A systematic review and meta-analysis of CBT interventions based on the Fennell model of low self-esteem

Kolubinski, Daniel C.; Frings, Daniel; Nikčević, Ana V.; Lawrence, Jacqueline A.; Spada, Marcantonio M.

doi:10.1016/j.psychres.2018.06.025

Cited by 85 publications

(73 citation statements)

References 76 publications

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“…In recent years there has been an increase in the number of studies measuring the effectiveness of interventions designed to increase low self-esteem (Chadwick, Smyth, & Liao, 2014;Horrell et al, 2014;Kolubinski, Frings, Nikčević, Lawrence, & Spada, 2018;Neacşu, 2013;Pack & Condren, 2014;Waite, McManus, & Shafran, 2012). In the Cognitive-Behavioral model of low self-esteem, Fennell (1997) uses the term "the bottom line" to describe an individual"s persistent schematic belief of being flawed or less than adequate.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

A metacognitive model of self-esteem

Kolubinski

Marino

Nikčević

et al. 2019

Journal of Affective Disorders

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This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Highlights  Self-critical rumination and negative metacognitions about self-critical rumination are predictive of self-esteem when controlling for affect, levels of self-criticism and general metacognitions  The process of self-critical rumination, driven and maintained by metacognitions, partially mediates the relationship between depression and self-esteem

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Section: Accepted Manuscriptmentioning

confidence: 99%

A metacognitive model of self-esteem

Kolubinski

Marino

Nikčević

et al. 2019

Journal of Affective Disorders

Self Cite

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“…Cognitive behavioral therapy (CBT) interventions are aimed at cognitive restructuring and behavioral experiments to modify schemas about one’s self and modify self-critical thoughts. CBT based on the cognitive model by Fennel (1998) has shown promising results ( Kolubinski et al, 2018 ). However, there are few clinical trials focusing on altering low self-esteem, and only three have used a randomized controlled design ( Brown et al, 2004 ; Waite et al, 2012 ; McElhinney et al, 2016 ).…”

Section: Discussionmentioning

confidence: 99%

Protective and Vulnerability Factors in Self-Esteem: The Role of Metacognitions, Brooding, and Resilience

et al. 2020

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The aim of the current study was to explore protective (resilience) and vulnerability factors (dysfunctional metacognitions and brooding) for self-esteem. A total of 725 participants were included in a cross-sectional study. A path analysis revealed five paths to self-esteem. The three main paths were as follows: (1) symptoms −> metacognitions −> brooding −> self-esteem, (2) symptoms −> resilience −> self-esteem, and (3) a direct path from symptoms. The first path corresponds with the metacognitive model of psychopathology and suggests that triggers in the form of anxiety and depression symptoms lead to the activation of metacognitive beliefs, which in turn activates brooding in response to these triggers. When a person engages in brooding, this makes the person vulnerable to experiencing low self-esteem. The second path suggests a protective role of resilience factors. The overall model explained 55% of the variance in self-esteem. Regression analysis found that unique predictors of self-esteem were female sex, symptoms of anxiety and depression, brooding, and resilience. These findings have possible clinical implications, as treatment may benefit from addressing both protective and vulnerability factors in individuals suffering from low self-esteem.

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“…Despite the need for future studies to confirm our findings, it seems important to take the mediation effect of self-esteem into account in routine clinical practice. Indeed, relevant data indicate the positive effect of psychotherapy, such as cognitive-behavioural therapy (CBT), on low self-esteem [37][38][39][40][41]. Therefore, CBT focused on self-esteem could be particularly useful for the management of TRD, especially in patients with early negative life experiences.…”

Section: Discussionmentioning

confidence: 99%

Relationship between Childhood Physical Abuse and Clinical Severity of Treatment-Resistant Depression in a Geriatric Population

Yrondi

Arbus

Bennabi

et al. 2020

Preprint

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Background: We assessed the correlation between childhood maltreatment (CM) and severity of depression in an elderly unipolar Treatment-Resistant Depression (TRD) sample. Methods: Patients were enrolled from a longitudinal cohort (FACE-DR) of the French Network of Expert TRD Centres. Results: Our sample included 96 patients (33% of the overall cohort) aged 60 years or above, with a mean age of 67.2 (SD = 5.7). Most of the patients were female (62.5%). The Montgomery and Asberg Depression Rating Scale (MADRS) and Quick Inventory Depression Scale-Self Report (QIDS-SR) mean scores were high, 28.2 (SD = 7.49) [MADRS score range: 0-60; moderate severity≥20, high severity≥35] and 16.5 (SD=4.94) [IDS-SR score range: 0-27; moderate severity≥11, high severity≥16], respectively. Mean self-esteem scores were 22.47 (SD=6.26) [range 0-30]. In an age and sex-adjusted model, we found a positive correlation between childhood trauma (CTQ scores) and depressive symptom severity [MADRS (β=0.274; p=0.07) and QIDS-SR (β=0.302; p=0.005) scores]. We detected a statistically significant correlation between physical abuse and depressive symptom severity [MADRS (β=0.304; p=0.03) and QIDS-SR (β=0.362; p=0.005) scores]. We did not observe any significant correlation between other types of trauma and depressive symptom severity. We showed that self-esteem (Rosenberg scale) mediated the effect of physical abuse (PA) on the intensity of depressive symptoms [MADRS: b=0.318, 95% BCa C.I. [0.07, 0.62]; QIDS-SR: b=0.177, 95% BCa C.I. [0.04, 0.37]]. Preacher & Kelly’s Kappa Squared values of 19.1% (k2=0.191) and 16% (k2=0.16), respectively, indicate a moderate effect. Conclusion: To our knowledge, this is the first study conducted in a geriatric TRD population documenting an association between childhood trauma (mainly relating to PA) and the intensity of depressive symptoms.

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A systematic review and meta-analysis of CBT interventions based on the Fennell model of low self-esteem

Cited by 85 publications

References 76 publications

A metacognitive model of self-esteem

A metacognitive model of self-esteem

Protective and Vulnerability Factors in Self-Esteem: The Role of Metacognitions, Brooding, and Resilience

Relationship between Childhood Physical Abuse and Clinical Severity of Treatment-Resistant Depression in a Geriatric Population

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