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Cvencek D, Brečić R, Sanders EA, Gaćeša D, Skala D, Meltzoff AN. Am I a good person? Academic correlates of explicit and implicit self-esteem during early childhood. Child Dev 2024; 95:1047-1062. [PMID: 38148568 DOI: 10.1111/cdev.14052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Revised: 10/26/2023] [Accepted: 11/25/2023] [Indexed: 12/28/2023]
Abstract
Implicit and explicit self-esteem are not commonly measured in the same children. Using a cross-sectional design, data from 354 Croatian children (184 girls) in Grade 1 (Mage = 7.55 years) and Grade 5 (Mage = 11.58 years) were collected in Spring 2019. All children completed explicit and implicit self-esteem measures; math and language grades were obtained. For the explicit measure, older children showed lower self-esteem than younger children, and girls showed lower self-esteem than boys. For the implicit measure, there were no age effects, and girls showed higher self-esteem than boys. Although both types of self-esteem were positively associated with academic achievement, implicit self-esteem was associated more strongly with language than with math achievement. Discussion is provided about why self-esteem relates to academic achievement during childhood.
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Affiliation(s)
- Dario Cvencek
- Institute for Learning & Brain Sciences, University of Washington, Seattle, Washington, USA
| | - Ružica Brečić
- Department of Marketing, Faculty of Economics and Business, University of Zagreb, Zagreb, Croatia
| | - Elizabeth A Sanders
- Measurement and Statistics, College of Education, University of Washington, Seattle, Washington, USA
| | - Dora Gaćeša
- Department of Marketing, Faculty of Economics and Business, University of Zagreb, Zagreb, Croatia
| | - David Skala
- Department of Marketing, Faculty of Economics and Business, University of Zagreb, Zagreb, Croatia
| | - Andrew N Meltzoff
- Institute for Learning & Brain Sciences, University of Washington, Seattle, Washington, USA
- Department of Psychology, University of Washington, Seattle, Washington, USA
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Muslih M, Chung MH. Structural validity of the Rosenberg self-esteem scale in patients with schizophrenia in Indonesia. PLoS One 2024; 19:e0300184. [PMID: 38728256 PMCID: PMC11086833 DOI: 10.1371/journal.pone.0300184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Accepted: 02/23/2024] [Indexed: 05/12/2024] Open
Abstract
BACKGROUND The Rosenberg self-esteem scale (RSES) is a commonly employed instrument for measuring self-esteem in the general population and those with mental illness. However, confirmatory factor analyses (CFA) to determine the structural validity of the RSES for schizophrenia patients in Indonesia are limited. OBJECTIVES We examined the structural validity of the RSES as a measurement for patients with schizophrenia in Indonesia through confirmatory factor analyses (CFA), as well as assessing internal consistency and reliability. METHODS The sample comprised 260 participants. Over two weeks, 30 subjects were added to investigate test-retest reliability. The structural validity analyzed was based on a CFA to determine the model fit. We used internal consistency (Ordinal alpha) to evaluate the reliability evidence. RESULTS Four different models were analyzed in this study. Considering the single-factor model (Model 1a), the overall fit criteria were inadequate. However, after some modification indices, all fit criteria were significantly adequate (Model 1b). The adequacy of all fit standards remained satisfactory when the two-factor model (Model 2) and hierarchical model (Model 3) were applied. The RSES had an ordinal alpha coefficient of 0.75. While 0.89 and 0.88 for the positive and negative self-esteem subscale, respectively. Test-retest reliability yielded adequate results with an interclass correlation score ranging from 0.87 to 0.93. CONCLUSIONS The current investigation provided evidence supporting the structural validity, internal consistency, and reliability of the RSES, indicating that the RSES can be considered a valid and reliable measurement. A two-factor model of RSES was an appropriate model to measure self-esteem in our study. This finding suggests that the use of the RSES is beneficial and applicable in assessing levels of self-esteem in individuals diagnosed with schizophrenia in Indonesia.
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Affiliation(s)
- Muhammad Muslih
- School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
- School of Nursing, Faculty of Health Science, Universitas Muhammadiyah Malang, Malang, Indonesia
| | - Min-Huey Chung
- School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
- Department of Nursing, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan
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Visser L, Pat-el R, Lataster J, Van Lankveld J, Jacobs N. Beyond Difference Scores: Unlocking Insights with Polynomial Regression in Studies on the Effects of Implicit-Explicit Congruency. Psychol Belg 2024; 64:5-23. [PMID: 38618168 PMCID: PMC11012099 DOI: 10.5334/pb.1246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Accepted: 02/06/2024] [Indexed: 04/16/2024] Open
Abstract
The aim of our study was to investigate whether theories of congruence are better tested using polynomial regression analysis, rather than expressing discrepancy between implicit and explicit measures as continuous or categorical difference scores. This paper also aims to make knowledge more accessible by providing a step-by-step explanation of both methods, illustrating differences between them, and making materials openly available for other researchers. In this paper, implicit and explicit measures of self-esteem are used as predictors for depressive symptoms, anxiety, and aggression in a general population sample (N = 135). Explicit self-esteem was measured using the Rosenberg Self-Esteem Scale, implicit self-esteem was measured using the Implicit Association Test, and the Symptom Questionnaire was used to measure depressive symptoms, anxiety, and aggression. The results show those difference score models all imply that the discrepancy between implicit and explicit self-esteem explains depression and anxiety, but not aggression. However, polynomial regression analysis shows that depression and anxiety are not accounted for by the explicit-implicit discrepancy as such, but are foremost explained by explicit self-esteem. Polynomial regression has the potential to evaluate more complex and more detailed hypotheses than what would be possible using statistical approaches based on discrepancy scores. It is therefore recommended for future research aimed at disentangling the roles of explicit and implicit self-esteem in psychological outcomes.
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Affiliation(s)
| | - Ron Pat-el
- Open University Heerlen, The Netherlands
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van der Cruijsen R, Begeer S, Crone EA. The role of autism and alexithymia traits in behavioral and neural indicators of self-concept and self-esteem in adolescence. AUTISM : THE INTERNATIONAL JOURNAL OF RESEARCH AND PRACTICE 2024:13623613241232860. [PMID: 38411147 DOI: 10.1177/13623613241232860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/28/2024]
Abstract
LAY ABSTRACT Developing a positive view of the self is important for maintaining a good mental health, as feeling negative about the self increases the risk of developing internalizing symptoms such as feelings of depression and anxiety. Even though autistic individuals regularly struggle with these internalizing feelings, and both self-concept and internalizing feelings are known to develop during adolescence, there is a lack of studies investigating the development of positive self-concept and self-esteem in autistic adolescents. Here, we studied academic, physical, and prosocial self-concept as well as self-esteem in adolescent males with and without autism on both the behavioral and neural level. We additionally focused on similarities in one's own and peers' perspectives on the self, and we assessed a potential role of alexithymia (i.e. having trouble identifying and describing one's feelings) in developing a more negative view of the self. Results showed that there were no group differences in self-esteem, self-concept, or underlying neural activation. This shows that autistic adolescent males use the same neural processes when they evaluate their traits. However, regardless of clinical diagnosis, a higher number of autism traits was related to a less positive physical and prosocial self-concept, whereas more difficulty identifying one's feelings was related to lowered self-esteem and less activation in medial prefrontal cortex during self-evaluations. Therefore, in treatment of autistic adolescents with low self-esteem, it is important to take into account and possibly aim to improve alexithymic traits as well.
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Veit L, Jungmann SM, Freitag CM. The Course of Anxiety-Specific Cognitive Bias Following Daycare/Inpatient Treatment in Youths with Social Phobia and School Absenteeism. ZEITSCHRIFT FUR KINDER- UND JUGENDPSYCHIATRIE UND PSYCHOTHERAPIE 2024; 52:1-10. [PMID: 37768010 DOI: 10.1024/1422-4917/a000951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/29/2023]
Abstract
Social phobia (SP) is a common mental disorder in youth often accompanied by absence from school, which may require daycare or inpatient intervention (DC/IN). Objective: The present explorative study investigates changes in anxiety-specific implicit assumptions and interpretation bias following DC/IN. Methods: The study included 16 youths with SP (M age = 15.8 [SD = 1.24], females: 62.5 %) participating in DC/IN. We assessed the main outcomes using the Implicit Association Test and Affective Misattribution Procedure. Results: A large effect was shown for reducing implicit assumptions of feeling anxious (p = .142; η2p = .171) and for reducing the implicit interpretation bias (p = .137; η2p = .162). No change was indicated by effect size in implicit assumptions of feeling socially rejected (p = .649; η2p = .016). Social phobia symptoms initially correlated with changes in implicit assumptions of feeling anxious (r = .45). Conclusion: Effect sizes indicate that implicit anxiety-specific assumptions and interpretation bias descriptively improved following DC/IN. Thus, DC/IN may lead to meaningful improvements of anxiety-specific cognition in some individuals with high SP symptoms, emphasizing the relevance of cognitive behavioral approaches in the treatment of SP. Several limitations are discussed.
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Affiliation(s)
- Lisa Veit
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany
| | - Stefanie Maria Jungmann
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany
- Department of Clinical Psychology, Psychotherapy and Experimental Psychopathology, Johannes Gutenberg University Mainz, Germany
| | - Christine Margarete Freitag
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany
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Delelis G. Deleterious effects of unchosen solitude on adolescents' mental and social health: The moderating role of self-esteem. Scand J Psychol 2023; 64:710-718. [PMID: 37198969 DOI: 10.1111/sjop.12930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2023] [Revised: 04/06/2023] [Accepted: 05/02/2023] [Indexed: 05/19/2023]
Abstract
Can self-esteem reduce the deleterious effects of solitude on adolescents' mental and social health? Solitude is twofold because it can be chosen (self-determined) or forced (not self-determined). When it is not a chosen behavior (e.g., social ignorance, exclusion, or fear of others' judgment), individuals experience higher levels of anxiety and depression and feel the deleterious effects of loneliness more. On the other hand, the level of self-esteem relates positively to lower levels of anxiety and depression as well as to good social relationships. We hypothesized that self-esteem moderates the effects of unchosen solitude. Eighty high school students participated in this study by filling out a self-report booklet of questionnaires. We first examine the links between unchosen solitude and anxiety, depression, loneliness, hopelessness, and quality of the connection to family and peers; next, we examine the moderating role of self-esteem in these links. Regression analyses confirm the classic negative effect of not-self-determined solitude on the health outcomes considered, and moderation analyses show that a good level of self-esteem decreases this effect, at least on depression, hopelessness, and connection to peers. We suggest further studies to complete and refine these results and propose to assess more systematically the adolescents' self-esteem and to reinforce it to prevent negative mental and social health outcomes.
