Competitive Memory Training (COMET) voor een negatief zelfbeeld als aanvullende behandeling bij depressieve patiënten; een pilotstudie

Dth 07/2010; 30(2):94-112. DOI: 10.1007/BF03096226


Low self-esteem seems to be an important factor in the development of and relapse in depressive disorders. To date, little specific interventions that aim at improving low self-esteem have been described or researched. Competitive Memory Training (COMET) for low self-esteem is based on insights and findings from experimental psychology. In addition to studies into other populations, the present study is a pilot study investigating the effect of COMET in depressed patients with low self-esteem in a routine mental health setting in addition to regular treatment. During COMET + regular treatment, self-esteem and autonomy increased significantly and in a large degree, while depressive symptoms decreased to a similar extent. These effects occurred in a roughly similar degree in patients with different depression diagnoses. Post hoc, a convenience comparison group of patients who had only had regular treatment for their depression was added to the study. Compared to the control group, self-esteem and autonomy of the patients in the COMET + regular treatment condition improved significantly and largely. Also, a significant decrease in depressive symptoms was found. COMET for low self-esteem seems to be an effective intervention for depressed patients with low self-esteem. Shortcomings and clinical implications of this study are discussed.

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