Vulnerable self-esteem and depressive symptoms: Prospective findings comparing three alternative conceptualizations

The Role of Anger Expression in Unmet Expectations and Depressive Symptoms

Background and Objectives. Depression is associated with unmet relational expectations, but little is known about how both partners experience meeting expectations and how this relates to anger expression and depressive symptoms. The aim of study 1 was to explore the role of anger expression in explaining the link between relational expectations and depression using the actor-partner interdependence mediation model. Additionally, social expectations beyond romantic relationships are associated with societal demands. Study 2 is aimed at investigating the role of anger expression in the relationship between internalized social demands (i.e., outer self-awareness) and depressive symptoms. Design and Methods. Online self-report data were collected from N = 194 romantic partners (97 dyads) in study 1 and N = 407 individuals in study 2. Results. In study 1, unmet expectations were associated with both actor and partner effects on depressive symptoms and anger expression. In particular, inwardly directed anger was linked to depressive symptoms in the case of the individual experiencing unmet expectations, whereas outwardly directed anger predicted such symptoms in the case of the partner's unmet expectations. In study 2, there was a positive association between outer self-awareness and directing anger inwards and outwards, which was linked to higher depressive symptoms. Furthermore, while directing anger inwards seemed to be a universal mechanism underlying the association, the interpersonal mechanism (i.e., directing anger outwards) was found to be dependent on gender.

Associations Between Academic Stress, Mental Distress, Academic Self-Disclosure to Parents and School Engagement in Hong Kong

Numerous studies have indicated that academic stress is associated with various detrimental personal physical and emotional outcomes; however, relatively few studies have explored how academic stress affects adolescents' interactions with their significant others in families and schools, which are two important social systems for school-age adolescents. In addition, there are also few studies examining how academic stress influences adolescents' self-disclosure to parents and school engagement in East Asian districts particularly in Hong Kong, where the level of academic stress among adolescents is high. This study examines how academic stress affects mental distress, academic self-disclosure to parents and school engagement and explores gender differences in the risk for the outcomes of academic stress. One thousand and eight hundred and four students from eight secondary schools in Hong Kong participated in this study. The results indicate that academic stress has a significant association with all three outcomes, but the correlation with school engagement is positive, which is contrary to the findings of most previous studies. The possible reasons for such positive association are discussed. In addition, the model can be applied to both genders, but females are more susceptible to the detrimental outcomes of academic stress by suffering a higher level of mental distress. This study suggests that academic stress should be an important entry point to tackle adolescents' mental distress while interventions should be targeted at females who are experiencing a higher level of mental distress. In addition, in view of the significant associations between academic stress and self-disclosure to parents, as well as between academic stress and school engagement, suggestions are provided to families and schools on how to proactively provide support to those students who are experiencing academic stress.

Does Giving and Receiving Helping Behavior Fit Matter? The Role of Neighboring Behavior Fit in Working Residents' Mental Health

Ecological systems theory suggests that for individuals, the three domains of community, family, and work are connected and transfer resources among each other. In the community, residents receive and give helping behavior from and to their neighbors. Neighboring behavior underlies interactions among residents in the community, thereby influencing the work and family domains. Building on ecological systems theory, the authors propose that the compatibility of receiving and giving helping behavior among working residents is related to their mental health. Additionally, the authors propose that this congruence effect functions through work-family interference and meaning in life. Using a two-stage field questionnaire survey, this study collected data from 220 full-time Chinese working residents. Using polynomial regression and response surface analysis, receiving-giving neighboring behavior fit was found to be positively associated with mental health. Furthermore, receiving-giving neighboring behavior fit enhances mental health by decreasing work-family interference and promoting meaning in life. When giving and receiving neighboring behavior are imbalanced, working residents have higher levels of mental health when they received more neighboring behavior than they gave, in comparison to the condition when they gave more neighboring behavior than they received. Work-family interference represents inter-role conflict in which pressures from the family and work domains are mutually incompatible. Including both work to family interference and family to work interference, work-family interferences reflect the stress that working residents experience in their family and work domains. By exploring the mediating role of work-family interference, this study shows how the spillover of the benefits of neighboring behavior into the family and work domains enhances working residents' mental health. This study highlights the importance of balancing receiving and giving neighboring behavior for maintaining mental health, thus contributing both theoretically and practically to ecological systems theory.