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Yang F, Li M, Han Y. Whether and how will using social media induce social anxiety? The correlational and causal evidence from Chinese society. Front Psychol 2023; 14:1217415. [PMID: 37842706 PMCID: PMC10570417 DOI: 10.3389/fpsyg.2023.1217415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Accepted: 09/19/2023] [Indexed: 10/17/2023] Open
Abstract
Background Prior literature has well established the relationship between social media use and social anxiety, but little attention has been paid to the underlying mechanisms. Additionally, the causal evidence concerning the effect of social media use on social anxiety is scarce. Objective Given that, two studies were conducted to examine the effect of social media use on social anxiety and the underlying mechanisms. Methods and results In Study 1, with 470 undergraduates as participants, we applied the questionnaire survey to investigate the relationship between social media use and social anxiety. The results showed that higher social media use intensity was significantly related to higher social anxiety, and social media use was related to social anxiety via two possible mediation paths: (1) social media use → upward social comparison → social anxiety, (2) and social media use → upward social comparison → self-esteem → social anxiety. In Study 2, with 180 undergraduates as participants, we conducted a lab experiment, in which participants were assigned to the experimental (exposed to the content that undergraduates frequently access on social media) or control (exposed to landscape documentaries) condition, and then measured their upward social comparison, self-esteem and social anxiety. The results showed that participants in the experimental condition reported higher social anxiety than those in the control condition, demonstrating the causality between social media exposure and social anxiety. The subsequent mediation analysis basically replicated the findings of Study 1. That is, upward social comparison played the mediating role between social media exposure and social anxiety, and upward social comparison and self-esteem played the chain-mediating role between them. Conclusion The current research firstly demonstrated the causality between social media use and social anxiety in Chinese society, and also revealed the mediating mechanisms between them, which would deepen our understanding of how social media use will increase social anxiety.
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Affiliation(s)
- Feng Yang
- Department of Teacher Education, Taishan University, Tai’an, Shandong, China
| | - Minyan Li
- Department of Teacher Education, Taishan University, Tai’an, Shandong, China
| | - Yang Han
- Department of Psychology, Beijing Sport University, Beijing, China
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Wojtyna E, Pasek M, Nowakowska A, Goździalska A, Jochymek M. Self at Risk: Self-Esteem and Quality of Life in Cancer Patients Undergoing Surgical Treatment and Experiencing Bodily Deformities. Healthcare (Basel) 2023; 11:2203. [PMID: 37570443 PMCID: PMC10419055 DOI: 10.3390/healthcare11152203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2023] [Revised: 07/14/2023] [Accepted: 08/03/2023] [Indexed: 08/13/2023] Open
Abstract
Self-esteem is an important factor determining QoL after surgical procedures leading to bodily deformities associated with cancer treatment. However, there are few data on which components of self-esteem are most closely related to QoL. The article presents two studies that aim to fill this gap. Study 1 concerns changes in global self-esteem and QoL in patients treated surgically for oral cancer (n = 35); Study 2 concerns changes in explicit and implicit self-esteem and QoL in women with breast cancer undergoing mastectomy (n = 96). The study was longitudinal with two measurements: before and after surgery. Both studies used the EORTC QLQ-C30 and Rosenberg's SES questionnaires. In Study 2, the Implicit Association Test (IAT) was additionally performed. The patients' global QoL and self-esteem deteriorated after surgery. In Study 1, patients with higher initial self-esteem showed a greater range of decreased self-esteem and QoL than patients with initially low self-esteem. In Study 2, the largest decreases in various dimensions of QoL and explicit self-esteem were observed in women with fragile self-esteem. A group of women with high explicit and implicit self-esteem showed the best QoL after mastectomy. Cancer patients with high, fragile self-esteem are at risk of the greatest deterioration in QoL and self-image after cancer surgery. These people should be given special psycho-oncological care.
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Affiliation(s)
- Ewa Wojtyna
- Institute of Psychology, University of Silesia in Katowice, 40-007 Katowice, Poland
| | - Małgorzata Pasek
- Department of Nursing, Faculty of Health, University of Applied Sciences in Tarnów, 33-100 Tarnów, Poland
| | - Aleksandra Nowakowska
- Faculty of Health and Medical Studies, Andrzej Frycz Modrzewski Krakow University, 30-705 Kraków, Poland
| | - Anna Goździalska
- Faculty of Health and Medical Studies, Andrzej Frycz Modrzewski Krakow University, 30-705 Kraków, Poland
| | - Małgorzata Jochymek
- Faculty of Health and Medical Studies, Andrzej Frycz Modrzewski Krakow University, 30-705 Kraków, Poland
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Hobbs C, Sui J, Kessler D, Munafò MR, Button KS. Self-processing in relation to emotion and reward processing in depression. Psychol Med 2023; 53:1924-1936. [PMID: 34488919 DOI: 10.1017/s0033291721003597] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
BACKGROUND Depression is characterised by a heightened self-focus, which is believed to be associated with differences in emotion and reward processing. However, the precise relationship between these cognitive domains is not well understood. We examined the role of self-reference in emotion and reward processing, separately and in combination, in relation to depression. METHODS Adults experiencing varying levels of depression (n = 144) completed self-report depression measures (PHQ-9, BDI-II). We measured self, emotion and reward processing, separately and in combination, using three cognitive tasks. RESULTS When self-processing was measured independently of emotion and reward, in a simple associative learning task, there was little association with depression. However, when self and emotion processing occurred in combination in a self-esteem go/no-go task, depression was associated with an increased positive other bias [b = 3.51, 95% confidence interval (CI) 1.24-5.79]. When the self was processed in relation to emotion and reward, in a social evaluation learning task, depression was associated with reduced positive self-biases (b = 0.11, 95% CI 0.05-0.17). CONCLUSIONS Depression was associated with enhanced positive implicit associations with others, and reduced positive learning about the self, culminating in reduced self-favouring biases. However, when self, emotion and reward processing occurred independently there was little evidence of an association with depression. Treatments targeting reduced positive self-biases may provide more sensitive targets for therapeutic intervention and potential biomarkers of treatment responses, allowing the development of more effective interventions.
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Affiliation(s)
| | - Jie Sui
- School of Psychology, University of Aberdeen, Aberdeen, UK
| | - David Kessler
- Population Health Sciences, University of Bristol, Bristol, UK
| | - Marcus R Munafò
- School of Psychological Science, University of Bristol, Bristol, UK
- MRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK
- National Institute of Health Research Biomedical Research Centre at the University Hospitals Bristol NHS Foundation Trust and the University of Bristol, Bristol, UK
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Li W, Guo Y, Lai W, Wang W, Li X, Zhu L, Shi J, Guo L, Lu C. Reciprocal relationships between self-esteem, coping styles and anxiety symptoms among adolescents: between-person and within-person effects. Child Adolesc Psychiatry Ment Health 2023; 17:21. [PMID: 36755330 PMCID: PMC9909938 DOI: 10.1186/s13034-023-00564-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Accepted: 01/23/2023] [Indexed: 02/10/2023] Open
Abstract
BACKGROUND Previous researches have not distinguished the between-person effects from the within-person effects when exploring the relationship between self-esteem, coping styles, and anxiety symptoms among adolescents. To address this gap, this study investigated reciprocal associations among self-esteem, coping styles, and anxiety symptoms in a three-wave longitudinal panel survey, using an analytical strategy that disaggregates the within-person and the between-person variance. METHODS Data was drawn from the Longitudinal Study of Adolescents' Mental and Behavioral Well-being Research study conducted in 10 public schools in the Guangdong province of China. All participants had a baseline visit (N = 1957, mean age 13.6, grades 7 and 10) and follow-up interviews at 1-year intervals for 3 years. A random intercept cross-lagged panel model combined with mediation analysis was performed. RESULTS At the within-person level, the following results were observed. (1) Low self-esteem and anxiety symptoms bidirectionally predicted each other. (2) Low self-esteem and negative coping style bidirectionally predicted each other. (3) Anxiety symptoms predicted subsequent negative coping style but not vice versa. At the between-person level, we obtained the following main results. (1) Significant predictive effects on the random intercept were found among all three study constructs. (2) There were sex differences regarding the association between self-esteem and anxiety symptoms and the correlation of females was stronger than that of males. (3) Self-esteem mediated the reciprocal relations between coping styles and anxiety symptoms. CONCLUSIONS Overall, findings revealed a reciprocal relationship between low self-esteem and anxiety symptoms for both females and males. Besides, anxiety symptoms predict subsequent negative coping style but not vice versa. We also highlighted the mediating role of self-esteem in the reciprocal relations between coping styles and anxiety symptoms. Thus, interventions targeted at promoting self-esteem and cultivating positive coping style may help reduce adolescent anxiety.
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Affiliation(s)
- Wenyan Li
- grid.12981.330000 0001 2360 039XDepartment of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-Sen University, 74 Zhongshan Rd 2, Guangzhou, 510080 China
| | - Yangfeng Guo
- grid.484626.a0000000417586781Health Promotion Centre for Primary and Secondary Schools of Guangzhou Municipality, Guangzhou, 510080 China
| | - Wenjian Lai
- grid.12981.330000 0001 2360 039XDepartment of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-Sen University, 74 Zhongshan Rd 2, Guangzhou, 510080 China
| | - Wanxin Wang
- grid.12981.330000 0001 2360 039XDepartment of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-Sen University, 74 Zhongshan Rd 2, Guangzhou, 510080 China
| | - Xiuwen Li
- grid.12981.330000 0001 2360 039XDepartment of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-Sen University, 74 Zhongshan Rd 2, Guangzhou, 510080 China
| | - Liwan Zhu
- grid.12981.330000 0001 2360 039XDepartment of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-Sen University, 74 Zhongshan Rd 2, Guangzhou, 510080 China
| | - Jingman Shi
- grid.12981.330000 0001 2360 039XDepartment of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-Sen University, 74 Zhongshan Rd 2, Guangzhou, 510080 China
| | - Lan Guo
- Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-Sen University, 74 Zhongshan Rd 2, Guangzhou, 510080, China.
| | - Ciyong Lu
- Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-Sen University, 74 Zhongshan Rd 2, Guangzhou, 510080, China.
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11
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Call for new measures suitable for intensive longitudinal studies: Ideas and suggestions. NEW IDEAS IN PSYCHOLOGY 2023. [DOI: 10.1016/j.newideapsych.2022.100983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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12
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Lower implicit self-esteem as a pathway linking childhood abuse to depression and suicidal ideation. Dev Psychopathol 2022; 34:1272-1286. [PMID: 33594963 PMCID: PMC9812227 DOI: 10.1017/s0954579420002217] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Identifying the potential pathways linking childhood abuse to depression and suicidal ideation is critical for developing effective interventions. This study investigated implicit self-esteem-unconscious valenced self-evaluation-as a potential pathway linking childhood abuse with depression and suicidal ideation. A sample of youth aged 8-16 years (N = 240) completed a self-esteem Implicit Association Test (IAT) and assessments of abuse exposure, and psychopathology symptoms, including depression, suicidal ideation, anxiety, and externalizing symptoms. Psychopathology symptoms were re-assessed 1-3 years later. Childhood abuse was positively associated with baseline and follow-up depression symptoms and suicidal ideation severity, and negatively associated with implicit self-esteem. Lower implicit self-esteem was associated with both depression and suicidal ideation assessed concurrently and predicted significant increases in depression and suicidal ideation over the longitudinal follow-up period. Lower implicit self-esteem was also associated with baseline anxiety, externalizing symptoms, and a general psychopathology factor (i.e. p-factor). We found an indirect effect of childhood abuse on baseline and follow-up depression symptoms and baseline suicidal ideation through implicit self-esteem. These findings point to implicit self-esteem as a potential mechanism linking childhood abuse to depression and suicidal ideation.
