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02-08-2016 | Empirical Research

Comparing Different Sequential Mediational Interpretations of Beck’s Cognitive Model of Depression in Adolescents

Auteur: Patrick Pössel

Gepubliceerd in: Journal of Youth and Adolescence | Uitgave 4/2017

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Abstract

Depression is a developmental phenomenon with significantly increasing rates during adolescence. As Beck’s cognitive model of depression has been commonly accepted to explain the development and maintenance of depression, it is crucial to understand how and when cognitive vulnerabilities predicted in this model begin to interact. Three sequential interpretations of this model were compared. The causal mediational interpretation identifies dysfunctional attitudes as most distal to depressive symptoms, followed by cognitive errors, cognitive triad, and negative automatic thoughts, with each construct successively more proximal to depressive symptoms. In the symptom model the causal chain is reversed, with depressive symptoms as the most distal construct, followed by negative automatic thoughts, the cognitive triad, cognitive errors, and then dysfunctional attitudes. The bidirectional model merges both interpretations in which the activation of cognitive constructs causes the development of depressive symptoms which in turn trigger and reinforce already existing dysfunctional attitudes. Further, while Beck’s model of depression proposes full mediation, empirical studies identified repeatedly partial mediations. Thus, the causal meditational, the symptoms, and the bidirectional model were each tested as full and partial mediation models. Finally, sex differences in the associations between variables were studied. In the 3-wave longitudinal study, 518 high school students (62.7 % female, average age: 15.09 years) completed questionnaires measuring all mentioned elements of Beck’s model. The bidirectional model with partial mediation fits the data best. Cognitive errors emerged as the main mediator in the bidirectional model with partial mediation and significant sex differences in the strengths of associations were identified. The findings demonstrate the relevance of adolescence as developmental period during which the examined associations develop into the network they form in adulthood. Further, psychological interventions focusing on cognitive errors promise to be most effective.
Literatuur
go back to reference Abela, J. R., & Hankin, B. L. (2008). Handbook of depression in children and adolescents. New York: Guilford Press. Abela, J. R., & Hankin, B. L. (2008). Handbook of depression in children and adolescents. New York: Guilford Press.
go back to reference Alloy, L. B., Clements, C., & Kolden, G. (1985). The cognitive diathesis-stress theories of depression: Therapeutic implications. In S. Reiss & R. R. Bootzin (Eds.), Theoretical issues in behaviour therapy. Orlando: Academic Press. Alloy, L. B., Clements, C., & Kolden, G. (1985). The cognitive diathesis-stress theories of depression: Therapeutic implications. In S. Reiss & R. R. Bootzin (Eds.), Theoretical issues in behaviour therapy. Orlando: Academic Press.
go back to reference Arbuckle, J. L. (1999). AMOS user’s guide. Chicago: Small Waters. Arbuckle, J. L. (1999). AMOS user’s guide. Chicago: Small Waters.
go back to reference Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. New York: Harper & Row. Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. New York: Harper & Row.
go back to reference Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International University Press. Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International University Press.
go back to reference Beck, A. T. (1996). Beyond belief: A theory of modes, personality, and psychopathology. In P. M. Salkovskis (Ed.), Frontiers of cognitive therapy. New York: Guildford Press. Beck, A. T. (1996). Beyond belief: A theory of modes, personality, and psychopathology. In P. M. Salkovskis (Ed.), Frontiers of cognitive therapy. New York: Guildford Press.
go back to reference Beck, A. T., & Weishaar, M. (2005). Cognitive therapy. In R. J. Corsini & D. Wedding (Eds.), Current psychotherapies. Belmont: Thomson Brooks. Beck, A. T., & Weishaar, M. (2005). Cognitive therapy. In R. J. Corsini & D. Wedding (Eds.), Current psychotherapies. Belmont: Thomson Brooks.
