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What is the effect of one’s personality on one’s close relationships? In this chapter, we review the literature on this topic, focusing especially on the personality dimensions of self-esteem and the Big 5 traits of neuroticism and agreeableness. We review empirical studies of each of these three traits as predictors of (a) interpersonal processes and (b) relationship outcomes, including relationship satisfaction and dissolution. We also summarize any existing theoretical perspectives on these associations, including the most complete theoretical account offered for the influence of any of these traits on relationships—namely, the Self-Esteem-Infuses-Relationships-through-Trust (SIRT) model. We expect that two core assumptions of the SIRT model would be fundamental to theoretical accounts concerning any personality dimension’s influence on relationships. Specifically, (a) any trait?s influence must exert its influence through a causal chain of mediators, and (b) one of the essential mediators is behaviors between partners. Finally, we also evaluate how complete theoretical accounts concerning neuroticism and agreeableness that are likely to be offered in the future are likely to differ from or be similar to the account for self-esteem offered by the SIRT.
Dignity is a crucial value in caring for nursing home residents. These residents are extremely vulnerable due to, among others, their physical, social, and mental health risks. These risk factors can undermine their sense of dignity and induce feelings of inferiority and even depression.
Dignity Therapy is a short, individualized psychotherapy aimed at decreasing the existential distress of patients with a terminal illness. It appeared to be successful in patients with incurable cancer and could be a valuable addition to the treatment of loss of dignity in nursing homes. We evaluated the feasibility of implementing Dignity Therapy in Dutch nursing homes and explored its potential effects on residents’ dignity, depression, and self-esteem.
Methods
A pre–post feasibility study was conducted in 2 nursing homes. Psychologists were trained to recruit residents and deliver Dignity Therapy. Standardized questionnaires were administered at baseline and follow-up to assess dignity, depressive symptoms, and self-esteem.
Results
Psychologists were able to recruit and deliver the intervention to 36 residents. Participants generally evaluated the experience as pleasant and meaningful. No significant differences were found between pre- and post-measurements for dignity, depressive symptoms, and self-esteem. Regarding depressive symptoms, men and non-religious residents showed higher levels of depressive symptoms after the 8-week follow-up.
Significance of results
Dignity Therapy is feasible and acceptable for residents in Dutch nursing homes. Although no significant effects on dignity, depression, or self-esteem were detected, further research with larger samples and optimized implementation strategies is needed to understand the potential impact of Dignity Therapy in this setting.
Increasing attention is placed to redistributive attitudes, especially in the light of growing inequalities throughout the world. From Aristotle to Marx, the discipline classically shares a simple, albeit powerful assumption: individuals are mainly (or even only) motivated by their own self-interest. However, it is also assumed that alternative motivations may emerge as soon as the context allows this to happen. This article tests the impact of economic well-being at the societal level. Two main hypotheses are tested. First, the so-called ‘governmental protection hypothesis’, according to which support for redistribution declines at times of higher levels of national affluence. Second, the ‘declining self-interest hypothesis’, whereby national prosperity is expected to mitigate the income-based polarisation of redistributive preferences. While empirical evidence confirms the former, but not the latter, it also opens up a window of opportunity to develop an alternative theoretical explanation of attitude formation rooted in the social psychological literature.
Previous scholarship has shown evidence of a positive relationship between volunteering and improved measures of mental and physical wellbeing. It has also been suggested that volunteering may help individuals navigate transitions between different life stages by encouraging them to become more involved in their communities, thereby building new social connections and improving networks of social support. Using Waves 2 and 3 of panel data from the Midlife in the United States Survey, we examined whether volunteering can buffer against the negative effects of low self-esteem on correlates of psychosocial wellbeing in adults from mid- to later-life. Results indicated that participation in volunteering mitigates the negative effects of adults’ low self-esteem on their sense of belonging and life satisfaction. In particular, we determined the adverse effect of negative self-esteem at time T1 on our wellbeing measures (belonging to the community and life satisfaction) at T2 above and beyond the effects of the same measures at T1 and the covariates. Furthermore, we found positive evidence for the moderating influence of volunteering on the relationship between negative self-esteem and both measures of wellbeing, although the effect was stronger for life satisfaction than for belonging. These conclusions suggest that volunteering acts as a buffer for ageing adults, with possible public health implications.
