Document Type : Research Article


1 Department of Aging Health, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

2 Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran

3 Department of Public Health, Birjand University of Medical Sciences, Birjand, Iran

4 Department of Psychology, Faculty of Para-Medicine, Birjand University of Medical Sciences, Birjand, Iran

5 Department of Epidemiology, Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran


Background: Adolescence is a critical period of life for all people. Self-esteem is also a basic human need that affects one’s growth, development, and identity. This study aimed to explain 12-14 year-old female adolescents’ experiences regarding selfesteem.
Methods: In this qualitative content-analysis study, adolescent girls aged 12-14 years were selected by the purposeful sampling method. The data were gleaned using individual interviews and focus group discussions. The recorded audio files were transcribed and the information was compared and merged with available related literature. The derived ideas were compared and the codes were integrated to form categories. Ultimately, we extracted more abstract categories and sub-categories.
Results: The concept of self-esteem in adolescents is defined as an intellectual approach to oneself. Adolescents considered perceived benefits and good feelings as the outcomes of high self-esteem. From their perspective, interpersonal and intrapersonal influencers contribute to self-esteem.
Conclusions: Attention should be paid to adolescents’ self-esteem and its effective factors, including interpersonal and intrapersonal influencers. Therefore, appropriate conditions should be provided for adolescents to promote their self-esteem.


1. Sawyer SM, Azzopardi PS, Wickremarathne D, Patton GC. The age of adolescence. Lancet Child Adolesc Health. 2018;2(3):223-228. doi: 10.1016/S2352-4642(18)30022-1. [PubMed: 30169257]. ## 2. Prajapati R, Sharma B, Sharam D. significance of life Skills Education. Contemporary Issues in Education Research. 2016;10(1):1-6. doi: 10.19030/cei.v10i1.9875. ## 3. Berk LE. Development Throught the Lifespan. 7th ed. Pearson; 2007. p. 36-99. ## 4. Hardcastle S, Tye M, Glassey R, Hagger M. Exploring the Perceived Effectiveness of a Life Skills Development Program for High-Performance Athletes. Psychology of Sport and Exercise. 2015;16(3):139-49. doi: 10.1016/j.psychsport.2014.10.005. ## 5. Shamloo S. Schools and theories in personality psychology. Tehran: Roshd Publication; 2004. Persian. ## 6. Reitz AK, Shrout PE, Denissen JJA, Dufner M, Bolger N. Self esteem change during the transition from university to work. Journal of Personality. 2019;00:1-14. doi: 10.1111/jopy.12519. ## 7. Aghahjari P, Hosseinzadeh M, Mahdavi N, Hashtroudizadeh M, Vahidi M. The effectiveness of life skills training on intrinsic and extrinsic learning motivation , academic achievement , and self-steem in nursing students. JNE. 2015;4(2):18-27. Persian. ## 8. Tanhaye reshvanloo F, Keramati R, Saadati A. Selfesteem among female adolescences. Journal of Applied Psychology. 2012;6(2):73-90. Persian. ## 9. Jalali D, Nazari A. Effects of social learning model training on self-esteem, self confidence , self assertiveness and academic achievement in third grade students of intermediary schools. Journal of Reserch in Behaviral Siences. 2009;7(1):43-53. Persian. ## 10. Burns N, Grove S. The Practice of Nursing Research: Conduct, Critique, & Utilization. 5th ed. Saunders; 2004. ## 11. Adib Hajbagheri M, Parvizi S, Salsali M. Qualitative Research Methods. Tehran: Boshra Publisher; 2012. Persian. ## 12. Speziale H, Streubert H, Carpenter D. Qualitative research in nursing: advancing the humanistic imperative. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2011. ## 13. Saffari M, Shojaeizadeh D, Ghofranipour F, Heydarnia A, Pakpour A. Health education & promotion theories, models & methods. Tehran: Sobhan Pub; 2013. p. 100-12. Persian. ## 14. Schiraldi GR. The self-esteem Workbook. 1st ed. New Harbinger Publications; 2001. ## 15. Robins RW, Trzesniewski KH, Brent DM. A Brief primer on self- esteem. Prevention Researcher. 2012;19(2):3-7. ## 16. Kia S, Shabani H, Ahghar GH, Modanloo M. The effect of assertivness training on first -grade school girls’ selfsteem in Tehran. IJPN. 2016;4(1):38-46. Persian. ## 17. Iancu I, Bodner E, Ben-Zion IZ. Self-esteem ,dependncy, self-efficacy and self-criticism in social anxiety disorder. Compr Psychiatry. 2015;58:165-71. doi: 10.1016/j.comppsych.2014.11.018. [PubMed: 25556952]. ## 18. Ran G, Zhang Q, Huang H. Behavioral inhibition system and self-esteem as mediators between shyness and social anxiety. Psychiatry Res. 2018;270:568-573. doi: 10.1016/j.psychres.2018.10.017. [PubMed: 30347379]. ## 19. Barzegar F, Salehpoor M, Emamjomeh M. The relationship between locus of control and self-esteem with creativity in Ardekan city high school students. Journal of School Psychology. 2015;3(4):6-21. Persian. ## 20. Abedi MR, Mirshah Jafari E, Liaghatdar MJ. Standardization of the Oxford Happiness Questionnaire in Isfahan University Students. IJPCP. 2006;12(2):95-100. Persian. ## 21. Kheirkhah M, Mokarie H, Nisani Samani L, Hosseini A. Relationship between Anxiety and Self-concept in Female Adolescents. IJN. 2013;26(83):19-29. Persian. ## 22. Marshall SL, Parker PD, Ciarrochi J, Heaven PCL. Is Self‐Esteem a Cause or Consequence of Social Support? A 4‐Year Longitudinal Study. Child Development. 2014;85(3):1275-91. doi: 10.1111/cdev.12176. ## 23. Terp U, Hjärthag F, Bisholt B. Effects of a Cognitive Behavioral-Based Stress Management Program on Stress Management Competency, Self-efficacy and Self-esteem Experienced by Nursing Students. Nurse Educ. 2019;44(1):E1-E5. doi: 10.1097/NNE.0000000000000492. [PubMed: 29286989]. ## 24. Branden N. The Psychology of Self-Esteem: A Revolutionary Approach to Self-Understanding that Launched a New Era in Modern Psychology. Jossey-Bass; 2019. ## 25. Obeid N, Buchholz A, Boerner KE, Henderson KA, Norris M. Self-Esteem and Social Anxiety in an Adolescent Female Eating Disorder Population: Age and Diagnostic Effects. Eating Disorders. 2013;21(2):140-53. doi: 10.1080/10640266.2013.761088. ##