Skip to main content
Log in

Cognitive specificity and affective confounding in social anxiety and dysphoria in children

  • Published:
Journal of Psychopathology and Behavioral Assessment Aims and scope Submit manuscript

Abstract

Cognitive features of social anxiety and dysphoria were examined with a design that allowed for evaluation of each state alone and in combination. From a community sample of 211 8 to 12 year olds, four groups of children were defined based on previous researcher's criteria: mixed (high socially anxious-dysphoric;n= 14), socially anxious (high socially anxiousnondysphoric;n= 14), dysphoric (non-socially anxious-dysphoric;n= 13), and control (non-socially anxious-nondysphoric;n= 14). The negative cognitive triad and negative cognitions pertaining to the self were associated with both dysphoria and social anxiety. Both dysphoric and socially anxious groups reported significantly more cognitive distortions than the control group, yet cognitive distortions of overgeneralizing and personalizing were specific to social anxiety and not dysphoria. Both dysphoric and socially anxious groups reported significantly more depressive cognitions than the control group, and evidence of cognitive content-specificity emerged only for anxiety, although there was some evidence for depressive content-specificity in the mother's ratings. The mixed group was the most dysfunctional on all of the cognitive measures. This study provided some evidence of cognitive-specificity as well as the confounding between the affective states of dysphoria and social anxiety. Methodological, theoretical, and treatment implications are highlighted.

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. (1991).Manual for the Child Behavior Checklist/4-18 and 1991 Profile. Burlington: University of Vermont Department of Psychiatry.

    Google Scholar 

  • Ambrose, B., & Rholes, W. S. (1993). Automatic cognitions and the symptoms of depression and anxiety in children and adolescents: An examination of the content specificity hypothesis.Cognitive Therapy and Research, 17, 289–307.

    Article  Google Scholar 

  • Beck, A. T. (1967).Depression: Clinical, experimental, and theoretical aspects. New York: Harper & Row.

    Google Scholar 

  • Beck, A. T., & Clark, D. A. (1988). Anxiety and depression: An information processing perspective.Anxiety Research, 1, 23–36.

    Google Scholar 

  • Beck, A. T., & Emery, G. (1985).Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.

    Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979).Cognitive therapy of depression. New York: Guilford Press.

    Google Scholar 

  • Beck, A. T., Brown, G., Steer, R. A., Eidelson, J. I., & Riskind, J. H. (1987). Differentiating anxiety and depression: A test of the cognitive content-specificity hypothesis.Journal of Abnormal Psychology, 96, 179–183.

    Article  PubMed  Google Scholar 

  • Beidel, D. C., Turner, S. M., & Dancu, C. V. (1985). Physiological, cognitive and behavioral aspects of social anxiety.Behaviour Research and Therapy, 23, 109–117.

    Article  PubMed  Google Scholar 

  • Beidel, D. C., Turner, S. M., & Morris, T. L. (1995). A new inventory to assess childhood social anxiety and phobia: The Social Phobia and Anxiety Inventory for Children.Psychological Assessment, 7, 73–79.

    Article  Google Scholar 

  • Bell-Dolan, D., & Wessler, A. E. (1994). Attributional style of anxious children: Extensions from cognitive theory and research on adult anxiety.Journal of Anxiety Disorders, 8, 79–96.

    Article  Google Scholar 

  • Bruch, M. A., Mattia, J. I., Heimberg, R. G., & Holt, C. S. (1993). Cognitive specificity in social anxiety and depression: Supporting evidence and qualifications due to affective confounding.Cognitive Therapy and Research, 17, 1–21.

    Article  Google Scholar 

  • Cole, D. A., & Turner, J. E. (1993). Models of cognitive mediation and moderation in child depression.Journal of Abnormal Psychology, 102, 271–281.

    Article  PubMed  Google Scholar 

  • Epkins, C. C. (1996a). Affective confounding in social anxiety and dysphoria in children: Child, mother, and father reports of internalizing behaviors, social problems, and competence domains.Journal of Social and Clinical Psychology, in press.

