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Gepubliceerd in: Cognitive Therapy and Research 5/2007

01-10-2007 | Original Article

Specificity in the Relations among Childhood Adversity, Early Maladaptive Schemas, and Symptom Profiles in Adolescent Depression

Auteurs: Margaret N. Lumley, Kate L. Harkness

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 5/2007

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Abstract

The present cross-sectional study examined the relations of particular forms of childhood adversity (e.g., emotional maltreatment vs. physical abuse vs. sexual abuse) to specific early maladaptive schema themes (e.g., worthlessness/loss vs. danger) and symptom profiles (i.e., anhedonic vs. anxious). Seventy-six depressed adolescents retrospectively reported on their childhood experiences of emotional maltreatment, physical abuse, and sexual abuse in a contextual semi-structured interview. They were also administered the Young Schema Questionnaire to measure early maladaptive schemas, and the Mood and Anxiety Symptom Questionnaire to measure anhedonic and anxious symptomatology. Consistent with specificity hypotheses, schemas with themes of loss/worthlessness preferentially mediated the relation between childhood adversity and anhedonic symptoms, while schemas with themes of danger preferentially mediated the relation between childhood adversity and anxious symptoms. Sexual abuse was not significantly associated with either depression or anxiety symptoms and, thus, mediation models involving sexual abuse were not tested. Implications for fine-grained models of etiology in depression are discussed.
Voetnoten
1
The 18 excluded participants had the following diagnoses: Oppositional Defiant Disorder (n = 1), Conduct Disorder (n = 1), Attention Deficit Hyperactivity Disorder (n =  5), Generalized Anxiety Disorder (= 3), Social Phobia (= 3), Simple Phobia (= 3), Depression (past episode) (= 1), and Separation Anxiety Disorder (past episode) (= 1).
 
2
The CECA was originally developed to be used with adults. Bifulco and colleagues subsequently developed a version for use with teenagers, ages 14–18, who are still living in the parental home. The rating criteria are to be applied similarly with teenage and adult samples, and the standardized manualized examples are applicable to both populations.
 
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Metagegevens
Titel
Specificity in the Relations among Childhood Adversity, Early Maladaptive Schemas, and Symptom Profiles in Adolescent Depression
Auteurs
Margaret N. Lumley
Kate L. Harkness
Publicatiedatum
01-10-2007
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 5/2007
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-006-9100-3

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