Stress, psychosocial resources, and depressive symptomatology during pregnancy in low-income, inner-city women.

The authors examined the prospective influence of stress, self-esteem, and social support on the postpartum depressive symptoms of 191 inner-city women (139 European Americans and 52 African Americans) over 3 waves of data collection. Depressive symptomatology was measured by multiple indicators, including self-report and clinical scales. Women became less depressed as they move from prenatal to postpartum stages and adjusted to their pregnancy and its consequences. LISREL and regression analyses indicated that stress was related to increased depression, whereas greater income and social support were related to decreased depression. Self-esteem was related to lower depression at the prenatal and postpartum periods but not to change in depression from the prenatal to the postpartum period. The results also indicated that self-esteem and social support did not have additional stress-buffering effects over and above their direct effects on depression. Finally, African American women did not differ from European American women terms of depression or in terms of how they were impacted by stress or psychosocial resources.     

Self-esteem in body dysmorphic disorder

Although studies indicate that poor body image is associated with poor self-esteem, few investigations have examined self-esteem in a clinical sample of individuals with body dysmorphic disorder (BDD). The present study examined self-esteem in 93 BDD patients and change in self-esteem with pharmacotherapy. Subjects completed the Rosenberg Self-Esteem Scale (RSES) and were assessed with other measures. Participants in a placebo-controlled fluoxetine trial completed measures at baseline and endpoint. The mean RSES score was approximately 1.5 SD units lower than means reported for nonclinical samples. Although poorer self-esteem was associated with more severe BDD and depression, as well as greater delusionality, the relationship between self-esteem and BDD severity was largely mediated by depressive symptoms. Self-esteem did not improve significantly more with fluoxetine than placebo, although it improved significantly more in fluoxetine responders than in nonresponders. It is unclear whether poor self-esteem predisposes to BDD and/or is a consequence of the disorder.     

Physical self-concept, anxiety, depression, and self-esteem in children with cancer and healthy children without cancer history

The main purpose of this study is to test if children with cancer receiving chemotherapy show a poorer physical self-concept, less self-esteem and more anxiety and depression than healthy children (with no cancer history) within the same age range (9-16 years old) and social condition. Furthermore, the capacity of self-concept and self-esteem to predict emotional distress is analyzed. The Spanish versions of PSDQ, CDI and STAIC were administered to 30 children with cancer and 90 healthy children. Except for the health and flexibility dimensions in the PSDQ, no significant differences between groups were found. Self-esteem was the best predictor of depression, whereas health and self-concept predicted anxiety.     

Demanding kin relations and depressive symptoms among low-income African American women: mediating effects of self-esteem and optimism

Association of demanding kin relations, depressive symptoms, self-esteem, and optimism was assessed among 130 low-income African American women. Demanding relations with kin were positively associated with depressive symptoms and negatively linked to self-esteem and optimism. Self-esteem and optimism were negatively associated with depressive symptoms and mediated the association of demanding relations with kin and women's depressive symptoms. Findings were discussed in terms of the detrimental effects of demanding social relations with kin and the possible role that other relationships may play in compensating for poor relations with extended family.     

A cross-cultural investigation of cognitions and depressive symptoms in adolescents

Adolescents (N=2,272) from Hong Kong and the United States provided information regarding their depressive symptoms, cognitions (self-efficacy, negative cognitive errors, and hopelessness), and stressful events between 2 surveys 6 months apart. Depressive symptoms and hopelessness were higher, and self-efficacy and negative cognitive errors were lower in Hong Kong than in the United States. Cognitions were associated with concurrent depressive symptoms and predicted depressive symptoms 6 months later in both cultures. The "reverse" model was also supported with more variance predicted by depressive symptoms to later cognitions than from cognitions to depressive symptoms. There was some support for the hypothesis that self-efficacy is less salient in collective compared with individualistic cultures. These findings extend cognitive theories of depression to a non-Western culture.     

Hope,social support,and depression among Hong Kong youth: personal and relational self-esteem as mediators

Previous studies have shown that depression is negatively associated with hope and social support. However, little research has been undertaken to investigate the theoretical mechanisms underlying the connections among hope, social support, and depression. This study examined how two types of self-esteem (personal and relational) would mediate the relationship of hope and social support to depression among 384 Hong Kong adolescents (age: 12–18 years; M = 14, SD = 1.19). Participants reported their levels of hope, social support, personal self-esteem, relational self-esteem, and depressive mood. Results of the path analysis showed that both personal and relational self-esteem mediated the associations of hope and social support with depression. Hope and social support were associated with higher levels of personal and relational self-esteem, which were in turn related to decreased levels of depression. Theoretical and practical implications are discussed.     

