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01-08-2012 | Original Article

The Dynamics of Self-Esteem in Cognitive Therapy for Avoidant and Obsessive–Compulsive Personality Disorders: An Adaptive Role of Self-Esteem Variability?

Auteurs: Jorden A. Cummings, Adele M. Hayes, LeeAnn Cardaciotto, Cory F. Newman

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 4/2012

Abstract

Self-esteem variability is often associated with poor functioning. However, in disorders with entrenched negative views of self and in a context designed to challenge those views, variable self-esteem might represent a marker of change. We examined self-esteem variability in a sample of 27 patients with Avoidant and Obsessive–Compulsive Personality Disorders who received Cognitive Therapy. A therapy coding system was used to rate patients’ positive and negative views of self expressed in the first ten sessions of a 52-week treatment. Ratings of negative (reverse scored) and positive view of self were summed to create a composite score for each session. Self-esteem variability was calculated as the standard deviation of self-esteem scores across sessions. More self-esteem variability predicted more improvement in personality disorder and depression symptoms at the end of treatment, beyond baseline and average self-esteem. Early variability in self-esteem, in this population and context, appeared to be a marker of therapeutic change.

vorige artikel Changes in Judgment Biases and Use of Emotion Regulation Strategies During Cognitive-Behavioral Therapy for Social Anxiety Disorder: Distinguishing Treatment Responders from Nonresponders

volgende artikel Perceived Extent and Effectiveness of Reflection and Brooding in Relation to Depressed Mood

We use the term variability, because larger standard deviations indicate more variability. This index has also been labeled self-esteem lability or stability by others.

In addition, we examined self-esteem variability as a predictor of personality symptoms and depression over and above baseline levels of self-esteem. In these models, self-esteem variability remained a significant predictor of both personality and depressive symptoms.

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Titel: The Dynamics of Self-Esteem in Cognitive Therapy for Avoidant and Obsessive–Compulsive Personality Disorders: An Adaptive Role of Self-Esteem Variability?
Auteurs: Jorden A. Cummings
Adele M. Hayes
LeeAnn Cardaciotto
Cory F. Newman
Publicatiedatum: 01-08-2012
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 4/2012
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-011-9375-x

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