This study investigated weight-related stigmatization in France using a mixed-methods approach with two aims: (1) to generate a systematic inventory of weight-related stigmatizing situations and (2) to examine how quality of life, self-esteem, and internalization of responsibility vary with BMI and sociodemographic factors (age, degree, and bariatric surgery). For the first objective, 252 French women reported a negative weight-related experience between September and December 2024, rated its emotional impact, and identified the source, form, and context of the stigma. For the second objective, 387 women and 63 men completed an online survey measuring attitudes (belief in a just world, self-esteem, and quality of life) and sociodemographic variables (gender, age, BMI, and degree). Qualitative analysis identified 484 stigmatizing incidents, categorized into eight themes. The most common were unpleasant verbal remarks (comments on appearance and weight, normative injunctions, and guilt-inducing statements), mainly from healthcare professionals. Most events occurred in private or semi-private settings such as homes or healthcare environments, often when the individual was alone with another person. Quantitative analyses revealed that greater stigma exposure, especially when paired with higher BMI, was linked to lower quality of life and, consequently, reduced self-esteem. Repeated stigmatization also led to a perception by people with obesity that, while the world is fair to others, it is unfair to them, further undermining their self-worth. These findings highlight the profound psychological toll of weight-related stigmatization and the need for more inclusive social and healthcare environments.
Low self-esteem is an important and potentially modifiable risk factor for the development and outcome of psychotic disorders. The factors involved in low self-esteem in psychotic disorders are not yet fully understood. The current study aims to investigate the cross-sectional and longitudinal associations between (changes in) self-esteem and severity of psychotic symptoms, internalized stigma, negative reaction to antipsychotics, personal recovery, childhood bullying, childhood trauma, and social support in symptomatically remitted first-episode psychosis (FEP) patients.
Methods
Data from the ongoing longitudinal Handling Antipsychotic Medication: Long-term Evaluation of Targeted Treatment study were used. Participants were in symptomatic remission for 3–6 months after the FEP. Cross-sectional associations (N = 299) were investigated through Pearson’s correlations, and longitudinal changes (N = 238) were investigated via linear regressions with inverse probability weighting.
Results
Cross-sectionally, we found that lower self-esteem was related to higher severity of symptoms, higher internalized stigma, higher childhood trauma (specifically emotional neglect), higher childhood bullying, more negative side effects of antipsychotic medication, lower personal recovery, and lower social support. Longitudinally, contrary to our hypothesis, we found that higher baseline internalized stigma, higher childhood trauma (specifically emotional abuse), and a higher baseline negative subjective reaction to antipsychotics predicted an increase in self-esteem after 6 months. Furthermore, a decrease in psychotic symptoms, internalized stigma, and negative subjective reaction to antipsychotics, and an increase in social support predicted an increase in self-esteem.
Conclusions
Early intervention programs for psychotic disorders should target factors related to changes in self-esteem. This might improve self-esteem and thereby promote recovery.
In this chapter, we examine the foundations of the development of social cognition—how children come to understand themselves and others. We begin by looking at the development of theory of mind– how children come to understand that people’s behavior is influenced by their beliefs and desires. We then examine the development of social learning, the acquisition of social information and behavior, which is responsible for humans’ ability to transfer information with such high fidelity from one person (and generation) to another. We then examine the development of the self, including self-concept, self-esteem, and self-efficacy. We conclude the chapter by looking at a related topic, identity formation in adolescence, including the development of ethnic identity.
The 5-item Appearance subscale of the Contingencies of Self-Worth Scale (CSWS; Crocker et al., 2003) assesses the extent to which individuals base their self-worth on their appearance. The CSWS can be administered online or in-person to adolescents and adults and is free to use in any setting. This chapter first discusses the development of the CSWS and its seven domains and then provides evidence of its psychometrics, underscoring the Appearance subscale given its connection to body image, the focus of this handbook. More specifically, the Appearance subscale has been found to be a distinct factor within the 7-factor CSWS, which was found to be invariant across gender. Internal consistency reliability, test-retest reliability, convergent validity, discriminant validity, incremental validity, and predictive validity support the use of the Appearance subscale. Next, this chapter provides the Appearance subscale items in their entirety, instructions for administering the Appearance subscale to participants, the item response scale, and the scoring procedure. Links to known CSWS translations are included. Logistics of use, such as permissions, copyright, and contact information, are available for readers.
Given the growing global prevalence and significant impact of depression and anxiety, both in general and within the workplace, understanding the underlying mechanisms contributing to emotional disorders is essential. This study examined whether self-esteem mediates the relationship between experiential avoidance and emotional disorders, focusing on depression and anxiety. We conducted a cross-sectional analysis of 174 outpatients from a community mental health center, who completed self-report measures of experiential avoidance, self-esteem, depression, and anxiety. We used the PROCESS macro for mediation analysis, and the results indicated that self-esteem significantly mediated the relationship between experiential avoidance and both depression and anxiety. We analyzed the mediation model within the framework of self-determination theory, which suggested that interventions aimed at reducing experiential avoidance and enhancing self-esteem could be effective for emotional disorders. In this study, we highlight the importance of addressing both experiential avoidance and self-esteem in the therapeutic context. We also discuss implications for clinical practice and limitations of the current study.
