@article{ref1,
title="The nature of self-esteem and its relationship to anxiety and depression in adult acquired brain injury",
journal="Neuropsychological rehabilitation",
year="2018",
author="Longworth, Catherine and Deakins, Joseph and Rose, David and Gracey, Fergus",
volume="28",
number="7",
pages="1078-1094",
abstract="Acquired brain injury (ABI) has a negative impact on self-esteem, which is in turn associated with mood disorders, maladaptive coping and reduced community participation. The aim of the current research was to explore self-esteem as a multi-dimensional construct and identify which factors are associated with symptoms of anxiety or depression. Eighty adults with ABI aged 17-56 years completed the Robson Self-Esteem Scale (RSES), of whom 65 also completed the Hospital Anxiety and Depression Scale; 57.5% of the sample had clinically low self-esteem. The RSES had good internal consistency (α =  .89), and factor analysis identified four factors, which differed from those found previously in other populations. Multiple regression analysis revealed anxiety was differentially predicted by &quot;Self-Worth&quot; and &quot;Self-Efficacy&quot;, R(2) =  .44, F(4, 58) =   9, p <  .001, and depression by &quot;Self-Regard&quot;, R(2) =  .38, F(4, 58) =   9, p <  .001. A fourth factor, &quot;Confidence&quot;, did not predict depression or anxiety. In conclusion, the RSES is a reliable measure of self-esteem after ABI. Self-esteem after ABI is multidimensional and differs in structure from self-esteem in the general population. A multidimensional model of self-esteem may be helpful in development of transdiagnostic cognitive behavioural accounts of adjustment.<p /> <p>Language: en</p>",
language="en",
issn="0960-2011",
doi="10.1080/09602011.2016.1226185",
url="http://dx.doi.org/10.1080/09602011.2016.1226185"
}