Background: Self-esteem is a common factor in many mental health problems, including anxiety and depression. A cognitive behavioural therapy (CBT)-based protocol called ‘Overcoming Low Self-Esteem’ is available; the use of this protocol in a group format has been associated with improvements in self-esteem. However, it is unclear whether improvements persist after the end of a group-based version of this programme. Aims: We aimed to assess whether changes in self-esteem, anxiety and depression persist 3 months after the end of a group version of the Overcoming Low Self-Esteem programme. Method: Using data from the National Health Service in Fife, Scotland, we analysed whether there were improvements on self-report measures of self-esteem, anxiety and depression from the beginning of the group to the end of the group and at a follow-up session 3 months later. Results: Significant improvements in self-esteem, anxiety and depression are maintained at 3 months follow-up. Conclusions: The Overcoming Low Self-Esteem group seems to be associated with improved self-esteem, anxiety and depression. However, further research from randomised controlled trials is needed to establish a causal link between the programme and improved psychological outcomes.

Following previous work which indicated positive outcomes (Morton et al., 2012), we report findings from a controlled trial evaluating an eight-week cognitive behavioural therapy (CBT) self-esteem group for women based on ‘Overcoming Low Self-Esteem Self-Help’ course workbooks (Fennell, 2006).

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