Cognitive behaviour therapy for low self-esteem: A preliminary randomized controlled trial in a primary care setting

Background and ObjectivesLow self-esteem (LSE) is associated with psychiatric disorder, and is distressing and debilitating in its own right. Hence, it is frequent target for treatment in cognitive behavioural interventions, yet it has rarely been the primary focus for intervention. This paper reports on a preliminary randomized controlled trial of cognitive behaviour therapy (CBT) for LSE using Fennell’s (1997) cognitive conceptualisation and transdiagnostic treatment approach (Fennell, 1997 and Fennell, 1999).MethodsTwenty-two participants were randomly allocated to either immediate treatment (IT) (n = 11) or to a waitlist condition (WL) (n = 11). Treatment consisted of 10 sessions of individual CBT accompanied by workbooks. Participants allocated to the WL condition received the CBT intervention once the waitlist period was completed and all participants were followed up 11 weeks after completing CBT.ResultsThe IT group showed significantly better functioning than the WL group on measures of LSE, overall functioning and depression and had fewer psychiatric diagnoses at the end of treatment. The WL group showed the same pattern of response to CBT as the group who had received CBT immediately. All treatment gains were maintained at follow-up assessment.LimitationsThe sample size is small and consists mainly of women with a high level of educational attainment and the follow-up period was relatively short.ConclusionsThese preliminary findings suggest that a focused, brief CBT intervention can be effective in treating LSE and associated symptoms and diagnoses in a clinically representative group of individuals with a range of different and co-morbid disorders.

► We compare cognitive behaviour therapy (CBT) for low self-esteem to a waitlist condition. ► CBT is more effective in reducing low self-esteem than a waitlist condition. ► The CBT group had fewer psychiatric diagnoses at the end of treatment. ► Improvement in LSE was maintained at 11-week follow-up.