Department of Social Sciences, Åbo Akademi University, Vasa, Finland.
Health Educ Behav. 2013 Aug;40(4):392-9. doi: 10.1177/1090198112445481. Epub 2012 Aug 7.
Schools are among the most important setting for preventive interventions among adolescents. There are evidence-based intervention programs for adolescents at risk for and with early signs of mental health problems but one demanding task is to detect the ones who are in need of an intervention. The aim of the present study was to analyze associations between self-esteem, depressive symptoms, and social anxiety in order to determine clinically relevant cut-points for male and female adolescents' self-esteem as measured with the Rosenberg Self-Esteem Scale (RSES). The participants of the present prospective study, started in 2002-2003, were 2070 adolescents aged 15 years (1,167 girls and 903 boys) at two study sites in Finland who participated at both baseline and 2-year follow-up. Self-esteem was related to depressive symptoms and social anxiety, and the RSES was able to discriminate between cases of depression and social phobia. The present study suggests a cutoff of 25 points to classify low self-esteem in both girls and boys. Low self-esteem may function as an indicator of various forms of internalizing psychopathology. The RSES is worth further examination as a potential screening tool for adolescents in risk of psychopathology.
学校是青少年预防干预的最重要场所之一。有针对有心理健康问题风险和早期迹象的青少年的基于证据的干预计划，但一项艰巨的任务是发现需要干预的人。本研究的目的是分析自尊、抑郁症状和社交焦虑之间的关系，以确定男性和女性青少年自尊的临床相关切点，使用罗森伯格自尊量表（RSES）进行测量。本前瞻性研究的参与者于 2002-2003 年开始，来自芬兰的两个研究地点，共有 2070 名 15 岁的青少年（1167 名女孩和 903 名男孩），他们在基线和 2 年随访时都参加了研究。自尊与抑郁症状和社交焦虑有关，RSES 能够区分抑郁症和社交恐惧症病例。本研究建议将 25 分作为男女青少年低自尊的分类标准。低自尊可能是各种内化心理病理学的指标。RSES 作为有心理病理学风险的青少年的潜在筛选工具值得进一步研究。
