A systematic review and meta-analysis of CBT interventions based on the Fennell model of low self-esteem

Psychiatry Res. 2018 Sep:267:296-305. doi: 10.1016/j.psychres.2018.06.025. Epub 2018 Jun 13.

Abstract

Low self-esteem is a feature of several mental health disorders that has been directly treated with Cognitive-Behavioral Therapy (CBT). The aim of our study was to determine the efficacy of interventions for improving low self-esteem in adults by utilizing the model outlined in Fennell (1997; 1998; 1999). A literature search identified 8 studies that met the inclusion criteria of CBT-based interventions for low self-esteem using this model, 7 of which were used in a quantitative synthesis. These studies included weekly group and individual sessions and one-day workshop formats. Summary effect sizes of 1.12 and 0.34 at post-treatment were observed, with low levels of heterogeneity, for weekly sessions and one-day workshops, respectively. Comparable results were found for the reduction of depressive symptoms. Results suggest that CBT-based interventions may be efficacious for treating individuals with low self-esteem, according to changes in self-report measures; however, it is unclear whether these interventions are dissimilar to those aimed at reducing depression.

Keywords: Cognitive-behavioral therapy; Depression; Low self-esteem; Meta-analysis; Systematic review.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Cognitive Behavioral Therapy / methods*
  • Cohort Studies
  • Depression / diagnosis*
  • Depression / psychology
  • Depression / therapy*
  • Depressive Disorder / diagnosis
  • Depressive Disorder / psychology
  • Depressive Disorder / therapy
  • Humans
  • Randomized Controlled Trials as Topic / methods
  • Self Concept*