Skip to main content
Mijn bibliotheek
Shop
Nieuws Boeken Tijdschriften Toetsvragen Web-tv Video Audio
Tips voor Mijn BSL
Inloggen

Welkom bij Scalda & Bohn Stafleu van Loghum

Scalda heeft ervoor gezorgd dat je Mijn BSL eenvoudig en snel kunt raadplegen.Je kunt de producten hieronder links aanschaffen en rechts inloggen.

» Andere revante producten voor Scalda studenten en medewerkers.

Registreer

Schaf de BSL Academy aan: 

BSL Academy mbo AG

Eenmaal aangeschaft kun je thuis, of waar ook ter wereld toegang krijgen tot Mijn BSL.

Heb je een vraag, neem dan contact op met Jan van der Velden.

Login

Als u al geregistreerd bent, hoeft u alleen maar in te loggen om onbeperkt toegang te krijgen tot Mijn BSL.

Inloggen
Top
Cognitive Therapy and Research
Gepubliceerd in:

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

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
    Link delen
publish
Publiceer nu

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
Voetnoten
1
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.
 
2
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.
 
Literatuur
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Barber, J. P., Morse, J. Q., Krakauer, I. D., Chittams, J., & Crits-Christoph, K. (1997). Change in obsessive-compulsive and avoidant personality disorders following time-limited supportive-expressive therapy. Psychotherapy: Theory, Research, Practice, Training, 34, 133–143.CrossRef
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.CrossRef
Beck, A. T., & Dozois, D. J. A. (2011). Cognitive therapy: Current status and future directions. Annual Review of Medicine, 62, 397–409.PubMedCrossRef
Beck, A. T., Freeman, A., Davis, D., & Associates. (1990). Cognitive therapy of personality disorders. New York: Guilford Press.
Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77–100.CrossRef
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.PubMedCrossRef
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.PubMedCrossRef
Carver, C. S., & Scheier, M. F. (1998). On the self-regulation of behavior. New York: Cambridge University Press.CrossRef
de Man, A. F., & Gutiérrez, B. I. B. (2002). The relationship between level of self-esteem and suicidal ideation with stability of self-esteem as a moderator. Canadian Journal of Behavioural Science, 34, 235–238.CrossRef
First, M. B., Spitzer, R. L., Williams, J. B. W., & Benjamin, L. S. (1997). Structured clinical interview for DSM-IV Axis II personality disorders (SCID-II). Washington, DC: American Psychiatric Press, Inc.
Greenier, K. D., Kernis, M. H., McNamara, C. W., Waschull, S. B., Berry, A. J., Herlocker, C. E., et al. (1999). Individual differences in reactivity to daily events: Examining the roles of stability and level of self-esteem. Journal of Personality, 67, 185–208.PubMedCrossRef
Grilo, C. M., Masheb, R. M., & Wilson, T. G. (2006). Rapid response to treatment for binge eating disorder. Journal of Consulting and Clinical Psychology, 74, 602–613.PubMedCrossRef
Grilo, C. M., Sanislow, C. A., Shea, M. T., Skodol, A. E., Stout, R. L., Gunderson, J. G., et al. (2005). Two-year prospective naturalistic study of remission from major depressive disorder as a function of personality disorder comorbidity. Journal of Consulting and Clinical Psychology, 73, 78–85.PubMedCrossRef
Hayes, A. M., Feldman, G. C., & Goldfried, M. R. (2006). The change and growth experiences scale: A measure of insight and emotional processing. In L. G. Castonguay & C. Hill (Eds.), Insight in psychotherapy (pp. 231–253). Washington, DC: American Psychological Association.
Hayes, A. M., Laurenceau, J.-P., Feldman, G. C., Strauss, J. L., & Cardaciotto, L. A. (2007). Change is not always linear: The study of nonlinear and discontinuous patterns of change in psychotherapy. Clinical Psychology Review, 27, 715–724.PubMedCrossRef
Hayes, A. M., & Strauss, J. L. (1998). Dynamic systems theory as a paradigm for the study of change in psychotherapy: An application to cognitive therapy for depression. Journal of Consulting and Clinical Psychology, 66, 939–947.PubMedCrossRef
Ilardi, S. S., & Craighead, W. E. (1994). The role of nonspecific factors in cognitive-behavior therapy for depression. Clinical Psychology: Science and Practice, 1, 138–156.CrossRef
Kashdan, T. B., Uswatte, G., Steger, M. F., & Julian, T. (2006). Fragile self-esteem and affective instability in posttraumatic stress disorder. Behaviour Research and Therapy, 44, 1609–1619.PubMedCrossRef
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.CrossRef
Kernis, M. H., Cornell, D. P., Sun, C. R., Berry, A. J., & Harlow, T. (1993). There’s more to self-esteem than whether it is high or low: The importance of stability of self-esteem. Journal of Personality and Social Psychology, 65, 1190–1204.PubMedCrossRef
Kernis, M. H., Grannemann, B. D., & Barclay, L. C. (1989). Stability and level of self-esteem as predictors of anger arousal and hostility. Journal of Personality and Social Psychology, 56, 1013–1023.PubMedCrossRef
Kernis, M. H., & Waschull, S. B. (1995). The interactive roles of stability and level of self-esteem: Research and theory. In M. P. Zanna (Ed.), Advances in experimental social psychology (Vol. 27, pp. 93–141). San Diego, CA: Academic Press.
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.PubMedCrossRef
Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159–174.PubMedCrossRef
Leichsenring, F., & Leibing, E. (2003). The effectiveness of psychodynamic therapy and cognitive behavior therapy in the treatment of personality disorders: A meta-analysis. American Journal of Psychiatry, 160, 1223–1232.PubMedCrossRef
Lynym, L. I., Wilberg, T., & Karterud, S. (2008). Self-esteem in patients with borderline and avoidant personality disorders. Scandinavian Journal of Psychology, 49, 469–477.CrossRef
Oosterwegel, A., Field, N., Hart, D., & Anderson, K. (2001). The relation of self-esteem variability to emotion variability, mood, personality traits, and depressive tendencies. Journal of Personality, 69, 689–709.PubMedCrossRef
Penava, S. J., Otto, M. W., Maki, K. M., & Pollack, M. H. (1998). Rate of improvement during cognitive-behavioral group treatment for panic disorder. Behaviour Research and Therapy, 36, 655–674.CrossRef
Pyszczynski, T., & Greenberg, J. (1985). Depression and preference for self-focusing stimuli after success and failure. Journal of Personality and Social Psychology, 49, 1066–1075.PubMedCrossRef
Rhodewalt, F., Madrian, J. C., & Cheney, S. (1998). Narcissism, self-knowledge, and emotional reactivity: The effect of daily experiences on self-esteem and affect. Personality and Social Psychology Bulletin, 24, 75–87.CrossRef
Roberts, J. E., & Gotlib, I. H. (1997). Temporal variability in global self-esteem and specific self-evaluation as prospective predictors of emotional distress: Specificity in predictors and outcome. Journal of Abnormal Psychology, 106, 521–529.PubMedCrossRef
Roberts, J. E., & Kassel, J. D. (1997). Labile self-esteem, life stress, and depressive symptoms: Prospective data testing a model of vulnerability. Cognitive Therapy and Research, 21, 569–589.CrossRef
Roberts, J. E., Kassel, J. D., & Gotlib, I. H. (1995). Level and stability of self-esteem as predictors of depressive symptoms. Personality and Individual Differences, 19, 217–224.CrossRef
Roberts, J. E., & Monroe, S. M. (1994). A multidimensional model of self-esteem in depression. Clinical Psychology Review, 14, 161–181.CrossRef
Roberts, J. E., Shapiro, A. M., & Gamble, S. A. (1999). Level and perceived stability of self-esteem prospectively predict depressive symptoms during psychoeducational group treatment. British Journal of Clinical Psychology, 38, 425–429.PubMedCrossRef
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
Rosenberg, M. (1979). Conceiving the self. New York: Basic Books.
Rosenberg, M. (1986). Self-concept from middle childhood through adolescence. In J. Suls & A. G. Greenwald (Eds.), Psychological perspectives of the self (Vol. 2). Hillsdales, NJ: Erlbaum.
Shrout, P. E., & Fleiss, J. L. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychological Bulletin, 86, 420–428.PubMedCrossRef
Spitzer, R. L., Williams, J. B. W., Gibbon, M., & First, M. B. (1990a). Structured clinical interview for DSM-III-R, Patient edition/Non-patient edition (SCID-P/SCID-NP). Washington, DC: American Psychiatric Press.
Spitzer, R. L., Williams, J. B. W., Gibbon, M., & First, M. B. (1990b). Structured clinical interview for DSM-II-R—Personality disorders (SCID-II). Washington, DC: American Psychiatric Press.
Strauss, J. L., Hayes, A. M., Johnson, S. L., Newman, C. F., Brown, G. K., Barber, J. P., et al. (2006). Early alliance, alliance ruptures, and symptom change in a nonrandomized trial of cognitive therapy for Avoidant and Obsessive-compulsive personality disorders. Journal of Consulting and Clinical Psychology, 74, 337–345.PubMedCrossRef
Swann, W. B., Jr., Chang-Schneider, C., & McClarty, K. L. (2007). Do people’s self-views matter? Self-concept and self-esteem in everyday life. American Psychologist, 62, 84–94.PubMedCrossRef
Tang, T. Z., & DeRubeis, R. J. (1999). Sudden gains and critical sessions in cognitive behavioral therapy for depression. Journal of Consulting and Clinical Psychology, 67, 894–904.PubMedCrossRef
Waschull, S. B., & Kernis, M. H. (1996). Level and stability of self-esteem as predictors of children’s intrinsic motivation and reasons for anger. Personality and Social Psychology, 22, 4–13.CrossRef
Weertman, A., Arntz, A., de Jong, P. J., & Rinck, M. (2008). Implicit self- and other-associations in obsessive-compulsive personality disorder traits. Cognition and Emotion, 22, 1253–1275.CrossRef
Young, J. E. (1994).Cognitive therapy for personality disorders: A schema-focused approach. Sarasota, FL: Professional Resource Press.
Zeigler-Hill, V., & Abraham, J. (2006). Borderline personality features: Instability of self-esteem and affect. Journal of Social and Clinical Psychology, 25, 668–687.CrossRef
Metagegevens
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

Andere artikelen Uitgave 4/2012

Experiential Avoidance Mediates the Association Between Behavioral Inhibition and Posttraumatic Stress Disorder

  • Original Article

Responding to Anxiety with Rumination and Hopelessness: Mechanism of Anxiety-Depression Symptom Co-Occurrence?

  • Original Article

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

  • Original Article

Catastrophizing As a Predictor of Depressive and Anxious Symptoms in Children

  • Original Article

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

  • Original Article

The Future of Cognitive Therapy and Research is Bright and Clear

  • Editorial