Effect of integrative reminiscence therapy on depression,well-being,integrity, self-esteem,and life satisfaction in older adults

Reminiscence therapy is a psychological intervention for older adults to remembering and interpreting life events that were experienced at some time in the past. The purpose of the present study was to investigate the extent of integrative reminiscence intervention effects, with the aim to produce statistically significant reduction in depression symptoms, and significant improvement in psychological well-being, life satisfaction, self esteem, and integrity were examined. Thirty-four healthy elderly participated in the intervention that was implemented in eight sessions. To evaluate the effects of the program, a quasi-experimental design was applied with pretest and posttest evaluations comparing the intervention group with a control group on a waiting list. In comparison to control group, individuals in treatment sample of older adults in an integrative reminiscence group demonstrated statistically significant reduction in depression symptoms and a significant improvement in self-esteem, integrity, life satisfaction, and psychological well-being.     

Low self-esteem in eating disordered patients in the absence of depression

Both low self-esteem and depression are well recognised as occurring in patients with eating disorders. 43 patients with eating disorders were studied to assess whether this low self-esteem occurred as part of an affective disorder or was independent of this. The patients, 23 with anorexia nervosa and 20 with bulimia nervosa, were assessed for low self-esteem, using the Rosenberg Self-esteem Questionnaire, and for depression, using the Hospital Anxiety and Depression Scale. The patients had low self-esteem, despite only a minority (33%) being depressed. This study demonstrates that low self-esteem occurs in patients with eating disorders in the absence of depression.     

A self-esteem measure for patients with cancer

Abstract

In assessing the quality of life of patients with cancer. :in important. though largely ignored. variable is self-esteem. The development of an instrument to measure self-esteem, using visual analogue scales, is described. This instrument was administered to 170 patients with newly diagnosed early breast cancer. Hodgkin's disease and non-Hodgkin's lymphoma three months and one year alter diagnosis. The instrument was acceptable to patients; internal consistency and test-retest reliability data are reported. Self-esteem scores were inversely correlated with depression and trait anxiety scores, and positively correlated with internal locus of control. Self-esteem was not significantly affected by tumour grade or stage. or by the extent to which patients felt disabled by the symptoms and side effects of their disease and treatment. The implications of these findings are discussed.     

Implicit and explicit self-esteem discrepancies in paranoia and depression

The main purpose of the present study was to examine implicit and explicit self-esteem (SE) in patients with persecutory delusions. In samples of paranoid patients, depressed patients, and healthy controls, implicit SE was assessed using the experimental go/no-go association task, whereas explicit SE was measured using 2 self-reporting questionnaires: the self-worth subscale of the World Assumption Scale (Janoff-Bulman, 1989) and the self-acceptance subscale of the Scales of Psychological Well-Being (Ryff & Keyes, 1995). Our analysis revealed that depressed patients showed lower explicit SE than did paranoid and healthy control participants. However, participants with persecutory delusions had significantly lower implicit SE scores than did healthy controls. We interpret the discrepancies observed between overt and covert measures in the paranoid group as psychological defense mechanisms. The present study stresses the clinical and theoretical importance of the use of implicit measures in psychopathology.     

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.     

Intrusive memories and depression in cancer patients

Matched samples of depressed and nondepressed cancer patients were interviewed about past life events, particularly experiences of death and illness. They identified and described any spontaneous intrusive visual memories they had experienced in the past week corresponding to these events. About one quarter reported such memories and, as predicted, the majority of intrusive memories concerned illness, injury and death. The mean levels of intrusion and avoidance were equivalent to patients with post-traumatic stress disorder. Consistent with prediction, depressed patients reported significantly more intrusive memories than controls, and described the memories as typically beginning with or being exacerbated by the onset of depression. Greater numbers of intrusive memories were associated with more maladaptive coping, and greater avoidance with deficits in autobiographical memory functioning.     

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.     

Stability of self-esteem as a moderator of the relation between level of self-esteem and depression

The hypothesis that stability of self-esteem would moderate the predictive relationship between level of self-esteem and depression was tested. Specifically, level of self-esteem was hypothesized to relate more strongly to subsequent depression for individuals with stable self-esteem than for individuals with unstable self-esteem. Results strongly supported this hypothesis. Implications for the relation between level of self-esteem and depression, and for the moderator variable approach to personality and prediction, are discussed.     

Low self-esteem prospectively predicts depression in adolescence and young adulthood

Low self-esteem and depression are strongly correlated in cross-sectional studies, yet little is known about their prospective effects on each other. The vulnerability model hypothesizes that low self-esteem serves as a risk factor for depression, whereas the scar model hypothesizes that low self-esteem is an outcome, not a cause, of depression. To test these models, the authors used 2 large longitudinal data sets, each with 4 repeated assessments between the ages of 15 and 21 years and 18 and 21 years, respectively. Cross-lagged regression analyses indicated that low self-esteem predicted subsequent levels of depression, but depression did not predict subsequent levels of self-esteem. These findings held for both men and women and after controlling for content overlap between the self-esteem and depression scales. Thus, the results supported the vulnerability model, but not the scar model, of self-esteem and depression.     

Body weight, self-esteem, and depression in Korean female

The purpose of this study was to examine whether body mass index (BMI) and perception of a body weight problem predict level of self-esteem and depression in Korean female adolescents. The sample consisted of 303 females, ranging in age from 15 to 19 years, who were attending four high schools located in Seoul, Korea. BMI and desired BMI were calculated based on self-reported weight and height. Self-perception of having a weight problem was evaluated by one question: "Do you see yourself as having a weight problem?" Self-esteem was measured using the Rosenberg Self-Esteem Scale, and depression was measured using the Center for Epidemiologic Studies Depression Scale. Based on BMI, 18.2% of the females were underweight, 79.2% were of normal weight, and 2.6% were overweight. Based on desired BMI, 78.5% of the females desired to be underweight. Results showed that perception of a weight problem, but not BMI, contributed significantly to the prediction of level of self-esteem and depression. In addition, there was a significant positive correlation between BMI and perception of a weight problem.     

The severity of depression in cancer patients

The Hamilton Rating Scale was used for measuring the severity of symptoms of depression in cancer patients and healthy control subjects. The rating of patients took place at the end of clinical tests carried out for determining their diagnosis. Cancer patients had elevated scores for depressed mood, loss of work and interests, agitation, general somatic symptoms, hypo-chondriasis, and loss of weight. Total depression scores indicative of moderate depression (i.e. 9–18) were found in 41% of patients, whereas 24% had scores greater than 18, indicative of severe depression. The findings suggests that the majority of cancer patients may require appropriate psychological support.     

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.     

Masculinity,femininity, self-esteem,and subclinical depression

A study involving 197 university undergraduates (83 males, 114 females) tested the hypothesis that depressive symptoms assessed by the short form of the Beck Depression Inventory (BDI) would be negatively related to masculinity (M) scores from the Personal Attributes Questionnaire (PAQ) but unrelated to femininity scores (F). It was also hypothesized that the negative relationship between masculinity and self-reports of depressive symptoms may be due to shared variance in self-esteem. The results supported predictions. In particular, the negative relationship linking masculinity to depressive symptoms disappeared when the effects of self-esteem were partialed out. Results are discussed in terms of the thesis that self-esteem may reflect in part the dominant masculine values of Western-type cultures and that manifestations of psychological ill health may occur when there is reduced opportunity to engage in behaviors that reflect these values.