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Zogmaister C, Maricutoiu LP. Mirror, mirror on the wall, tell me that I have succeeded at it all: Self-esteem and the defensive mechanisms against failure. SOCIAL PSYCHOLOGY OF EDUCATION 2022. [DOI: 10.1007/s11218-022-09723-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
AbstractStudents face frequent formal and informal tests, both in the academic context and social life. On each of these occasions, they risk falling short of their own or others’ expectations. Facing failure is a psychological challenge, and people can react with defensive strategies, which may have negative consequences. Here we investigated the role of self-esteem as a possible buffer against these defensive strategies. Previous research has demonstrated that, in the face of failure, individuals with discrepant (fragile: high explicit and low implicit, or damaged: high implicit and low explicit) self-esteem are more likely to engage in defensive mechanisms than individuals with consistent implicit and explicit self-esteem. Two studies investigate the relationship between implicit and explicit self-esteem and two defensive strategies against the threat of failure: subjective overachievement and retroactive excuses. In Study 1 (N = 176 high school students), we find an association between fragile self-esteem and subjective overachievement. In Study 2 (N = 101 university students), damaged self-esteem is related to the increased use of retroactive excuses as a form of self-serving bias. These results add to the growing body of evidence documenting the maladaptive nature of fragile and damaged self-esteem.
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14
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Morales A, Rodríguez-Menchón M, Espada JP, Orgilés M. Examining academic self-concept as a mediator of the relationship between anxiety and depression: A longitudinal study. Child Adolesc Ment Health 2022. [PMID: 35811467 DOI: 10.1111/camh.12577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/22/2022] [Indexed: 11/29/2022]
Abstract
BACKGROUND Self-concept plays a role as a mediator in the development and maintenance of internalizing symptoms but mechanisms through which the early presence of anxiety symptoms is associated with the subsequent development of depression is unknown. The aim of this longitudinal study was to analyze the mediating role of different areas of self-concept in the relationship between the early development of anxiety symptoms and the later appearance of depressive symptoms. METHODS A longitudinal study with 3 time-points was conducted, including baseline, 2 months and 12 months from the baseline assessment. A total of 217 children aged 8-12 years participated. Mediation analyses were conducted using PROCESS Macro for SPSS. RESULTS Academic self-concept (Time 2) mediated the relationship between Anxiety (Time 1) and Depression (Time 3) when controlling for children's sex and, age, baseline value of the mediator, anxiety (at Times 2 and 3), and depression (at Times 1 and 2). Children with self-reports of higher anxiety symptoms (Time 1) presented lower Academic self-concept (Time 2). Children who reported lower levels of Academic self-concept and Family self-concept (Time 2) were more likely to develop depressive symptoms (Time 3). CONCLUSIONS Feeling competent in the school environment may be considered a protective factor against the development of depression in childhood. The identification of risk factors facilitates the development and implementation of preventive programs.
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Affiliation(s)
- Alexandra Morales
- Department of Health Psychology, Miguel Hernández University, Alicante, Spain
| | | | - José P Espada
- Department of Health Psychology, Miguel Hernández University, Alicante, Spain
| | - Mireia Orgilés
- Department of Health Psychology, Miguel Hernández University, Alicante, Spain
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15
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Individual differences in self-esteem and social anxiety predict problem smartphone use in adolescents. SCHOOL PSYCHOLOGY INTERNATIONAL 2022. [DOI: 10.1177/01430343221111061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Smartphones have many characteristics that make them attractive to adolescents. Recent work, however, has established a link between smartphone-related problems and self-esteem (self-worth) and social anxiety (fear of social relations). To date, little is known about the characteristics underpinning these relationships in combination. Driven by theory, the present study examined the association between self-esteem, social anxiety, and nomophobia (fear of being without access to a smartphone) and problem smartphone use (PSU) in a sample of early adolescents ( N = 254). Self-esteem (Rosenberg Self Esteem Scale), social anxiety (Social Avoidance and Distress Scale) and their combined contribution (self-esteem × social anxiety) served as predictor variables of nomophobia (Nomophobia Questionnaire) and PSU (Mobile Phone Problem Usage Scale – Adolescent version) in separate moderated regression analyses. We found that lower self-esteem was associated with higher nomophobia and PSU, and that higher self-esteem may be a protective factor in those lower in social anxiety, such that they are not prone to excessive smartphone use. Our findings offer preliminary markers for psychologists addressing the challenges related to excessive smartphone use in this age group.
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Shu Y, Lin W, Yang J, Huang P, Li B, Zhang X. How social support predicts anxiety among university students during COVID-19 control phase: Mediating roles of self-esteem and resilience. ANALYSES OF SOCIAL ISSUES AND PUBLIC POLICY : ASAP 2022; 22:ASAP12314. [PMID: 35936873 PMCID: PMC9347583 DOI: 10.1111/asap.12314] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Revised: 05/10/2022] [Accepted: 05/10/2022] [Indexed: 06/15/2023]
Abstract
Public health emergency, such as COVID-19 pandemic, generally has severe impacts on mental health in public. One of the often-neglected negative consequences is that the control and prevention measures of COVID-19 in the post-epidemic can pose psychological threats to public mental health. This study aimed to seek the factors and mechanisms to alleviate this mental health threat based on a sample of university students in China. Accordingly, this study proposed an environmental-individual interaction model examining the multiple mediating effects of self-esteem and resilience in the association between social support and anxiety among university students during COVID-19 control phase. A questionnaire containing multiple scales were administered on the sample of 2734 Chinese university students. Results indicated that social support negatively predicted anxiety through the serial mediating effects of self-esteem and resilience sequentially. Our results highlight the impact of social support and the internal factors on relieving anxiety among university students in COVID-19 control phase. Findings suggest that effective psychological intervention tools should be designed and offered to college students to reduce anxiety distress and improve mental health in the post-epidemic era or the similar situations in the future.
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Affiliation(s)
- Yacong Shu
- School of PsychologyJiangxi Normal UniversityNanchangChina
| | - Wenzheng Lin
- School of PsychologyJiangxi Normal UniversityNanchangChina
| | - Jia Yang
- School of PsychologyJiangxi Normal UniversityNanchangChina
| | - Pengfei Huang
- School of PsychologyJiangxi Normal UniversityNanchangChina
| | - Biqin Li
- School of PsychologyJiangxi Normal UniversityNanchangChina
| | - Xing Zhang
- School of PsychologyJiangxi Normal UniversityNanchangChina
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The Longitudinal Interplay Between Attention Bias and Interpretation Bias in Social Anxiety in Adolescents. COGNITIVE THERAPY AND RESEARCH 2022. [DOI: 10.1007/s10608-022-10304-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Abstract
Background
Cognitive biases are found to play a role in the onset and maintenance of social anxiety. However, particularly in adolescence, the link between different biases and their role in predicting social anxiety is far from clear. This study therefore investigated the interplay between attention bias and interpretation bias in relation to social anxiety in adolescence across three years.
Methods
816 adolescents in grade 7 to 9 participated at three yearly waves (52.8% boys, Mage grade7 = 12.60). Social anxiety was measured with a self-report questionnaire. Attention bias was measured with a visual search task with emotional faces. Textual vignettes assessed interpretation bias.
Results
Cross-lagged models showed that negative interpretation bias at grade 7 predicted an increase in social anxiety at grade 8. This effect was not found from grade 8 to 9. Attention bias did not predict social anxiety. Attention bias and interpretation bias were not longitudinally related to each other, nor did they interact with each other in predicting social anxiety.
Conclusions
Thus, no evidence was found for the Combined Cognitive Bias Hypothesis in social anxiety in adolescents. Instead, our results suggest that interpretation bias rather than attention bias contributes to the increase of social anxiety over time.
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Langford K, McMullen K, Bridge L, Rai L, Smith P, Rimes KA. A cognitive behavioural intervention for low self-esteem in young people who have experienced stigma, prejudice, or discrimination: An uncontrolled acceptability and feasibility study. Psychol Psychother 2022; 95:34-56. [PMID: 34459089 PMCID: PMC9292341 DOI: 10.1111/papt.12361] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Accepted: 08/05/2021] [Indexed: 12/02/2022]
Abstract
OBJECTIVES Stigma has been found to be associated with lower self-esteem, which increases the risk of difficulties across life domains including vulnerability to mental health problems. There are no previous studies of interventions for people experiencing low self-esteem in the context of different stigmatized characteristics. This study evaluated feasibility, acceptability, and preliminary outcomes of an intervention targeting low self-esteem in stigmatized people aged 16-24 years. DESIGN An uncontrolled study with repeated measures. METHOD People with a range of stigmatized characteristics, who had low self-esteem and associated impaired daily functioning, were recruited from the general population. The individual six-session cognitive behavioural intervention had modules chosen according to participants' formulations. The CBT included compassion-focussed therapy methods and was informed by stigma research. Feasibility was assessed in relation to recruitment, retention, and protocol adherence. Acceptability was assessed through participant feedback. Questionnaires assessing self-esteem, functioning impairments, depression, anxiety, self-criticism, self-compassion, and responses to prejudice and discrimination were administered at baseline, pre-, mid-, post-intervention, and two-month follow-up. RESULTS Forty-four people completed screening; 73% were eligible. Of these, 78% consented and 69% (N = 22) started the intervention. Eighteen (82%) participants completed, and four dropped out. Follow-up measures were completed by all treatment completers. Treatment completers reported the intervention was useful, improved their self-esteem and coping, and would recommend it. Ratings of usefulness and frequency of use of intervention components were high at post-treatment and follow-up. CONCLUSIONS The intervention was feasible and highly acceptable to treatment completers. This suggests the intervention warrants investigation in a randomized-controlled trial. PRACTITIONER POINTS Young people with low self-esteem whom have been negatively affected by stigma may wish to access support and be willing to engage in psychological interventions. Cognitive behavioural therapy may be helpful for young people with low self-esteem who have experienced stigma, prejudice, or discrimination. Cognitive behavioural techniques such as self-compassionate thought records and behavioural experiments were considered acceptable and helpful by young people whose self-esteem has been affected by stigma. Addressing responses to stigma in therapy, such as rumination, avoidance, and perfectionism, appears to be feasible and acceptable.