go back to reference Bufferd, S. J., Dougherty, L. R., Carlson, G. A., Rose, S., & Klein, D. N. (2012). Psychiatric disorders in preschoolers: Continuity from ages 3 to 6. American Journal of Psychiatry, 169, 1157–1164.CrossRefPubMedPubMedCentral Bufferd, S. J., Dougherty, L. R., Carlson, G. A., Rose, S., & Klein, D. N. (2012). Psychiatric disorders in preschoolers: Continuity from ages 3 to 6. American Journal of Psychiatry, 169, 1157–1164.CrossRefPubMedPubMedCentral
go back to reference Byrne, B. M. (2001). Structural equation modeling with AMOS. Mahwah: Erlbaum. Byrne, B. M. (2001). Structural equation modeling with AMOS. Mahwah: Erlbaum.
go back to reference Cole, D. A., Jacquez, F. M., Truss, A. E., Pineda, A. Q., Weitlauf, A. S., & Maxwell, M. A. (2009). Gender differences in the longitudinal structure of cognitive diatheses for depression in children and adolescents. Journal of Clinical Psychology, 65, 1312–1326. doi:10.1002/jclp.20631.CrossRefPubMedPubMedCentral Cole, D. A., Jacquez, F. M., Truss, A. E., Pineda, A. Q., Weitlauf, A. S., & Maxwell, M. A. (2009). Gender differences in the longitudinal structure of cognitive diatheses for depression in children and adolescents. Journal of Clinical Psychology, 65, 1312–1326. doi:10.​1002/​jclp.​20631.CrossRefPubMedPubMedCentral
go back to reference Hollon, S. D., DeRubeis, R. J., & Evans, M. D. (1996). Cognitive therapy in the treatment and prevention of depression. In P. M. Salkovskis (Ed.), Frontiers of cognitive therapy. New York: Guilford Press. Hollon, S. D., DeRubeis, R. J., & Evans, M. D. (1996). Cognitive therapy in the treatment and prevention of depression. In P. M. Salkovskis (Ed.), Frontiers of cognitive therapy. New York: Guilford Press.
go back to reference Ilardi, S. S., & Craighead, W. E. (1999). Rapid early response, cognitive modification and nonspecific factors in cognitive behavior therapy for depression: A reply to Tang and DeRubeis. Clinical Psychology: Science and Practice, 6, 295–299. doi:10.1093/clipsy/6.3.295. Ilardi, S. S., & Craighead, W. E. (1999). Rapid early response, cognitive modification and nonspecific factors in cognitive behavior therapy for depression: A reply to Tang and DeRubeis. Clinical Psychology: Science and Practice, 6, 295–299. doi:10.​1093/​clipsy/​6.​3.​295.
go back to reference Jacobs, R. H., Reinecke, M. A., Gollan, J. K., & Kane, P. (2008). Empirical evidence of cognitive vulnerability for depression among children and adolescents: A cognitive science and developmental perspective. Clinical Psychology Review, 28, 759–782. doi:10.1016/j.cpr.2007.10.006.CrossRefPubMed Jacobs, R. H., Reinecke, M. A., Gollan, J. K., & Kane, P. (2008). Empirical evidence of cognitive vulnerability for depression among children and adolescents: A cognitive science and developmental perspective. Clinical Psychology Review, 28, 759–782. doi:10.​1016/​j.​cpr.​2007.​10.​006.CrossRefPubMed
go back to reference Joiner, T. E., Metalsky, G. I., Lew, A., & Klocek, J. (1999). Testing the casual mediation component of Beck’s theory of depression: Evidence for specific mediation. Cognitive Therapy and Research, 23, 401–412. doi:10.1023/A:1018755917954.CrossRef Joiner, T. E., Metalsky, G. I., Lew, A., & Klocek, J. (1999). Testing the casual mediation component of Beck’s theory of depression: Evidence for specific mediation. Cognitive Therapy and Research, 23, 401–412. doi:10.​1023/​A:​1018755917954.CrossRef
go back to reference Jöreskog, K. G., & Sörbom, D. (1993). LISREL 8: Structural equation modeling with the SIMPLIS command language. Chicago: Scientific Software International. Jöreskog, K. G., & Sörbom, D. (1993). LISREL 8: Structural equation modeling with the SIMPLIS command language. Chicago: Scientific Software International.
