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Erschienen in: European Child & Adolescent Psychiatry 10/2015

01.10.2015 | Original Contribution

Is the cognitive triad a clear marker of depressive symptoms in youngsters?

verfasst von: Caroline Braet, Laura Wante, Marie-Lotte Van Beveren, Lotte Theuwis

Erschienen in: European Child & Adolescent Psychiatry | Ausgabe 10/2015

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Abstract

Research on depression showed patterns of maladaptive thinking reflecting themes of negative self-evaluation, a pessimistic view on the world and hopelessness regarding the future, the so-called cognitive triad. However, it is still unclear if these cognitive aspects are also a clear marker of depressive symptoms in children. Therefore in the current study we will investigate to what extent the cognitive triad contributes to the prediction of depressive symptoms. Four hundred and seventy-one youngsters with a mean age of 12.41 years, of which 53 % were male, participated in this study. They filled in self-report questionnaires to measure depressive symptoms, anxious symptoms, emotional and behavioral problem behavior and the cognitive triad. The cognitive triad explained 43.5 % of the variance in depressive symptoms as reported by the children themselves without controlling for comorbid psychopathology. When controlling for comorbid anxiety and externalizing behavior problems, adding the cognitive triad contributes to depressive symptoms with 11 % on top of the 45 % explained variance by comorbid problems. The findings were observed both in the child (10–12 years) and adolescent (13–15 years) subsample. The standardized betas for the view on the World were low and did only reach the significance level in the adolescent sample. The cognitive triad represents a key component of depressive symptoms, also in younger age groups. Specifically the negative view on the Self and the negative view on the Future is already associated with depressive symptoms in both the child and adolescent subsample. The common variance among different psychopathologies (depression, anxiety and behavioral problems) still needs to be sorted out clearly.
Literatur
1.
Zurück zum Zitat Beck AT et al (1979) Cognitive therapy of depression. Guilford Press, New York Beck AT et al (1979) Cognitive therapy of depression. Guilford Press, New York
2.
Zurück zum Zitat Hankin BL et al (2008) Beck’s cognitive theory of depression in adolescence: specific prediction of depressive symptoms and reciprocal influences in a multi-wave prospective study. Int J Cogn Therapy 1(4):313–332CrossRef Hankin BL et al (2008) Beck’s cognitive theory of depression in adolescence: specific prediction of depressive symptoms and reciprocal influences in a multi-wave prospective study. Int J Cogn Therapy 1(4):313–332CrossRef
3.
Zurück zum Zitat Laurent J, Stark KD (1993) Testing the cognitive content-specificity hypothesis with anxious and depressed youngsters. J Abnorm Psychol 102(2):226–237CrossRefPubMed Laurent J, Stark KD (1993) Testing the cognitive content-specificity hypothesis with anxious and depressed youngsters. J Abnorm Psychol 102(2):226–237CrossRefPubMed
4.
Zurück zum Zitat Kaslow NJ et al (1992) Cognitive triad inventory for children—development and relation to depression and anxiety. J Clin Child Psychol 21(4):339–347CrossRef Kaslow NJ et al (1992) Cognitive triad inventory for children—development and relation to depression and anxiety. J Clin Child Psychol 21(4):339–347CrossRef
5.
Zurück zum Zitat Beck AT (1976) Cognitive therapy and the emotional disorders. New American Library, New York Beck AT (1976) Cognitive therapy and the emotional disorders. New American Library, New York
6.
Zurück zum Zitat Beck R, Perkins TS (2001) Cognitive content-specificity for anxiety and depression: a meta-analysis. Cogn Therapy Res 25(6):651–663CrossRef Beck R, Perkins TS (2001) Cognitive content-specificity for anxiety and depression: a meta-analysis. Cogn Therapy Res 25(6):651–663CrossRef
7.
Zurück zum Zitat Lamberton A, Oei TPS (2008) A test of the cognitive content specificity hypothesis in depression and anxiety. J Behav Ther Exp Psychiatry 39(1):23–31CrossRefPubMed Lamberton A, Oei TPS (2008) A test of the cognitive content specificity hypothesis in depression and anxiety. J Behav Ther Exp Psychiatry 39(1):23–31CrossRefPubMed
8.