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Affiliation(s)
- Katie Langford
- Department of PsychologyInstitute of Psychology, Psychology & NeuroscienceKing’s College LondonUK,South London and Maudsley NHS Foundation Trust, Bethlem Royal HospitalBeckenhamUK
| | - Katrina McMullen
- Department of PsychologyInstitute of Psychology, Psychology & NeuroscienceKing’s College LondonUK,South London and Maudsley NHS Foundation Trust, Bethlem Royal HospitalBeckenhamUK
| | - Livia Bridge
- Department of PsychologyInstitute of Psychology, Psychology & NeuroscienceKing’s College LondonUK
| | - Lovedeep Rai
- Department of PsychologyInstitute of Psychology, Psychology & NeuroscienceKing’s College LondonUK,South London and Maudsley NHS Foundation Trust, Bethlem Royal HospitalBeckenhamUK
| | - Patrick Smith
- Department of PsychologyInstitute of Psychology, Psychology & NeuroscienceKing’s College LondonUK,South London and Maudsley NHS Foundation Trust, Bethlem Royal HospitalBeckenhamUK
| | - Katharine A. Rimes
- Department of PsychologyInstitute of Psychology, Psychology & NeuroscienceKing’s College LondonUK,South London and Maudsley NHS Foundation Trust, Bethlem Royal HospitalBeckenhamUK
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The Effectiveness of Transdiagnostic Applications of Competitive Memory Training (COMET) on Low Self-Esteem and Comorbid Depression: A Meta-analysis of Randomized Controlled Trials. COGNITIVE THERAPY AND RESEARCH 2022. [DOI: 10.1007/s10608-021-10286-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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20
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A transdiagnostic model of low self-esteem: pathway analysis in a heterogeneous clinical sample. Behav Cogn Psychother 2021; 50:171-186. [PMID: 34852861 DOI: 10.1017/s1352465821000485] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
BACKGROUND Low self-esteem (LSE) has been associated with several psychiatric disorders, and is presumably influenced by transdiagnostic factors. Our study was based both on investigations of the relationship between depression and LSE (vulnerability, scar, reciprocal models) and on theories of cognitive factors contributing to the development and maintenance of LSE, such as Melanie Fennell's model, the catalyst model and the Self-Regulatory Executive Function model. AIMS Based on the theories above, in our cross-sectional study we aimed at understanding more specifically the transdiagnostic factors that can maintain LSE in a heterogeneous clinical sample. METHOD Six hundred and eleven out-patients were assessed by SCID-I and self-report questionnaires. The model was tested by structural equation modelling. RESULTS Based on the fit indices, the hypothesis model did not fit the data; therefore, a modified transdiagnostic model was emerged. This model made a good fit to the data [χ2 (12, n=611)=76.471, p<.001; RMSEA=.080, CFI=.950, TLI=.913] with a strong explanatory power (adj R2=.636). Severe stressful life events and depressive symptoms lead to LSE indirectly. Self-blame, perfectionism, seeking love and hopelessness have been identified as mediating factors in the relationship between depressive symptoms and LSE. Although there was a significant correlation between state-anxiety and LSE, as well as LSE and rumination, these two factors did not fit into the model. CONCLUSIONS The new transdiagnostic model of LSE has great potential in the treatment of various mental conditions and may serve as a guide to developing more focused and more effective therapeutic interventions.
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Mutepfa MM, Motsamai TB, Wright TC, Tapera R, Kenosi LI. Anxiety and somatization: prevalence and correlates of mental health in older people (60+ years) in Botswana. Aging Ment Health 2021; 25:2320-2329. [PMID: 32969266 DOI: 10.1080/13607863.2020.1822289] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
OBJECTIVE This study explored key factors that influence mental health in older people in Botswana. The prevalence of anxiety and somatization in the elderly population was also calculated. METHODS A cross-sectional study stratified by district was done to collect information on the elderly (N = 378; age: M = 71.8, SD = 9.1). The Patient Health Questionnaire (PHQ) and generalized anxiety disorder (GAD-7) measures were used to collect data on the outcome variables (somatization and anxiety). Bivariate and multivariate analyses were used to investigate the associations among the predictor variables and each of the outcome variables. RESULTS The prevalence of anxiety and somatization in older people was 18.6% and 25.3%. The correlates significantly associated with somatization in the final model after adjusting for all influencing factors were: area of residence (rural) (OR: 2.5, 95% CI: 1.4-5), self-perceived health, non-medication use, self-esteem, and mastery. With regards to anxiety, non-medication use (OR: 0.2, 95% CI: 0-0.9), lack of social support, low self-esteem (OR: 3.6, 95% CI: 1.6 - 9.4), and poor QOL (OR: 0.46, 95% CI: 0.2-0.9) were significantly associated with anxiety. CONCLUSIONS Eradicating poverty, provision of services, promoting positive emotions, changing health perceptions and QOL may augment mental health in older people.
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Affiliation(s)
| | - Tiro Bright Motsamai
- Faculty of Social Sciences, Psychology, University of Botswana, Gaborone, Botswana
| | | | - Roy Tapera
- Environmental Science, University of Botswana, Gaborone, Botswana
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22
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Evren C, Cicekci E, Umut G, Evren B, Durmus Cicek K. The Mediating Effects of Self-Esteem and Harm Avoidance on the Association between Social Anxiety Symptoms and Adult Attention Deficit Hyperactivity Disorder Symptom Severity in Turkish Inpatients with Alcohol Use Disorder. IRANIAN JOURNAL OF PSYCHIATRY 2021; 16:281-289. [PMID: 34616461 PMCID: PMC8452829 DOI: 10.18502/ijps.v16i3.6253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Revised: 01/19/2020] [Accepted: 02/05/2021] [Indexed: 11/24/2022]
Abstract
Objective: The first objective of this research was to examine the association of the symptom severity of social anxiety with the adult attention deficit hyperactivity disorder (ADHD) symptom severity in Turkish patients with alcohol use disorder (AUD). The second objective was to examine if harm avoidance and self-esteem mediated this relationship. Method: This cross-sectional analysis was performed among 151 inpatients with AUD at the Bakirkoy/AMATEM, a treatment center for substance use disorder, in Istanbul. Patients were examined with the Liebowitz Social Anxiety Scale (LSAS), the Adult ADHD Self-Report Scale (ASRS), the Rosenberg Self-Esteem Scale (SES), and the temperament dimension of Harm Avoidance (HA). Using SPSS-20 software, the data was analyzed using Pearson correlations, multivariate analysis of covariance (MANCOVA), and multiple linear regressions. Results: The scales scores were mildly correlated with each other. The low self-esteem and high HA were related with the inattentive (IN) dimension of ADHD, whereas low self-esteem solely predicted hyperactivity/impulsivity (HI) dimension of ADHD in MANCOVA. In the linear regression analysis, the severity of social anxiety, particularly avoidance dimension, was associated with the symptom severity of ADHD. In the second step of the analysis, together with the avoidance dimension of social anxiety, self-esteem was associated with the symptom severity of ADHD. However, in the third step, after including HA as an independent variable in the analysis, the avoidance dimension of social anxiety was no longer associated with the severity of adult ADHD symptoms, whereas self-esteem together with HA (particularly “anticipatory worry and pessimism” [HA-1], and “asthenia and fatigability” [HA-4]) predicted. Conclusion: Findings of the present study shows that although the symptom severity of social anxiety is associated with the severity of ADHD symptoms among inpatients with AUD, among dimensions of social anxiety, the avoidance dimension plays a main role in this relationship. Also, while the self-esteem partially mediates this relationship, HA seems to have a full mediator effect on this relationship.
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Affiliation(s)
- Cuneyt Evren
- Research, Treatment and Training Center for Alcohol and Drug Dependence (AMATEM), Bakirkoy Training and Research Hospital for Psychiatry Neurology and Neurosurgery, Istanbul, Turkey
| | - Elvan Cicekci
- Department of Psychiatry, Kahta State Hospital, Adiyaman, Turkey
| | - Gokhan Umut
- Research, Treatment and Training Center for Alcohol and Drug Dependence (AMATEM), Bakirkoy Training and Research Hospital for Psychiatry Neurology and Neurosurgery, Istanbul, Turkey
| | - Bilge Evren
- Department of Psychiatry, Baltalimani State Hospital for Muskuloskeletal Disorders, Istanbul, Turkey
| | - Kubra Durmus Cicek
- Governorship of Istanbul, Provincial Directorate of Social Studies and Projects, Istanbul, Turkey
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23
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Zou W, Wang H, Xie L. Examining the effects of parental rearing styles on first-year university students’ audience-facing apprehension and exploring self-esteem as the mediator. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-02287-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Legrand FD, Crombez-Bequet N. Physical Exercise and Self-Esteem in Women Facing Lockdown-Related Domestic Violence. JOURNAL OF FAMILY VIOLENCE 2021; 37:1005-1011. [PMID: 34421196 PMCID: PMC8369442 DOI: 10.1007/s10896-021-00308-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 08/10/2021] [Indexed: 06/13/2023]
Abstract
The purpose of the present brief report was to examine the effects of a 6-week long physical exercise program on global self-esteem and physical self-perceptions among women who faced lockdown-related domestic violence. Thirty-six domestic violence victims (mean age: 33.4 ± 3.5 yrs-old) were enrolled in this study. Participants were randomly and equally assigned to two intervention (physical exercise, counseling/support group therapy) and one control (no intervention) groups. The French version of the Physical Self-Perception Profile (ISP-25) was administered to all participants pre- and post-study. Mixed-design ANOVAs revealed significant Group by Time interactions for Global Self-Esteem, Physical Condition, and Body Attractiveness. Global Self-Esteem significantly improved in the two intervention groups, with a trend for better improvement in women who exercised compared to those who took part in support group meetings, Cohen's d = 0.68, 95% confidence interval [‒0.18, 1.54]. On the other hand, only women from the Physical Exercise group reported significant gains in Physical Condition and Body Attractiveness. There was no change in any of the assessed variables for women in the control group. The present study provides new insights on the role of physical exercise in the understudied population of women with domestic violence. Our findings are discussed and related to previous studies.
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Affiliation(s)
- Fabien D. Legrand
- Department of Psychology, EA 6291 “Cognition, Health, and Society”, University of Reims Champagne-Ardenne, 51100 Reims, France
| | - Natacha Crombez-Bequet
- Department of Psychology, EA 6291 “Cognition, Health, and Society”, University of Reims Champagne-Ardenne, 51100 Reims, France
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25
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Seon Y. Self‐esteem as a mediator of parental attachment security and social anxiety. PSYCHOLOGY IN THE SCHOOLS 2021. [DOI: 10.1002/pits.22511] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Youngwoon Seon
- Sixth Grade Wolgok Elementary School Gwangju South Korea
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26
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Levels and Instability of Daily Self-Esteem in Adolescents: Relations to Depressive and Anxious Symptoms. Res Child Adolesc Psychopathol 2021; 49:1083-1095. [PMID: 33675492 DOI: 10.1007/s10802-021-00802-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/28/2021] [Indexed: 10/22/2022]
Abstract
The current study examined whether individual differences in depressive and anxious symptoms relate to level of daily self-esteem and instability of daily self-esteem in adolescence. Participants were a racially and ethnically diverse sample of adolescents (79 girls, 65 boys; M age = 13.53 years). Adolescents reported on their depressive and anxious symptoms during a baseline home visit. Then, adolescents reported on their daily self-esteem over the course of 12 consecutive days. Using hierarchical linear modeling analyses, level of daily self-esteem was negatively associated with depressive but not anxious symptoms. In addition, a positive relation emerged between instability of daily self-esteem and depressive symptoms when controlling for level of self-esteem; a similar relation did not emerge for anxious symptoms. The differential findings that emerged between both level and instability of daily self-esteem and depressive versus anxious symptoms may be linked to differences in the temporal orientation of these two types of internalizing symptoms; specifically, depressive symptoms result from backward-looking rumination over previous experiences, whereas anxious symptoms emerge from forward-looking worry about future events (Wenze et al., 2012).
