Skip to main content
Log in

The Connections Between Self-Esteem and Psychopathology

  • Original Paper
  • Published:
Journal of Contemporary Psychotherapy Aims and scope Submit manuscript

Abstract

Diagnostic criteria and empirical research suggests an intimate connection between low self-esteem and psychopathology. The purpose of the present work is to provide a review of the literature that focuses on the interconnections between self-esteem and psychopathology. The most prominent explanations for this link are explored including the vulnerability model (low self-esteem increases the probability of psychopathology) and the scar model (low self-esteem is a consequence of psychopathology rather than a cause). Recent advancements in the self-esteem literature concerning distinctions between secure and fragile forms of self-esteem are discussed in terms of their potential implications for psychopathology. Finally, the role of self-esteem in psychotherapeutic interventions is reviewed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Abela, J. R. Z., Webb, C. A., Wagner, C., Ho, M. H. R., & Adams, P. (2006). The role of self-criticism, dependency, and hassles in the course of depressive illness: A multiwave longitudinal study. Personality and Social Psychology Bulletin, 32, 328–338.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text Revision). Washington, DC: American Psychiatric Association.

  • Barrowclough, C., Tarrier, N., Humphreys, L., Ward, J., Gregg, L., & Andrews, B. (2003). Self-esteem in schizophrenia: Relationships between self-evaluation, family attitudes, and symptomatology. Journal of Abnormal Psychology, 112, 92–99.

    Article  PubMed  Google Scholar 

  • Baumeister, R. F., Campbell, J. D., Krueger, J. I., & Vohs, K. D. (2003). Does high self-esteem cause better performance, interpersonal success, happiness, or healthier lifestyles? Psychological Science in the Public Interest, 4, 1–44.

    Article  Google Scholar 

  • Baumeister, R. F., Smart, L., & Boden, J. M. (1996). The relation of threatened egotism to violence and aggression: The dark side of high self-esteem. Psychological Review, 103, 5–33.

    Article  PubMed  CAS  Google Scholar 

  • Baumeister, R. F., Tice, D. M., & Hutton, D. G. (1989). Self-presentation motivations and personality differences in self-esteem. Journal of Personality, 57, 547–579.

    Google Scholar 

  • Beck, A. T. (1967). Depression: Clinical experimental and theoretical aspects. New York: Harper & Row.

    Google Scholar 

  • Beck, J. S. (1995). Cognitive therapy: Basics and beyond. New York: Guilford Press.

    Google Scholar 

  • Blaine, B., & Crocker, J. (1993). Self-esteem and self-serving biases in reaction to positive and negative events: An integrative review. In R. F. Baumeister (Ed.), Self-esteem: The puzzle of low self-regard (pp. 55–85). New York: Plenum Press.

    Google Scholar 

  • Blankertz, L. (2001). Cognitive components of self-esteem for individuals with severe mental illness. American Journal of Orthopsychiatry, 71, 457–465.

    Article  PubMed  CAS  Google Scholar 

  • Boden, J. M., Fergusson, D. M., & Horwood, L. J. (2007). Self-esteem and violence: Testing links between adolescent self-esteem and later hostility and violent behavior. Social Psychiatry and Psychiatric Epidemiology, 42, 881–891.

    Article  PubMed  Google Scholar 

  • Boden, J. M., Fergusson, D. M., & Horwood, L. J. (2008). Does adolescent self-esteem predict later life outcomes? A test of the causal role of self-esteem. Development and Psychopathology, 20, 319–339.

    Article  PubMed  Google Scholar 

  • Bos, A. E. R., Huijding, J., Muris, P., Vogel, L. R. R., & Biesheuvel, J. (2010). Global, contingent, and implicit self-esteem and psychopathological symptoms in adolescents. Personality and Individual Differences, 48, 311–316.

    Article  Google Scholar 

  • Bosson, J. K., Brown, R. P., Zeigler-Hill, V., & Swann, W. B., Jr. (2003). Self-enhancement tendencies among people with high explicit self-esteem: The moderating role of implicit self-esteem. Self and Identity, 2, 169–187.

    Article  Google Scholar 

  • Bosson, J. K., Lakey, C. E., Campbell, W. K., Zeigler-Hill, V., Jordan, C. H., & Kernis, M. H. (2008). Untangling the links between narcissism and self-esteem: A theoretical and empirical review. Social and Personality Psychology Compass, 2, 1415–1439.

