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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.
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Abela, J. R., & Hankin, B. L. (2008). Handbook of depression in children and adolescents. New York: Guilford 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.
Arbuckle, J. L. (1999). AMOS user’s guide. Chicago: Small Waters.
Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. New York: Harper & Row.
Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International University 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.
Beck, A. T., & Weishaar, M. (2005). Cognitive therapy. In R. J. Corsini & D. Wedding (Eds.), Current psychotherapies. Belmont: Thomson Brooks.
Byrne, B. M. (2001). Structural equation modeling with AMOS. Mahwah: Erlbaum.
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
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.
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.
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
Jöreskog, K. G., & Sörbom, D. (1993). LISREL 8: Structural equation modeling with the SIMPLIS command language. Chicago: Scientific Software International.
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
Kline, R. B. (2011). Principles and practice of structural equation modeling (3rd ed.). New York: Guilford Press.
Lee, A., & Hankin, B. L. (2009). Insecure attachment, dysfunctional attitudes, and low self-esteem predicting prospective symptoms of depression and anxiety during adolescence. Journal of Clinical Child and Adolescent Psychology, 38, 219–231. doi: 10.1080/15374410802698396. CrossRefPubMedPubMedCentral
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
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
Martens, M. P., & Haase, R. F. (2006). Advanced applications of structural equation modeling in counseling psychology research. The Counseling Psychologist, 34, 878–911. CrossRef
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.
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: 10.1024/1422-49220.127.116.11. CrossRef
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.
Tucker, L. R., & Lewis, C. (1973). The reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38, 1–10. CrossRef
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.
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.
- Comparing Different Sequential Mediational Interpretations of Beck’s Cognitive Model of Depression in Adolescents
- Springer US