On the relation between neuroticism, self-esteem, and depression: results from the National Comorbidity Survey

Compr Psychiatry. 2003 May-Jun;44(3):169-76. doi: 10.1016/S0010-440X(03)00008-7.

Abstract

There is evidence that neuroticism and self-esteem, two commonly used personality constructs, are associated with depressive illness. Previous studies on this issue have produced mixed results. Some studies found that neuroticism was a stronger predictor of risk for major depression than was self-esteem. The aim of the current report is to analyze the relationship between neuroticism, self-esteem, and depressive disorders in representative community sample. Data from the National Comorbidity Survey (NCS) were reanalyzed. The diagnostic data were coded using the criteria of DSM-III-R based on a modified version of the Diagnostic Interview. Self-esteem was assessed by an empirically abbreviated form of the Rosenberg Self-Esteem Scale. Neuroticism was measured using the 10-item scale from the Transparent Bipolar Inventory (TBI). Logistic regression analysis and classification and regression tree (CART) analysis were used to determine the associations between neuroticism, self-esteem, sociodemographic variables, and past-year depression disorders. Neuroticism and self-esteem were strongly associated with past-year depression disorders. Significant interactions between the two personality constructs and sociodemographic variables were observed. The results suggest that neuroticism and self-esteem should be evaluated simultaneously when analyzing depression disorders. The assessment of both personality constructs may contribute to further understanding of personality-depression correlation. Such knowledge might prove valuable in designing early interventions and treatment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Case-Control Studies
  • Depression / complications*
  • Depression / psychology
  • Employment
  • Female
  • Health Surveys
  • Humans
  • Logistic Models
  • Male
  • Models, Psychological
  • Multivariate Analysis
  • Neurotic Disorders / complications*
  • Neurotic Disorders / psychology
  • Psychiatric Status Rating Scales
  • Regression Analysis
  • Sampling Studies
  • Self Concept*
  • Sex Factors
  • United States