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Zhang J, Zhou H, Geng F, Song X, Hu Y. Internet Gaming Disorder Increases Mind-Wandering in Young Adults. Front Psychol 2021; 11:619072. [PMID: 33584453 PMCID: PMC7876259 DOI: 10.3389/fpsyg.2020.619072] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2020] [Accepted: 12/14/2020] [Indexed: 11/18/2022] Open
Abstract
As a primary symptom defining Internet gaming disorder (IGD), preoccupation indicates a mind state in which gamers think about a gaming activity so much that other things appear less important and/or interesting to them. Previous studies have examined the negative impacts of IGD on both cognitive and affective functions, yet no study has investigated the influence of IGD on daily mind state changes that interfere with ongoing tasks. The current study hypothesized that more IGD symptoms lead to a higher frequency of mind state shift in terms of mind-wandering. As social anxiety is related to both IGD and mind-wandering, we further hypothesized that social anxiety would partially contribute to the relationship. Survey data were collected from 632 young adults who were divided into two groups based on whether they reported playing games or not. In the player group, the number of IGD symptoms present was positively related to mind-wandering (r = 0.269, p < 0.001) and social anxiety (r = 0.235, p < 0.001), with the latter two showing a positive correlation in both players (r = 0.37, p < 0.001) and non-players (r = 0.57, p < 0.001). A mediation analysis for the players showed a partial mediation effect of social anxiety on the relationship between IGD and mind-wandering (mediation effect: PM = 0.292, p < 0.001), and the model was replicated in an independent sample. This study suggests that excessive gaming behavior may increase mind-wandering and a shift towards such a non-productive mind state could exert long-term detrimental effects in adolescents and young adults.
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Affiliation(s)
- Jiawen Zhang
- Department of Psychology and Behavioral Sciences, Zhejiang University, Hangzhou, China
| | - Hui Zhou
- Department of Psychology and Behavioral Sciences, Zhejiang University, Hangzhou, China
| | - Fengji Geng
- College of Education, Zhejiang University, Hanghzou, China
| | - Xiaolan Song
- College of Teacher Education, Zhejiang Normal University, Jinhua, China
| | - Yuzheng Hu
- Department of Psychology and Behavioral Sciences, Zhejiang University, Hangzhou, China
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28
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Karababa A. Understanding the association between parental attachment and loneliness among adolescents: The mediating role of self-esteem. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-01417-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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Lenton-Brym AP, Santiago VA, Fredborg BK, Antony MM. Associations Between Social Anxiety, Depression, and Use of Mobile Dating Applications. CYBERPSYCHOLOGY, BEHAVIOR AND SOCIAL NETWORKING 2021; 24:86-93. [PMID: 33047973 DOI: 10.1089/cyber.2019.0561] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
This study explores associations between symptoms of social anxiety (SA) and depression with participants' extent of dating app use, self-reported motivations for dating app use, and likelihood of initiating interaction with dating app matches. Three-hundred seventy-four participants completed an online battery of surveys that examined psychopathology and dating app use. SA and depression symptoms were positively associated with participants' extent of dating app use, and symptoms of psychopathology and gender interacted to predict various dating app use motivations. Symptoms of SA and depression predicted lower likelihood of initiating contact with a dating app match among men but not women. This study provides an initial step toward understanding the relationship between SA, depression, and use of dating apps.
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Affiliation(s)
| | | | | | - Martin M Antony
- Department of Psychology, Ryerson University, Toronto, Canada
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30
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Zhang Y, Chen S, Wang C, Zhang X, Zou L, Chi X, Jiao C. Does More Sedentary Time Associate With Higher Risks for Sleep Disorder Among Adolescents? A Pooled Analysis. Front Pediatr 2021; 9:603177. [PMID: 34447725 PMCID: PMC8382689 DOI: 10.3389/fped.2021.603177] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/05/2020] [Accepted: 07/07/2021] [Indexed: 12/02/2022] Open
Abstract
Purpose: To investigate the association between sedentary behavior and anxiety-induced sleep disorder at a global perspective. Methods:A total of 254,924 adolescents (mean age: 14.45 ± 1.42 years; 52.8% girls) who participated in the Global School-Based Student Health Survey were included for analysis. Self-reported questionnaires assessed anxiety-induced sleep disorder and sedentary behavior. Multivariable logistic regression analysis and countrywide meta-analysis were used for investigating the association between sedentary behavior and anxiety-included sleep disorder. Results:The results showed that sedentary time was linearly associated with higher OR of anxiety-related sleep disorder in adolescents across the countries and that 8 h or more per day increased the OR by 2.17 times. Countrywide meta-analysis showed that 8 h or more per day of sedentary behavior yielded an OR = 1.40 (95% CI = 1.34-1.46) of anxiety-induced sleep disorder. Moreover, the association between sedentary behavior and sleep anxiety was significant in adolescents over the age of 11 years regardless of sex. Conclusions:The findings from this study suggest that as sedentary behavior increases, sleep disorders also increase, independently of sex among adolescents. Effective preventive strategies are needed to be taken to decrease sedentary behavior that could be used to improve mental health and sleep quality among adolescents.
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Affiliation(s)
- Yanjie Zhang
- Exercise Psychophysiology Laboratory, Institute of KEEP Collaborative Innovation, School of Psychology, Shenzhen University, Shenzhen, China.,Physical Education Unit, School of Humanities and Social Science, The Chinese University of Hong Kong-Shenzhen, Shenzhen, China
| | - Sitong Chen
- Institute for Health and Sport, Victoria University, Melbourne, VIC, Australia
| | - Chengyao Wang
- School of Psychology, Shenzhen University, Shenzhen, China
| | - Xiaoyi Zhang
- School of Psychology, Shenzhen University, Shenzhen, China
| | - Liye Zou
- Exercise Psychophysiology Laboratory, Institute of KEEP Collaborative Innovation, School of Psychology, Shenzhen University, Shenzhen, China.,School of Psychology, Shenzhen University, Shenzhen, China
| | - Xinli Chi
- Exercise Psychophysiology Laboratory, Institute of KEEP Collaborative Innovation, School of Psychology, Shenzhen University, Shenzhen, China.,School of Psychology, Shenzhen University, Shenzhen, China
| | - Can Jiao
- Exercise Psychophysiology Laboratory, Institute of KEEP Collaborative Innovation, School of Psychology, Shenzhen University, Shenzhen, China.,School of Psychology, Shenzhen University, Shenzhen, China
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Nikolić M. Disturbed Social Information Processing as a Mechanism in the Development of Social Anxiety Disorder. CHILD DEVELOPMENT PERSPECTIVES 2020. [DOI: 10.1111/cdep.12390] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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32
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Khundrakpam B, Choudhury S, Vainik U, Al-Sharif N, Bhutani N, Jeon S, Gold I, Evans A. Distinct influence of parental occupation on cortical thickness and surface area in children and adolescents: Relation to self-esteem. Hum Brain Mapp 2020; 41:5097-5113. [PMID: 33058416 PMCID: PMC7670644 DOI: 10.1002/hbm.25169] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Revised: 07/23/2020] [Accepted: 07/31/2020] [Indexed: 12/13/2022] Open
Abstract
Studies of socioeconomic disparities have largely focused on correlating brain measures with either composite measure of socioeconomic status (SES), or its components-family income or parental education, giving little attention to the component of parental occupation. Emerging evidence suggests that parental occupation may be an important and neglected indicator of childhood and adolescent SES compared to absolute measures of material resources or academic attainment because, while related, it may more precisely capture position in social hierarchy and related health outcomes. On the other hand, although cortical thickness and surface area are brain measures with distinct genetic and developmental origins, large-scale neuroimaging studies investigating regional differences in interaction of the composite measure of SES or its components with cortical thickness and surface area are missing. We set out to fill this gap, focusing specifically on the role of parental occupation on cortical thickness and surface area by analyzing magnetic resonance imaging scans from 704 healthy individuals (age = 3-21 years). We observed spatially distributed patterns of (parental occupation × age2 ) interaction with cortical thickness (localized at the left caudal middle frontal, the left inferior parietal and the right superior parietal) and surface area (localized at the left orbitofrontal cortex), indicating independent sources of variability. Further, with decreased cortical thickness, children from families with lower parental occupation exhibited lower self-esteem. Our findings demonstrate distinct influence of parental occupation on cortical thickness and surface area in children and adolescents, potentially reflecting different neurobiological mechanisms by which parental occupation may impact brain development.
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Affiliation(s)
- Budhachandra Khundrakpam
- Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada.,Ludmer Centre for Neuroinformatics and Mental Health, McGill University, Montreal, Quebec, Canada
| | - Suparna Choudhury
- Division of Social and Transcultural Psychiatry, McGill University, Montreal, Quebec, Canada
| | - Uku Vainik
- Institute of Psychology, Faculty of Social Sciences, University of Tartu, Tartu, Estonia
| | - Noor Al-Sharif
- Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada
| | - Neha Bhutani
- Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada
| | - Seun Jeon
- Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada
| | - Ian Gold
- Division of Social and Transcultural Psychiatry, McGill University, Montreal, Quebec, Canada
| | - Alan Evans
- Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada.,Ludmer Centre for Neuroinformatics and Mental Health, McGill University, Montreal, Quebec, Canada
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van der Cruijsen R, Boyer BE. Explicit and implicit self-esteem in youth with autism spectrum disorders. AUTISM : THE INTERNATIONAL JOURNAL OF RESEARCH AND PRACTICE 2020; 25:349-360. [PMID: 33054401 PMCID: PMC7874369 DOI: 10.1177/1362361320961006] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Although the link between self-esteem and psychopathology has been well established, studies on self-esteem in individuals with autism spectrum disorder are lacking. In this study, we aimed to (1) compare explicit and implicit self-esteem of youth with autism spectrum disorder to typically developing peers and to (2) explore relationships of implicit-, explicit-, and discrepant self-esteem measures with co-occurring internalizing and externalizing problems in youth with autism spectrum disorder. For this purpose, 25 individuals with autism spectrum disorder and 24 individuals as age- and intelligence quotient–matched controls aged 8–16 years participated in this study. Results showed lower explicit self-esteem in autism spectrum disorder compared to typically developing youth and no differences in implicit self-esteem between groups. In youth with autism spectrum disorder, low explicit self-esteem was related to co-occurring depression symptoms, whereas lower implicit self-esteem was related to externalizing symptoms. These results show that youth with autism spectrum disorder are at risk for developing low explicit self-esteem, which appears to be related to often co-occurring internalizing symptoms. This emphasizes the need to focus more on self-esteem in assessment and treatment of youth with autism spectrum disorder.
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Affiliation(s)
| | - Bianca E Boyer
- University of Amsterdam, The Netherlands.,Psychologenpraktijk Kuin, The Netherlands
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Doi S, Isumi A, Fujiwara T. The Association between Parental Involvement Behavior and Self-Esteem among Adolescents Living in Poverty: Results from the K-CHILD Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E6277. [PMID: 32872279 PMCID: PMC7504259 DOI: 10.3390/ijerph17176277] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Revised: 08/19/2020] [Accepted: 08/26/2020] [Indexed: 12/04/2022]
Abstract
It is not yet known why some adolescents living in poverty show high self-esteem, while others do not. Parental involvement may be an important determinant to promote self-esteem among adolescents living in poverty. The aim of this study is to explore better parenting involvement behavior to promote self-esteem among adolescents living in poverty. Participants included fifth-, eighth-, and 11th-grade students living in Koichi prefecture, Japan. The participants were part of the Kochi Child Health Impact of Living Difficulty (K-CHILD) study, in 2016 (n = 10,784). Participants completed a questionnaire with questions about socioeconomic status and 14 parental involvement behaviors, including 9 specific kinds of parental interactions with their child (e.g., talking about school life), and 5 elements related to parental care for their child's physical health (e.g., access to health care). The numbers of parental involvement behaviors, parental interactions with their child, and parental care for their child's physical health were treated as continuous and quartile, to see the association. Overall, the study showed that the larger the number of parental involvement behaviors, the higher the self-esteem score of their off-spring (p < 0.01) among both adolescents living in poverty and not living in poverty, in which interaction between poverty and parental involvement behaviors was not significant. Both parental interaction with their child and parental care for their child's physical health were associated with higher self-esteem, in which parental interaction with their child had a larger effect than parental care for their child's physical health. To empower adolescents in poverty, caregivers need to provide both parental interaction with the child and parental care for the child's physical health.
