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Self-Evaluation and Depressive Symptoms: A Latent Variable Analysis of Self-esteem, Shame-proneness, and Self-criticism.

ABSTRACT: This paper examined the unique associations of latent self-esteem with symptoms of depression, over-and-above latent shame-proneness (study 1) and latent self-criticism (study 2), among two samples of undergraduate students. In study 1, confirmatory factor analysis (CFA) showed convergent and discriminant validity for most measures of shame-proneness and self-esteem. Shame-proneness and self-esteem (taken separately) were strongly related to depressive symptoms. Controlling for each other, self-esteem but not shame-proneness remained associated with depressive symptoms. In study 2, CFA showed convergent validity but not discriminant validity for measures of self-criticism and low self-esteem. Self-esteem and self-criticism (taken separately) were strongly related to depressive symptoms. Controlling for each other, however, neither construct was significantly associated with depressive symptoms. Findings suggest that (a) self-esteem and shame-proneness have good discriminant validity, (b) self-esteem is uniquely related to depressive symptoms above and beyond shame-proneness, and (c) self-report measures of self-criticism and self-esteem have poor discriminant validity.

SUBMITTER: Porter AC

PROVIDER: S-EPMC7523943 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature

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Self-Evaluation and Depressive Symptoms: A Latent Variable Analysis of Self-esteem, Shame-proneness, and Self-criticism.

Porter Andrew C AC Zelkowitz Rachel L RL Gist Darcy C DC Cole David A DA

Journal of psychopathology and behavioral assessment 20190322 2

This paper examined the unique associations of latent self-esteem with symptoms of depression, over-and-above latent shame-proneness (study 1) and latent self-criticism (study 2), among two samples of undergraduate students. In study 1, confirmatory factor analysis (CFA) showed convergent and discriminant validity for most measures of shame-proneness and self-esteem. Shame-proneness and self-esteem (taken separately) were strongly related to depressive symptoms. Controlling for each other, self- ...[more]

PMID: 32999528

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Project description:BackgroundDepressive symptoms are one of the most common and ever-increasing mental health problems among students worldwide. Conventional treatment options, particularly psychotherapy, do not reach all students in need of help. Internet- and mobile-based interventions are promising alternatives for narrowing the treatment gap.ObjectiveIn the framework of a randomized controlled trial, we aim to investigate the effectiveness, acceptance, and side effects of a self-help smartphone app (MCT & More) based on cognitive behavioral therapy, mindfulness, acceptance and commitment therapy, and metacognitive training in a sample of students with self-reported depressive symptoms. Furthermore, we were interested in examining the influence of treatment expectations and attitudes toward internet- and mobile-based interventions on treatment adherence and effectiveness.MethodsA total of 400 students were recruited via open access websites and randomized to either the intervention group (n=200), who received access to the self-help smartphone app MCT & More for a period of 4 weeks, or to a wait-list control group (n=200). The Patient Health Questionnaire-9 (depression) served as the primary outcome parameter, and the Rosenberg Self-esteem Scale (self-esteem) and the global item of the World Health Organization Quality of Life-abbreviated version (quality of life) served as the secondary outcome parameters. The Attitudes Towards Psychological Online Interventions was used to measure attitudes toward internet- and mobile-based interventions. Outcome expectations were assessed using the Patient Questionnaire on Therapy Expectation and Evaluation, and side effects were assessed using the Inventory for Assessing Negative Effects of Psychotherapy.ResultsPer-protocol (PP), complete-case, and intention-to-treat analyses showed a significantly higher reduction in depressive symptoms (PP: F1,222=3.98; P=.047; d=0.26) and a significantly higher increase in self-esteem (PP: F1,220=8.79; P=.003; d=0.40) in the intervention group than in the wait-list control group. Most participants regularly used the self-help smartphone app (91/120, 75.8%, at least once a week). The more positive the attitude toward internet- and mobile-based interventions (r=0.260; P=.004) and the more positive the outcome expectation (r=0.236; P=.009), the more frequently the self-help smartphone app was used.ConclusionsThe effectiveness of the self-help smartphone app MCT & More was demonstrated among students with depressive symptoms compared with a wait-list control group. The app could be offered regularly as a low-threshold intervention to enhance students' health.Trial registrationGerman Clinical Trials Register DRKS00020941; https://tinyurl.com/pr84w6er.

Project description:BackgroundDepression among adolescents is a seriously disabling public health problem with an extremely high prevalence. Identifying risk factors of depression at an early stage is important to reduce the disease burden. Childhood maltreatment (CM) is one of the major risk factors for depression. The key mediating processes that how CM affects the development of depression, however, still need further clarification. The present study tested the mediating effect of self-esteem, internalizing problems, and externalizing problems between CM and depressive symptoms. Potential sex differences in the foregoing associations were also explored.MethodsA three-wave longitudinal study was carried out among 1,957 middle and high school students from 69 classes in 10 public schools in the Guangdong province of China. Data collection started when students were in grades 7 and 10 (median age: 13.0, range: 11-18) between January and April 2019, and the students were followed up once a year thereafter. Self-reported CM, depressive symptoms, self-esteem, internalizing and externalizing problems, and other demographics were collected. The multiple serial mediation analysis was conducted.ResultsWe found that CM was positively related to subsequent internalizing and externalizing problems, as well as depressive symptoms, while self-esteem was negatively related to depressive symptoms. Serial mediation analysis indicated that self-esteem (mediator 1) and internalizing problems (mediator 2) sequentially mediated the path from CM to depressive symptoms in the overall and male population. Moreover, with externalizing problems as mediator 2, self-esteem (mediator 1) acted as a partial mediator in the association between CM and depressive symptoms in males, whereas externalizing problems played a complete mediating role in females.ConclusionFindings revealed that self-esteem and internalizing problems sequentially mediated the influence of CM on depressive symptoms whereas externalizing problems played an independent mediating role. In addition, sex differences need to be taken into consideration when designing prevention and intervention strategies, given the different psychosocial processes between boys and girls.

Dataset Information

Self-Evaluation and Depressive Symptoms: A Latent Variable Analysis of Self-esteem, Shame-proneness, and Self-criticism.

Publications

Self-Evaluation and Depressive Symptoms: A Latent Variable Analysis of Self-esteem, Shame-proneness, and Self-criticism.

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