Examination of a multi-factorial model of body-related experiences during pregnancy: the relationships among physical symptoms, sleep quality, depression, self-esteem, and negative body attitudes

The aim of this cross-sectional study was to investigate relationships among women's body attitudes, physical symptoms, self-esteem, depression, and sleep quality during pregnancy. Pregnant women (N = 215) at 15–25 weeks gestation completed a questionnaire including four body image subscales assessing self-reported feeling fat, attractiveness, strength/fitness, and salience of weight and shape. Women reported on 29 pregnancy-related physical complaints, and completed the Beck Depression Inventory, Rosenberg Self-esteem Scale, and Pittsburgh Sleep Quality Index. In regressions, controlling for retrospective reports of body image, more frequent and intense physical symptoms were related to viewing the self as less strong/fit, and to poorer sleep quality and more depressive symptoms. In a multi-factorial model extending previous research, paths were found from sleep quality to depressive symptoms to self-esteem; self-esteem was found to be a mediator associated with lower scores on feeling fat and salience of weight and shape, and on higher perceived attractiveness.     

Affect- and self-based models of relationships between daily events and daily well-being

The present study examined affect- self-based explanatory models of relationships between daily events and daily well-being. Twice a week for up to 10 weeks, participants described the events that occurred each day and provided measures of their daily affect, self-esteem, and depressogenic thinking. Participants also provided trait-level measures of affect, depression, and self-esteem. Measures of daily well-being representing each model covaried jointly and independently with daily negative and positive events. Positive events buffered the effects of negative events on daily self-esteem and daily depressogenic thinking, whereas there was no buffering effect for daily affect. More depressed people were more reactive to positive events, and those higher in trait PA were less reactive to negative events. Buffering effects for self-esteem were pronounced for those with lower trait self-esteem, and buffering effects for daily depressogenic adjustment were now more pronounced for those with higher trait negative affect. The results suggest that affect- and self-based models provide complementary perspectives on relationships between psychological well-being and daily events.     

Depressive Symptoms Among Delinquent Youth: Testing Models of Association with Stress and Support

The high prevalence of depression among incarcerated youth indicates a need to better understand factors that contribute to depression within this vulnerable subgroup. Previous research in general community samples has suggested that high levels of stress and low levels of parental support are associated with depression in young people, but it is unclear whether or how they might be associated with depression among incarcerated youth who are already vulnerable. Using a sample of 228 adolescents (aged 13–18 years) who were detained in the juvenile justice system, stress and support were modeled as independent main effects and as interactive risk factors in relation to depressive symptoms. More stressful life events and less caregiver support were each independently associated with depressive symptoms, but no evidence was found for the buffering hypothesis in this sample. Stressful life events were more strongly associated with depressive symptoms among boys compared to girls.     

Social capital, self-esteem, and use of online social network sites: A longitudinal analysis

A longitudinal analysis of panel data from users of a popular online social network site, Facebook, investigated the relationship between intensity of Facebook use, measures of psychological well-being, and bridging social capital. Two surveys conducted a year apart at a large U.S. university, complemented with in-depth interviews with 18 Facebook users, provide the study data. Intensity of Facebook use in year one strongly predicted bridging social capital outcomes in year two, even after controlling for measures of self-esteem and satisfaction with life. These latter psychological variables were also strongly associated with social capital outcomes. Self-esteem served to moderate the relationship between Facebook usage intensity and bridging social capital: those with lower self-esteem gained more from their use of Facebook in terms of bridging social capital than higher self-esteem participants. We suggest that Facebook affordances help reduce barriers that lower self-esteem students might experience in forming the kinds of large, heterogeneous networks that are sources of bridging social capital.     

Depressed mood: The role of negative thoughts,self-consciousness,and sex role stereotypes

Research typically finds that depression is twice as common among women as among men. This may relate to differences in socialization that result in different emotions, cognitions, and coping reactions. Sex-role stereotypes, employment and marital status, and differential social pressures may also be significant in making women more vulnerable to the development of depression. Women may have less decision-making power, face more adverse life events, and have limited access to resources, which may lead to feelings of helplessness and low self-esteem. Low self-esteem and negative cognitions about the self in turn may be proximal factors predictive of negative mood. Additionally, women may be more prone to ruminative self-focus rather than active coping, a significant risk factor for depression. This study examined individual predictors of depressed mood for each sex, including coping, self-esteem, negative thoughts, self-consciousness (rumination), as well as social factors such as the endorsement of sex-role stereotypes and decision-making power in the family. Results indicated that social factors were not related to depressed mood in either sex, but were related to coping styles and self-esteem. Depressed mood was associated with individual characteristics, such as avoidant coping styles, social anxiety for women, and ruminative self-focus for men. Regression analysis showed that coping through denial and negative thoughts explained depressed mood, and the latter was particularly true for men. These results point to the significance of examining both individual and social factors when attempting to understand depression in men and women.     