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Affiliation(s)
- Satomi Doi
- Department of Global Health Promotion, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan; (A.I.); (T.F.)
- Japan Society for the Promotion of Science, Tokyo 102-0083, Japan
| | - Aya Isumi
- Department of Global Health Promotion, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan; (A.I.); (T.F.)
- Japan Society for the Promotion of Science, Tokyo 102-0083, Japan
| | - Takeo Fujiwara
- Department of Global Health Promotion, Tokyo Medical and Dental University (TMDU), Tokyo 113-8510, Japan; (A.I.); (T.F.)
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Cvencek D, Greenwald AG, McLaughlin KA, Meltzoff AN. Early implicit-explicit discrepancies in self-esteem as correlates of childhood depressive symptoms. J Exp Child Psychol 2020; 200:104962. [PMID: 32798935 DOI: 10.1016/j.jecp.2020.104962] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2019] [Revised: 07/13/2020] [Accepted: 07/13/2020] [Indexed: 11/29/2022]
Abstract
This longitudinal study examined early social-cognitive markers that might be associated with the emergence of childhood depression and anxiety. At 5 years of age, 137 children completed an implicit self-esteem measure. At 9 years of age, the same children completed measures of implicit self-esteem, explicit self-esteem, depression, and anxiety. Two novel findings emerged. First, higher implicit self-esteem at age 5 than explicit self-esteem at age 9 (implicit > explicit discrepancy) was associated with depressive symptoms at age 9, but not with symptoms of anxiety. Second, this cross-age implicit > explicit discrepancy was associated with depressive symptoms more strongly than was the same implicit > explicit discrepancy measured concurrently at age 9. The overall pattern suggests that the appearance of depressive symptoms in children is associated with discrepancies between implicit and explicit self-esteem and not just lower levels of implicit self-esteem or lower levels of explicit self-esteem taken alone. It is the direction and discrepancy across time that is particularly informative, such that discrepancies between early implicit representations and later explicit reports of self-worth reflect a developmental pathway associated with elevated risk for depressive symptoms. Taken altogether, this study illustrates the benefits of combining work in developmental, child-clinical, and social psychology to provide a more complete view of the developing child. We believe that combining implicit and explicit measures of self-esteem across developmental time points can be used to examine early markers of depression in children at younger ages than typically possible with explicit measures alone.
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Affiliation(s)
- Dario Cvencek
- Institute for Learning and Brain Sciences, University of Washington, Seattle, WA 98195, USA.
| | | | | | - Andrew N Meltzoff
- Institute for Learning and Brain Sciences, University of Washington, Seattle, WA 98195, USA
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Ngo H, VanderLaan DP, Aitken M. Self-esteem, symptom severity, and treatment response in adolescents with internalizing problems. J Affect Disord 2020; 273:183-191. [PMID: 32421601 DOI: 10.1016/j.jad.2020.04.045] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2019] [Revised: 01/25/2020] [Accepted: 04/26/2020] [Indexed: 10/24/2022]
Abstract
BACKGROUND Adolescents with low self-esteem often experience internalizing psychopathology (i.e., anxiety, depression). Self-esteem may therefore be a clinically relevant construct for assessment and treatment outcomes. We examined whether general and domain-specific (family, peer, academic) self-esteem are related to adolescents' internalizing symptom severity and response to cognitive behavioural therapy (CBT). METHOD Participants were 89 adolescents ages 14 to 18 years (M = 16.3, 70% females) from an outpatient clinic who were referred for CBT. Adolescents completed measures of self-esteem at baseline and measures of internalizing symptoms at baseline and at the end of a manualized group CBT intervention. RESULTS Lower peer and family self-esteem, but not academic self-esteem, were associated with more internalizing symptoms at baseline, after controlling for general self-esteem. However, only higher general self-esteem, and not any of the specific self-esteem domains, predicted lower internalizing symptoms at posttreatment. Follow-up analyses revealed differential associations between family and peer self-esteem domains and anxious and depressive symptoms. LIMITATIONS Only self-report measures were used. The relatively small sample size may have limited power to detect small effects. CONCLUSIONS Self-esteem in domains regarding family and peer relationships may be important in the evaluation of adolescents with internalizing problems. Adolescents with low general self-esteem may benefit less from CBT than other adolescents. Addressing negative self-perceptions may be necessary to reduce internalizing symptoms for adolescents with low self-esteem.
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Affiliation(s)
- Hazel Ngo
- Department of Applied Psychology & Human Development, Ontario Institute for Studies in Education, University of Toronto, Toronto, ON, Canada
| | - Douglas P VanderLaan
- Department of Psychology, University of Toronto Mississauga, Toronto, ON, Canada; Department of Psychiatry, University of Toronto, Toronto, ON, Canada
| | - Madison Aitken
- Department of Psychiatry, University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health, 80 Workman Way, Toronto, ON M6J 1H4, Canada.
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37
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Orth U, Clark DA, Donnellan MB, Robins RW. Testing prospective effects in longitudinal research: Comparing seven competing cross-lagged models. J Pers Soc Psychol 2020; 120:1013-1034. [PMID: 32730068 DOI: 10.1037/pspp0000358] [Citation(s) in RCA: 204] [Impact Index Per Article: 51.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
In virtually all areas of psychology, the question of whether a particular construct has a prospective effect on another is of fundamental importance. For decades, the cross-lagged panel model (CLPM) has been the model of choice for addressing this question. However, CLPMs have recently been critiqued, and numerous alternative models have been proposed. Using the association between low self-esteem and depression as a case study, we examined the behavior of seven competing longitudinal models in 10 samples, each with at least four waves of data and sample sizes ranging from 326 to 8,259. The models were compared in terms of convergence, fit statistics, and consistency of parameter estimates. The traditional CLPM and the random intercepts cross-lagged panel model (RI-CLPM) converged in every sample, whereas the other models frequently failed to converge or did not converge properly. The RI-CLPM exhibited better model fit than the CLPM, whereas the CLPM produced more consistent cross-lagged effects (both across and within samples) than the RI-CLPM. We discuss the models from a conceptual perspective, emphasizing that the models test conceptually distinct psychological and developmental processes, and we address the implications of the empirical findings with regard to model selection. Moreover, we provide practical recommendations for researchers interested in testing prospective associations between constructs and suggest using the CLPM when focused on between-person effects and the RI-CLPM when focused on within-person effects. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Fujiwara T, Doi S, Isumi A, Ochi M. Association of Existence of Third Places and Role Model on Suicide Risk Among Adolescent in Japan: Results From A-CHILD Study. Front Psychiatry 2020; 11:529818. [PMID: 33192648 PMCID: PMC7644899 DOI: 10.3389/fpsyt.2020.529818] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2020] [Accepted: 09/28/2020] [Indexed: 11/13/2022] Open
Abstract
Objective: Low self-esteem among adolescents can be considered a risk factor for suicidal behavior in adolescents. Thus, the purpose of this study is to investigate the association between the existence of a third place and role model on self-esteem among adolescents in Japan, where low self-esteem is prevalent among adolescents. Methods: We analyzed data from the 2016 Adachi Child Health Impact of Living Difficulty (A-CHILD) study, in which a school-based questionnaire was conducted among children in grades 4, 6, and 8 living in Adachi City, Tokyo (N = 1,609). Children self-rated their own levels of self-esteem. Low self-esteem was defined as lower 10 percentile group. The existence of a third place was defined as a place where children spent time after school other than the home or school campus, and role model was defined as having someone, other than a parent, who they looked up to, and these concepts were assessed via questionnaire. Results: Adolescents without a third place and role model accounted for 10.5 and 6.1%, respectively. We found that children who lacked a third place also showed a significant association with low self-esteem (OR: 1.75, 95% confidence interval (CI): 1.09-2.81), and those who lacked a role model were 3.34 times more likely to have lower self-esteem (95% CI: 1.98-5.62). Conclusion: The existence of a third place and a role model may be important to prevent low self-esteem among adolescents in Japan.
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Affiliation(s)
- Takeo Fujiwara
- Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan
| | - Satomi Doi
- Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan.,Japan Society for the Promotion of Science, Tokyo, Japan
| | - Aya Isumi
- Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan.,Japan Society for the Promotion of Science, Tokyo, Japan
| | - Manami Ochi
- Department of Health and Welfare Services, National Institute of Public Health, Saitama, Japan.,Department of Social Medicine, National Research Institute for Child Health and Development, Tokyo, Japan
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39
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Mo PKH, Xin M, Lau JTF. Testing the vulnerability and scar model of the relationship between self-concept, social support and anxiety symptoms among children of HIV-infected parents in China: A 3-year longitudinal study. J Affect Disord 2019; 259:441-450. [PMID: 31611002 DOI: 10.1016/j.jad.2019.08.036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/29/2018] [Revised: 06/18/2019] [Accepted: 08/17/2019] [Indexed: 11/20/2022]
Abstract
BACKGROUND Mental illness is a great concern among children of HIV-infected parents (COHIP), who are at their crucial stage of psychosocial development. It has been shown that self-concept (SC) and social support (SS) are important correlates of anxiety symptoms (AS), however, nature of the causality remained unclear. METHODS A 3-year longitudinal study was conducted in rural Central China, where many people were infected with HIV through unhygienic blood donation. A total of 195 COHIP (mean age: 12.6 years, 49.2% male) completed the baseline assessment and were followed for three years. Cross-lagged structural equation modeling analyses were used to test competing theoretical models: vulnerability model (low SC/SS contributes to AS), scar model (AS erodes SC/SS) and reciprocity model (low SC/SS and AS predict each other). RESULTS At each wave, 104 (53.3%) and 67 (41.6%) participants presented with anxiety disorders respectively. Nested-model comparison supported the superiority of scar models wherein AS significantly predicted subsequent low SC (β=-0.24, p=0.013) and SS (β=-0.31, p= 0.033), controlling for synchronous and autoregressive effects of all measures. The most parsimonious multivariate model that included significant relations was finally identified with a good model fit. LIMITATIONS Findings might be subject to reporting bias; and could not inform the temporal relationship between SC and SS. CONCLUSION Prevalence of anxiety was high among Chinese COHIP. The present study provides empirical evidence for scarring effects of AS; thus, highlighted the importance of identifying and treating COHIP's anxiety to mitigate long-term negative impacts on their psychosocial development.
