{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T15:01:40Z","timestamp":1785855700062,"version":"3.56.0"},"reference-count":58,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,8,29]],"date-time":"2021-08-29T00:00:00Z","timestamp":1630195200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Stigma has been found to be associated with lower self\u2010esteem, which increases the risk of difficulties across life domains including vulnerability to mental health problems. There are no previous studies of interventions for people experiencing low self\u2010esteem in the context of different stigmatized characteristics. This study evaluated feasibility, acceptability, and preliminary outcomes of an intervention targeting low self\u2010esteem in stigmatized people aged 16\u201324\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>An uncontrolled study with repeated measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>People with a range of stigmatized characteristics, who had low self\u2010esteem and associated impaired daily functioning, were recruited from the general population. The individual six\u2010session cognitive behavioural intervention had modules chosen according to participants\u2019 formulations. The CBT included compassion\u2010focussed therapy methods and was informed by stigma research. Feasibility was assessed in relation to recruitment, retention, and protocol adherence. Acceptability was assessed through participant feedback. Questionnaires assessing self\u2010esteem, functioning impairments, depression, anxiety, self\u2010criticism, self\u2010compassion, and responses to prejudice and discrimination were administered at baseline, pre\u2010, mid\u2010, post\u2010intervention, and two\u2010month follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010four people completed screening; 73% were eligible. Of these, 78% consented and 69% (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200922) started the intervention. Eighteen (82%) participants completed, and four dropped out. Follow\u2010up measures were completed by all treatment completers. Treatment completers reported the intervention was useful, improved their self\u2010esteem and coping, and would recommend it. Ratings of usefulness and frequency of use of intervention components were high at post\u2010treatment and follow\u2010up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The intervention was feasible and highly acceptable to treatment completers. This suggests the intervention warrants investigation in a randomized\u2010controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Practitioner points<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Young people with low self\u2010esteem whom have been negatively affected by stigma may wish to access support and be willing to engage in psychological interventions.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Cognitive behavioural therapy may be helpful for young people with low self\u2010esteem who have experienced stigma, prejudice, or discrimination.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Cognitive behavioural techniques such as self\u2010compassionate thought records and behavioural experiments were considered acceptable and helpful by young people whose self\u2010esteem has been affected by stigma.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Addressing responses to stigma in therapy, such as rumination, avoidance, and perfectionism, appears to be feasible and acceptable.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.12361","type":"journal-article","created":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T01:53:30Z","timestamp":1630288410000},"page":"34-56","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["A cognitive behavioural intervention for low self\u2010esteem in young people who have experienced stigma, prejudice, or discrimination: An uncontrolled acceptability and feasibility study"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7617-3555","authenticated-orcid":false,"given":"Katie","family":"Langford","sequence":"first","affiliation":[{"name":"Department of Psychology Institute of Psychology, Psychology &amp; Neuroscience King\u2019s College London UK"},{"name":"South London and Maudsley NHS Foundation Trust, Bethlem Royal Hospital Beckenham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrina","family":"McMullen","sequence":"additional","affiliation":[{"name":"Department of Psychology Institute of Psychology, Psychology &amp; Neuroscience King\u2019s College London UK"},{"name":"South London and Maudsley NHS Foundation Trust, Bethlem Royal Hospital Beckenham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8995-7188","authenticated-orcid":false,"given":"Livia","family":"Bridge","sequence":"additional","affiliation":[{"name":"Department of Psychology Institute of Psychology, Psychology &amp; Neuroscience King\u2019s College London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lovedeep","family":"Rai","sequence":"additional","affiliation":[{"name":"Department of Psychology Institute of Psychology, Psychology &amp; Neuroscience King\u2019s College London UK"},{"name":"South London and Maudsley NHS Foundation Trust, Bethlem Royal Hospital Beckenham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0743-7972","authenticated-orcid":false,"given":"Patrick","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Psychology Institute of Psychology, Psychology &amp; Neuroscience King\u2019s College London UK"},{"name":"South London and Maudsley NHS Foundation Trust, Bethlem Royal Hospital Beckenham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2634-455X","authenticated-orcid":false,"given":"Katharine A.","family":"Rimes","sequence":"additional","affiliation":[{"name":"Department of Psychology Institute of Psychology, Psychology &amp; Neuroscience King\u2019s College London UK"},{"name":"South London and Maudsley NHS Foundation Trust, Bethlem Royal Hospital Beckenham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105317736782"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/sah0000204"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/00918369.2016.1236587"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/pspp0000078"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejsp.326"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0080427"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/sgd0000342"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.1881"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10147"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.2051-5545.2009.tb00218.x"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/clipsy.9.1.35"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1521\/jscp.2006.25.8.875"},{"key":"e_1_2_9_14_1","first-page":"139","article-title":"Demarginalizing the intersection of race and sex: A black feminist critique of antidiscrimination doctrine, feminist theory and antiracist politics","volume":"1","author":"Crenshaw K.","year":"1989","journal-title":"University of Chicago Legal Forum"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.96.4.608"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20933"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465800015368"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1192\/apt.4.5.296"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1192\/apt.bp.107.005264"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1521\/ijct.2010.3.2.97"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1348\/014466504772812959"},{"key":"e_1_2_9_22_1","volume-title":"Stigma: Notes on the management of spoiled identity","author":"Goffman E.","year":"2009"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1037\/0012-1649.42.2.218"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9280.2009.02441.x"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20247"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198112445481"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.59.1.12"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2017.11.015"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2018.06.025"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s127-002-8207-y"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(16)30263-2"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/0146167212437250"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(16)30358-3"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.2307\/2095613"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.2307\/2136810"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.52.12.1621"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.56.091103.070137"},{"issue":"3","key":"e_1_2_9_39_1","article-title":"Qualitative content analysis: Demarcation, varieties, developments","volume":"20","author":"Mayring P.","year":"2019","journal-title":"Forum: Qualitative Social Research"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-018-0958-7"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/0022-4537.00202"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.180.5.461"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12671-018-1030-0"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1080\/15298860309027"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1080\/00223891.2016.1269334"},{"issue":"8","key":"e_1_2_9_46_1","first-page":"e029954","article-title":"Guidance on how to develop complex interventions to improve health and healthcare","volume":"9","author":"O'Cathain A.","year":"2019","journal-title":"British Medical Journal Open"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2008.01.007"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0025558"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1080\/01973533.2013.764304"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1017\/S135246581800036X"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12171"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1559-1816.2002.tb02765.x"},{"issue":"20","key":"e_1_2_9_53_1","first-page":"22","article-title":"The Mini\u2010International Neuropsychiatric Interview (MINI): The development and validation of a structured diagnostic psychiatric interview for DSM\u2010IV and ICD\u201010","volume":"59","author":"Sheehan D. V.","year":"1998","journal-title":"The Journal of Clinical Psychiatry"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.20952"},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073191115573300"},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.1037\/0012-1649.42.2.381"},{"key":"e_1_2_9_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2013.09.007"},{"key":"e_1_2_9_59_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2018.06.012"}],"container-title":["Psychology and Psychotherapy: Theory, Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/papt.12361","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/papt.12361","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/papt.12361","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T10:25:05Z","timestamp":1762251905000},"score":1,"resource":{"primary":{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/10.1111\/papt.12361"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,29]]},"references-count":58,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1111\/papt.12361"],"URL":"https:\/\/doi.org\/10.1111\/papt.12361","archive":["Portico"],"relation":{},"ISSN":["1476-0835","2044-8341"],"issn-type":[{"value":"1476-0835","type":"print"},{"value":"2044-8341","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8,29]]},"assertion":[{"value":"2020-12-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}