Aerobic physical activity effects on psychological well-being in low-income Hispanic children

Psychological well-being has been generally associated with vigorous aerobic activity and structured aerobic activity in adolescents and children. Low-income children are at greater risk than the general population for experiencing high environmental stress and increased mental health problems. This study investigated the effects of a structured physical fitness program on psychological well-being in low-income Hispanic children. A total of 66, 33 girls, 33 boys, in Grade 4 were randomly assigned to either an Aerobic intensity (n = 34) or a Control intensity physical activity program (n = 32) for 6 wk. Psychological well-being was defined as scores on trait anxiety, depression, and self-esteem, measured, respectively, by the Trait Anxiety Inventory, Beck Depression Inventory, and Rosenberg Self-esteem scale. Analysis showed the children in the Aerobic intensity program significantly (p < .05) improved their cardiovascular fitness as measured by the PWC170 test. After the program was over, the children in this Aerobic group reported significantly (p < .05) less depression. The main effect for self-esteem reflected the Aerobic group's greater self-reported self-esteem. No differences were found on trait anxiety. The effects on depression and self-esteem may only be attributed to the cardiovascular improvement given the higher intensity physical activity program because causation was not assessed here.     

青少年网络受欺负与抑郁：压力感与网络社会支持的作用

采用网络受欺负量表、压力感量表、网络社会支持问卷和流调中心用抑郁量表对751名初中生进行调查,考察了青少年网络受欺负与抑郁的关系、压力感在网络受欺负与抑郁间的中介作用以及网络社会支持在其中的调节作用。结果表明：（1）青少年网络受欺负与抑郁存在显著正相关;（2）压力感在网络受欺负和抑郁间起完全中介作用;（3）网络社会支持在网络受欺负事件引起的压力感与抑郁间起调节作用,压力感对青少年抑郁的影响,随网络社会支持水平的提高而降低。     

Depressive Attributional Style: The Role of Self-Esteem

Two studies evaluate the role of self-esteem in the depressive attributional style. In the first study, college students completed four measures of depression, four measures of self-esteem, and the Attributional Style Questionnaire (ASQ). Regression analyses revealed that across measures, self-esteem was a better predictor of attributional style for negative events than was depression. In study two, psychiatric inpatients completed a measure of self-esteem, a measure of depression, and the ASQ. In this clinical sample, self-esteem and depression were highly correlated and both predicted ASQ scores. But when variation in depth of depression and social desirability were removed statistically from the association between self-esteem and attributions for negative outcomes, there remained a significant association between self-esteem and internal, stable, and global attributions for negative outcomes. Controlling for the variation in self-esteem eliminated the relation between depression and depressive attributional style. These findings demonstrate the importance of self-esteem in depressive attributional style in both normal and clinical populations, as well as potential differences in the relations among self-esteem, depression, and attributional style in clinical versus normal samples.     

Anticonformity aspects of depression in mild depressive states

Controversial issues regarding the relation of conformity and anticonformity variants of dependency to depression and self-esteem were examined. The Willis-Hollander model of social influence and an experimental paradigm which permits differentiation of dependency responses into conformity and anticonformity subcategories were used. Ninety female college students who had been given the Beck Depression Inventory and a measure of self-esteem engaged in a perceptual judgment task, with two degrees of social influence. Depression and self-esteem were unrelated to independence and conformity. The main finding in the step-wise regression analyses was that depression was significantly related (p less than .001) to the anticonformity variant of dependency. The assumption that depression is related to dependency was supported, but the conventional position that such dependency consists of the conforming variant, involving compliance and approval- and guidance-seeking, was not supported, at least within the range of depression sampled.     

Self-esteem and self-disgust both mediate the relationship between dysfunctional cognitions and depressive symptoms

Previous research indicates that self-disgust partially mediates the relationship between dysfunctional cognitions and depression. However, as self-disgust is only a partial mediator, other variables are also likely to mediate this relationship. One potential variable is self-esteem, which has consistently been linked to depression in the literature. Hence, the current study aimed to examine whether self-disgust and self-esteem both mediate the relationship between dysfunctional cognitions and depression. Measures of self-disgust, self-esteem, dysfunctional cognitions and depression were completed by a non clinical sample of 120 participants. Self-disgust and self-esteem were found to be conceptually distinct constructs and both constructs were found to be partial mediators of the relationship between dysfunctional cognitions and depression: a finding which generalised across two measures of depression. The important mediational role of emotions in the development of depression needs to be taken into account in therapeutic practice.     