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Affiliation(s)
- Phoenix K H Mo
- School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China; The Chinese University of Hong Kong Shenzhen Research Institute, Shenzhen, China
| | - Meiqi Xin
- School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China; The Chinese University of Hong Kong Shenzhen Research Institute, Shenzhen, China
| | - Joseph T F Lau
- School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China; The Chinese University of Hong Kong Shenzhen Research Institute, Shenzhen, China.
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40
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Fredrick JW, Parsons EM, Sarfan LD, Dreyer-Oren S, Luebbe AM. Examining the Relation Between Adolescent Social Anxiety and Positive Affect Regulation: Self-Report vs. Observation. Child Psychiatry Hum Dev 2019; 50:764-775. [PMID: 30835018 DOI: 10.1007/s10578-019-00881-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Social anxiety symptomatology is associated with disruptions in positive affect, though no study has examined deficits in responses to positive affect related to adolescent social anxiety symptoms. The present study tested whether adolescents' self-reported and observed social anxiety symptoms were uniquely associated with specific responses to positive affect. Moreover, we examined whether adolescent gender moderated these relations. Ninety adolescents (ages 11 to 18, Mage = 14.26, SD = 2.03; girls = 62%; white = 79%) completed self-report measures, participated in a social stressor task, and engaged in two positively-valenced interaction tasks with their female caregivers. Adolescent self-reported social anxiety symptoms were not uniquely associated with responses to positive affect. However, observed social anxiety symptoms were uniquely related to greater self-reported inhibiting positive affect responses and fewer observed positive affect maximizing behaviors. These findings highlight the need to examine self-reported and observed social anxiety symptoms in understanding associated disruptions in positive affect regulation.
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Affiliation(s)
- Joseph W Fredrick
- Department of Psychology, Miami University, 90 N. Patterson Avenue, Oxford, OH, 45056, USA.
| | - E Marie Parsons
- Department of Psychology, Miami University, 90 N. Patterson Avenue, Oxford, OH, 45056, USA
| | - Laurel D Sarfan
- Department of Psychology, Miami University, 90 N. Patterson Avenue, Oxford, OH, 45056, USA
| | - Sarah Dreyer-Oren
- Department of Psychology, Miami University, 90 N. Patterson Avenue, Oxford, OH, 45056, USA
| | - Aaron M Luebbe
- Department of Psychology, Miami University, 90 N. Patterson Avenue, Oxford, OH, 45056, USA
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41
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Sa B, Ojeh N, Majumder MAA, Nunes P, Williams S, Rao SR, Youssef FF. The Relationship Between Self-Esteem, Emotional Intelligence, and Empathy Among Students From Six Health Professional Programs. TEACHING AND LEARNING IN MEDICINE 2019; 31:536-543. [PMID: 31075996 DOI: 10.1080/10401334.2019.1607741] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Theory: Psychosocial skills such as communication, empathy, and emotional intelligence are now considered key attributes of health professionals. Self-esteem is another important construct that is less well studied. Self-esteem is important because low levels have been linked to depression, suicide, and eating disorders. Given that health professional students experience high levels of stress and are at increased risk for similar psychopathology, self-esteem may be an important variable in student well-being and performance after graduation. Hypotheses: This study sought to explore self-esteem during students' 1st year of training hypothesizing that several would demonstrate low self-esteem. It is also hypothesized that emotional intelligence and empathy would be associated with self-esteem. Method: A cross-sectional survey was conducted, and data were gathered from dental, medical, nursing, optometry, pharmacy and veterinary students. Self-report questionnaires assessing self-esteem, emotional intelligence, and empathy were completed and demographic information was collected. Scores were calculated and differences between groups analyzed with analysis of variance and chi-square testing. Pearson's correlation was used to assess associations between the constructs. Results: The mean self-esteem score was 26.2 ± 2.3 but 21% of the sample evidenced low self-esteem. There was no difference in the proportion of students demonstrating low self-esteem among programs. Gender did not have a significant effect on self-esteem scores, though ethnicity did. Emotional intelligence scores were higher among male individuals than among female. Emotional intelligence and empathy showed a small association with self-esteem. Conclusions: A significant proportion of health professional students suffer from low self-esteem during their 1st year of study. Such students may be more susceptible to the stresses associated with study and the development of psychopathology. More research needs to be conducted to explore the relationships between self-esteem, emotional intelligence, and empathy with a view to strengthening training in these areas and managing the challenges faced by health professional students.
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Affiliation(s)
- Bidyadhar Sa
- Centre for Medical Sciences Education, University of the West Indies, St. Augustine, Trinidad and Tobago
| | - Nkemcho Ojeh
- Faculty of Medical Sciences, University of the West Indies, Cave Hill, Barbados, West Indies
| | | | - Paula Nunes
- Department of Paraclinical Sciences, The University of the West Indies, St. Augustine, Trinidad and Tobago, West Indies
| | - Stella Williams
- Centre for Medical Sciences Education, University of the West Indies, St. Augustine, Trinidad and Tobago
| | - Suresh Rangoji Rao
- Department of Preclinical Sciences, The Faculty of Medical Sciences, The University of the West Indies, St. Augustine, Trinidad and Tobago
| | - Farid F Youssef
- Department of Preclinical Sciences, The Faculty of Medical Sciences, The University of the West Indies, St. Augustine, Trinidad and Tobago
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Gao F, Yao Y, Yao C, Xiong Y, Ma H, Liu H. The mediating role of resilience and self-esteem between negative life events and positive social adjustment among left-behind adolescents in China: a cross-sectional study. BMC Psychiatry 2019; 19:239. [PMID: 31370895 PMCID: PMC6676624 DOI: 10.1186/s12888-019-2219-z] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2018] [Accepted: 07/24/2019] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND In China, adolescents are frequently left behind by their parents. A great deal of scientific evidence demonstrates considerable psychological and social impacts that negative life events may have on adolescents who are left behind. While a direct relationship between negative life events and psychological and social effects has been observed, indirect effects have yet to be examined. Therefore, the objective of this study was to determine the association between negative life events and positive social adjustment and how resilience and self-esteem mediate this association. METHODS A cross-sectional study was carried out in the provinces of Shandong, Henan, and Sichuan in China. A questionnaire was distributed to 4716 left-behind adolescents in ten middle/high schools. We performed Bayesian estimations in structural equation modeling using the Markov Chain Monte Carlo algorithm to test our hypotheses. RESULTS Negative life events were significantly related to resilience (rs = - 0.402), self-esteem (rs = - 0.292), and positive social adjustment (rs = - 0.239). Positive social adjustment was directly affected by resilience (β = 0.639) and self-esteem (β = 0.448). Negative life events were not only directly related to positive social adjustment (β = - 0.187, 95% credible interval: - 0.233 ~ - 0.139), but also showed an indirect effect on positive social adjustment (β = - 0.541, 95% credible interval: - 0.583 ~ - 0.501) through resilience (β = - 0.370) and self-esteem (β = - 0.171). The total effect of negative life events on positive social adjustment was - 0.728, where 74.31% was mediated by resilience and self-esteem. The indirect effect of negative life events on positive social adjustment through resilience and self-esteem was 2.893 times more than the direct effect. CONCLUSIONS Resilience and self-esteem mediated most of the effect of negative life events on positive social adjustment. Interventions should be developed to improve the social adjustment of adolescents who are left behind, particularly the enhancement of resilience and self-esteem.
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Affiliation(s)
- Feifei Gao
- Department of Health Statistics, School of Public Health, Jinzhou Medical University, Jinzhou, 121000, Liaoning Province, People's Republic of China. .,Department of Health Statistics, School of Public Health, China Medical University, Shenyang, 110122, Liaoning Province, People's Republic of China.
| | - Yuan Yao
- 0000 0001 0455 0905grid.410645.2Medical College, Qingdao University, Qingdao, 266021 Shandong Province People’s Republic of China
| | - Chengwen Yao
- Middle School of Ying-Li Town, Heze, 274927 Shandong Province People’s Republic of China
| | - Yan Xiong
- Hospital of Xi-He Town, Longquanyi district, Chengdu, 610107 Sichuan Province People’s Republic of China
| | - Honglin Ma
- 0000 0000 9860 0426grid.454145.5Department of Health Statistics, School of Public Health, Jinzhou Medical University, Jinzhou, 121000 Liaoning Province People’s Republic of China
| | - Hongbo Liu
- Department of Health Statistics, School of Public Health, China Medical University, Shenyang, 110122, Liaoning Province, People's Republic of China.
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Doi S, Fujiwara T, Isumi A, Ochi M. Pathway of the Association Between Child Poverty and Low Self-Esteem: Results From a Population-Based Study of Adolescents in Japan. Front Psychol 2019; 10:937. [PMID: 31133920 PMCID: PMC6511812 DOI: 10.3389/fpsyg.2019.00937] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2018] [Accepted: 04/08/2019] [Indexed: 12/26/2022] Open
Abstract
Child poverty leads to various negative consequences, including low self-esteem, which is a risk factor for mental illness, suicide, or poor academic achievement. However, little is known about why child poverty leads to low self-esteem. We aimed to elucidate the association of child poverty and low self-esteem based on the ecological model, which includes family-level, school-level, and community-level factors. Data were obtained from the Adachi Child Health Impact of Living Difficulty (A-CHILD) study in 2016, and participants included 1,652 children in fourth grade (534 pairs), sixth grade (530 pairs), and eighth grade (588 pairs) living in Adachi City, Tokyo, Japan. A questionnaire survey was implemented to assess child poverty, parental mental health, parental involvement with children, parental social capital by caregivers, and self-esteem and school social capital by children. The structural equation model was applied to elucidate the association between child poverty and low self-esteem, using family-level (parental mental health and parental involvement with children), school-level (school social capital), and community-level (parental social capital) factors. Child poverty was associated with low self-esteem. Child poverty leads to poor parental involvement, which can be indirectly associated with poor parental mental health and poor parental social capital, and poor parental involvement was directly or indirectly associated with low self-esteem through poor school social capital. To mitigate the impact of child poverty on low self-esteem, comprehensive health policies targeting family-level (parental mental health and parental involvement with children), school-level (school social capital), and community-level (parental social capital) factors may be effective.
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Affiliation(s)
- Satomi Doi
- Department of Global Health Promotion, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - Takeo Fujiwara
- Department of Global Health Promotion, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - Aya Isumi
- Department of Global Health Promotion, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - Manami Ochi
- Department of Health and Welfare Services, National Institute of Public Health, Saitama, Japan
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Gómez-Ortiz O, Romera EM, Jiménez-Castillejo R, Ortega-Ruiz R, García-López LJ. Parenting practices and adolescent social anxiety: A direct or indirect relationship? Int J Clin Health Psychol 2019; 19:124-133. [PMID: 31193117 PMCID: PMC6517642 DOI: 10.1016/j.ijchp.2019.04.001] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2019] [Accepted: 04/15/2019] [Indexed: 02/07/2023] Open
Abstract
According to existing evidence, parental educational practices and social anxiety are to some degree connected. However, the possibility that this relationship is an indirect one and is mediated by individual factors such as self-esteem or emotional regulation has not yet been explored. The aim of this study was therefore to explore the relationship between maternal and paternal educational practices and social anxiety, and test both the direct and the indirect pathways. METHOD The representative sample consisted of 2,060 Andalusian students (47.7% girls, M age = 14.34) who filled in various self-reports. RESULTS The structural equation models confirmed that a direct relationship, with a low effect size, exists between parental educational practices and social anxiety and that there is also an indirect relationship, mediated by negative self-esteem and emotional suppression (the emotional regulation strategy), which accounted here for 49.1% of the variance in social anxiety. CONCLUSIONS Parental education practices seem to act as a family asset which either promotes or hinders the development of basic attitudes and competencies such as self-esteem or emotional regulation and, by doing this, either encourages or prevents the emergence of problems such as social anxiety.
