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Cognitive Content-Specificity for Anxiety and Depression: A Meta-Analysis

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Abstract

A review and meta-analysis was conducted to evaluate the empirical evidence for the cognitive content-specificity hypothesis. The cognitive content-specificity hypothesis is a component of Aaron Beck's cognitive theory of emotional disorders (A.T. Beck, 1976) in which he postulates that affective states can be discriminated on the basis of unique cognitive content. The majority of investigations of this hypothesis have involved the assessment of self-reported cognitive features associated with anxious and depressive symptomatology. Across the 13 studies meeting the inclusion criteria, all effect sizes, even divergent relationships, were significantly different from zero indicating that depressive and anxious cognitive content shared significant variance with both depression and anxiety. More specific effect-size contrasts indicted that depressive cognitive content did display significant specificity, being more strongly related to depression than anxiety. Finally, the cognitive content measures were found to be highly correlated. These findings are generally inconsistent with the cognitive content-specificity hypothesis. Theoretical and psychometric recommendations are offered to address these issues in future cognitive content-specificity research.

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REFERENCES

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

  • Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: New American Library.

    Google Scholar 

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

    Google Scholar 

  • Bruch, M. A., Mattia, J. I., Heinberg, 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.

    Google Scholar 

  • Clark, D. A., & Beck, A.T. (1989). Cognitive theory and therapy of anxiety and depression. In P.C. Kendall & D. Watson (Eds.), Anxiety and depression: Distinctive and overlapping features (pp. 379–411). San Diego: Academic Press.

    Google Scholar 

  • Clark, D. A., Beck, A. T., & Brown, G. (1989). Cognitive mediation in general psychiatric outpatients: A test of the cognitive content-specificity hypothesis. Journal of Personality and Social Psychology, 56, 958–964.

    Google Scholar 

  • Clark, D. A., Beck, A. T., & Stewart, B. (1990). Cognitive specificity and positive-negative affectivity: Complementary or contradictory views on anxiety and depression? Journal of Abnormal Psychology, 99, 148–155.

    Google Scholar 

  • Clark, D. A., Steer, R. A., Beck, A. T., & Snow, D. (1996). Is the relationship between anxious and depressive cognitions and symptoms linear or curvilinear? Cognitive Therapy and Research, 20, 135–154.

    Google Scholar 

  • Craighead, W. E., & Curry, J. F. (1990). Attributional style in clinically depressed and conduct disordered adolescents. Journal of Consulting and Clinical Psychology, 58, 109–115.

    Google Scholar 

  • Dobson, K. S. (1985). The relationship between anxiety and depression. Clinical Psychology Review, 5, 307–324.

    Google Scholar 

  • Epkins, C. (1996). Cognitive specificity and affective confounding in social anxiety and dysphoria in children. Journal of Psychopathology and Behavioral Assessment, 18, 83–101.

    Google Scholar 

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

    Google Scholar 

  • Gotlib, I.H. (1984). Depression and general psychopathology in university students. Journal of Abnormal Psychology, 93, 19–30.

    Google Scholar 

  • Greenburg, M. S., & Beck, A. T. (1989). Depression versus anxiety: A test of the content-specificity hypothesis. Journal of Abnormal Psychology, 98,9–13.

    Google Scholar 

  • Heimberg, R. G., Vermilyea, J. A., Dodge, C. S., Becker, R. E., & Barlow, D. H. (1987). Attributional style, depression, and anxiety: An evaluation of the specificity of depressive attributions. Cognitive Therapy and Research, 11, 537–550.

    Google Scholar 

  • Higgins, E.T. (1987). Self-discrepancy:Atheory relating self and affect. Psychological Review, 94, 319–340.

    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.

    Google Scholar 

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

    Google Scholar 

  • Jolly, J. B., Dyck, M. J., Kramer, T. A., & Wherry, J. N. (1994). Integration of positive and negative affectivity and cognitive content-specificity: Improved discrimination of anxious and depressed symptoms. Journal of Abnormal Psychology, 103, 544–552.

    Google Scholar 

  • Judd, F. K., & Burrows, G. D. (1992). Anxiety disorders and their relationship to depression. In E. S. Paykel (Ed.), Handbook of affective disorders (2nd ed., pp. 77–87). New York: Guilford Press.

