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Interventions

A number of interventions that attempt to improve self-esteem have been developed, implemented, and studied. These interventions have been tailored to address the unique characteristics of specific groups including adolescents, adults, and special populations. Some examples of these interventions include:

· FRIENDS Emotional Health Program - This intervention consists of 10 sessions that focus on teaching 9-10 year old children to replace unhelpful and anxiety producing thoughts with helpful thoughts. The intervention was developed to teach children to face and overcome challenges and problems. In order to do this children are introduced to a 7-step process: F-feeling worried? R- relax and feel good, I- inner thoughts, E- explore thoughts, N- nice work so reward yourself, D- don't forget to practice, S- stay calm, you know how to cope. Studies of the intervention performed in the US, UK, and Hong Kong have all shown significant increase in measures of self-esteem in children who participated in the program.

· Self-Esteem Enhancement Program (SEEP) Dalgas-Pelish reported that many decreases in self-esteem have been observed during the transition from elementary to middle school and therefore found that it is very important to provide preventative self-esteem interventions at a young age. The intervention included 4 lessons consisting of definitions of self-esteem, awareness of how the media and peers influence self-esteem, and activities related to the improvement of self-esteem. Factors affecting self-esteem that were taken into account include: gender, ethnicity, age, socioeconomic status, genetic size, health, home environment, relationships with parents, parenting style, and relationships with friends. Increases in measures of self-esteem were displayed among the children who participated. Increase was related to gender of the child, socioeconomic status, and the presence of friends. The largest increases were seen in girls, individuals with low socio-economic status, and children with friends.[20]

· Social Cognitive Training Intervention Barrett, Webster, Wallis developed an intervention that consisted of self talk and modification of negative thinking, use of positive thinking, communication, problem solving and perception, processes of instruction, coaching, modeling, rehearsal, self observation, group trainer and peer feedback, and praise. These techniques were intended to shape and reinforce new and improved skills. Participants also completed weekly homework assignments. Fifty-one students ages 13–16 participated in the intervention and showed significant increase in measures of self-esteem.

· I Am Super Self-Esteem Module - This intervention was developed in Québec, Canada by Tania Lacomte and colleagues in an effort to increase the self esteem of those suffering from psychosis, specifically individuals diagnosed with Schizophrenia. This 24 session, group therapy module is divided into 5 building blocks that assist individuals in developing their senses of: security, identity, belonging, purpose, and competence. One study conducted by Borras, et al. (2009) found that intervention participants displayed increases in self-esteem, self-assertion, and coping strategies as well as decreased negative automatic thoughts, and psychotic symptoms


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