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Questioning the vulnerability model: Prospective associations between low self-esteem and subsequent depression ratings may be spurious
Karolinska Institutet, Sweden.
Karolinska Institutet, Sweden;Stockholm University, Sweden;Univ Med Berlin, Germany.
Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology. Karolinska Institutet, Sweden;Inst Globally Distributed Open Res & Educ IGDORE, Sweden.ORCID iD: 0000-0003-0678-4494
Karolinska Institutet, Sweden.
2022 (English)In: Journal of Affective Disorders, ISSN 0165-0327, E-ISSN 1573-2517, Vol. 315, p. 259-266Article in journal (Refereed) Published
Abstract [en]

Background: According to the vulnerability model, low self-esteem makes people more depressed. Support for the vulnerability model comes almost exclusively from analyses using cross-lagged panel models, showing a negative effect of initial self-esteem on subsequent depression ratings when adjusting for initial depression. However, it is well known that such adjusted effects are susceptible to regression toward the mean. Methods: Data from four waves of measurements in five different samples (total N = 2703) were analyzed with two different cross-lagged panel models, two different random intercept cross-lagged panel models, and two different latent change score models, predicting change forwards as well as backwards in time. Results: High initial self-esteem predicted both decreased and increased depression ratings between measure-ments and an increase in self-esteem between measurements predicted a concurrent decrease in depression ratings.Limitations: Only data from two western countries, Switzerland and USA, were analyzed. Whether the main finding, that a prospective effect of self-esteem on subsequent depression ratings might be spurious, applies to other countries and cultures remains an open question. Conclusions: Due to the incongruent results, any causal effect of self-esteem on depression ratings, and thus the vulnerability model as such, cannot be corroborated by the data and models analyzed here. Instead, we propose, tentatively, that prospective associations between self-esteem and depression ratings may be spurious due to a combination of reasons, including regression toward the mean. The indication that depression might not be affected by measures to improve individuals' self-esteem is of clinical relevance.

Place, publisher, year, edition, pages
Elsevier, 2022. Vol. 315, p. 259-266
Keywords [en]
Cross-lagged panel model, Depression ratings, Latent change score model, Regression toward the mean, Self-esteem, Vulnerability model
National Category
Applied Psychology
Research subject
Social Sciences, Psychology
Identifiers
URN: urn:nbn:se:lnu:diva-116465DOI: 10.1016/j.jad.2022.08.003ISI: 000848145600030PubMedID: 35952930Scopus ID: 2-s2.0-85135697779OAI: oai:DiVA.org:lnu-116465DiVA, id: diva2:1697587
Available from: 2022-09-21 Created: 2022-09-21 Last updated: 2024-11-07Bibliographically approved

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Ingre, Michael

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