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Personality and Individual Differences 96 (2016) 127–131

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Personality and Individual Differences

journal homepage: www.elsevier.com/locate/paid

Mediating role of self-esteem on the relationship between mindfulness,


anxiety, and depression
Badri Bajaj a,⁎, Richard W. Robins b, Neerja Pande c
a
Dept. of Humanities & Social Sciences, Jaypee Institute of Information Technology, Noida, A-10, Sector: 62, Noida 201307, India
b
Department of Psychology, University of California, Davis, CA 95616-8686
c
Indian Institute of Management Lucknow, Noida Campus,,B-1 Sector: 62, Noida 201307, India

a r t i c l e i n f o a b s t r a c t

Article history: The current study aimed to examine the mediation effects of self-esteem on the association between mindfulness
Received 12 January 2016 and anxiety and depression. A sample of 417 undergraduate students completed a packet of questionnaires that
Received in revised form 21 February 2016 assessed mindfulness, self-esteem, anxiety, and depression. Correlation results indicated that mindfulness was
Accepted 27 February 2016
associated with self-esteem, anxiety, and depression. Using Structural Equation Modeling (SEM), mediational
Available online xxxx
analyses showed that mindfulness exerted its indirect effect on anxiety and depression through self-esteem. A
Keywords:
multi-group analysis showed that the mediational model was not moderated by gender and thus provided a pre-
Mindfulness liminary support for the robustness of the final meditational model. The findings corroborate an important role of
Self-esteem self-esteem in mindfulness exerting its beneficial effects on anxiety and depression.
Anxiety © 2016 Elsevier Ltd. All rights reserved.
Depression

1. Introduction improve positive emotion and reduce depression in both clinical and
nonclinical populations (Tang et al., 2007; Teasdale et al., 2000;
Mindfulness refers to a process that leads to a mental state charac- Williams, 2008). Recent meta-analyses suggest that mindfulness-
terized by nonjudgmental and nonreactive awareness of present- based interventions (MBIs) are efficacious in treating anxiety and
moment experiences, including emotions, cognitions, and bodily sensa- mood disorders and reduce anxious and depressive symptoms
tions, as well as external stimuli such as sights, sounds, and smells (Hofmann, Sawyer, Witt, & Oh, 2010; Khoury et al., 2013). Mindfulness
(Bishop et al., 2004; Brown & Ryan, 2003; Brown, Ryan, & Creswell, enhances positive affect, and reduces negative affect, and maladaptive
2007; Kabat-Zinn, 2003). Experiencing the present-moment nonjudg- automatic emotional responses (Hofmann, Sawyer, Fang, & Asnaani,
mentally and openly can effectively counter the effects of stressors, 2012; Koole, 2009). The brain areas responsible for affect regulation,
because excessive orientation toward the past or future when dealing and stress impulse reaction are also affected with mindfulness training
with stressors can be related to feelings of depression and anxiety (Davidson et al., 2003; Hölzel et al., 2011; Lazar et al., 2005).
(Kabat-Zinn, 2003). Mindfulness allows individuals to perceive
thoughts and events the way they are and keep them away from 1.2. Self-esteem as mediator
judging it critically (Brown et al., 2007). Mindfulness is also conceptual-
ized as a psychological trait that refers to the tendency to be mindful in Self-esteem represents the affective, or evaluative, component of the
everyday life (Brown & Ryan, 2003). Meditation or mindfulness training self-concept; it signifies how people feel about themselves (Leary &
may be used to enhance levels of mindfulness (Baer et al., 2008; Baumeister, 2000). Originally, self-esteem was defined as a one-
Falkenstrom, 2010). dimensional construct, which refers to a person's general sense of
worth (Rosenberg, 1965). Self-esteem can be enhanced by using well-
designed interventions (Robins, Trzesniewski, & Donnellan, 2012).
1.1. Mindfulness, anxiety and depression
High self-esteem prospectively predicts success in life domains such as
relationships, work, and health (Orth & Robins, 2014). Self-esteem is
Mindfulness could help the individuals to give up depressive
related to a variety of positive psychological outcomes, including
rumination (Teasdale et al., 2000; Williams, 2008). Increasing evidence
psychological adjustment, positive emotion, prosocial behavior (Leary
has demonstrated that mindfulness-based interventions can effectively
& MacDonald, 2003). In a recent review of mindfulness and self-
⁎ Corresponding author.
esteem; Randal, Pratt, and Bucci (2015) found a significant relationship
E-mail addresses: badri.bajaj@jiit.ac.in (B. Bajaj), rwrobins@ucdavis.edu between mindfulness and self-esteem. Prior research has supported
(R.W. Robins), neerja@iiml.ac.in (N. Pande). that mindfulness is associated with self-esteem (Brown & Ryan, 2003;

