COMPETITIVE MEMORY TRAINING (COMET) FOR TREATING LOW SELF-ESTEEM IN PATIENTS WITH DEPRESSIVE DISORDERS: A RANDOMIZED CLINICAL TRIAL: COMET for Low Self-Esteem in Depression
Open accessAbstract
BACKGROUND: Self-esteem is a major concern in mood disorders. Low self-esteem is a symptom of depressive disorders and is considered by some to be a predictor for relapse, whereas high self-esteem seems to buffer against depression. Recently, Competitive Memory Training (COMET) has shown to be effective for the enhancement of self-esteem in several psychopathological conditions. The current study assesses whether COMET is also an effective intervention for patients with depressive disorders. METHODS: Sixty-one patients with depressive disorders who were already in therapy in an outpatient mental health institution were randomly assigned to either eight group sessions of COMET in addition to their regular therapy (COMET + therapy as usual [TAU]: the experimental group) or to 8 weeks of ongoing regular therapy (TAU only: the control group). These latter (control) patients received COMET after their TAU only period. All patients in both groups that completed COMET were contacted 3 and 6 months later to assess whether the effects of COMET had remained stable. RESULTS: Compared to the patients who received TAU only, patients in the COMET + TAU condition showed significant improvement with large effect sizes on indices of self-esteem, depression, and depressive rumination. The therapeutic effects of COMET + TAU remained stable after 3 and 6 months on all outcome measures or improved even further. CONCLUSION: COMET for low self-esteem seems to be an efficacious trans-diagnostic intervention that can relatively easily be added to the regular treatment of patients with depressive disorders.
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The March 2013 update excluded four additional studies because their samples did not meet the review's diagnostic inclusion criteria.
“In the updated search conducted in March 2013 (CCDANCTR to 01/02/2013), four additional studies were excluded because the diagnoses did not fully meet the inclusion criteria of the review programme.The samples in each study consisted of subclinical depression (Kaviani 2012), partial remission (Korrelboom 2012), mixed population (Pinniger 2012) and chronic depression (Folke 2012).”
From 'Third wave' cognitive and behavioural therapies versus treatment as usual for depression (2013) · cites this paper as Korrelboom 2012
The Patients section identifies Korrelboom 2012 as a study that included participants in partial remission: 21 of its 61 patients had that diagnosis. It does not support describing the whole sample as consisting of patients in partial remission; the remaining participants had other diagnoses or disease states. The March 2013 search and exclusion decision belong to the citing review, not this trial. (LLM, conf=0.88)
Experimental — accuracy not yet measuredIncluding specific interventions aimed at improving self-esteem might be promising.
“In addition, including specific interventions aimed at improving self-esteem might be promising (Korrelboom et al., 2012).”
From A Novel Psychological Group Intervention Targeting Appearance-Related Distress Among People With a Visible Disfigurement (Inside Out): A Case Study (2023) · cites this paper as Korrelboom et al., 2012
The original COMET program consists of 8 meetings.
“The original COMET program consists of 8 meetings”
From A Novel Psychological Group Intervention Targeting Appearance-Related Distress Among People With a Visible Disfigurement (Inside Out): A Case Study (2023) · cites this paper as Korrelboom et al., 2012
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Tibúrcio, P. D. C., Marcheti, P. M., Pascon, D. M., Montebello, M. A., de Lima, M. A., Fernandes, C. S., Santos, C., & Nóbrega, M. D. P. S. D. S. (2024) · Interactive Journal of Medical Research · doi:10.2196/63959
Legat, E., Rainer, L. J., Huber, F., Plattner, B., Kaiser, A., Schaffer, P. C., Gampe, H., & Winds, K. (2026) · Children · doi:10.3390/children13020172
Fehm, L., & Weidmann, A. (2026) · Psychotherapie: Praxis · doi:10.1007/978-3-662-72268-8_73
- Authors
- Korrelboom, K., Maarsingh, M., & Huijbrechts, I.
- Affiliations
- Parnassia Groep (NL)
- PsyQ (NL)
- Corresponding author
- Korrelboom, Kees
- ORCID
- Korrelboom, Kees
- Venue
- Depression and Anxiety
- Publisher
- Hindawi Limited
- Published
- 2012-02
- Volume
- 29
- Issue
- 2
- Pages
- 102-110
- ISSN
- 1091-4269 (ISSN-L)
- OpenAlex
- W1878743795
- Cited by
- 67
- References
- 34
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 7 · 2023: 5 · 2022: 5 · 2021: 13 · 2020: 7 · 2019: 6 · 2018: 7 · 2017: 2 · 2016: 4 · 2015: 3 · 2014: 2 · 2013: 3
- FWCI
- 3.43
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Depression and Anxiety (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- self-esteem, depressive disorders, depression, depressive rumination, adjunctive therapy, recurrence prediction
- MeSH terms
- Adult, Major Depressive Disorder, Female, Humans, Male, Memory, Middle Aged, Outpatients, Psychotherapy, Self Concept, Treatment Outcome
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