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Associations between cognitive errors and mental health status in New Zealand adolescents

Published online by Cambridge University Press:  13 November 2019

Tatiana Tairi Open the ORCID record for Tatiana Tairi [Opens in a new window]
Tatiana Tairi*
Affiliation:
School of Psychology, Massey University, Wellington, New Zealand
*
Corresponding author. Email: T.Tairi@massey.ac.nz
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Abstract

Background:

Cognitive models of psychopathology suggest that negatively biased thinking styles are involved in the development and maintenance of emotional disturbances.

Aims:

The present study examined the relationships between negative cognitive errors and indices of mental health status (i.e. anxiety and depression) in New Zealand adolescents.

Method:

A community sample of 490 youth aged 16–18 years completed an anonymous online survey consisting of the Children’s Negative Cognitive Error Questionnaire (CNCEQ), the Trait subscale of the State-Trait Anxiety Inventory (STAI-T) and the Center for Epidemiologic Studies Depression Scale (CES-D).

Results:

Negative cognitive errors correlated positively with greater levels of anxious and depressive symptoms. Hierarchical regression analyses indicated that overall cognitive error score was a strong predictor of adolescents’ self-reported anxious symptoms and, to a lesser extent, depressive symptoms. Moreover, cognitive errors significantly differentiated between adolescents with high scores from adolescents with low scores on both the anxiety (STAI-T) and the depression (CES-D) scales.

Conclusions:

These findings lend support to the generalizability of Beck’s cognitive theory to a New Zealand adolescent population and highlight the importance of focusing on prevention and early intervention programmes that directly target these faulty or biased ways of thinking in adolescents with anxious and/or depressive symptoms before meeting diagnostic criteria.

Keywords

anxietyadolescencecognitive errors/distortionsdepressionmental health
Type
Main
Information
Behavioural and Cognitive Psychotherapy , Volume 48 , Issue 3 , May 2020 , pp. 280 - 290
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2019