Previous research has suggested bidirectional relations between depressive symptoms and both internal and external core beliefs (self-esteem and optimism, respectively) in adolescence. However, little work has examined the cultural commonality versus specificity of these developmental pathways in adolescence across diverse contexts. To address this gap, the current study traced bidirectional associations among depressive symptoms and two forms of core beliefs (self-esteem and optimism) in adolescents from 12 cultural groups in nine countries. Longitudinal data were collected from 1,090 adolescents at ages 15 and 17. Significant associations emerged between age 15 depressive symptoms and both age 17 core beliefs across all cultural groups except Sweden. No significant associations between age 15 core beliefs and age 17 depressive symptoms were found in the multigroup model. However, the pathways from core beliefs to depressive symptoms and from depressive symptoms to core beliefs did not significantly differ in strength. These findings provide cross-cultural evidence for the scar theory (depressive symptoms → core beliefs), but no clear support for the vulnerability theory (core beliefs → depressive symptoms), perhaps due to the measurement and stability of depression. These findings have implications for understanding the adolescent development of psychopathology and cognitions, such as core beliefs, across diverse cultures.
There are an exceptional number of publications on the transition from elementary (primary) school to middle school, also known as secondary school, junior high school or lower-middle school. The major reason is that the transition to middle school is an event that has multiple and harmful implications. Several reasons contribute to the difficulty of secondary school adjustment, including misleading advertisement of the schools, a significant change in the teachers’ behavior and academic demands, and, especially, the developmental transitions to adolescence and the associated difficulties in managing parent-adolescent relationships. Relying on the P–E Fit Model, it is commonly agreed that the characteristics and demands that secondary schools impose on newcomers do not fit the needs of adolescents. In line with their developmental needs, secondary school are more oriented to their peers’ expectations than to those of their teachers and parents, and are more engaged in matters related to their self-esteem and social life, rather than learning “boring materials” or staying at school while their out-of-school life seems to be more exciting. Interventions to foster adjustment to secondary school are presented and discussed.
I scrutinize the common idea that Narcissistic Personality Disorder (NPD) involves empathy deficits. I argue that empathy is foremost an epistemic mechanism, leading to different forms and levels of interpersonal understanding. Interactive difficulties can result in profound interpersonal misunderstanding, which leaves some people in persistent doubt about other people’s perspectives and about their own social standing. Such status blindness, as I will call it, can explain some specific symptoms of NPD. I introduce relevant conceptual distinctions, devise a complex map of empathy that describes four types and four features, and apply the map to NPD. Finally, I specifically discuss empathy deficits in being the target of the empathy of others.
This paper introduces the concept of self-fulfilling testimonial injustice: a distinctive form of epistemic injustice whereby credibility deficits become true by shaping the very conditions that sustain them. Much of the literature on testimonial injustice has rightly emphasized cases in which credibility deficits are rooted in false beliefs, themselves underwritten by ethically bad affective investments. Yet such a focus risks obscuring a structurally significant variant: namely, those credibility deficits that are rendered true through self-fulfilling mechanisms. Drawing on insights from economics and psychology, I distinguish between motivated cognition-based and cognitive bias-based testimonial injustice, which together furnish the background conditions under which self-fulfilling testimonial injustice can take hold. I develop this account by drawing on both theoretical and experimental work on labor market discrimination, which illuminates the ways in which credibility deficits may become self-fulfillingly entrenched. Finally, I explore the distinctive harms of this form of injustice, focusing on its corrosive effects on epistemic self-confidence or self-trust and epistemic self-esteem, and suggest that its insidiousness and relative invisibility render it both difficult to detect and potentially more pervasive than has hitherto been acknowledged.