  • Epkins, C. C. (1996b). Parent ratings of children's depression, anxiety, and aggression: A crosssample analysis of agreement and differences with child and teacher ratings.Journal of Clinical Psychology, in press.

  • Epkins, C. C., & Meyers, A. W. (1994). Assessment of childhood depression, anxiety, and aggression: Convergent and discriminant validity of self-, parent-, teacher-, and peer-report measures.Journal of Personality Assessment, 62, 364–381.

    PubMed  Google Scholar 

  • Garber, J., Weiss, B., & Shanley, N. (1993). Cognitions, depressive symptoms, and development in adolescents.Journal of Abnormal Psychology, 102, 47–57.

    Article  PubMed  Google Scholar 

  • Gladstone, T. R. G., & Kaslow, N. J. (1995). Depression and attributions in children and adolescents: A meta-analytic review.Journal of Abnormal Child Psychology, 23, 597–606.

    Article  PubMed  Google Scholar 

  • Greenbaum, P. E., Dedrick, R. F., Prange, M. E., & Friedman, R. M. (1994). Parent, teacher, and child ratings of problem behaviors of youngsters with serious emotional disturbances.Psychological Assessment, 6, 141–148.

    Article  Google Scholar 

  • Hollingshead, A. B. (1975).Four factor index of social status, Unpublished manuscript. New Haven, CT: Yale University, Department of Sociology.

    Google Scholar 

  • Howell, D. C. (1992).Statistical methods for psychology (3rd ed.). Boston, MA: PWS-Kent.

    Google Scholar 

  • Inderbitzen, H. M., & Hope, D. A. (1993).An investigation of the relationship among social anxiety, depression, and general anxiety in an adolescent population. Paper presented at the annual meeting of the Association for the Advancement of Behavior Therapy, Atlanta, Nov.

  • Ingram, R. E. (1989a). Affective confounds in social-cognitive research.Journal of Personality and Social Psychology, 57, 715–722.

    Article  Google Scholar 

  • Ingram, R. E. (1989b). Unique and shared cognitive factors in social anxiety and depression: Automatic thinking and self-appraisal.Journal of Social and Clinical Psychology, 8, 198–208.

    Google Scholar 

  • Ingram, R. E., Kendall, P. C., Smith, T. W., Donnell, C., & Ronan, K. (1987). Cognitive specificity in emotional distress.Journal of Personality and Social Psychology, 53, 734–742.

    Article  PubMed  Google Scholar 

  • Johnson, K. A., Johnson, J. E., & Petzel, T. P. (1992). Social anxiety, depression, and distorted cognitions in college students.Journal of Social and clinical Psychology, 11, 181–195.

    Google Scholar 

  • Jolly, J. B. (1993). A multi-method test of the cognitive content-specificity hypothesis in young adolescents.Journal of Anxiety Disorders, 7, 223–233.

    Article  Google Scholar 

  • Jolly, J. B., & Dykman, R. A. (1994). Using self-report data to differentiate anxious and depressive symptoms in adolescents: Cognitive content specificityand global distress?Cognitive Therapy and Research, 18, 25–37.

    Google Scholar 

  • Kaslow, N. J., Stark, K. D., Printz, B., Livingston, R., & Tsai, S. L. (1992). Cognitive Triad Inventory for Children: Development and relation to depression and anxiety.Journal of Clinical Child Psychology, 21, 339–347.

    Google Scholar 

  • Kazdin, A. E. (1990). Evaluation of the Automatic Thoughts Questionnaire: Negative cognitive processes and depression among children.Psychological Assessment: A Journal of consulting and Clinical Psychology, 2, 73–79.

    Google Scholar 

  • Kendall, P. C. (1994). Treating anxiety disorders in children: Results of a randomized clinical trial.Journal of Consulting and Clinical Psychology, 62, 100–110.

    Article  PubMed  Google Scholar 

  • Kendall, P. C., & Chansky, T. E. (1991). Considering cognition in anxiety-disordered children.Journal of Anxiety Disorders, 5, 167–185.