Zurück zum Zitat Calvete E et al (2005) Self-talk and affective problems in college students: valence of thinking and cognitive content specificity. Span J Psychol 8(1):56–67CrossRefPubMed Calvete E et al (2005) Self-talk and affective problems in college students: valence of thinking and cognitive content specificity. Span J Psychol 8(1):56–67CrossRefPubMed
9.
Zurück zum Zitat Cho YR, Telch MJ (2005) Testing the cognitive content-specificity hypothesis of social anxiety and depression: an application of structural equation modeling. Cogn Therapy Res 29(4):399–416CrossRef Cho YR, Telch MJ (2005) Testing the cognitive content-specificity hypothesis of social anxiety and depression: an application of structural equation modeling. Cogn Therapy Res 29(4):399–416CrossRef
10.
Zurück zum Zitat Ohrt T, Sjodin I, Thorell LH (1999) Cognitive distortions in panic disorder and major depression: specificity for depressed mood. Nord J Psychiatry 53(6):459–464CrossRef Ohrt T, Sjodin I, Thorell LH (1999) Cognitive distortions in panic disorder and major depression: specificity for depressed mood. Nord J Psychiatry 53(6):459–464CrossRef
11.
Zurück zum Zitat Safren SA et al (2000) Differentiating anxious and depressive self-statements: combined factor structure of the anxious self-statements questionnaire and the automatic thoughts questionnaire-revised. Cogn Therapy Res 24(3):327–344CrossRef Safren SA et al (2000) Differentiating anxious and depressive self-statements: combined factor structure of the anxious self-statements questionnaire and the automatic thoughts questionnaire-revised. Cogn Therapy Res 24(3):327–344CrossRef
12.
Zurück zum Zitat Dozois DJA, Frewen PA (2006) Specificity of cognitive structure in depression and social phobia: a comparison of interpersonal and achievement content. J Affect Disord 90(2–3):101–109CrossRefPubMed Dozois DJA, Frewen PA (2006) Specificity of cognitive structure in depression and social phobia: a comparison of interpersonal and achievement content. J Affect Disord 90(2–3):101–109CrossRefPubMed
13.
Zurück zum Zitat Epkins CC (1996) Cognitive specificity and affective confounding in social anxiety and dysphoria in children. J Psychopathol Behav Assess 18(1):83–101CrossRef Epkins CC (1996) Cognitive specificity and affective confounding in social anxiety and dysphoria in children. J Psychopathol Behav Assess 18(1):83–101CrossRef
14.
Zurück zum Zitat Jolly JB (1993) A multimethod test of the cognitive content-specificity hypothesis in young adolescents. J Anxiety Disord 7(3):223–233CrossRef Jolly JB (1993) A multimethod test of the cognitive content-specificity hypothesis in young adolescents. J Anxiety Disord 7(3):223–233CrossRef
15.
Zurück zum Zitat Jacobs L, Joseph S (1997) Cognitive triad inventory and its association with symptoms of depression and anxiety in adolescents. Personal Individ Differ 22(5):769–770CrossRef Jacobs L, Joseph S (1997) Cognitive triad inventory and its association with symptoms of depression and anxiety in adolescents. Personal Individ Differ 22(5):769–770CrossRef
16.
Zurück zum Zitat Lodge J, Harte DK, Tripp G (1998) Children’s self-talk under conditions of mild anxiety. J Anxiety Disord 12(2):153–176CrossRefPubMed Lodge J, Harte DK, Tripp G (1998) Children’s self-talk under conditions of mild anxiety. J Anxiety Disord 12(2):153–176CrossRefPubMed
17.
Zurück zum Zitat Ronan KR, Kendall PC (1997) Self-talk in distressed youth: states-of-mind and content specificity. J Clin Child Psychol 26(4):330–337CrossRefPubMed Ronan KR, Kendall PC (1997) Self-talk in distressed youth: states-of-mind and content specificity. J Clin Child Psychol 26(4):330–337CrossRefPubMed
18.
Zurück zum Zitat Treadwell KRH, Kendall PC (1996) Self-talk in youth with anxiety disorders: states of mind, content specificity, and treatment outcome. J Consult Clin Psychol 64(5):941–950CrossRefPubMed Treadwell KRH, Kendall PC (1996) Self-talk in youth with anxiety disorders: states of mind, content specificity, and treatment outcome. J Consult Clin Psychol 64(5):941–950CrossRefPubMed
19.