We conducted a systematic review and meta-analysis to quantify associations between overall and subtypes of CM, global/trait resilience, and five resilience domains (coping, self-esteem, emotion regulation, self-efficacy, and well-being) in adults, and to examine moderators and mediators of these associations. A systematic search was undertaken on 12 June 2024 to identify published peer-reviewed articles in five databases (PROSPERO-CRD42023394120). Of 15,262 records, 203 studies were included, comprising 145,317 adults (Mage = 29.62 years; 34.96% males); 183 studies and 557 effect sizes were pooled in random-effect meta-analyses. Overall CM and its subtypes were negatively associated with global/trait resilience and its domains (r = −0.081 to −0.330). Emotional abuse/neglect showed the largest magnitude of effect (r = −0.213 to −0.321). There was no meta-analytic evidence for an association between sexual abuse and coping, and physical abuse/neglect and self-esteem. Meta-regressions identified age, sample size, and study quality as moderators. Subgroup analyses found that associations between emotional abuse and emotion regulation were stronger, while associations between emotional abuse and self-esteem were weaker, in western versus non-western countries. No differences were found in associations between CM and resilience in clinical versus non-clinical samples. Narrative synthesis identified several mediators. Associations were of small magnitude and there were a limited number of studies, especially studies assessing CM subtypes, such as physical neglect, bullying, or domestic violence, and resilience domains, such as coping or self-efficacy, in males, and clinical samples. CM exposure negatively impacts resilience in adults, an effect observed across multiple maltreatment types and resilience domains. Interventions focused on resilience in adults with CM histories are needed to improve health and psychosocial outcomes.
Narcissism is a personality trait characterized by a sense of being more important and entitled than others. Narcissism is high in adolescence and puts adolescents at risk of psychopathology and problematic social relationships. Why is narcissism persistent in adolescence? Bridging insights from developmental, clinical, social, and personality psychology, we examined whether adolescents (ages 11–15) high in narcissism maintain narcissism through downward social comparisons (e.g., “I am better than my classmates”), not downward temporal comparisons (e.g., “I am better now than when I was younger”). A cross-sectional study (N = 382, 97% Dutch) showed that adolescents higher in narcissism made more downward social and temporal comparisons. In a longitudinal study (N = 389, 99% Dutch), we assessed adolescents’ narcissism levels at the beginning of the school year and at 3-month follow-up. In-between, we captured adolescents’ comparisons through daily diary assessments. Adolescents higher in narcissism made more downward social and temporal comparisons. Downward social – but not temporal – comparisons partially mediated the 3-month stability of narcissism. In both studies, self-esteem was unrelated to downward comparisons. Thus, downward social – but not temporal – comparisons contribute to the maintenance of adolescent narcissism, and these comparisons constitute a potentially malleable developmental mechanism to curtail narcissism.
Pubertal development variations have consequences for adolescent internalizing problems, which likely continue into adulthood. Key questions concern the extent of these links between pubertal timing and adult symptoms, as well as the underlying mechanisms.
Methods
Longitudinal data were available for 475 female and 404 male participants. Pubertal timing was indicated by age at mid-puberty for both groups and age at menarche for female participants (both assessed continuously). Adult self-reported outcomes of recent and lifetime depression and anxiety were predicted from pubertal timing, also controlling for adolescent (then childhood) internalizing problems. Emerging adulthood self-esteem, body dissatisfaction, education level, and age at sexual initiation were examined as mediators of the pubertal timing-adult internalizing link. Multilevel models tested hypotheses.
Results
Pubertal timing had persisting and sex-dependent psychological associations. Specifically, in female, but not male, adults, early puberty was associated with all adult internalizing outcomes, and for past year and lifetime depression symptoms, even after controlling for adolescent internalizing problems. Pubertal timing links with past-year depression symptoms were mediated by age at sexual initiation, while all other persisting pubertal timing links with adult symptoms were mediated by body dissatisfaction. Most findings concerning depression held when childhood internalizing problems were also a covariate.
Conclusions
Leveraging data spanning four developmental periods, findings highlight the associations between pubertal variations and adult internalizing symptoms by revealing underlying sex-dependent behavioral pathways. Only for female participants did pubertal timing affect depression and anxiety in established adulthood, with body dissatisfaction and age at sexual initiation as unique developmental mechanisms.