The Correlates of Academic Stress in Hong Kong

Most previous studies have attempted to explore how different personal, familial, or school factors are linked to academic stress in Western countries. However, relatively less research has incorporated these different factors into one model to examine the most crucial correlate(s) that predict academic stress, particularly in the East Asian context, where the level of academic stress among adolescents is high. This study examined how perfectionism, social-oriented achievement motivation, parental aspiration for achievement, parent–child relationship, emphasis on academics in school, and school climate work together to predict academic stress in Hong Kong. One thousand eight hundred and four students from eight secondary schools in Hong Kong participated in this study. The results indicate that perfectionism, social-oriented achievement motivation, parent–child relationships, and emphasis on academics in school have significant associations with academic stress, while perfectionism and social-oriented achievement motivation, the two factors from the personal domain, are the dominant drivers of academic stress. In addition, these findings applied to both genders. As the significant correlates come from the personal, familial, and school domains, this study recommends multilevel interventions for decreasing the level of academic stress. In addition, this study also suggests further research directions to examine the psychosocial mechanism between the correlates and academic stress.

Global and domain-specific self-esteem after pediatric traumatic brain injury: Contribution of injury characteristics and parent mental health

This prospective, longitudinal case-control study examined global and domain-specific aspects of self-esteem 6-months following pediatric traumatic brain injury (TBI) and evaluated the contribution of injury-related factors and parent mental health to child self-esteem. Participants included 103 children with mild-severe TBI representing consecutive admissions to the emergency department of the Royal Children's Hospital, Melbourne, Australia. Forty-three age-and-sex matched typically developing controls were recruited for comparison. Information regarding injury characteristics including age at injury and clinical indicators of TBI severity were collected for participants at recruitment, with research magnetic resonance imaging conducted 2-8 weeks later. At 6 months post-injury, children rated their global and domain-specific self-esteem (Harter Self-Perception Profile for Children), and ratings of parent mental health were collected (General Health Questionnaire). Self-esteem for behavioural and academic domains was significantly poorer for children with TBI relative to TD children. In the TBI group, higher child-rated scores of global and domain-specific aspects of self-esteem were associated with more severe TBI, presence of frontal neuropathology, younger age at injury, and lower parental symptoms of anxiety/insomnia. Given the psychological status of parents represents a potentially modifiable risk factor, it may form the target of clinical interventions designed to bolster child self-esteem following pediatric TBI.

Body weight contingent self-worth predicts depression in adolescent girls: The roles of self-esteem instability and interpersonal sexual objectification

This 3-year longitudinal study examined the extent to which body weight contingent self-worth (CSW) predicted depressive symptoms in 439 adolescent girls and the roles of unstable self-esteem and interpersonal sexual objectification in this association. Half-longitudinal mediation showed that the indirect effect of body weight CSW on depression via instability of self-esteem was significant. Prior levels of body weight CSW predicted increases in unstable self-esteem, which predicted increments in depressive symptoms over time. However, earlier levels of depression did not significantly predict increases in self-esteem instability. Moderation analyses indicated that the indirect effect was conditional upon individuals' experience of interpersonal sexual objectification. The positive link between body weight CSW and unstable self-esteem was stronger in girls who experienced more interpersonal sexual objectification. The direct effect of body weight CSW on depression was also moderated by interpersonal sexual objectification. Taken together, basing self-worth on body weight appears to be a risk factor for depression through its association with unstable self-esteem in adolescent girls and sexually objectifying experiences serve to exacerbate the connection between body weight CSW and adverse outcomes.

High implicit self‐esteem is not necessarily advantageous: discrepancies between explicit and implicit self‐esteem and their relationship with anger expression and psychological health

Two studies investigated how discrepancies between implicit and explicit self‐esteem are related to mental and physical health. We found that, compared to congruent self‐esteem, discrepant self‐esteem was related to more anger suppression, a more depressive attributional style, more nervousness, and more days of impaired health. The result applies not only to fragile (high explicit, low implicit) self‐esteem, but also to damaged (low explicit, high implicit) self‐esteem. These findings show that high implicit self‐esteem is not necessarily advantageous. In individuals with low explicit self‐esteem having high implicit self‐esteem was related to more health problems than having low implicit self‐esteem. Taken together the results suggest that discrepancies between implicit and explicit SE are detrimental to mental and physical health. Copyright © 2007 John Wiley & Sons, Ltd.