go back to reference Kaslow, N. J., Stark, K. D., Printz, B., Livingtston, R., & Shung, L. T. (1992). Cognitive triad inventory for children: Development and relation to depression and anxiety. Journal of Clinical Child Psychology, 21, 339–347. doi:10.1207/s15374424jccp2104_3.CrossRef Kaslow, N. J., Stark, K. D., Printz, B., Livingtston, R., & Shung, L. T. (1992). Cognitive triad inventory for children: Development and relation to depression and anxiety. Journal of Clinical Child Psychology, 21, 339–347. doi:10.​1207/​s15374424jccp210​4_​3.CrossRef
go back to reference Kendall, P. C., Howard, B. L., & Hays, R. C. (1989). Self-referent speech and psychopathology: The balance of positive and negative thinking. Cognitive Therapy and Research, 13, 583–598. doi:10.1007/BF01176069.CrossRef Kendall, P. C., Howard, B. L., & Hays, R. C. (1989). Self-referent speech and psychopathology: The balance of positive and negative thinking. Cognitive Therapy and Research, 13, 583–598. doi:10.​1007/​BF01176069.CrossRef
go back to reference Kercher, A. J., Rapee, R. M., & Schniering, C. A. (2009). Neuroticism, life events and negative thoughts in the development of depression in adolescent girls. Journal of Abnormal Child Psychology, 37, 903–915. doi:10.1007/s10802-009-9325-1.CrossRefPubMed Kercher, A. J., Rapee, R. M., & Schniering, C. A. (2009). Neuroticism, life events and negative thoughts in the development of depression in adolescent girls. Journal of Abnormal Child Psychology, 37, 903–915. doi:10.​1007/​s10802-009-9325-1.CrossRefPubMed
go back to reference Kessler, R. C., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Wittchen, H.-U. (2012). Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. International Journal of Methods in Psychiatric Research, 21, 169–184. doi:10.1002/mpr.1359.CrossRefPubMedPubMedCentral Kessler, R. C., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Wittchen, H.-U. (2012). Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. International Journal of Methods in Psychiatric Research, 21, 169–184. doi:10.​1002/​mpr.​1359.CrossRefPubMedPubMedCentral
go back to reference Kline, R. B. (2011). Principles and practice of structural equation modeling (3rd ed.). New York: Guilford Press. Kline, R. B. (2011). Principles and practice of structural equation modeling (3rd ed.). New York: Guilford Press.
go back to reference Kwon, S. M., & Oei, T. P. S. (1992). Differential causal roles of dysfunctional attitudes and automatic thoughts in depression. Cognitive Therapy and Research, 16, 309–328. doi:10.1007/BF01183284.CrossRef Kwon, S. M., & Oei, T. P. S. (1992). Differential causal roles of dysfunctional attitudes and automatic thoughts in depression. Cognitive Therapy and Research, 16, 309–328. doi:10.​1007/​BF01183284.CrossRef
go back to reference LaGrange, B., Cole, D. A., Jacquez, F., Ciesla, J. A., Dallaire, D. H., Pineda, A. Q., et al. (2011). Distangling the prospective relations between maladaptive cognitions and depressive symptoms. Journal of Abnormal Psychology, 120, 511–527. doi:10.1037/a0024685.CrossRefPubMedPubMedCentral LaGrange, B., Cole, D. A., Jacquez, F., Ciesla, J. A., Dallaire, D. H., Pineda, A. Q., et al. (2011). Distangling the prospective relations between maladaptive cognitions and depressive symptoms. Journal of Abnormal Psychology, 120, 511–527. doi:10.​1037/​a0024685.CrossRefPubMedPubMedCentral
