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Even if low self-esteem is one of the formal diagnostic criteria for depression,negative self-evaluation has repeatedly been suggested as a feature of mostpsychiatric disorders, in addition to a range of psychosocial problems. Thepresent study investigated predictors of self-esteem in a one-year clinic cohortof psychiatric outpatients (n = 338). At intake, patients completedquestionnaires measuring self-esteem, psychological distress, and interpersonalproblems, and were also diagnosed according to ICD-10. Level of psychologicaldistress and interpersonal problems predicted more of the variance inself-esteem than did psychiatric diagnosis. In multivariate analyses, the effectof psychological distress and interpersonal problems on self-esteem was morerobust for adjustment for diagnoses than vice versa. When psychological distressand interpersonal problems were controlled for, only affective disorders (pureand comorbid) predicted lower levels of self-esteem on a statisticallysignificant level. Implications of the findings for clinical work and futureresearch are pointed out.
Nordic Psychology – American Psychological Association
Published: Apr 1, 2008
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