Self-esteem and Depressive Symptoms in Diagnosed Psychiatric Patients: A Longitudinal Mediation Model

Author:

Yin Xifan1,Li Yifan2,Ye Yingying2,Wang Yibo3,Zha Yichang4,Xu Liang1,Qin Xiangjie5,Wei Shengzhong5,Feng Xinyu6

Affiliation:

1. Huzhou Third Municipal Hospital, the Affiliated Hospital of Huzhou University

2. Zhejiang University

3. Southwest University

4. Beijing Normal University

5. The First People’s Hospital of Nanning

6. Beijing Huilongguan Hospital

Abstract

Abstract

This study examined the relationship between self-esteem, interpersonal sensitivity, rumination, and depression in patients of MDD or GAD. the Rosenberg Self-Esteem Scale, the Interpersonal Sensitivity subscale of Symptom Checklist-90, the Chinese version of the Rumination Response Scale, and the Patient Health Questionnaire nine-item depression scale (PHQ-9) were used to measure 159 diagnosed adults. The study measured depression, self-esteem and interpersonal sensitivity at T1 and rumination and depression at T2 after a 10–14-day interval. The study found that after controlling for depression at T1, age, gender, and measurement time interval, low self-esteem at T1 could impact on depression at T2 through the mediation of reflection at T2, as well as through the chain mediation of interpersonal sensitivity at T1 and rumination at T2. The results indicated that for patients of MDD or GAD with low self-esteem, we could pay attention to intervening with rumination and interpersonal sensitivity, such as rumination-focused cognitive behavioral therapy or interpersonal psychotherapy.

Publisher

Springer Science and Business Media LLC

Reference59 articles.

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4. Predictors of rumination and co-rumination: the role of attachment dimensions, self-compassion and self-esteem;Bugay-Sokmez A;Curr Psychol (New Brunsw N J),2023

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