go back to reference Lakdawalla, Z., Hankin, B. L., & Mermelstein, R. (2007). Cognitive theories of depression in children and adolescents: A conceptual and quantitative review. Clinical Child and Family Psychology Review, 10, 1–24. doi:10.1007/s10567-006-0013-1.CrossRefPubMed Lakdawalla, Z., Hankin, B. L., & Mermelstein, R. (2007). Cognitive theories of depression in children and adolescents: A conceptual and quantitative review. Clinical Child and Family Psychology Review, 10, 1–24. doi:10.​1007/​s10567-006-0013-1.CrossRefPubMed
go back to reference Leitenberg, H., Yost, L. W., & Carroll-Wilson, M. (1986). Negative cognitive errors in children: Questionnaire development, normative data, and comparisons between children with and without self-reported symptoms of depression, low self-esteem, and evaluation anxiety. Journal of Consulting and Clinical Psychology, 54, 528–536. doi:10.1037/0022-006X.54.4.528.CrossRefPubMed Leitenberg, H., Yost, L. W., & Carroll-Wilson, M. (1986). Negative cognitive errors in children: Questionnaire development, normative data, and comparisons between children with and without self-reported symptoms of depression, low self-esteem, and evaluation anxiety. Journal of Consulting and Clinical Psychology, 54, 528–536. doi:10.​1037/​0022-006X.​54.​4.​528.CrossRefPubMed
go back to reference Marcotte, D., Lévesque, N., & Fortin, L. (2006). Variations of cognitive distortions and school performance in depressed and non-depressed high school adolescents: A two-year longitudinal study. Cognitive Therapy and Research, 30, 211–225. doi:10.1007/s10608-006-9020-2.CrossRef Marcotte, D., Lévesque, N., & Fortin, L. (2006). Variations of cognitive distortions and school performance in depressed and non-depressed high school adolescents: A two-year longitudinal study. Cognitive Therapy and Research, 30, 211–225. doi:10.​1007/​s10608-006-9020-2.CrossRef
go back to reference Marsh, H. W., Hau, K., & Wen, Z. (2004). In search of golden rules: Comment on hypothesis-testing approaches to setting cutoff values for fit indexes and dangers in overgeneralizing Hu and Bentler’s (1999) findings. Structural Equation Modeling, 11, 320–341. doi:10.1207/s15328007sem1103_2.CrossRef Marsh, H. W., Hau, K., & Wen, Z. (2004). In search of golden rules: Comment on hypothesis-testing approaches to setting cutoff values for fit indexes and dangers in overgeneralizing Hu and Bentler’s (1999) findings. Structural Equation Modeling, 11, 320–341. doi:10.​1207/​s15328007sem1103​_​2.CrossRef
go back to reference Martens, M. P., & Haase, R. F. (2006). Advanced applications of structural equation modeling in counseling psychology research. The Counseling Psychologist, 34, 878–911.CrossRef Martens, M. P., & Haase, R. F. (2006). Advanced applications of structural equation modeling in counseling psychology research. The Counseling Psychologist, 34, 878–911.CrossRef
go back to reference Oei, T. S., Goh, Y., & Kwon, S. (1996). A cross-cultural study of the integrated cognitive model of depression. Current Psychology of Cognition, 15, 265–281. Oei, T. S., Goh, Y., & Kwon, S. (1996). A cross-cultural study of the integrated cognitive model of depression. Current Psychology of Cognition, 15, 265–281.