http://dx.doi.org/10.1016/j.paid.2016.02.085
0191-8869/© 2016 Elsevier Ltd. All rights reserved.
128 B. Bajaj et al. / Personality and Individual Differences 96 (2016) 127–131

Pepping, O'Donovan, & Davis, 2013; Thompson & Waltz, 2008). Higher automatically, without being aware of what I'm doing” and “I find
mindfulness makes an individual less engrossed by negative feelings myself doing things without paying attention”. Excellent test–retest
and thoughts that represent low self-esteem (Pepping et al., 2013). reliability, good internal consistency, and good convergent and
Increased awareness and describing through mindfulness may encour- discriminant validity have been found with the MAAS (Bajaj, Gupta, &
age people to maintain attention on present experiences, making them Pande, 2016; Brown & Ryan, 2003).
less likely to experience negative beliefs or critical thoughts, further
enhancing self-esteem. The enhanced self-esteem acts as a cushion for
2.2.2. Self-esteem
people against feelings of anxiety, it enhances coping, and promotes
Self-esteem was assessed with the 10 item Rosenberg Self-Esteem
physical and mental health (Greenberg et al., 1992; Pepping et al.,
Scale (RSES; Rosenberg, 1965). The participants expressed their
2013; Taylor & Brown, 1988). Individuals with low self-esteem, experi-
agreement on a four point Likert type scale ranging from 1 = strongly
ence virtually every negative emotion more often than those with high
disagree to 4 = strongly agree. It includes items such as, “I feel that I
self-esteem (Goswick & Jones, 1981; Leary, 1983; Taylor & Brown,
have a number of good qualities.” and “I feel that I'm a person of
1988). Mindfulness may help people to recognize that thoughts and
worth.” The RSES has good levels of reliability and validity (Kong,
feelings are events in the mind and not self-evident truths or aspects
Zhao, & You, 2012; Zhao, Kong, & Wang, 2013).
of the self. This might reduce the tendency to develop strong emotions
as a consequence of cognitions related to low self-esteem (Michalak,
Teismann, Heidenreich, Strohle, & Vocks, 2011). Thus, mindfulness 2.2.3. Anxiety and depression
influences self-esteem and the enhanced self-esteem affects levels of Anxiety and depression scores were measured with Depression
anxiety and depression. Anxiety Stress Scales short version-21 (DASS; Lovibond & Lovibond,
Self-esteem is strongly correlated with anxiety and depression in 1993). Seven items for anxiety and seven items for depression were
cross-sectional studies (Liu, Wang, Zhou, & Li, 2014; Michalak et al., used from DASS-21 to measure anxiety and depression respectively.
2011; Pinniger, Brown, Thorsteinsson, & McKinley, 2012). Moreover, Participants were asked to provide Likert ratings of their symptoms
numerous longitudinal studies have demonstrated that low self- (0 = did not apply to me, 3 = applied to me very much or most of
esteem prospectively predicts increases over time in anxiety and the time). It includes items for anxiety such as, “I felt scared without
depression, whereas anxiety and depression do not predict declining any good reason” and “I was worried about situations in which I
levels of self-esteem (Orth & Robins, 2014; Sowislo & Orth, 2013). might panic and make a fool of myself.” It includes items for depression
Thus, consistent with our proposed mediation model, the research such as, “I felt that I had nothing to look forward to” and “I was unable to
literature supports the claim that low self-esteem leads to anxiety and become enthusiastic about anything.” The DASS −21 has good levels of
depression, but does not support an effect of anxiety and depression reliability and validity (Antony, Bieling, Cox, Enns, & Swinson, 1998;
on self-esteem. Henry & Crawford, 2005).
Based on the preceding rationale and available literature showing
that mindfulness contributes to self-esteem (Brown & Ryan, 2003;
Thompson & Waltz, 2008), and that self-esteem correlate to depression 2.3. Procedure
and anxiety (Liu et al., 2014; Rasmussen & Pidgeon, 2011), in this study,
self-esteem was hypothesized to mediate the relationship between Participants completed surveys consisting of the MASS, RSES, and
mindfulness and anxiety and depression. Thus mindfulness will DASS (14 items) in the classroom environment. The researcher assured
indirectly predict lower levels of anxiety and depression through self- the participants of the confidentiality of their responses. To handle any
esteem. To our knowledge, no study has been encountered to examine queries raised by the participants, a trained research assistant was
the effects of mindfulness on depression through self-esteem and to available throughout the process. It took approximately 15 min for the
examine the effects of mindfulness on anxiety through self-esteem in students to complete the surveys.
a sample of students in Indian context.
Life at a university can be quite complex and demanding with the
2.4. Data analysis
heavy burden of studies and the high levels of stress due to study/life
balance, financial problems, and relationship related issues. University
SEM procedure using AMOS 18.0 was used to investigate the impact
students also feel lonely and homesick as they are away from their
of self-esteem on the relationship between mindfulness and anxiety
parents and live independently. In this period, many students may
and depression. To evaluate the overall fit of the model to data, several
face anxiety and depression due to these problems. Thus, the present
indices recommended by Hu and Bentler (1999) were calculated in the
study might throw some light on the potential psychological mecha-
study: Chi square statistics; root-mean-square error of approximation
nism in helping university students in reducing anxiety and depression.
(RMSEA) of.06 or less; Standardized Root-Mean-Square Residual
(SRMR) of .08 or less; and Comparative Fit Index (CFI), best if above
2. Method
.95. Three item parcels for each of the mindfulness and self-esteem
and two item parcels for each of the anxiety, and depression factors
2.1. Participants
were formed to control inflated measurement errors caused by multiple
items for the latent factor. These parcels were created using an item-to-
417 undergraduate students from an Indian university volunteered
construct balance approach i.e. successively assigning highest and
to take part in the study. In the sample, 305 were males and 112 were
lowest loading items across parcels (Bajaj & Pande, 2016; Little,
females. The mean age of the sample was 20.2 years (standard
Cunningham, Shahar, & Widaman, 2002).
deviation = 1.4 years).

