Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.
J Intellect Disabil Res. 2023 Jun;67(6):499-518. doi: 10.1111/jir.13025. Epub 2023 Feb 28.
In the general population, low self-esteem has been linked with poorer mental and physical health. This systematic literature review aimed to summarise and evaluate the findings of studies that examined self-esteem in adults with intellectual disabilities and links with mental health outcomes.
A systematic search of PsycINFO, Web of Science and CINAHL was conducted to identify studies published between 1990 and 2021. The studies were appraised using the QualSyst tool.
Twenty-six articles were identified of which two studies were removed from the review due to low quality. Studies reported mixed evidence regarding levels of self-esteem compared with the general population. Engagement in activities appeared to be linked with positive self-esteem, and perception of negative interpersonal life events as having a negative impact was associated with lower self-esteem. There was evidence of co-occurrence of low self-esteem and depression, but no studies examined the relationship between self-esteem and anxiety.
Reviewed studies provided mixed evidence on levels of self-esteem in this population, suggesting that factors such as engagement in life were related to higher self-esteem and demonstrating the co-occurrence of low self-esteem and depression. However, clear causal links have yet to be identified, and more research is needed using longitudinal designs to answer questions about trajectory.
在普通人群中，自尊心低与较差的身心健康有关。本系统文献综述旨在总结和评估研究成年人智力残疾者自尊心及其与心理健康结果之间联系的研究结果。
对 PsycINFO、Web of Science 和 CINAHL 进行了系统搜索，以确定 1990 年至 2021 年间发表的研究。使用 QualSyst 工具对研究进行了评估。
确定了 26 篇文章，其中 2 篇由于质量低而从综述中删除。与普通人群相比，研究报告了自尊心水平的混合证据。参与活动似乎与积极的自尊心有关，而将负面的人际生活事件视为有负面影响与自尊心降低有关。有证据表明自尊心低和抑郁并存，但没有研究检查自尊心和焦虑之间的关系。
综述研究提供了关于该人群自尊心水平的混合证据，表明生活参与等因素与自尊心较高有关，并表明自尊心低和抑郁并存。然而，尚未确定明确的因果关系，需要使用纵向设计进行更多研究，以回答有关轨迹的问题。