Distinguishing burnout from depression: An exploratory qualitative study

Whether depression and burnout are synonymous or not has been a longstanding debate. Many studies have examined for similarities and differences, but findings have overall been inconclusive, with most studies being quantitative in design. We therefore undertook a qualitative study in which participants who self-identified as having experienced both burnout and depression were asked how they distinguished between the two conditions. Thematic qualitative analysis was undertaken and while a fifth of the sample stated that their burnout and depression experiences were indistinguishable or were very similar, we also identified 11 key themes of difference. The most prevalent themes captured differences in the perceived cause of each condition, in experiencing hopelessness as against helplessness, and impacts on levels of functioning, sadness, anger, anxiety and emotional lability. We also identified differences in suicidal ideation between the two conditions. While some differences identified could be dimensional and suggest that burnout is simply synonymous with or a developmental phase of depression, the several categorical symptom differences nominated by participants suggest that most sufferers who have experienced both conditions perceive them as distinct. Such 'lived experience' reports are therefore intrinsically informative and should shape further quantitative analyses.

The Relationship between Self-Esteem and Depression when Controlling for Neuroticism

Much research has examined the interplay of depression and self-esteem in an effort to determine whether depression causes self-esteem (scar model), or vice versa (vulnerability model). In the current longitudinal study (N = 2,318), we tested whether neuroticism served as a confounding variable that accounted for the association of depression and self-esteem, using both cross-lag models and latent growth models. We found neuroticism accounted for the majority of covariance between depression and self-esteem, to the degree that the scar and vulnerability models appear to be inadequate explanations for the relation between depression and self-esteem. Alternatively, neuroticism appears to be a viable cause of both depression and self-esteem and could explain prior work linking the two constructs over time.

Identity in bipolar disorder: Self-worth and achievement

This article considers self and self-concept in bipolar disorder. Bipolar disorder, defined on the basis of manic symptoms, is a highly debilitating psychopathology. It is heavily grounded in biology but symptom course is still very responsive to psychological and social forces in the lives of persons who have the disorder. This review assumes an overall view of the self that is typical of personality psychology: self as traits, self as goals and aspirations, and ongoing efforts to attain those goals. In this review, we will discuss two different facets of self and identity in bipolar disorder. First, we review a body of goal pursuit literature suggesting that persons with bipolar disorder endorse heightened ambitions for attaining goals and recognition from others. Second, we will review multiple findings which suggest that among persons with bipolar disorder, self-worth depends on measurable success in an extreme way. We will consider how the intersection of these two themes may lead to unique identity challenges for people with bipolar disorder, drawing from self-report, behavioral, and neuroscience findings to critically examine this viewpoint.

Body Mass Index, Self-Esteem, and Suicide Risk in Clinically Depressed African American and White American Females

Self-esteem and depression, as well as depression and body mass index (BMI), have consistently been found to be significantly associated for African American and White American females. The results are dissimilar when BMI and self-esteem are studied. Historically, the relationship between BMI and self-esteem is weak or nonexistent for African American females; however, for White American females, the relationship is usually significant. The goal of this study was to determine whether clinically depressed, healthy-weight, overweight, and obese females would differ significantly on self-esteem and suicide risk measures. In a voluntary hospital-based inpatient psychiatric unit, 165 clinically depressed females completed the self-esteem rating scale and the suicide risk scale. Healthy-weight, overweight, and obese African American females did not differ significantly on measures of self-esteem and suicide risk. However, depressed, obese White American females had significantly lower self-esteem and increased suicide risk than depressed healthy-weight and overweight White American females. Implications of the current results are discussed.

Multiple Facets of Self-Esteem and their Relations to Depressive Symptoms

The authors examined whether stability and level of self-esteem interact with daily hassles in predicting severity of depressive symptoms. As predicted, Time 2 depression scores (with Time 1 scores controlled) were highest among individuals with unstable self-esteem who reported considerable daily hassles. By contrast, self-esteem level did not interact with daily hassles to predict Time 2 depressive symptoms. These findings held even after negative self-concept items were eliminated from the depressive symptom inventories. Additional analyses revealed that self-esteem stability accounted for variance independent of the tendency to over generalize following failure or negative event attributional style. These findings support the contention that unstable self-esteem reflects fragile feelings of self-worth that exacerbate depressive symptoms under certain circumstances.