This study investigated associations between childhood neighborhood deprivation and adolescent mental health difficulties, and potential protective factors. Data were utilized from the Millennium Cohort Study (MCS) (born in 2000–2002; N = 5,422; 52% female) and the Environmental Risk (E-Risk) Longitudinal Twin Study (born in 1994–1995; N = 1,920; 53% female). Childhood neighborhood deprivation was measured using the Index of Multiple Deprivation between age 9 months and 14 years (MCS) and at age 12 (E-Risk). Adolescent mental health was assessed using the Strengths and Difficulties Questionnaire at age 17 (MCS) and the Diagnostic Interview Schedule conducted at age 18 with symptoms loading onto general psychopathology, internalizing and externalizing factors (E-Risk). Cross-classified models showed high levels of neighborhood deprivation in childhood were associated with more total problems (estimate = 0.46, 95% CI = 0.04–0.88) and internalizing difficulties (estimate = 0.32, 95% CI = 0.06–0.59) in adolescence within MCS. Being male, having higher self-esteem, greater social support, and a more positive parent-child relationship were associated with fewer total problems (estimates = −0.09–−1.87) and internalizing difficulties (estimates = −0.03–−1.88) at age 17 in the full sample regardless of neighborhood deprivation exposure. However, interactions revealed that higher self-esteem was especially beneficial for children exposed to high neighborhood deprivation (estimate = −0.35, 95% CI = −0.43–−0.27). No significant associations between childhood neighborhood deprivation and adolescent mental health symptoms were found in E-Risk. Interventions focused on improving self-esteem, social support, and parenting may help promote better adolescent mental health in the general population. Those living in the most deprived areas may benefit most from increased self-esteem.
Mental health problems in adolescence are increasingly prevalent and have tremendous impacts on life-long health and mortality. Although household poverty is a known risk factor for adolescent mental health, evidence of the timing hypothesis is scarce. We aimed to examine the longitudinal associations of poverty across childhood with mental health in adolescence, focusing on the timing of exposure.
Methods
We used the data of 5,671 children from a Japanese population-based longitudinal cohort, which recruited the first graders (aged 6–7 years) and followed biannually until eighth grade (aged 13–14 years) in Adachi, Tokyo. Household poverty was defined as households having any of the following experiences: annual income less than Japanese yen 3 million, payment difficulties and material deprivations, measured in first, second, fourth, sixth and eighth grades. Adolescent mental health included parent-report internalizing and externalizing problems (the Strengths and Difficulties Questionnaire), self-report depression (the Patient Health Questionnaire-9) and self-esteem (the Japanese version Children’s Perceived Competence Scale) in eighth grade. We applied g-estimation of structural nested mean modelling to account for time-varying confounders.
Results
If adolescents were exposed to household poverty at any grade across childhood, on average, they would report more severe depressive symptoms (ψ = 0.32 [95% CI 0.13; 0.51]) and lower self-esteem (ψ = −0.41 [−0.62; −0.21]) in eighth grade. There were also average associations of household poverty at any grade with more internalizing (ψ = 0.19 [0.10; 0.29]) and externalizing problems (ψ = 0.10 [0.002; 0.19]). Although the associations between household poverty and mental health were stronger in younger ages (e.g., poverty in the second grade → depression: ψ = 0.54 [−0.12; 1.19] vs. poverty in the eighth grade → depression: ψ = −0.01 [−0.66; 0.64]), overlapping 95% CIs indicated no statistically significantly different associations by the timing of exposure.
Conclusion
We found the average effect of exposure to household poverty at any grade on mental health outcomes in eighth grade, failing to support the timing hypothesis. The findings indicate that the effects of household poverty accumulate over time in childhood and impact adolescent mental health (cumulative hypothesis) rather than the effects differ by the timing of exposure. While cumulative effects suggest a persistent intervention in poor households across childhood, we highlight intervention at any timing in childhood may be effective in alleviating adolescent mental health problems.
This chapter explores the experience of receiving a diagnosis (or reaching a point of self-diagnosis) and how this diagnosis impacted the participants and their self-identity. It examines the extent to which they have developed (or are developing) a positive autistic identity, and the terminology they use to describe themselves and their diagnosis.
This article critically examines the relationship between self-esteem and criminal social identity in violent offenders, offering a novel rehabilitative framework within the Indian penal system. Despite global recognition of identity reformation as integral to offender rehabilitation, India has yet to integrate these psychological dimensions into correctional strategies. This research, conducted at Sabarmati Central Prison, Ahmedabad, applies structured therapeutic interventions to assess shifts in self-esteem and criminal social identity among 70 violent offenders, measured pre- and post-intervention. Criminal social identity reflects the internalization of criminality as a defining role, while self-esteem denotes an individual’s perceived legitimacy within social norms. The findings underscore the formative influence of environmental, familial and sociocultural factors, revealing a significant interplay between self-concept and criminal behaviour. Statistically significant improvements post-intervention demonstrate the potential for identity reconstruction as a rehabilitative tool. This analysis challenges punitive correctional models, advocating for evidence-based, human-centred interventions that prioritize psychological rehabilitation. By offering a culturally contextualized approach, this article contributes to contemporary debates on criminal justice reform, providing a blueprint for integrating psychological insights into correctional policy in India and beyond.