    Google Scholar 

  • Kendall, P. C., & Ingram, R. E. (1989). Cognitive-behavioral perspectives: Theory and research on depression and anxiety. In P. C. Kendall & D. Watson (Eds.), Anxiety and depression: Distinctive and overlapping features (pp. 27–53). San Diego: Academic Press.

    Google Scholar 

  • MaLeod, C., Matthews, A., & Tata, P. (1986). Attentional bias in emotional disorders. Journal of Abnormal Psychology, 95, 15–20.

    Google Scholar 

  • Mendels, W. R., Weinstein, N., & Cochrane, C. (1972). The relationship between depression and anxiety. Archives of General Psychiatry, 27,649–653.

    Google Scholar 

  • McDermut, W., & Haaga, D. A. F. (1994). Cognitive balance and specificity in anxiety and depression. Cognitive Therapy and Research, 18, 333–352.

    Google Scholar 

  • Popper, K. R. (1959). The logic of scientific discovery. New York: Basic Books.

    Google Scholar 

  • Rosenthal, R. (1995). Writing meta-analytic reviews. Psychological Bulletin, 118, 183–192.

    Google Scholar 

  • Roth, M., Gurney, C., Garside, R. F., & Kerr, T. A. (1972). Studies in the classification of affective disorders: The relation between anxiety scales and depressive illness. British Journal of Psychiatry, 121, 147–161.

    Google Scholar 

  • Scott, L., & O'Hara, M. (1993). Self-discrepancies in clinically anxious and depressed university students. Journal of Abnormal Psychology, 102, 282–287.

    Google Scholar 

  • Strauman, T. J., & Higgins, E. T. (1988). Self-discrepancies as predictors of vulnerability to distinct syndromes of chronic emotional distress. Journal of Personality, 56, 685–707.

    Google Scholar 

  • Tanaka-Matsumi, J., & Kameoka, V. A. (1986). Reliabilities and concurrent validities of popular selfreport measures of depression, anxiety, and social desirability. Journal of Consulting and Clinical Psychology, 54, 328–333.

    Google Scholar 

  • Tellegen, A. (1985). Structures of mood and personality and their relevance to assessing anxiety with and emphasis on self-report. In A. H. Tuma & J. D. Maser (Eds.), Anxiety and the anxiety disorders. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Thorpe, G. L., Barnes, G. S., Hunter, J. E., & Hines, D. (1983). Thoughts and feelings: Correlations in two clinical and two nonclinical samples. Cognitive Therapy and Research, 7, 565–574.

    Google Scholar 

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

    Google Scholar 

  • Watson, D., & Tellegen, A. (1985). Toward a consensual structure of mood. Psychological Bulletin, 98, 219–235.

    Google Scholar 

  • Westra, H. A., & Kuiper, N. A. (1996). Communality and specificity of dysfunctional cognitions, and the prediction of four different forms of psychological maladjustment. Personality and Individual Differences, 20, 575–588.

    Google Scholar 

  • Wickless, C., & Kirsch, I. (1988). Cognitive correlates of anger, anxiety, and sadness. Cognitive Therapy and Research, 12, 367–377.

    Google Scholar 

  • Woody, S. R., Taylor, S., McLean, P.D., & Koch, W. J. (1998). Cognitive specificity in panic and depression: Implications for comorbidity. Cognitive Therapy and Research, 22, 427–443.

    Google Scholar 

  • Wolf, F.W. (1986). Meta-analysis: Quantitative methods for research synthesis. Newbury Park, CA: Sage.

    Google Scholar 

  • Zuckerman, M., Persky, H., Eckman, K., & Hopkins, T. (1967). A multi-trait multimethod measurement approach to the traits (or states) of anxiety, depression, and hostility. Journal of Projective Techniques and Personality Assessment, 31, 39–48.

    Google Scholar 

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Beck, R., Perkins, T.S. Cognitive Content-Specificity for Anxiety and Depression: A Meta-Analysis. Cognitive Therapy and Research 25, 651–663 (2001). https://doi.org/10.1023/A:1012911104891

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