Rising High or Falling Deep? Pathways of Self–Esteem in a Representative German Sample

In many longitudinal studies, self–esteem has been shown to increase up until around age 50 or 60 and to decrease thereafter. These studies have also found substantial inter–individual differences in the intra–individual development of self–esteem. In the current study, we examined whether this variation in change could be attributed to underlying latent classes of individuals following different trajectories of self–esteem development over time. By applying general growth mixture modelling to data from the representative German pairfam study (N = 12 377), four latent classes of self–esteem development across five years were extracted. Based on their mean levels, trajectories, and variability, individuals in the latent classes could be described as having (a) constant and stable high self–esteem (29.00% of the sample), (b) constant but variable moderate self–esteem (31.69%), (c) increasing and stabilizing self–esteem (15.13%), and (d) decreasing and variable self–esteem (24.18%). Furthermore, these latent classes differed in accordance with findings of prior research on self–rated, partner–rated, and objective correlates of the domains of health and well–being, partner relationships, and occupational status. Thus, the current study shows that inter–individual variation in intra–individual change in self–esteem is not random but reflects specific individual trajectories, or pathways, of self–esteem. Copyright © 2016 European Association of Personality Psychology

Does High Self-Esteem Cause Better Performance, Interpersonal Success, Happiness, or Healthier Lifestyles?

Self-esteem has become a household word. Teachers, parents, therapists, and others have focused efforts on boosting self-esteem, on the assumption that high self-esteem will cause many positive outcomes and benefits—an assumption that is critically evaluated in this review.

Appraisal of the effects of self-esteem is complicated by several factors. Because many people with high self-esteem exaggerate their successes and good traits, we emphasize objective measures of outcomes. High self-esteem is also a heterogeneous category, encompassing people who frankly accept their good qualities along with narcissistic, defensive, and conceited individuals.

The modest correlations between self-esteem and school performance do not indicate that high self-esteem leads to good performance. Instead, high self-esteem is partly the result of good school performance. Efforts to boost the self-esteem of pupils have not been shown to improve academic performance and may sometimes be counterproductive. Job performance in adults is sometimes related to self-esteem, although the correlations vary widely, and the direction of causality has not been established. Occupational success may boost self-esteem rather than the reverse. Alternatively, self-esteem may be helpful only in some job contexts. Laboratory studies have generally failed to find that self-esteem causes good task performance, with the important exception that high self-esteem facilitates persistence after failure.

People high in self-esteem claim to be more likable and attractive, to have better relationships, and to make better impressions on others than people with low self-esteem, but objective measures disconfirm most of these beliefs. Narcissists are charming at first but tend to alienate others eventually. Self-esteem has not been shown to predict the quality or duration of relationships.

High self-esteem makes people more willing to speak up in groups and to criticize the group's approach. Leadership does not stem directly from self-esteem, but self-esteem may have indirect effects. Relative to people with low self-esteem, those with high self-esteem show stronger in-group favoritism, which may increase prejudice and discrimination.

Neither high nor low self-esteem is a direct cause of violence. Narcissism leads to increased aggression in retaliation for wounded pride. Low self-esteem may contribute to externalizing behavior and delinquency, although some studies have found that there are no effects or that the effect of self-esteem vanishes when other variables are controlled. The highest and lowest rates of cheating and bullying are found in different subcategories of high self-esteem.

Self-esteem has a strong relation to happiness. Although the research has not clearly established causation, we are persuaded that high self-esteem does lead to greater happiness. Low self-esteem is more likely than high to lead to depression under some circumstances. Some studies support the buffer hypothesis, which is that high self-esteem mitigates the effects of stress, but other studies come to the opposite conclusion, indicating that the negative effects of low self-esteem are mainly felt in good times. Still others find that high self-esteem leads to happier outcomes regardless of stress or other circumstances.

High self-esteem does not prevent children from smoking, drinking, taking drugs, or engaging in early sex. If anything, high self-esteem fosters experimentation, which may increase early sexual activity or drinking, but in general effects of self-esteem are negligible. One important exception is that high self-esteem reduces the chances of bulimia in females.

Overall, the benefits of high self-esteem fall into two categories: enhanced initiative and pleasant feelings. We have not found evidence that boosting self-esteem (by therapeutic interventions or school programs) causes benefits. Our findings do not support continued widespread efforts to boost self-esteem in the hope that it will by itself foster improved outcomes. In view of the heterogeneity of high self-esteem, indiscriminate praise might just as easily promote narcissism, with its less desirable consequences. Instead, we recommend using praise to boost self-esteem as a reward for socially desirable behavior and self-improvement.