go back to reference Pössel, P., & Hautzinger, M. (2006). Effekte pharmakologischer und psychotherapeutischer interventionen auf depressionen bei kindern und jugendlichen. [Effects of pharmaco- and psychotherapeutic interventions of depression in children and adolescents.]. Zeitschrift für Kinder- und Jugendpsychiatrie, 34, 243–255. doi:10.1024/1422-4917.34.4.243.CrossRef Pössel, P., & Hautzinger, M. (2006). Effekte pharmakologischer und psychotherapeutischer interventionen auf depressionen bei kindern und jugendlichen. [Effects of pharmaco- and psychotherapeutic interventions of depression in children and adolescents.]. Zeitschrift für Kinder- und Jugendpsychiatrie, 34, 243–255. doi:10.​1024/​1422-4917.​34.​4.​243.CrossRef
go back to reference Pössel, P., & Knopf, K. (2008). An experimental test of the maintenance and vulnerability hypothesis of depression in consideration of the cognitive hierarchy. Depression and Anxiety, 25, E47–E55. doi:10.1002/da.20313.CrossRefPubMed Pössel, P., & Knopf, K. (2008). An experimental test of the maintenance and vulnerability hypothesis of depression in consideration of the cognitive hierarchy. Depression and Anxiety, 25, E47–E55. doi:10.​1002/​da.​20313.CrossRefPubMed
go back to reference Pössel, P., & Winkeljohn Black, S. (2014). Testing three different sequential mediational interpretations of Beck’s cognitive model of the development of depression. Journal of Clinical Psychology, 70, 72–94. doi:10.1002/jclp.22001.CrossRefPubMed Pössel, P., & Winkeljohn Black, S. (2014). Testing three different sequential mediational interpretations of Beck’s cognitive model of the development of depression. Journal of Clinical Psychology, 70, 72–94. doi:10.​1002/​jclp.​22001.CrossRefPubMed
go back to reference Steiger, J. H., & Lind, J. M. (1980). Statistically based tests for the number of common factors. Paper presented at the Psychometrika Society meeting, Iowa City, IA. Steiger, J. H., & Lind, J. M. (1980). Statistically based tests for the number of common factors. Paper presented at the Psychometrika Society meeting, Iowa City, IA.
go back to reference Tucker, L. R., & Lewis, C. (1973). The reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38, 1–10.CrossRef Tucker, L. R., & Lewis, C. (1973). The reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38, 1–10.CrossRef
go back to reference Turner, J. E., & Cole, D. A. (1994). Developmental differences in cognitive diatheses for child depression. Journal of Abnormal Child Psychology, 22, 15–32.CrossRefPubMed Turner, J. E., & Cole, D. A. (1994). Developmental differences in cognitive diatheses for child depression. Journal of Abnormal Child Psychology, 22, 15–32.CrossRefPubMed
go back to reference Weissman, A.N., & Beck, A.T. (1978). Development and validation of the Dysfunctional Attitude Scale (DAS). Presented at the 12th annual meeting of the Association for the Advancement of Behavior Therapy, Chicago. Weissman, A.N., & Beck, A.T. (1978). Development and validation of the Dysfunctional Attitude Scale (DAS). Presented at the 12th annual meeting of the Association for the Advancement of Behavior Therapy, Chicago.
go back to reference Wothke, W. (1998). Longitudinal and multi-group modeling with missing data. In T. D. Little, K. U. Schnabel, & J. Baumert (Eds.), Modeling longitudinal and multiple group data: Practical issues, applied approaches and specific examples. Mahwah: Lawrence Erlbaum Publishers. Wothke, W. (1998). Longitudinal and multi-group modeling with missing data. In T. D. Little, K. U. Schnabel, & J. Baumert (Eds.), Modeling longitudinal and multiple group data: Practical issues, applied approaches and specific examples. Mahwah: Lawrence Erlbaum Publishers.
Metagegevens
Titel
Comparing Different Sequential Mediational Interpretations of Beck’s Cognitive Model of Depression in Adolescents
Auteur
Patrick Pössel
Publicatiedatum
02-08-2016
Uitgeverij
Springer US
Gepubliceerd in
Journal of Youth and Adolescence / Uitgave 4/2017
Print ISSN: 0047-2891
Elektronisch ISSN: 1573-6601
DOI
https://doi.org/10.1007/s10964-016-0551-x

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