a set of recommendations for applying basic research findings to treatment selection and psychotherapeutic intervention.

The Evaluation of Cognitive–Behavioral Group Therapy on Patient Depression and Self-Esteem

Archives of Psychiatric Nursing, 2006

We evaluated the impact of cognitive-behavioral group therapy on the depression and self-esteem of clinically depressed patients. This longitudinal study involved 26 experimental group patients who received 12 weeks of cognitive-behavioral group therapy and 25 comparison subjects. Two weeks before the study, immediately upon therapy completion, and 1 month later, all the participants underwent pretest, posttest, and follow-up, respectively. The experimental group patients experienced greater cognitive improvements (i.e., depression relief, self-esteem increase) as compared with the comparison group subjects. One month after therapy completion, the depressive symptoms and self-esteem of the experimental group patients remained slightly but significantly better than those of the comparison group subjects. D