Skip to main content
Log in

Cognitive deficit or cognitive distortion in childhood depression

  • Published:
Journal of Abnormal Child Psychology Aims and scope Submit manuscript

Abstract

Three studies were conducted to evaluate cognitive disturbance and depression in children. In Study I, 47 sixth-grade children, including 17 who received a DSM-III diagnosis of depression, and their parents were independently interviewed with the Schedule for Affective Disorders and Schizophrenia for School-Age Children, and they completed the Parent-Child Depression Inventory. Children completed the Children's Depression Inventory, the Matching Familiar Figures Test, and the My Standards Questionnaire. Results of Study 1 were consistent across raters and measures: Depression was associated with a negative style of processing self-evaluative information, while being unrelated to a processing deficit. A second study was initiated to replicate the results of Study 1 and to extend them to a wider age range of children. Thirty- eight third-, fourth-, fifth-, and sixth-grade children, half of whom were depressed and half of whom indicated a minimum of depressive symptomatology on the Children's Depression Inventory, completed the Matching Familiar Figures Test and the My Standards Questionnaire. Results were very similar to those found in Study 1. A third study was conducted to test whether the self-perceptions of depressed children were accurately negative or negatively distorted, as judged against their teachers' observations of them. Results supported the hypothesis that depressed children exhibit a distorted style of processing self-evaluative information. The implications of the results for theory and treatment were discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Achenbach, T. M., & Edelbrock, C. S. (1979). The Child Behavior Profile: II. Boys ages 12–16 and girls ages 6–11 and 12–16.Journal of Consulting and Clinical Psychology, 47, 223–233.

    Google Scholar 

  • Anderson, J. D., Williams, S., McGee, R., & Silva, P. A. (1987). DSM-III disorders in preadolescent children: Prevalence in a large sample from the general population.Archives of General Psychiatry, 44, 69–76.

    Google Scholar 

  • Asarnow, J. R., & Bates, S. (1988). Depression in child psychiatric inpatients: Cognitive and attributional patterns.Journal of Abnormal Child Psychology, 16, 601–615.

    Google Scholar 

  • Asarnow, J. R., Carlson, G. A., & Guthrie, D. (1987). Coping strategies, self-perceptions, hopelessness, and perceived family environments in depressed and suicidal patients.Journal of Consulting and Clinical Psychology, 55, 361–366.

    Google Scholar 

  • Beck, A. J. (1963). Thinking in depression. I. Idiosyncratic content and cognitive distortion.Archives of General Psychiatry, 9, 324–333.

    Google Scholar 

  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression.Archives of General Psychiatry, 4, 561–571.

    Google Scholar 

  • Beckham, E. E., Leber, W. R., Watkins, J. T., Boyer, J. L., & Cook (1986). Development of an instrument to measure Beck's cognitive triad: The Cognitive Triad Inventory.Journal of Consulting and Clinical Psychology, 54, 566–567.

    Google Scholar 

  • Cantwell, D. P. (1985). Depressive disorders in children: Validation of clinical syndromes.Psychiatric Clinics of North America, 8, 779–792.

    Google Scholar 

  • Dodge, K. A. (1985). Attributional bias in aggressive children. In P. C. Kendall (Ed.),Advances in cognitive-behavioral research and therapy (Vol. 4, pp. 55–111). New York: Academic Press.

    Google Scholar 

  • Douglas, U. I., Parry, P., Marton, P., & Garson, C. (1976). Assessment of a cognitive training program for hyperactive children.Journal of Abnormal Child Psychology, 4, 389–410.

    Google Scholar 

  • Finch, A. J., Lipousky, J. A., & Casat, C. D. (1989). Anxiety and depression in children and adolescents: Negative affectivity or separate constructs? In P. C. Kendall & D. Watson (Eds.),Anxiety and depression: Distinct and overlapping features. New York: Academic Press.

    Google Scholar 

  • Fuhrman, M. J., & Kendall, P. C. (1986). Cognitive tempo and behavioral adjustment in children.Cognitive Therapy and Research, 10, 45–50.

    Google Scholar 

  • Garber, J. (1984). The developmental progression of depression in female children. In D. Cicchetti & K. Schneider-Rosen (Eds.),Childhood depression: New directions for child development (pp. 29–58). San Francisco: Jossey-Bass.

    Google Scholar 

  • Haley, G. M., Fine, S., Marriage, K., Moretti, M., & Freeman, R. (1985). Cognitive bias and depression in psychiatrically disturbed children and adolescents.Journal of Consulting and Clinical Psychology, 53, 535–537.

    Google Scholar 

  • Hammen, C. (1988). Self-cognitions, stressful events, and the prediction of depression in children of depressed mothers.Journal of Abnormal Child Psychology, 16, 347–360.

    Google Scholar 

  • Homatidis, S., Constantereas, M. M. (1981). Assessment of hyperactivity: Isolating measures of high discriminant ability.Journal of Consulting and Clinical Psychology, 49, 533–541.

    Google Scholar 

  • Ingram, R. E. (1984). Toward an information-processing analysis of depression.Cognitive Therapy and Research, 8, 443–478.

    Google Scholar 

  • Kagan, J., Rosman, B. L., Day, D., Albert, J., & Phillips, W. (1964). Information in the child: Significance of analytic and reflective attitudes.Psychological Monographs, 78(1, Whole No. 578).

  • Kaslow, N. J., Rehm, L. P., Pollack, S. L., & Siegel, A. W. (1989). Attributional style and self-control behavior in depressed and nondepressed children and their parents.Journal of Abnormal Child Psychology, 16, 163–175.