The role of self-esteem instability in the development of postnatal depression: A prospective study testing a diathesis-stress account

BACKGROUND AND OBJECTIVES

Understanding vulnerability factors involved in the development of postnatal depression has important implications for theory and practice. In this prospective study, we investigated whether self-esteem instability during pregnancy would better predict postnatal depressive symptomatology than level of self-esteem. In addition, going beyond former studies, we tested the possible origin of this instability, examining whether day-to-day fluctuations in self-esteem could be explained by fluctuations in mood state, and whether this day-to-day self-esteem reactivity would predict postnatal depressive symptoms.

METHODS

114 healthy never-depressed women were tested during the late second or third trimester of their gestation (Time 1) and at 12 weeks after delivery (Time 2). Day-to-day levels of self-esteem and depressed mood state were assessed at Time 1. At Time 2, postnatal depressive symptoms were assessed.

RESULTS

The results show that, after controlling for initial depressive symptomatology, age and socio-economic status, postnatal depressive symptomatology at 12 weeks after childbirth could be predicted by self-esteem instability and not level of self-esteem. In addition, multi-level analyses demonstrated that these changes in day-to-day levels of self-esteem are associated with changes in day-to-day levels of depressed mood state and that those subjects with greater prenatal self-esteem reactivity upon depressed mood report higher levels of depressive symptoms post-partum.

LIMITATIONS

We used paper and pencil day-to-day measures of state self-esteem, which can be subject to bias.

CONCLUSION

These results provide evidence for a diathesis-stress account of postnatal depression, highlighting the importance of a multi-dimensional view of self-esteem and the predictive role of self-esteem instability.

Daily life stress reactivity in remitted versus non-remitted depressed individuals

BACKGROUND

Little is known about how daily life mood reactivity to minor stressors (stress reactivity) might change following major depressive disorder (MDD) treatment. We investigate whether (i) mood states and appraisals of daily stressors change after treatment; (ii) stress reactivity to event, activity, or social stress differs; (iii) stress reactivity depends on severity of residual depressive symptoms; and (iv) stress reactivity in individuals with remitted or non-remitted depression differ from that of never-depressed individuals.

METHODS

Thirty depressed individuals participated in an experience sampling study before and after a treatment period of 18 months; 39 healthy individuals formed a comparison group. Reactivity of positive affect (PA) and negative affect (NA) to daily stressors were measured.

RESULTS

More residual symptoms were associated with larger NA responses to stress. Compared to healthy controls, participants with non-remitted MDD showed higher NA-reactivity to all stressors. In contrast, stress reactivity to event and activity stressors was normalized in remitted patients. However, they still showed heightened NA-reactivity to social stress.

CONCLUSIONS

Greater stress reactivity to event and activity stress appears to be state-dependent. The heightened social stress reactivity in remitted patients suggests that sensitivity to social stress may reflect an underlying vulnerability in MDD.

Changes of explicitly and implicitly measured self-esteem in the treatment of major depression: evidence for implicit self-esteem compensation

BACKGROUND AND OBJECTIVES

Self-esteem has been claimed to be an important factor in the development and maintenance of depression. Whereas explicit self-esteem is usually reduced in depressed individuals, studies on implicitly measured self-esteem in depression exhibit a more heterogeneous pattern of results, and the role of implicit self-esteem in depression is still ambiguous. Previous research on implicit self-esteem compensation (ISEC) revealed that implicit self-esteem can mirror processes of self-esteem compensation under conditions that threaten self-esteem. We assume that depressed individuals experience a permanent threat to their selves resulting in enduring processes of ISEC. We hypothesize that ISEC as measured by implicit self-esteem will decrease when individuals recover from depression.

METHODS

45 patients with major depression received an integrative in-patient treatment in the Psychosomatic University Hospital Bonn, Germany. Depression was measured by the depression score of the Hospital Anxiety and Depression Scale (HADS-D). Self-esteem was assessed explicitly using the Rosenberg Self-Esteem Scale (RSES) and implicitly by the Implicit Association Test (IAT) and the Name Letter Test (NLT).

RESULTS

As expected for a successful treatment of depression, depression scores declined during the eight weeks of treatment and explicit self-esteem rose. In line with our hypothesis, both measures of implicit self-esteem decreased, indicating reduced processes of ISEC.

LIMITATIONS

It still remains unclear, under which conditions there is an overlap of measures of implicit and explicit self-esteem.