    Article  Google Scholar 

  • Breines, J. G., Crocker, J., & Garcia, J. A. (2008). Self-objectification and well-being in women’s daily lives. Personality and Social Psychology Bulletin, 34, 583–598.

    Article  PubMed  Google Scholar 

  • Brown, G. W., Bifulco, A., Andrews, B., & Bridge, L. (1986). Life events, chronic subclinical symptoms, and vulnerability to clinical depression. Journal of Affective Disorders, 11, 1–19.

    Article  PubMed  CAS  Google Scholar 

  • Brown, J. D., & Marshall, M. A. (2006). The three faces of self-esteem. In M. H. Kernis (Ed.), Self-esteem issues and answers: A source book of current perspectives (pp. 4–9). New York: Psychology Press.

    Google Scholar 

  • Brown, R. P., & Zeigler-Hill, V. (2004). Narcissism and the non-equivalence of self-esteem measures: A matter of dominance? Journal of Research in Personality, 38, 585–592.

    Article  Google Scholar 

  • Buhlmann, U., Teachman, B. A., Naumann, E., Fehlinger, T., & Rief, W. (2009). The meaning of beauty: Implicit and explicit self-esteem and attractiveness beliefs in body dysmorphic disorder. Journal of Anxiety Disorders, 23, 694–702.

    Article  PubMed  Google Scholar 

  • Butler, A. C., Hokanson, J. E., & Flynn, H. A. (1994). A comparison of self-esteem lability and low trait self-esteem as vulnerability factors for depression. Journal of Personality and Social Psychology, 66, 166–177.

    Article  PubMed  CAS  Google Scholar 

  • Cambron, M. J., Acitelli, L. K., & Pettit, J. W. (2009). Explaining gender differences in depression: An interpersonal contingent self-esteem perspective. Sex Roles, 61, 751–761.

    Article  Google Scholar 

  • Campbell, J. D., Trapnell, P. D., Heine, S. J., Katz, I. M., Lavallee, L. F., & Lehman, D. R. (1996). Self-concept clarity: Measurement, personality correlates, and cultural boundaries. Journal of Personality and Social Psychology, 70, 141–156.

    Article  Google Scholar 

  • Ciesla, J. A., & Roberts, J. E. (2002). Self-directed thought and response to treatment for depression: A preliminary investigation. Journal of Cognitive Psychotherapy: An Interpersonal Quarterly, 16, 435–453.

    Google Scholar 

  • Cockerham, E., Stopa, L., Bell, L., & Gregg, A. (2009). Implicit self-esteem in bulimia nervosa. Journal of Behavior Therapy and Experimental Psychiatry, 40, 265–273.

    Article  PubMed  Google Scholar 

  • Coyne, J. C., & Calarco, M. M. (1995). Effects of the experience of depression: Application of focus group and survey methodologies. Psychiatry: Interpersonal and Biological Processes, 58, 149–163.

    CAS  Google Scholar 

  • Crocker, J. (2002). The costs of seeking self-esteem. Journal of Social Issues, 58, 597–615.

    Article  Google Scholar 

  • Crocker, J., & Park, L. E. (2004). The costly pursuit of self-esteem. Psychological Bulletin, 130, 392–414.

    Article  PubMed  Google Scholar 

  • Crocker, J., Thompson, L., McGraw, K., & Ingerman, C. (1987). Downward comparison, prejudice, and evaluations of others: Effects of self-esteem and threat. Journal of Personality and Social Psychology, 52, 907–916.

    Article  PubMed  CAS  Google Scholar 

  • Crocker, J., & Wolfe, C. T. (2001). Contingencies of self-worth. Psychological Review, 108, 593–623.

    Article  PubMed  CAS  Google Scholar 

  • Dooley, D., Prause, J., Ham-Rowbottom, K. A., & Emptage, N. (2005). Age of alcohol drinking onset: Precursors and the mediation of alcohol disorder. Journal of Child and Adolescent Substance Abuse, 15, 19–37.

    Article  Google Scholar 

  • Ferris, D. L., Brown, D. J., Lian, H., & Keeping, L. M. (2009). When does self-esteem related to deviant behavior? The role of contingencies of self-worth. Journal of Applied Psychology, 94, 1345–1353.