2.2. Measures 3. Results

2.2.1. Mindfulness 3.1. Preliminary analysis


Mindfulness was assessed with 15 item Mindful Attention Aware-
ness Scale (MAAS; Brown & Ryan, 2003). The participants expressed The means, standard deviations, reliability estimates (Cronbach's
their agreement on a six point Likert type scale ranging from 1 = almost alpha coefficients), and correlations for all study variables are displayed
always, to 6 = almost never. It includes items such as, “I do jobs or tasks in Table 1. All measures were significantly correlated.
B. Bajaj et al. / Personality and Individual Differences 96 (2016) 127–131 129

Table 1 3.4. Assessment of mediation


Mean, Standard Deviations (SD), reliabilities, and intercorrelations among study
measures.
Bootstrapping procedures in AMOS were used to test the
Measure Mean SD α 1 2 3 significance of the mediation effects of self-esteem. In this study 5000
1. Mindfulness 3.8 0.77 0.84 bootstrapping samples were generated from the original data set
2. Self-esteem 2.8 0.43 0.81 0.44⁎⁎ (N = 417) by random sampling. The mediating effect of self-esteem
3. Anxiety 0.82 0.49 0.72 −0.42⁎⁎ −0.30⁎⁎ and its associated 95% confidence intervals are displayed in Table 3.
4. Depression 0.82 0.58 0.79 −0.43⁎⁎ −0.58⁎⁎ 0.45⁎⁎
According to results, mindfulness exerted its indirect effect on anxiety
Note: α: Cronbach's Alpha. and depression through the mediating effect of self-esteem.
⁎⁎ . Correlation is significant at the 0.01 level (2-tailed).