CONCLUSIONS

The results lend support to the concept of ISEC and demonstrate the relevance of implicit self-esteem and self-esteem compensation for the understanding of depression.

Self-esteem in children and adolescents with hearing loss

Children with hearing loss are at risk for lower self-esteem due to differences from hearing peers relative to communication skills, physical appearance, and social maturity. This study examines the influence of generic factors unrelated to hearing loss (e.g., age, gender, temperament) and specific factors associated with hearing loss (e.g., age at identification, communication skills) on how children with hearing loss wearing cochlear implants or hearing aids appraise self-esteem. Fifty children with hearing loss wearing cochlear implants or hearing aids participated (Mean age: 12.88 years; mean duration of device use: 3.43 years). Participants independently completed online questionnaires to assess communication skills, social engagement, self-esteem, and temperament. Children with hearing loss rated global self-esteem significantly more positively than hearing peers, t = 2.38, p = .02. Self-esteem ratings attained significant positive correlations with affiliation (r = .42, p = .002) and attention (r = .45, p = .001) temperaments and a significant negative association with depressive mood (r = − .60, p < .0001). No significant correlations emerged between self-esteem and demographic factors, communication skills, or social engagement. Because successful communication abilities do not always co-occur with excellent quality of life, clinicians and professionals working with children with hearing loss need to understand components contributing to self-esteem to improve identification, counseling, and external referrals for children in this population.

Developmental Change and Time-Specific Variation in Global and Specific Aspects of Self-Concept in Adolescence and Association with Depressive Symptoms

Previous research has demonstrated that adolescents make differential self-evaluations in multiple domains that include physical appearance, academic competence, and peer acceptance. We report growth curve analyses over a seven year period from age 9 to age 16 on the six domains of the Harter Self-Perception Profile for Children. In general, we find little change in self-concept, on average, but do find substantial individual differences in level, rate of change, and time-specific variation in these self- evaluations. The results suggest that sex differences and adoptive status were related to only certain aspects of the participants' self-concept. Depressive symptoms were found to have significant effects on individual differences in rate of change and on time-specific variation in general self-concept, as well as on some of the specific domains of self-concept.

Self-Esteem Reactivity Among Mothers of Children with Attention-Deficit/Hyperactivity Disorder: The Moderating Role of Depression History

This study examined self-esteem reactivity to a variety of contextual cues in a sample of women prone to depression. Participants were 49 mothers of children with attention-deficit/hyperactivity disorder. Across a 9-month time-period, participants completed weekly measures of self-esteem, perceived stress, positive and negative affect, and child disruptive behavior. Results indicated that mothers reported lower self-esteem during weeks they experienced greater stress, lower positive affect, higher negative affect, and more inattentive, overactive, and oppositional behavior in their children. Depression history moderated these relationships such that mothers with prior histories of depression reported greater self-esteem reactivity to these cues than never depressed mothers.

Effects of self-esteem on electrophysiological correlates of easy and difficult math

The current study investigated the effects of easy versus difficult math on event-related potentials as a function of self-esteem in 28 undergraduate students. First, it was found that participants responded much more rapidly to an easy task. Second, the amplitude of P2 (150-300 ms) was more positive amplified in low self-esteem participants when compared to high self-esteem participants. Third, the difficult task elicited a greater N2 (300-450 ms) component than the easy task, but only in the low self-esteem participants. Finally, the easy task elicited a greater late positive component (LPC: 450-600 ms) compared with the difficult task and the difficult task elicited a greater LPC (900-1200 ms) components compared with the easy task separately, which were consistent with behavioral reaction times. We speculate that the difficult math might have induced more negative emotions in subjects with low self-esteem, and that low self-esteem individuals might be more susceptible to interpret the difficult task as threatening.

Decision-Making Dysfunctions of Counterfactuals in Depression: Who Might I have Been?

Cognitive neuroscience enables us now to decompose major depressive disorder into dysfunctional component processes and relate these processes to specific neural substrates. This approach can be used to illuminate the biological basis of altered psychological processes in depression, including abnormal decision-making. One important decision-related process is counterfactual thinking, or the comparison of reality to hypothetical alternatives. Evidence suggests that individuals with depression experience exaggerated emotional responses due to focusing on counterfactual decision outcomes in general and regret, i.e., the emotion associated with focus on an alternative superior outcome, in particular. Regret is linked to self-esteem in that it involves the evaluation of an individual's own decisions. Alterations of self-esteem, in turn, are a hallmark of depression. The literature on the behavioral and neural processes underlying counterfactual thinking, self-esteem, and depression is selectively reviewed. A model is proposed in which unstable self-representation in depression is more strongly perturbed when a different choice would have produced a better outcome, leading to increased feelings of regret. This approach may help unify diverse aspects of depression, can generate testable predictions, and may suggest new treatment avenues targeting distorted counterfactual cognitions, attentional biases toward superior counterfactual outcomes, or increased affective response to regretted outcomes.