    Article  PubMed  Google Scholar 

  • Foster, J. D., Kernis, M. H., & Goldman, B. M. (2007). Linking adult attachment to self-esteem stability. Self and Identity, 6, 64–73.

    Article  Google Scholar 

  • Giesler, R. B., Josephs, R. A., & Swann, W. B. (1996). Self-verification in clinical depression: The desire for negative evaluation. Journal of Abnormal Psychology, 105, 358–368.

    Article  PubMed  CAS  Google Scholar 

  • Greenwald, A. G., & Banaji, M. R. (1995). Implicit social cognition: Attitudes, self-esteem, and stereotypes. Psychological Review, 102, 4–27.

    Article  PubMed  CAS  Google Scholar 

  • Grossbard, J. R., Lee, C. M., Neighbors, C., & Larimer, M. E. (2009). Body image concerns and contingent self-esteem in male and female college students. Sex Roles, 60, 198–207.

    Article  Google Scholar 

  • Gual, P., Pérez-Gaspar, M., Martinez-González, M. A., Lahortiga, F., de Irala-Estévez, J., & Cervera-Enguix, S. (2001). Self-esteem, personality, and eating disorders: Baseline assessment of a prospective population-based cohort. International Journal of Eating Disorders, 31, 261–273.

    Article  Google Scholar 

  • Hakim-Larson, J., & Mruk, C. (1997). Enhancing self-esteem in a community mental health setting. American Journal of Orthopsychiatry, 67, 655–659.

    Article  PubMed  CAS  Google Scholar 

  • Haney, P., & Durlak, J. A. (1998). Changing self-esteem in children and adolescents: A meta-analytic review. Journal of Clinical Child Psychology, 27, 423–433.

    Article  PubMed  CAS  Google Scholar 

  • Harter, S. (1999). The construction of the self: A developmental perspective. New York: Guilford Press.

    Google Scholar 

  • Henning, E. R., Turk, C. L., Mennin, D. S., Fresco, D. M., & Heimberg, R. G. (2007). Impairment and quality of life in individuals with generalized anxiety disorder. Depression and Anxiety, 24, 342–349.

    Article  PubMed  Google Scholar 

  • Izgiç, F., Akyüz, G., Doğan, O., & Kuğu, N. (2004). Social phobia among university students and its relation to self-esteem and body image. The Canadian Journal of Psychiatry, 49, 630–634.

    Google Scholar 

  • Joiner, T. E., Alfano, M. S., & Metalsky, G. I. (1992). When depression breeds contempt: Reassurance seeking, self-esteem, and rejection of depressed college students by their roommates. Journal of Abnormal Psychology, 101, 165–173.

    Article  PubMed  Google Scholar 

  • Jordan, C. H., Spencer, S. J., Zanna, M. P., Hoshino-Browne, E., & Correll, J. (2003). Secure and defensive high self-esteem. Journal of Personality and Social Psychology, 85, 969–978.

    Article  PubMed  Google Scholar 

  • Josephs, R. A., Larrick, R. P., Steele, C. M., & Nisbett, R. E. (1992). Protecting the self from the negative consequences of risky decisions. Journal of Personality and Social Psychology, 62, 26–37.

    Article  PubMed  CAS  Google Scholar 

  • Kernis, M. H. (2003). Toward a conceptualization of optimal self-esteem. Psychological Inquiry, 14, 1–26.

    Article  Google Scholar 

  • Kernis, M. H. (2005). Measuring self-esteem in context: The importance of stability of self-esteem in psychological functioning. Journal of Personality, 73, 1–37.

    Article  Google Scholar 

  • Kernis, M. H., Grannemann, B. D., & Barclay, L. C. (1989). Stability and level of selfesteem as predictors of anger arousal and hostility. Journal of Personality and Social Psychology, 56, 1013–1023.

    Article  PubMed  CAS  Google Scholar 

  • Kernis, M. H., Lakey, C. E., & Heppner, W. L. (2008). Secure versus fragile high selfesteem as a predictor of verbal defensiveness: Converging findings across three different markers. Journal of Personality, 76, 477–512.

    Article  PubMed  Google Scholar 

  • Knowles, R., Tai, S., Jones, S. H., Highfield, J., Morriss, R., & Bentall, R. P. (2007). Stability of self-esteem in bipolar disorder: Comparisons among remitted bipolar patients, remitted unipolar patients and healthy controls. Bipolar Disorders, 9, 490–495.