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Gilboa‐Schechtman E, Keshet H, Peschard V, Azoulay R. Self and identity in social anxiety disorder. J Pers 2019; 88:106-121. [DOI: 10.1111/jopy.12455] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2018] [Revised: 12/26/2018] [Accepted: 01/14/2019] [Indexed: 12/26/2022]
Affiliation(s)
- Eva Gilboa‐Schechtman
- Department of Psychology and the Gonda Brain Science Center Bar‐Ilan University Ramat‐Gan Israel
| | - Hadar Keshet
- Department of Psychology and the Gonda Brain Science Center Bar‐Ilan University Ramat‐Gan Israel
| | - Virginie Peschard
- Department of Psychology and the Gonda Brain Science Center Bar‐Ilan University Ramat‐Gan Israel
| | - Roy Azoulay
- Department of Psychology and the Gonda Brain Science Center Bar‐Ilan University Ramat‐Gan Israel
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Chen J, Zheng K, Xia W, Wang Q, Liao Z, Zheng Y. Does Inside Equal Outside? Relations Between Older Adults' Implicit and Explicit Aging Attitudes and Self-Esteem. Front Psychol 2018; 9:2313. [PMID: 30546332 PMCID: PMC6280639 DOI: 10.3389/fpsyg.2018.02313] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2017] [Accepted: 11/05/2018] [Indexed: 11/29/2022] Open
Abstract
Attitudes toward one's own aging and self-esteem are crucial variables in predicting older adults' physical and mental health and can significantly affect their will to live, cognitive judgement and acceptance of medical treatment. However, little is known about the relation between the implicit attitude toward one's own aging and implicit self-esteem. This research explored consistencies between implicit and explicit attitudes toward one's own aging and between implicit and explicit self-esteem and explored their relations in 70 older adults aged 60–91 years old using the word and picture versions of the Implicit Association Test and standardized scales. The results showed that (a) the explicit and implicit attitudes toward one's own aging represented independent structures, and the implicit and explicit self-esteem also represented independent structures; (b) subjects generally showed positive explicit attitudes toward their own aging and negative implicit attitudes toward their own aging while also showing high explicit self-esteem and relatively low implicit self-esteem; (c) subjects' implicit attitudes toward their own aging and implicit self-esteem were positively correlated, and explicit attitudes toward their own aging and explicit self-esteem were also positively correlated. The more positive the subjects' explicit attitudes toward their own aging, the higher their explicit self-esteem levels were. The more negative their implicit attitudes toward their own aging, the higher their implicit self-esteem levels were. We concluded that older adults' explicit and implicit attitudes toward their own aging and self-esteem are independent structures; older adults' explicit and implicit attitudes toward their own aging have predictive effects on their explicit and implicit self-esteem in different directions, respectively.
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Affiliation(s)
- Jing Chen
- Research Center of Psychological Development and Application, Sichuan Normal University, Chengdu, China.,School of Teacher Education and Psychology, Sichuan Normal University, Chengdu, China
| | - Kangjia Zheng
- School of Teacher Education and Psychology, Sichuan Normal University, Chengdu, China
| | - Weihai Xia
- Research Center of Psychological Development and Application, Sichuan Normal University, Chengdu, China
| | - Qi Wang
- School of Teacher Education and Psychology, Sichuan Normal University, Chengdu, China
| | - Zongqing Liao
- School of Teacher Education and Psychology, Sichuan Normal University, Chengdu, China
| | - Yutong Zheng
- School of Teacher Education and Psychology, Sichuan Normal University, Chengdu, China
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van Tuijl LA, Verwoerd JRL, de Jong PJ. Influence of sad mood induction on implicit self-esteem and its relationship with symptoms of depression and anxiety. J Behav Ther Exp Psychiatry 2018; 60:104-110. [PMID: 29458968 DOI: 10.1016/j.jbtep.2018.02.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2017] [Revised: 12/21/2017] [Accepted: 02/12/2018] [Indexed: 11/29/2022]
Abstract
BACKGROUND AND OBJECTIVES Implicit self-esteem (ISE) refers to the valence of triggered associations when the self is activated. Despite theories, previous studies often fail to observe low ISE in depression and anxiety. It is feasible that sad mood is required to activate dysfunctional self-associations. The present study tested the following hypotheses: i) ISE is lower following a sad mood induction (SMI); ii) the relationship between ISE and level of depression/anxiety symptoms is relatively strong when ISE is measured during sad mood; iii) individuals with higher levels of depression/anxiety symptoms will show a relatively large decrease in ISE following a SMI. METHODS In this mixed-designed study, university students completed the self-esteem implicit association test (IAT) either at baseline (control condition; n = 46) or following a SMI (experimental condition; n = 49). To test the third hypothesis, a SMI and IAT were also given in the control condition. Both conditions completed self-report measures of explicit self-esteem (ESE), and symptoms of depression and anxiety. RESULTS There was no support for the first two hypotheses, but some support that symptoms of anxiety correlated with larger decreases in ISE following a SMI which partly supported the third hypothesis. This disappeared when controlling for multiple testing. LIMITATIONS Results are limited to non-clinical participants. CONCLUSIONS While ISE was robust against increases in sad mood, there was some tentative support that symptoms of anxiety were related to larger decreases in ISE following a SMI.
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Affiliation(s)
- Lonneke A van Tuijl
- Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, The Netherlands; Institute of Psychology, Psychiatry & Neuroscience, King's College London, United Kingdom.
| | - Johan R L Verwoerd
- Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, The Netherlands.
| | - Peter J de Jong
- Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, The Netherlands.
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Vancampfort D, Stubbs B, Firth J, Van Damme T, Koyanagi A. Sedentary behavior and depressive symptoms among 67,077 adolescents aged 12-15 years from 30 low- and middle-income countries. Int J Behav Nutr Phys Act 2018; 15:73. [PMID: 30089487 PMCID: PMC6083627 DOI: 10.1186/s12966-018-0708-y] [Citation(s) in RCA: 84] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2018] [Accepted: 07/26/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Depression is common and burdensome in adolescents. Understanding modifiable environmental risk factors is essential. There is evidence that physical activity is protective of depression. However, the impact of sedentary behavior (SB) on depression is relatively under-researched especially in low- and middle-income countries (LMICs). In this cross-sectional study, we explored the association between SB and depressive symptoms in adolescents from 30 LMICs, controlling for confounders including physical activity. METHOD Data from the Global school-based Student Health Survey were analyzed in 67,077 adolescents [mean (SD) age 13.8 (0.9) years; 50.6% girls). Self-report measures assessed depressive symptoms during the past 12 months, and SB, which was a composite variable assessing time spent sitting and watching television, playing computer games, talking with friends during a typical day excluding the hours spent sitting at school and doing homework. Multivariable logistic regression analysis was conducted and a countrywide meta-analysis undertaken. RESULTS The prevalence of depressive symptoms and ≥ 3 h/day of SB were 28.7 and 30.6%, respectively. There was a linear increase in the prevalence of depressive symptoms with increasing sedentary time beyond ≥3 h/day (vs. < 1 h/day). Among boys, 1-2 h/day of SB was associated with lower odds for depression (vs. < 1 h/day). Countrywide meta-analysis demonstrated that spending ≥3 h/day versus < 3 h/day was associated with a 20% increased odds for depressive symptoms (OR = 1.20; 95% CI = 1.16-1.24) with low between-country heterogeneity (I2 = 27.6%). CONCLUSION Our data indicate that being sedentary for ≥3 h/day is associated with increased odds for depressive symptoms in adolescence. Future longitudinal data are required to confirm/refute the findings to inform public interventions which aim to limit the time spent being sedentary in adolescents.
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Affiliation(s)
- Davy Vancampfort
- KU Leuven Department of Rehabilitation Sciences, Tervuursevest 101, 3001 Leuven, Belgium
- KU Leuven, University Psychiatric Center KU Leuven, Leuvensesteenweg 517, 3070 Kortenberg, Belgium
| | - Brendon Stubbs
- Physiotherapy Department, South London and Maudsley NHS Foundation Trust, Denmark Hill, London, SE5 8AZ UK
- Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, De Crespigny Park, London, Box SE5 8AF UK
| | - Joseph Firth
- NICM Health Research Institute, School of Science and Health, University of Western Sydney, Sydney, Australia
- Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK
- Centre for Youth Mental Health, University of Melbourne, Melbourne, Australia
| | - Tine Van Damme
- KU Leuven Department of Rehabilitation Sciences, Tervuursevest 101, 3001 Leuven, Belgium
| | - Ai Koyanagi
- Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, 0883 Barcelona, Spain
- Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Monforte de Lemos 3-5 Pabellón 11, 28029 Madrid, Spain
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Guo L, Tian L, Scott Huebner E. Family dysfunction and anxiety in adolescents: A moderated mediation model of self-esteem and perceived school stress. J Sch Psychol 2018; 69:16-27. [PMID: 30558751 DOI: 10.1016/j.jsp.2018.04.002] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2017] [Revised: 01/10/2018] [Accepted: 04/11/2018] [Indexed: 11/29/2022]
Abstract
This 18-month longitudinal study examined a moderated mediation model addressing the psychosocial mechanisms that account for the association between family dysfunction and anxiety. A sample of 847 Chinese early adolescents (M age = 12.96 years, SD = 0.67) completed questionnaires assessing family dysfunction, self-esteem, perceived school stress, and anxiety on three occasions at 6-month intervals. After gender and socioeconomic status were included as covariates, the results revealed that family dysfunction was significantly associated with adolescents' anxiety. Moreover, self-esteem partially mediated the relation between family dysfunction and anxiety, and perceived school stress moderated the mediation process in the family dysfunction to anxiety path and in the self-esteem to anxiety path. The findings suggested that both social contextual factors (e.g., family dysfunction and school stress) and self-system factors (e.g., low self-esteem) are risk factors for increased anxiety levels in adolescents. Limitations and practical applications of the study were discussed.
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Affiliation(s)
- Leilei Guo
- School of Psychology, South China Normal University, Guangzhou 510631, People's Republic of China; Center for Studies of Psychological Application, South China Normal University, Guangzhou 510631, People's Republic of China; Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou 510631, People's Republic of China
| | - Lili Tian
- School of Psychology, South China Normal University, Guangzhou 510631, People's Republic of China; Center for Studies of Psychological Application, South China Normal University, Guangzhou 510631, People's Republic of China; Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou 510631, People's Republic of China.
| | - E Scott Huebner
- Department of Psychology, University of South Carolina, Columbia, SC, USA
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Self-concept, Social Skills, and Resilience as Moderators of the Relationship Between Stress and Childhood Depression. SCHOOL MENTAL HEALTH 2018. [DOI: 10.1007/s12310-018-9268-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
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