Rumination mediates the prospective effect of low self-esteem on depression: a five-wave longitudinal study

Previous research supports the vulnerability model of low self-esteem and depression, which states that low self-esteem operates as a prospective risk factor for depression. However, it is unclear which processes mediate the effect of low self-esteem. To test for the mediating effect of rumination, the authors used longitudinal mediation models, which included exclusively prospective effects and controlled for autoregressive effects of the constructs. Data came from 663 individuals (aged 16 to 62 years), who were assessed 5 times over an 8-month period. The results indicated that low self-esteem predicted subsequent rumination, which in turn predicted subsequent depression, and that rumination partially mediated the prospective effect of low self-esteem on depression. These findings held for both men and women, and for both affective-cognitive and somatic symptoms of depression. Future studies should test for the mediating effects of additional intrapersonal and interpersonal processes.

Achtsamkeit, Selbstwert und Selbstwertstabilität

Zusammenfassung. Hintergrund: Es gibt theoretische Gründe anzunehmen, dass Achtsamkeit ein stabiles, also sicheres, Gefühl von Selbstwert begünstigen sollte. Fragestellung: Gibt es einen Zusammenhang zwischen Achtsamkeit und Höhe und Stabilität des Selbstwerts? Methode: Eine Stichprobe von N = 42 Psychologiestudenten bearbeitete zur Erfassung von Achtsamkeit einen Fragebogen, sowie eine computergestützte, nonverbale Aufgabe, die auf der Atemmeditation basiert. Zusätzlich zum Selbstwert-Level wurde die Selbstwertstabilität als Indikator eines sicheren Selbstwerts erfasst. Ergebnisse: Es zeigten sich positive Korrelationen zwischen Achtsamkeitsmaßen und Höhe des Selbstwerts sowie zwischen Achtsamkeitsmaßen und Selbstwertstabilität. Schlussfolgerung: Die Befunde unterstützen die Hypothese, dass Achtsamkeit mit hohem und sicherem Selbstwert assoziiert ist, und sprechen somit für die Bedeutsamkeit von Achtsamkeit bezüglich psychologischer Gesundheit und Wohlbefinden.

Sheltering the Self From the Storm: Self-Construal Abstractness and the Stability of Self-Esteem

Self-construal abstractness (SCA) refers to the degree to which people construe important bases of self-esteem in a broad, flexible, and abstract rather than a concrete and specific manner. This article hypothesized that SCA would be a unique predictor of self-esteem stability, capturing the degree to which people’s most important bases of self-worth are resistant to disconfirmation. Two studies using a daily diary methodology examined relationships between SCA, daily self-esteem, and daily emotions and/or events. In Study 1, individual differences in SCA emerged as the most consistent and unique predictor of self-esteem stability. Furthermore, SCA contributed to self-esteem stability by buffering the influence of daily negative emotions on self-esteem. Study 2 manipulated SCA via a daily self-construal task and found an abstract versus concrete self-focus to buffer the influence of daily negative events on self-esteem. Implications of these findings for the study of the self and well-being are discussed.

The impact of unfair treatment on depressive mood: the moderating role of self-esteem level and self-esteem instability

This research examines the moderating roles of self-esteem level and self-esteem instability in the relationship between perceived unfair treatment and depressive mood. Based on the assumption that unfairness is a threat to one's social standing and self-esteem, the authors proposed that individuals with highly fragile self-esteem (i.e., the combination of unstable and high self-esteem) react more strongly when experiencing unfair treatment. This hypothesis was tested in a real-world setting using cross-sectional and diary data of 101 employees. As expected, unfair treatment was related to depressive mood among individuals with unstable high self-esteem but not among individuals with stable high self-esteem. This pattern of results held for both cross-sectional and diary data. In contrast, unfairness was not related to depressive mood among individuals with unstable low self-esteem.