青少年早期自尊与抑郁的交叉滞后分析：检验易感模型和创伤模型

本研究以初一年级598名青少年为研究对象,采用三年追踪设计,运用交叉滞后回归分析,控制变量的先前水平,旨在揭示青少年早期自尊与抑郁的相互影响,检验易感模型和创伤模型。结果发现,对于青少年样本总体来说,第一、二学年抑郁各自能显著负向预测第二、三学年自尊,支持创伤模型;同时第二学年自尊又能显著负向预测第三学年抑郁,支持易感模型。对于女生而言,其自尊与抑郁之间的关系与样本总体相同,既支持易感模型,又支持创伤模型;对于男生而言,仅发现其第二学年抑郁能显著负向预测第三学年自尊,支持创伤模型。这些结果表明青少年早期的自尊与抑郁存在双向的相互影响,易感模型和创伤模型同时起作用,而且这种影响存在显著的性别差异。     

Predictors of the first onset of a major depressive episode and changes in depressive symptoms across adolescence: stress and negative cognitions

This 6-year longitudinal study examined stressors (e.g., interpersonal, achievement), negative cognitions (self-worth, attributions), and their interactions in the prediction of (a) the first onset of a major depressive episode (MDE), and (b) changes in depressive symptoms in adolescents who varied in risk for depression. The sample included 240 adolescents who were first evaluated in Grade 6 (M = 11.86 years old; SD = 0.57; 54.2% female) and then again annually through Grade 12. Stressful life events and depressive diagnoses were assessed with interviews; negative cognitions and depressive symptoms were assessed with self-report questionnaires. Discrete time hazard modeling revealed a significant interaction between interpersonal stressors and negative cognitions, indicating that first onset of an MDE was predicted by high negative cognitions in the context of low interpersonal stress, and by high levels of interpersonal stressors at both high and low levels of negative cognitions. Analyses of achievement stressors indicated significant main effects of stress, negative cognitions, and risk in the prediction of an MDE, but no interactions. With regard to the prediction of depressive symptoms, multilevel modeling revealed a significant interaction between interpersonal stressors and negative cognitions such that among adolescents with more negative cognitions, higher levels of interpersonal stress predicted higher levels of depressive symptoms, whereas at low levels of negative cognitions, the relation between interpersonal stressors and depression was not significant. Risk (i.e., maternal depression history) and sex did not further moderate these interactions. Implications for intervention are discussed.     

Self-Esteem and Its Relationship to Mental Health and Quality of Life in Adults with Cystic Fibrosis

Research from the general population indicates an important role for self-esteem in mental health, but limited research in this area exists in the cystic fibrosis (CF) literature. This study aimed to explore the predictive value of self-esteem and health-related quality of life (HRQoL) in mental health symptoms in adults with CF. Seventy-four participants, recruited online, completed the Clinical Outcomes in Routine Evaluation-Outcome Measure 34 (CORE-OM), Rosenberg Self-esteem Scale and Cystic Fibrosis Questionnaire-Revised (CFQ-R). Comparably high levels of self-esteem were found, but HRQoL was lower than previous research. Thirty percent of participants scored within the clinical range for mental health difficulty. Hierarchical regression, controlling for gender, explored the value of four CFQ-R subscales (physical, social, emotional and role functioning) and self-esteem in predicting CORE-OM total score. Gender accounted for 8.2 % of the variance in mental health scores while the five independent variables accounted for a further 73.0 % of variance. Of the five variables, CFQ-R emotional functioning and self-esteem were significant predictors of mental health symptoms. Results are discussed in relation to clinical implications and potential uses for internet technologies to promote socialisation.     

Self-esteem, attitude similarity, and attraction

Subjects evaluated three stimulus persons on several rating scales who were either 10%, 50%, or 90% similar to themselves in attitudes Subjects were divided into low, moderate, and high self-esteem groups on the basis of an earlier Q sort The results showed a strong positive relation between perceived similarity and positive attribution for each of the dependent variables, including liking, sophisticated, intelligent, sincere, happy, and a social distance scale A negative relation was obtained for two undesirable traits, arrogant and cynical Self-esteem interacted with similarity on several of the measures The difference between self-esteem groups was largely restricted to highly dissimilar stimulus persons Moderate esteem subjects were more favorable toward dissimilar persons than either of the other two groups, and the high and low groups tended to resemble each other more than either group resembled the moderate esteem group These results were discussed in terms of the relation between self-esteem and adjustment, and in terms of McGuire's (1968) theory that predicts a nonmonotonic relation between self-esteem and attitudes.