Zurück zum Zitat Miranda R, Fontes M, Marroquin B (2008) Cognitive content-specificity in future expectancies: role of hopelessness and intolerance of uncertainty in depression and GAD symptoms. Behav Res Ther 46(10):1151–1159CrossRefPubMed Miranda R, Fontes M, Marroquin B (2008) Cognitive content-specificity in future expectancies: role of hopelessness and intolerance of uncertainty in depression and GAD symptoms. Behav Res Ther 46(10):1151–1159CrossRefPubMed
20.
Zurück zum Zitat Miranda R, Mennin DS (2007) Depression, generalized anxiety disorder, and certainty in pessimistic predictions about the future. Cogn Therapy Res 31(1):71–82CrossRef Miranda R, Mennin DS (2007) Depression, generalized anxiety disorder, and certainty in pessimistic predictions about the future. Cogn Therapy Res 31(1):71–82CrossRef
21.
Zurück zum Zitat Wong SS (2008) The relations of cognitive triad, dysfunctional attitudes, automatic thoughts, and irrational beliefs with test anxiety. Current Psychol 27(3):177–191CrossRef Wong SS (2008) The relations of cognitive triad, dysfunctional attitudes, automatic thoughts, and irrational beliefs with test anxiety. Current Psychol 27(3):177–191CrossRef
22.
Zurück zum Zitat Smith PN, Mumma GH (2008) A multi-wave web-based evaluation of cognitive content specificity for depression, anxiety, and anger. Cogn Therapy Res 32(1):50–65CrossRef Smith PN, Mumma GH (2008) A multi-wave web-based evaluation of cognitive content specificity for depression, anxiety, and anger. Cogn Therapy Res 32(1):50–65CrossRef
23.
Zurück zum Zitat Dalgleish T et al (1997) Information processing in clinically depressed and anxious children and adolescents. J Child Psychol Psychiatry 38(5):535–541CrossRefPubMed Dalgleish T et al (1997) Information processing in clinically depressed and anxious children and adolescents. J Child Psychol Psychiatry 38(5):535–541CrossRefPubMed
24.
Zurück zum Zitat Muris P, van der Heiden S (2006) Anxiety, depression, and judgments about the probability of future negative and positive events in children. J Anxiety Disord 20(2):252–261CrossRefPubMed Muris P, van der Heiden S (2006) Anxiety, depression, and judgments about the probability of future negative and positive events in children. J Anxiety Disord 20(2):252–261CrossRefPubMed
25.
Zurück zum Zitat Jacobs RH et al (2008) Empirical evidence of cognitive vulnerability for depression among children and adolescents: a cognitive science and developmental perspective. Clin Psychol Rev 28(5):759–782PubMedCentralCrossRefPubMed Jacobs RH et al (2008) Empirical evidence of cognitive vulnerability for depression among children and adolescents: a cognitive science and developmental perspective. Clin Psychol Rev 28(5):759–782PubMedCentralCrossRefPubMed
26.
Zurück zum Zitat Ouimet AJ, Gawronski B, Dozois DJA (2009) Cognitive vulnerability to anxiety: a review and an integrative model. Clin Psychol Rev 29(6):459–470CrossRefPubMed Ouimet AJ, Gawronski B, Dozois DJA (2009) Cognitive vulnerability to anxiety: a review and an integrative model. Clin Psychol Rev 29(6):459–470CrossRefPubMed
27.
Zurück zum Zitat Reid SC, Salmon K, Lovibond PF (2006) Cognitive biases in childhood anxiety, depression, and aggression: are they pervasive or specific? Cogn Therapy Res 30(5):531–549CrossRef Reid SC, Salmon K, Lovibond PF (2006) Cognitive biases in childhood anxiety, depression, and aggression: are they pervasive or specific? Cogn Therapy Res 30(5):531–549CrossRef
28.
Zurück zum Zitat Epkins CC (2000) Cognitive specificity in internalizing and externalizing problems in community and clinic-referred children. J Clin Child Psychol 29(2):199–208CrossRefPubMed Epkins CC (2000) Cognitive specificity in internalizing and externalizing problems in community and clinic-referred children. J Clin Child Psychol 29(2):199–208CrossRefPubMed
29.