    Google Scholar 

  • Kaslow, N. J., Stark, K. D., Printz, B., & Livingston, R. (1990).Assessment of the depressive triad in children. Manuscript submitted for publication.

  • Kazdin, A. E., French, N. H., & Unis, A. S. (1983). Child, mother, and father evaluations of depression in psychiatric inpatient children.Journal of Abnormal Child Psychology, 11, 167–180.

    Google Scholar 

  • Kazdin, A. E., & Petti, T. A. (1982). Self-report and interview measures of childhood and adolescent depression.Journal of Child Psychology and Psychiatry, 23, 437–457.

    Google Scholar 

  • Kendall, P. C. (1981). Cognitive-behavioral interventions with children. In B. B. Lahey & A. E. Kazdin, (Eds.),Advances in clinical child psychology (Vol. 4, pp. 53–90). New York: Plenum Press.

    Google Scholar 

  • Kendall, P. C. (1985). Toward a cognitive-behavioral model of child psychopathology and a critique of related interventions.Journal of Abnormal Child Psychology, 13, 357–372.

    Google Scholar 

  • Kendall, P. C., &Braswell, L. (1985).Cognitive-behavioral therapy for impulsive children. New York: Guilford Press.

    Google Scholar 

  • Kendall, P. C., Cantwell, D. P., & Kazdin, A. E. (1989). Depression in children and adolescents: Assessment issues and recommendations.Cognitive Therapy and Research, 13, 109–146.

    Google Scholar 

  • Kendall, P. C., Hollon, S. D., Beck, A. T., Hammen, C. L., & Ingram, R. E. (1987). Issues and recommendations regarding use of the Beck Depression Inventory.Cognitive Therapy and Research, 11, 289–299.

    Google Scholar 

  • Kovacs, M. (1981). Rating scales to assess depression in school-aged children.Acta Paedopsychiatrica, 46, 305–315.

    Google Scholar 

  • Kovacs, M. (1983).The Children's Depression Inventory: A self-rated depression scale for school-aged youngsters. Unpublished manuscript, University of Pittsburgh School of Medicine.

  • Kovacs, M. (1985). The natural history and course of depressive disorders in childhood.Psychiatric Annals, 15, 387–389.

    Google Scholar 

  • Meichenbaum, D. H. (1977).Cognitive behavior modification: An integrative approach. New York: Plenum Press.

    Google Scholar 

  • Petti, T. A. (1985). Scales of potential use in the psychopharmacologic treatment of depressed children and adolescents.Psychopharmacology Bulletin, 21, 951–955.

    Google Scholar 

  • Poznanski, E. O., Grossman, J. A., Buchsbaum, Y., Benegas, M., Freeman, L., & Gibbons, R. (1984). Preliminary studies of the reliability and validity of the Children's Depression Rating Scale.Journal of the American Academy of Child Psychiatry, 23, 191–197.

    Google Scholar 

  • Puig-Antich, J., & Ryan, N. (1986).The Schedule for Affective Disorders and Schizophrenia for School Age Children (6–18 years)-Kiddie-SADS (K-SADS). Unpublished manuscript, Western Psychiatric Institute and Clinic, Pittsburgh.

    Google Scholar 

  • Reynolds, W. M., & Stark, K. D. (1986). Self-control in children: A multimethods examination of treatment outcome measures.Journal of Abnormal Child Psychology, 14, 13–23.

    Google Scholar 

  • Schwartz, M., Friedman, R., Lindsay, P., & Narrol, H. (1982). The relationships between conceptual tempo and depression in children.Journal of Consulting and Clinical Psychology, 50, 488–490.

    Google Scholar 

  • Stark, K. D. (1990).The treatment of depression during childhood: A cognitive-behavioral approach New York: Guilford Press.

    Google Scholar 

  • Stark, K. D., Adam, T., & Best, L. R. (1990).The My Standards Questionnaire: An investigation of its psychometric properties. Manuscript in preparation.

  • Stark, K. D., Kaslow, N. J., Hill, S. J., & Lux, G. (1990).Assessment of depression in children: Are we assessing depression or the broad band construct of negative affectivity? Manuscript submitted for publication.

  • Stark, K. D., Reynolds, W. M., & Kaslow, N. J. (1987). A comparison of the relative efficacy of self-control therapy and a behavioral problem-solving therapy for depression in children.Journal of Abnormal Child Psychology, 15, 91–113.

    Google Scholar 

  • Stark, K. D., Reynolds, W. M., & Kaslow, N. J. (1990).Assessment of depressive symptomatology in school children: An exploration of variables that mediate rater variance. Manuscript submitted for publication.

  • Watson, D., & Clark, L. A. (1984). Negative affectivity: The disposition to experience aversive emotional states.Psychological Bulletin, 96, 465–490.

    Google Scholar 

  • Wolfe, V. V., Finch, A. J., Saylor, C. F., Blount, R. L., Pallmeyer, T. P., & Carek, D. J. (1987). Negative affectivity in children: A multitrait-multimethod investigation.Journal of Consulting and Clinical Psychology, 55, 245–250.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

This research was funded by the Hogg Foundation for Mental Health, The University of Texas at Austin. The first two authors contributed equally to this investigation, and the order of their authorship was determined by the flip of a coin.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kendall, P.C., Stark, K.D. & Adam, T. Cognitive deficit or cognitive distortion in childhood depression. J Abnorm Child Psychol 18, 255–270 (1990). https://doi.org/10.1007/BF00916564

Download citation

  • Revised:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00916564

Keywords

Navigation