    Article  PubMed  Google Scholar 

  • Kuğu, N., Akyüz, G., Doğan, O., Ersan, E., & Izgiç, F. (2006). The prevalence of eating disorders among university students and the relationship with some individual characteristics. Australian and New Zealand Journal of Psychiatry, 40, 129–135.

    PubMed  Google Scholar 

  • Leary, M. R., & Downs, D. L. (1995). Interpersonal functions of the self-esteem motive: The self-esteem system as a sociometer. In M. Kernis (Ed.), Efficacy, agency, and self-esteem (pp. 123–144). New York: Plenum.

    Google Scholar 

  • Leary, M. R., Tambor, E. S., Terdal, S. K., & Downs, D. L. (1995). Self-esteem as an interpersonal monitor: The sociometer hypothesis. Journal of Personality and Social Psychology, 68, 518–530.

    Article  Google Scholar 

  • McKay, M., & Fanning, P. (1992). Self-esteem. Oakland, CA: New Harbinger.

    Google Scholar 

  • Mor, N., & Winquist, J. (2002). Self-focused attention and negative affect: A metaanalysis. Psychological Bulletin, 128, 638–662.

    Article  PubMed  Google Scholar 

  • Mruk, C. (2006). Self-esteem: Research, theory, and practice (3rd ed.). New York: Springer.

    Google Scholar 

  • Murray, S. L., Holmes, J. G., & Griffin, D. W. (2000). Self-esteem and the quest for felt security: How perceived regard regulates attachment processes. Journal of Personality and Social Psychology, 78, 478–498.

    Article  PubMed  CAS  Google Scholar 

  • Myers, E. M., & Zeigler-Hill, V. (2008). No shades of gray: Splitting and self-esteem instability. Personality and Individual Differences, 45, 139–145.

    Article  Google Scholar 

  • Neff, K. D., & Vonk, R. (2009). Self-compassion versus global self-esteem: Two different ways of relating to oneself. Journal of Personality, 77, 23–50.

    Article  PubMed  Google Scholar 

  • Newns, K., Bell, L., & Thomas, S. (2003). The impact of a self-esteem group for people with eating disorders: An uncontrolled study. Clinical Psychology and Psychotherapy, 10, 64–68.

    Article  Google Scholar 

  • O’Brien, E. J., Bartoletti, M., & Leitzel, J. D. (2006). Self-esteem, psychopathology, and psychotherapy. In M. H. Kernis (Ed.), Self-esteem issues and answers: A sourcebook of current perspectives (pp. 306–315). New York: Psychology Press.

    Google Scholar 

  • Orth, U., Robins, R. W., & Meier, L. L. (2009). Disentangling the effects of low selfesteem and stressful events on depression: Findings from three longitudinal studies. Journal of Personality and Social Psychology, 97, 307–321.

    Article  PubMed  Google Scholar 

  • Orth, U., Robins, R. W., & Roberts, B. W. (2008). Low self-esteem prospectively predicts depression in adolescence and young adulthood. Journal of Personality and Social Psychology, 95, 695–708.

    Article  PubMed  Google Scholar 

  • Roberts, J. E. (2006). Self-esteem from a clinical perspective. In M. H. Kernis (Ed.), Selfesteem issues and answers: A sourcebook of current perspectives (pp. 298–305). New York: Psychology Press.

    Google Scholar 

  • Robins, R. W., Hendin, H. M., & Trzesniewski, K. H. (2001). Measuring global selfesteem: Construct validation of a single-item measure and the Rosenberg Self- Esteem Scale. Personality and Social Psychology Bulletin, 27, 151–161.

    Article  Google Scholar 

  • Rogers, C. R. (1959). A theory of therapy, personality, and interpersonal relationships, as developed in the client-centered framework. In S. Koch (Ed.), Psychology: A study of science (Vol. 3, pp. 184–256). New York: McGraw-Hill.

    Google Scholar 

  • Schröder-Abé, M., Rudolph, A., & Schütz, A. (2007). High implicit self-esteem is not necessarily advantageous: Discrepancies between explicit and implicit self-esteem and their relationship with anger expression and psychological health. European Journal of Personality, 21, 319–339.

    Article  Google Scholar 

  • Smith, M. L., Glass, G. V., & Miller, T. I. (1980). The benefits of psychotherapy. Baltimore, MD: Johns Hopkins University Press.