Zurück zum Zitat Barriga AQ et al (2000) Cognitive distortion and problem behaviors in adolescents. Crim Justice Behav 27(1):36–56CrossRef Barriga AQ et al (2000) Cognitive distortion and problem behaviors in adolescents. Crim Justice Behav 27(1):36–56CrossRef
30.
Zurück zum Zitat Timbremont B, Braet C (2006) Brief report: a longitudinal investigation of the relation between a negative cognitive triad and depressive symptoms in youth. J Adolesc 29(3):453–458CrossRefPubMed Timbremont B, Braet C (2006) Brief report: a longitudinal investigation of the relation between a negative cognitive triad and depressive symptoms in youth. J Adolesc 29(3):453–458CrossRefPubMed
31.
Zurück zum Zitat Kovacs M (1992) Children’s depression inventory (CDI). Multi-Health Systems inc., New York Kovacs M (1992) Children’s depression inventory (CDI). Multi-Health Systems inc., New York
32.
Zurück zum Zitat Timbremont B, Braet C (2002) Children’s depression inventory: Nederlandstalige versie. Lisse, Swets & Zeitinger Timbremont B, Braet C (2002) Children’s depression inventory: Nederlandstalige versie. Lisse, Swets & Zeitinger
33.
34.
Zurück zum Zitat Craighead WE et al (1998) Factor analysis of the children’s depression inventory in a community sample. Psychol Assess 10(2):156–165CrossRef Craighead WE et al (1998) Factor analysis of the children’s depression inventory in a community sample. Psychol Assess 10(2):156–165CrossRef
35.
Zurück zum Zitat Timbremont B, Braet C, Dreessen L (2004) Assessing depression in youth: relation between the children’s depression inventory and a structured interview. J Clin Child Adolesc Psychol 33(1):149–157CrossRefPubMed Timbremont B, Braet C, Dreessen L (2004) Assessing depression in youth: relation between the children’s depression inventory and a structured interview. J Clin Child Adolesc Psychol 33(1):149–157CrossRefPubMed
36.
Zurück zum Zitat Garcia LF, Aluja A, del Barrio V (2008) Testing the hierarchical structure of the children’s depression inventory: a multigroup analysis. Assessment 15(2):153–164CrossRefPubMed Garcia LF, Aluja A, del Barrio V (2008) Testing the hierarchical structure of the children’s depression inventory: a multigroup analysis. Assessment 15(2):153–164CrossRefPubMed
37.
Zurück zum Zitat Molina CS, Gomez JR, Pastrana MCV (2009) Psychometric properties of the spanish-language child depression inventory with hispanic children who are secondary victims of domestic violence. Adolescence 44(173):133–148PubMed Molina CS, Gomez JR, Pastrana MCV (2009) Psychometric properties of the spanish-language child depression inventory with hispanic children who are secondary victims of domestic violence. Adolescence 44(173):133–148PubMed
38.
Zurück zum Zitat Donnelly M, Wilson R (1994) The dimensions of depression in early adolescence. Pers Individ Differ 17(3):425–430CrossRef Donnelly M, Wilson R (1994) The dimensions of depression in early adolescence. Pers Individ Differ 17(3):425–430CrossRef
39.
Zurück zum Zitat Chorpita BF et al (2000) Assessment of symptoms of DSM-IV anxiety and depression in children: a revised Child Anxiety and Depression Scale. Behav Res Ther 38:835–855CrossRefPubMed Chorpita BF et al (2000) Assessment of symptoms of DSM-IV anxiety and depression in children: a revised Child Anxiety and Depression Scale. Behav Res Ther 38:835–855CrossRefPubMed
40.
Zurück zum Zitat Muris P, Meesters C, Schouten E (2002) A brief questionnaire of DSM-IV-defined anxiety and depression symptoms among children. Clin Psychol Psychother 9(6):430–442CrossRef Muris P, Meesters C, Schouten E (2002) A brief questionnaire of DSM-IV-defined anxiety and depression symptoms among children. Clin Psychol Psychother 9(6):430–442CrossRef
41.
Zurück zum Zitat Spence SH (1997) Structure of anxiety symptoms among children: a confirmatory factor-analytic study. J Abnorm Psychol 106(2):280–297CrossRefPubMed Spence SH (1997) Structure of anxiety symptoms among children: a confirmatory factor-analytic study. J Abnorm Psychol 106(2):280–297CrossRefPubMed
42.