3.5. Gender differences

3.2. Measurement model Multi-group analysis was conducted to identify whether the path
coefficients differ significantly between females and males. The gender
The measurement model comprises of four latent factors differences were examined by comparing the first model, which allows
(mindfulness, self-esteem, anxiety, and depression) and 10 observed the structural paths to vary across sexes, with the second model, which
variables. The preliminary analysis of the measurement model provided constrains the structural paths between females and males to be equal.
an excellent fit to the data. χ2 = 32.4, df = 29; p = .304; RMSEA = The results showed that the constrained model was not significantly
.017; PClose = .989; SRMR = .010; and CFI = .998. Reliable factor different from the first model, Δ χ2 (5, N = 417) = 5.07, p N .05,
loadings were found for the indicators on the latent variables, indicating suggesting no significant gender differences. Inspection of each path
that respective indicators are true representative of their latent factors. coefficient further confirmed that all the associations were similar in
magnitude for male and female groups. These results provided a prelim-
inary support for the robustness of the final meditational model.
3.3. Structural model
4. Discussions
SEM procedure using AMOS 18.0 was conducted to test the pro-
posed structural relationships among study variables. In order to find The current study was conducted to examine the mediating role of
the best model, three alternative models were assessed. The fit indices self-esteem on the relationship between mindfulness, anxiety and
of the alternative models are presented in Table 2. The hypothesized depression. Correlational results showed that mindfulness was
model (Model 1) showed excellent fit to data: χ2 = 60.4, df = 30, negatively related to anxiety and depression and positively related to
p = .001; RMSEA = 0.049; PClose = .497; SRMR = .016; and CFI = self-esteem. These results are consistent with previous research that re-
.982. Tests of parameter estimates indicated that all the direct path ported relationships between mindfulness and anxiety and depression
coefficients were significant in the proposed directions, indicating a (Bowlin & Baer, 2012; Tang et al., 2007; Teasdale et al., 2000;
partial mediation role of self-esteem in the relationship between Williams, 2008) and self-esteem (Brown & Ryan, 2003; Thompson &
mindfulness, anxiety, and depression (Fig. 1). Waltz, 2008). Furthermore, the association of self-esteem with anxiety
To test the hypothesis that self-esteem would partially mediate the and depression is consistent with previous research on the negative re-
mindfulness, anxiety and depression relationship, a full mediation lation between self-esteem and anxiety and depression (Liu et al., 2014;
model (Model 2) with the direct paths from mindfulness to anxiety Michalak et al., 2011; Pinniger et al., 2012).
and depression constrained to zero was compared with partial The most important finding of this study is that self-esteem acted as
mediation model (Model 1) with the above direct paths not constrained a mediator of the relationship between mindfulness and anxiety and
not constrained to zero. The comparison was done using chi square depression. In other words, individuals with high levels of mindfulness
difference test. Results showed that, after eliminating the above direct are likely to engage in greater self-esteem, which in turn contributed to
paths, the fit of the model reduced significantly (Δχ2 (2, N = 417) = decrease in anxiety and depression. These results are consistent with
32.0, P b 0.05). Consequently, the partial mediation model (Model previous studies reporting the mediating role of self-esteem between
1) was obviously better than Model 2. mindfulness and anxiety (Rasmussen & Pidgeon, 2011). This indicates
Next, a partially mediated model (Model 3) with anxiety and that the previously reported mediating role of self-esteem (Rasmussen
depression as mediators between mindfulness and self-esteem was & Pidgeon, 2011) is robust with a different cultural sample (Indian
tested. The fit indices of Model 3 were: χ2 = 70.4, df = 30, p = .000; university students). Although some earlier studies have examined
RMSEA = .057; PClose = 0.238; SRMR = .022; and CFI = .977. The the potential mediators between mindfulness and depression (Alleva,
Model 3 was inferior to Model 1 and Model 2. Roelofs, Voncken, Meevissen, & Alberts, 2014; Jimenez, Niles, & Park,
On the basis of the results, it could be concluded that the Model 1 2010), there is little research that has investigated self-esteem as
was the best one. Thus, self-esteem partially mediated the relationship mediator between mindfulness and depression. The current study
between mindfulness and anxiety and depression. firstly examined self-esteem as mediator between mindfulness and
depression. The study results highlight the importance of self-esteem
in the relationship between mindfulness and anxiety and depression.
Results of multi-group analysis showed no significant gender
differences and thus provided a preliminary support for the robustness
Table 2 of the final meditational model.
Fit indices among competing models. The considerable benefits of mindfulness on self-esteem may be due
χ2 df χ2/df RMSEA SRMR CF1 AIC ECVI to increased awareness and describing through mindfulness, which
Model 1 60.4 30 2.013 0.049 0.016 0. 982 110.393 0.265
may encourage people to maintain attention on present experiences,
Model 2 92.4 32 2.887 0.067 0.028 0.965 138.394 0.333 making them less likely to experience negative beliefs or critical
Model 3 70.4 30 2.347 0.057 0.022 0.977 120.419 0.289 thoughts, further enhancing self-esteem. Higher mindfulness makes
Note: N = 417, RMSEA = root-mean square error of approximation; SRMR = an individual less engrossed by negative feelings and thoughts, further
standardized root-mean-square residual; CFI = Comparative Fit Index; AIC = Akaike in- enhancing self-esteem, and the enhanced self-esteem acts as a cushion
formation criterion; and ECVI = expected cross-validation index. for people against feelings of anxiety, it enhances coping, and promotes
130 B. Bajaj et al. / Personality and Individual Differences 96 (2016) 127–131