    Google Scholar 

  • Spencer, S. J., Jordan, C. H., Logel, C. E. R., & Zanna, M. P. (2005). Nagging doubts and a glimmer of hope: The role of implicit self-esteem in self-image maintenance. In A. Tesser, J. V. Wood, & D. A. Stapel (Eds.), On building, defending and regulating the self: A psychological perspective (pp. 153–170). New York: Psychology Press.

    Google Scholar 

  • Tennen, H., Herzberger, S., & Nelson, H. F. (1987). Depressive attributional style: The role of self-esteem. Journal of Personality, 55, 631–660.

    Article  PubMed  CAS  Google Scholar 

  • Thewissen, V., Myin-Germeys, I., Bentall, R., de Graaf, R., Vollebergh, W., & van Os, J. (2007). Instability in self-esteem and paranoia in a general population sample. Social Psychiatry and Psychiatric Epidemiology, 42, 1–5.

    Article  PubMed  Google Scholar 

  • Van der Gucht, E., Morriss, R., Lancaster, G., Kinderman, P., & Bentall, R. P. (2009). Psychological processes in bipolar affective disorder: Negative cognitive style and reward processing. British Journal of Psychiatry, 194, 146–151.

    Article  PubMed  Google Scholar 

  • Vitousek, K., Watson, S., & Wilson, G. T. (1998). Enhancing motivation for change in treatment-resistant eating disorders. Clinical Psychology Review, 18, 391–420.

    Article  PubMed  CAS  Google Scholar 

  • Wu, K. D., Clark, L. A., & Watson, D. (2006). Relations between obsessive-compulsive disorder and personality: Beyond axis I-axis II comorbidity. Journal of Anxiety Disorders, 20, 695–717.

    Article  PubMed  Google Scholar 

  • Young, J. E., Weinberger, A. D., & Beck, A. T. (2001). Cognitive therapy for depression. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders: A step-bystep treatment manual (3rd ed., pp. 264–308). New York: Guilford Press.

    Google Scholar 

  • Zeigler-Hill, V. (2006). Discrepancies between implicit and explicit self-esteem: Implications for narcissism and self-esteem instability. Journal of Personality, 74, 119–143.

    Article  PubMed  Google Scholar 

  • Zeigler-Hill, V., & Abraham, J. (2006). Borderline personality features: Instability of self-esteem and affect. Journal of Social and Clinical Psychology, 25, 668–687.

    Article  Google Scholar 

  • Zeigler-Hill, V., Chadha, S., & Osterman, L. (2008a). Psychological defense and selfesteem instability: Is defense style associated with unstable self-esteem? Journal of Research in Personality, 42, 348–364.

    Article  Google Scholar 

  • Zeigler-Hill, V., Clark, C. B., & Pickard, J. D. (2008b). Narcissistic subtypes and contingent self-esteem: Do all narcissists base their self-esteem on the same domains? Journal of Personality, 76, 753–774.

    Article  PubMed  Google Scholar 

  • Zeigler-Hill, V., & Jordan, C. H. (2010). Two faces of self-esteem: Implicit and explicit forms of self-esteem. In B. Gawronski & B. K. Payne (Eds.), Handbook of implicit social cognition: Measurement, theory, and applications (pp. 392–407). New York: Guilford Press.

    Google Scholar 

  • Zeigler-Hill, V., & Jordan, C. H. (in press). Behind the mask: Narcissism and implicit self-esteem. In W. K. Campbell & J. Miller (Eds.), Handbook of narcissism and narcissistic personality disorder: Theoretical approaches, empirical findings, and treatment. Hoboken, NJ: Wiley.

  • Zeigler-Hill, V., & Showers, C. J. (2007). Self-structure and self-esteem stability: The hidden vulnerability of compartmentalization. Personality and Social Psychology Bulletin, 33, 143–159.

    Article  PubMed  Google Scholar 

  • Zeigler-Hill, V., & Terry, C. (2007). Perfectionism and explicit self-esteem: The moderating role of implicit self-esteem. Self and Identity, 6, 137–153.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Virgil Zeigler-Hill.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zeigler-Hill, V. The Connections Between Self-Esteem and Psychopathology. J Contemp Psychother 41, 157–164 (2011). https://doi.org/10.1007/s10879-010-9167-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10879-010-9167-8

Keywords

Navigation