Zurück zum Zitat Achenbach TM, Rescorla LA (2001) Manual for the ASEBA school-age forms and profiles. University of Vermont, Reasearch Center for Children, Youth and Families, Burlington Achenbach TM, Rescorla LA (2001) Manual for the ASEBA school-age forms and profiles. University of Vermont, Reasearch Center for Children, Youth and Families, Burlington
43.
Zurück zum Zitat Verhulst FC, Van der Ende J (2004) Handleiding voor de CBCL/6-18 en YSR (manual for the child behavior checklist and revised child behavior profile and youth self report and profile). Sophia Children’s Hospital Department of Child and Adolescent Psychiatry, Rotterdam Verhulst FC, Van der Ende J (2004) Handleiding voor de CBCL/6-18 en YSR (manual for the child behavior checklist and revised child behavior profile and youth self report and profile). Sophia Children’s Hospital Department of Child and Adolescent Psychiatry, Rotterdam
44.
Zurück zum Zitat Little R (1988) A test of missing completely at random for multivariate data with missing values. J Am Stat Assoc 83:1198–1202CrossRef Little R (1988) A test of missing completely at random for multivariate data with missing values. J Am Stat Assoc 83:1198–1202CrossRef
45.
Zurück zum Zitat Schafer J (1997) Analysis of incomplete multivariate data. Shapman and Hall, LondonCrossRef Schafer J (1997) Analysis of incomplete multivariate data. Shapman and Hall, LondonCrossRef
46.
Zurück zum Zitat Hollingshead A (1975) Four factor index of social status. Yale University Press, New haven Hollingshead A (1975) Four factor index of social status. Yale University Press, New haven
47.
Zurück zum Zitat Beesdo K et al (2007) Social anxiety disorder: patterns of incidence and secondary depression risk. Eur Neuropsychopharmacol 17:S511–S512CrossRef Beesdo K et al (2007) Social anxiety disorder: patterns of incidence and secondary depression risk. Eur Neuropsychopharmacol 17:S511–S512CrossRef
48.
Zurück zum Zitat Beck AT (1967) Depression: causes and treatment. University of Pennsylvania Press, Philadelphia Beck AT (1967) Depression: causes and treatment. University of Pennsylvania Press, Philadelphia
49.
Zurück zum Zitat Graziano F, Bonino S, Cattelino E (2009) Links between maternal and paternal support, depressive feelings and social and academic self-efficacy in adolescence. Eur J Dev Psychol 6(2):241–257CrossRef Graziano F, Bonino S, Cattelino E (2009) Links between maternal and paternal support, depressive feelings and social and academic self-efficacy in adolescence. Eur J Dev Psychol 6(2):241–257CrossRef
50.
Zurück zum Zitat Yildirim I (2007) Depression, test anxiety and social support among Turkish students preparing for the university entrance examination. Egitim Arastirmalari-Eurasian. J Edu Res 7(29):171–188 Yildirim I (2007) Depression, test anxiety and social support among Turkish students preparing for the university entrance examination. Egitim Arastirmalari-Eurasian. J Edu Res 7(29):171–188
51.
Zurück zum Zitat Lorant V et al (2003) Socioeconomic inequalities in depression: a meta-analysis. Am J Epidemiol 157(2):98–112CrossRefPubMed Lorant V et al (2003) Socioeconomic inequalities in depression: a meta-analysis. Am J Epidemiol 157(2):98–112CrossRefPubMed
52.
Zurück zum Zitat Achenbach TM, McConaughy SH, Howell CT (1987) Child adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity. Psychol Bull 101(2):213–232CrossRefPubMed Achenbach TM, McConaughy SH, Howell CT (1987) Child adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity. Psychol Bull 101(2):213–232CrossRefPubMed
Metadaten
Titel
Is the cognitive triad a clear marker of depressive symptoms in youngsters?
verfasst von
Caroline Braet
Laura Wante
Marie-Lotte Van Beveren
Lotte Theuwis
Publikationsdatum
01.10.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
European Child & Adolescent Psychiatry / Ausgabe 10/2015
Print ISSN: 1018-8827
Elektronische ISSN: 1435-165X
DOI
https://doi.org/10.1007/s00787-015-0674-8

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