    Article  Google Scholar 

  • Kendall, P. C., & Panichelli-Mindel, S. M. (1995). Cognitive-behavioral treatments.Journal of Abnormal Child Psychology, 23, 107–124.

    Article  PubMed  Google Scholar 

  • Kovacs, M. (1992).Children's Depression Inventory manual. North Tonawanda, NY: Multi-Health Systems.

    Google Scholar 

  • Kovacs, M., Gatsonis, C., Paulauskas, S. L., & Richards, C. (1989). Depressive disorders in childhood: IV. A longitudinal study of comorbidity with and risk for anxiety disorders.Archives of General Psychiatry, 46, 776–782.

    PubMed  Google Scholar 

  • La Greca, A. M. (1989).Social anxiety in children: Scale development and validation. Paper presented at the meeting of the Society for Research in Child and Adolescent Psychopathology, Miami, Feb.

  • La Greca, A. M., & Stone, W. L. (1993). Social Anxiety Scale for Children-Revised: Factor structure and concurrent validity.Journal of Clinical Child Psychology, 22, 17–27.

    Google Scholar 

  • Laurent, J., & Stark, K. D. (1993). Testing the cognitive content-specificity hypothesis with anxious and depressed youngsters.Journal of Abnormal Psychology, 102, 226–237.

    Article  PubMed  Google Scholar 

  • Leary, M. R. (1983). Social anxiousness: The construct and its measurement.Journal of Personality Assessment, 47, 66–75.

    PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Reynolds, C. R., & Paget, K. D. (1983). National normative and reliability data for the Revised children's Manifest Anxiety Scale.School Psychology Review, 12, 324–336.

    Google Scholar 

  • Reynolds, C. R., & Richmond, B. O. (1985).What I think and feel (RCMAS). Los Angeles, CA: Western Psychological Services.

    Google Scholar 

  • Ronan, K. R., Kendall, P. C., & Rowe, M. (1994). Negative affectivity in children: Development and validation of a self-statement questionnaire.Cognitive Therapy and Research, 18, 509–528.

    Google Scholar 

  • Sanz, J., & Avia, M. D. (1994). Cognitive specificity in social anxiety and depression: Self-statements, self-focused attention, and dysfunctional attitudes.Journal of Social and Clinical Psychology, 13, 105–137.

    Google Scholar 

  • Segal, Z. V., & Swallow, S. R. (1994). Cognitive assessment of unipolar depression: Measuring products, processes and structures.Behaviour Research and Therapy, 32, 147–158.

    Article  PubMed  Google Scholar 

  • Silverman, W. K., & La Greca, A. M. (1992).Screening for childhood anxiety: A comparison of test and social anxiety. Paper presented at the meeting of the Society for Research in Child and Adolescent Psychopathology, Sarasota, FL, Feb.

  • Strauss, C. C., & Last, C. G. (1993). Social and simple phobias in children.Journal of Anxiety Disorders, 7, 141–152.

    Article  Google Scholar 

  • Summerville, M. B., Kaslow, N. J., Abbate, M. F., & Cronan, S. (1994). Psychopathology, family functioning, and cognitive style in urban adolescents with suicide attempts.Journal of Abnormal Child Psychology, 22, 221–235.

    Article  PubMed  Google Scholar 

  • Townsley Stemberger, R., Turner, S. M., Beidel, D. C., & Calhoun, K. S. (1995). Social phobia: An analysis of possible developmental factors.Journal of Abnormal Psychology, 104, 526–531.

    Article  PubMed  Google Scholar 

  • Turner, J. E., & Cole, D. A. (1994). Developmental differences in cognitive diathesis for child depression.Journal of Abnormal Child Psychology, 22, 15–32.

    Article  PubMed  Google Scholar 

  • Watson, D., Clark, L. A., & Carey, G. (1988). Positive and negative affectivity and their relation to anxiety and depressive disorders.Journal of Abnormal Psychology, 97, 346–353.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Epkins, C.C. Cognitive specificity and affective confounding in social anxiety and dysphoria in children. J Psychopathol Behav Assess 18, 83–101 (1996). https://doi.org/10.1007/BF02229104

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02229104

Key words

Navigation