Fig. 1. The Structural Equation Model regarding the mediating effect of self-esteem on the relation between mindfulness, anxiety, and depression. Note: factor loadings are standardized.
M1–M3 = three parcels of mindfulness; SE1–SE3 = three parcels of self-esteem; ANX1–ANX2 = two parcels of anxiety; DEP1–DEP2 = two parcels of depression.

physical and mental health (Greenberg et al., 1992; Pepping et al., 2013; The current study had some limitations. First, this study had a cross-
Taylor & Brown, 1988). Individuals with higher mindfulness might no- sectional design which makes it difficult to draw any causal relationship
tice self-critical thoughts and identify them as thoughts rather than among the variables. In future, researchers may conduct experimental
truth, and acts as a buffer for low self-esteem (Michalak et al., 2011). or longitudinal studies to examine the mediation model. Second, the
Based on this rationale, it is reasonable to infer that self-esteem plays data relied exclusively on self-report measures, multiple assessment
a mediating role in the relationship between mindfulness and anxiety methods (e.g., peer reports) may be used to further strengthen the
and depression. validity of the findings in future studies. Another limitation is that the
Individuals with higher mindfulness might identify thoughts as mediating role of self-esteem has been demonstrated in our study, but
mental processes rather than facts. Further, mindfulness approach other mediators need to be identified and tested so that the theory
might encourage individuals with low self-esteem not to be critical regarding the powerful relationship between mindfulness and anxiety
with their thoughts, feelings and stimuli. These hypotheses need to be and depression can be further developed. Future research may also
investigated in future research to uncover important underlying consider testing whether mediation process works for an internalizing
mechanisms by which mindfulness enhances self-esteem. factor — anxiety combined with depression.
Our findings suggest that intervention programs addressing anxiety Apart from these limitations the current study is the first attempt to
and depression may need to focus on helping participants recognize investigate the relationship between mindfulness, self-esteem, anxiety,
their own sense of worth through enhancing their mindfulness levels. and depression in a sample of students in Indian context. Gathering data
Programs aimed at increasing both mindfulness and self-esteem are from a sample of Indian participants offers meaningful evidence for
likely to reduce anxiety and depression. Mindfulness interventions external validity for mindfulness as the predictor of self-esteem,
may help promote levels of self-esteem that is secure and based on anxiety, and depression. The study provides important implications
heightened awareness and acceptance of self-traits (Brown et al., for understanding the link between mindfulness, self-esteem, anxiety
2007). This is in contrast to social comparison and self-evaluative and depression and treating anxiety and depression. As mindfulness
methods that may lead to fragile self-esteem (Schöne, Tandler, & may increase secure form of high self-esteem, the findings of this
Stiensmeier-Pelster, 2015; Wood, Anthony, & Foddis, 2006). Mindful- mechanism can provide useful suggestions to design intervention and
ness may be used to enhance self-esteem, without temporarily prevention programs. These interventions can have impact on students'
bolstering positive views of oneself by focusing on achievement or anxiety and depression in university years and this learning may help
transient factors. Thus mindfulness may increase secure form of high them later in their careers as well.
self-esteem. Mindfulness training by improving self-esteem may sub-
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