Affective personality as cognitive-emotional presymptom profiles regulatory for self-reported health predispositions

Three studies that examined the links between affective personality, as constructed from responses to the Positive Affect (PA) and Negative Affect (NA) Scale (PANAS), and individuals' self-report of self-esteem, intrinsic motivation and Beck's Depression Inventory (BDI) depression in high school students and persons in working occupations are described. Self-report estimations of several other neuropsychiatric and psychosocial variables including, the Uppsala Sleep Inventory (USI), the Hospital Anxiety and Depression (HAD) test, Dispositional optimism, Locus of control, the Subjective Stress Experience test (SSE) and the Stress-Energy (SE) test, were also derived. Marked effects due to affective personality type upon somatic and psychological stress, anxiety and depression, self-esteem, internal and external locus of control, optimism, stress and energy, intrinsic motivation, external regulation, identified regulation, major sleep problems, problems falling asleep, and psychophysiological problems were observed; levels of self-esteem, self-motivation and BDI-depression all produced substantial effects on health and well-being. Regression analyses indicated PA was predicted by dispositional optimism (thrice), energy (thrice), and intrinsic motivation, and counter predicted by depression (twice) and stress (twice); and NA by anxiety (twice), stress (twice), psychological stress, identified regulation, BDI depression and psychophysiological problems, and counter predicted by internal locus of control and self-esteem. BDI-depression was predicted by negative affect, major sleep problems and psychophysiological problems (Study III), self-esteem by dispositional optimism and energy, and counter predicted by anxiety, depression and stress (Study I), and intrinsic motivation by dispositional optimism, energy, PA and self-esteem (Study II). These convergent findings are interpreted from a perspective of the cognitive-emotional expressions underlying behavioural or presymptomatic profiles presenting predispositions for health or ill health.

Dysfunctional attitudes and perceived stress predict depressive symptoms severity following antidepressant treatment in patients with chronic depression

Many patients continue to experience depressive symptoms after optimal pharmacological treatment. The aim of this study was to investigate whether Beck's cognitive diathesis stress model of depression would help predict the degree of improvement in the depressive symptoms of patients with chronic depression receiving antidepressant treatment. The study investigated the dysfunctional attitudes, perceived stress, and depressive symptoms of 117 patients with chronic depression before and after they were treated with an 8-week course of fluoxetine. A hierarchical multiple regression analysis showed a significant effect for the interaction between dysfunctional attitudes and perceived stress explaining severity of depressive symptom following antidepressant treatment. Patients with both high perceived stress and high dysfunctional attitudes prior to treatment reported more depressive symptoms at the end of treatment than patients with high perceived stress and lower dysfunctional attitudes. Surprisingly, in the presence of low perceived stress, patients with higher dysfunctional attitudes experienced less depressive symptoms at the end of treatment than patients with lower dysfunctional attitudes. Results suggest the value of taking into consideration both patients' perceived stress and dysfunctional attitudes when assessing treatment for depressive symptoms.

Within-Person Relationships Among Daily Self-Esteem, Need Satisfaction, and Authenticity

This study examined the within-person relationships among daily self-esteem, felt authenticity (i.e., the operation of one's “true self”), and satisfaction of psychological needs for autonomy, competence, and relatedness. We also included measures of affect to control for the variance these constructs might share with affect. Over a 2-week period, 116 participants responded daily to measures of these variables. Multilevel random-coefficients modeling revealed that authenticity, autonomy, competence, and relatedness were all positively and significantly related to daily reports of self-esteem, even when we controlled for the contributions of pleasant and unpleasant affect. We discuss the roles of authenticity and psychological needs in daily feelings of self-worth.

Self-esteem reconsidered: Unstable self-esteem outperforms level of self-esteem as vulnerability marker for depression

Previous studies have built up evidence that an unstable self-esteem is associated with vulnerability to depression and that it outperforms level of self-esteem as a predictor for symptoms of depression. However, most of these studies have used student samples exclusively to investigate the role of self-esteem instability in depression vulnerability. Our present study used samples of currently depressed inpatients, formerly depressed individuals, and never-depressed controls to investigate the relationship between self-esteem instability and depression. In addition, we examined the predictive validity of self-esteem instability in predicting future depressive symptoms. The results indicate that self-esteem instability is associated with depression and vulnerability to depression. Furthermore, self-esteem instability interacted with perceived stress variability and depressed mood variability in predicting future depressive symptomatology at six months follow-up. These results are in line with the diathesis-stress model and support the hypothesis that self-esteem instability might be more important than level of self-esteem in predicting vulnerability to depression.