The Association of Level and Stability of Self-Esteem and Depressive Symptoms in the Acute Inpatient Stroke Rehabilitation Setting

Purpose: Explore the relationship of level and stability of self-esteem with self-reported depressive symptoms during acute inpatient stroke rehabilitation. Research Method: A consecutive sample of 79 participants was administered measures of state self-esteem and mood twice a day for 4 consecutive...

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Bibliographic Details
Published in:Rehabilitation psychology 2008-05, Vol.53 (2), p.171-179
Main Authors: Vickery, Chad D, Sepehri, Arash, Evans, Clea C, Lee, Jae Eun
Format: Article
Language:English
Subjects:
Cerebrovascular Accidents
Depression
Female
Hospitalization
Human
Inpatient
Major Depression
Male
Moods
Rehabilitation
Self-Esteem
Selfesteem
Strokes
Symptoms
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Summary:Purpose: Explore the relationship of level and stability of self-esteem with self-reported depressive symptoms during acute inpatient stroke rehabilitation. Research Method: A consecutive sample of 79 participants was administered measures of state self-esteem and mood twice a day for 4 consecutive days. The Geriatric Depression Scale (GDS) was administered at the end of the 4 days. Self-esteem level was calculated by averaging the total self-esteem scores across the assessments, and self-esteem stability was operationalized as the standard deviation of self-esteem total scores. Mood level and stability were calculated likewise. Results: Regression analysis indicated that self-esteem stability moderated self-esteem level in predicting GDS scores, with stable lower self-esteem level associated with the most reported depressive symptoms. Unstable higher self-esteem levels were associated with more depressive symptoms than stable higher self-esteem. This interaction was demonstrated after controlling for mood level and stability, suggesting the independence of self-esteem stability from mood characteristics. Conclusion: Self-esteem stability may be an important variable in identifying individuals at risk for emotional disturbance following stroke. Further exploration of self-esteem stability correlates in this setting is warranted.
ISSN:0090-5550
1939-1544
DOI:10.1037/0090-5550.53.2.171