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References

Alfano, C. A., Beidel, D. C., & Turner, S. M. (2002). Cognition in childhood anxiety: conceptual, methodological, and developmental issues. Clinical Psychology Review, 22, 1209–1238. doi: 10.1016/S0272-7358(02)00205-2CrossRefGoogle ScholarPubMed
Angold, A., Costello, E. J., & Erkanli, A. (1999). Comorbidity. Journal of Child Psychology and Psychiatry, 40, 57–87.CrossRefGoogle ScholarPubMed
Beautrais, A. L., & Fergusson, D. M. (2006). Indigenous suicide in New Zealand. Archives of Suicide Research, 10, 159–168.CrossRefGoogle ScholarPubMed
Beck, A. T. (1963). Thinking and depression: idiosyncratic content and cognitive distortions. Archives of General Psychiatry, 9, 324–333. doi: 10.1001/archpsyc.1963.01720160014002CrossRefGoogle ScholarPubMed
Beck, A. T. (1967). Depression: Clinical, Experimental, and Theoretical Aspects. New York, NY, USA: Hoeber.Google Scholar
Beck, A. T. (1976). Cognitive Therapy and the Emotional Disorders. New York, NY, USA: International Universities Press.Google Scholar
Beck, A. T., Emery, G., & Greenberg, R. L. (1985). Anxiety Disorders and Phobias: A Cognitive Perspective. New York, NY, USA: Basic Books.Google Scholar
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive Therapy of Depression. New York, NY, USA: Guilford Press.Google Scholar
Brent, D., Emslie, G., Clarke, G., Wagner, K. D., Asarnow, J. R., Keller, M., … & Zelazny, J. (2008). Switching to another SSRI or to venlafaxine with or without cognitive behavioral therapy for adolescents with SSRI-resistant depression: the TORDIA randomized controlled trial. JAMA, 299, 901–913. doi: 10.1001/jama.299.8.901CrossRefGoogle ScholarPubMed
Cannon, M. F., & Weems, C. F. (2010). Cognitive biases in childhood anxiety disorders: do interpretive and judgment biases distinguish anxious youth from their non-anxious peers? Journal of Anxiety Disorders, 24, 751–758. doi: https://doi.org/10.1016/j.janxdis.2010.05.008CrossRefGoogle ScholarPubMed
Cicchetti, D. & Toth, S. L. (1998). The development of depression in children and adolescents. American Psychologist, 53, 221–241.CrossRefGoogle ScholarPubMed
Cole, D. A., & Turner, J. E. (1993). Models of cognitive mediation and moderation in child depression. Journal of Abnormal Psychology, 102, 271–281.CrossRefGoogle ScholarPubMed
Costello, E. J., Mustillo, S., & Erkanli, A. (2003). Prevalence and development of psychiatric disorders in childhood and adolescence. Archives of General Psychiatry, 60, 837–844.CrossRefGoogle ScholarPubMed
Curry, J., Silva, S., Rohde, P., Ginsburg, G., Kratochvil, C., Simons, A., …& March, J. (2011). Recovery and recurrence following treatment for adolescent major depression. Archives of General Psychiatry, 68, 263–269. doi: 10.1001/archgenpsychiatry.2010.150CrossRefGoogle ScholarPubMed
Davidson, R. J., Lewis, D. A., Alloy, L. B., Amaral, D. G., Bush, G., & Cohen, J. D. (2002). Neural and behavioral substrates of mood and mood regulation. Biological Psychiatry, 52, 478–502. doi: https://doi.org/10.1016/S0006-3223(02)01458-0CrossRefGoogle ScholarPubMed
Dozeman, E., van Schaik, D. J., van Marwijk, H. W., Stek, M. L., van der Horst, H. E., & Beekman, A. T. (2011). The center for epidemiological studies depression scale (CES–D) is an adequate screening instrument for depressive and anxiety disorders in a very old population living in residential homes. International Journal of Geriatric Psychiatry, 26, 239–246. doi: 10.1002/gps.2519CrossRefGoogle Scholar
Epkins, C. C. (1996). Cognitive specificity and affective confounding in social anxiety and dysphoria in children. Journal of Psychopathology and Behavioral Assessment, 18, 83–101. doi: https://doi.org/10.1007/BF02229104CrossRefGoogle Scholar
Ercan, I., Hafizoglu, S., Ozkaya, G., Kirli, S., Yalcitas, E., & Akaya, C. (2015). Examining cut-off values for the state-trait anxiety inventory. Revista Argentina de Clinica Psicologica, 24, 143–148.Google Scholar
Feehan, M., McGee, R., Raja, S. N., & Williams, S. M. (1994). DSM-III-R disorders in New Zealand 18-year-olds. Australian and New Zealand Journal of Psychiatry, 28, 87–99. doi: https://doi.org/10.3109%2F00048679409075849CrossRefGoogle Scholar
Fergusson, D. M., & Horwood, L. J. (2001). The Christchurch Health and Development Study: review of findings on child and adolescent mental health. Australian and New Zealand Journal of Psychiatry, 35, 287–296. doi: https://doi.org/10.1046%2Fj.1440-1614.2001.00902.xCrossRefGoogle ScholarPubMed
Fleming, T. M., Clark, T., Denny, S., Bullen, P., Crengle, S., Peiris-John, R., … & Lucassen, M. (2014). Stability and change in the mental health of New Zealand secondary school students 2007–2012: results from the national adolescent health surveys. Australian and New Zealand Journal of Psychiatry, 48, 472–480. doi: https://doi.org/10.1177%2F0004867413514489CrossRefGoogle ScholarPubMed
Haringsma, R., Engels, G. I., Beekman, A. T. F., & Spinhoven, P. (2004). The criterion validity of the Center for Epidemiological Studies Depression Scale (CES–D) in a sample of self–referred elders with depressive symptomatology. International Journal of Geriatric Psychiatry, 19, 558–563. doi: https://doi.org/10.1002/gps.1130CrossRefGoogle Scholar
Harrington, R. (1994). Affective disorders. In Rutter, M., Taylor, E. & Hersov, L. (eds), Child and Adolescent Psychiatry: Modern Approaches. Oxford, UK: Blackwell Scientific Publications.Google Scholar
Henry, S. K., Grant, M. M., & Cropsey, K. L. (2018). Determining the optimal clinical cutoff on the CES-D for depression in a community corrections sample. Journal of Affective Disorders, 234, 270–275. doi: https://doi.org/10.1016/j.jad.2018.02.071CrossRefGoogle Scholar
Inhelder, B. & Piaget, J. (1958). The Growth of Logical Thinking from Childhood to Adolescence. New York, NY, USA: Basic Books.CrossRefGoogle Scholar
Ishikawa, S. (2012). Cognitive errors, anxiety, and depression in Japanese children and adolescents. International Journal of Cognitive Therapy, 5, 38–49. doi: https://doi.org/10.1521/ijct.2012.5.1.38CrossRefGoogle Scholar
Kandel, D. B., & Davies, M. (1986). Adult sequelae of adolescent depressive symptoms. Archives of General Psychiatry, 43, 255–262. doi: 10.1001/archpsyc.1986.01800030073007CrossRefGoogle ScholarPubMed
Karakaya, I., Coskun, A., Agaoglu, B., Oc, O. Y., Cakin Memik, N., Sismanlar, S. G., & Arslan, H. (2007). The reliability and validity of the children’s negative cognitive error questionnaire. Turk Psikiyatri Dergisi, 18, 155–162.Google Scholar
Kazdin, A. E. (1993). Adolescent mental health: prevention and treatment programs. American Psychologist, 48, 127–141.CrossRefGoogle ScholarPubMed
Kempton, T., Van Hasselt, V. B., Bukstein, O. G., & Null, J. A. (1994). Cognitive distortions and psychiatric diagnosis in dually diagnosed adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 33, 217–222. doi: https://doi.org/10.1097/00004583-199402000-00009CrossRefGoogle ScholarPubMed
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey replication. Archives of General Psychiatry, 62, 593–602. doi: 10.1001/archpsyc.62.6.593CrossRefGoogle ScholarPubMed
Kovacs, M., Feinberg, T. L., Crouse-Novak, M., Paulauskas, S. L., Pollock, M., & Finkelstein, R. (1984). Depressive disorders in childhood. Archives of General Psychiatry, 41, 643–649. doi: 10.1001/archpsyc.1984.01790180013001CrossRefGoogle ScholarPubMed
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.CrossRefGoogle ScholarPubMed
Leung, P. W. L., & Poon, M. W. L. (2001). Dysfunctional schemas and cognitive distortions in psychopathology: a test of the specificity hypothesis. Journal of Child Psychology and Psychiatry, 42, 755–765. doi: http://psycnet.apa.org/doi/10.1111/1469-7610.00772CrossRefGoogle ScholarPubMed
Leung, P. W. L., & Wong, M. M. T. (1998). Can cognitive distortions differentiate between internalising and externalising problems? Journal of Child Psychology and Psychiatry, 39, 263–269. doi: http://psycnet.apa.org/doi/10.1017/S0021963097001868CrossRefGoogle ScholarPubMed
Lewinsohn, P. M., Roberts, R. E., Seeley, J. R., Rohde, P., Gotlib, I. H., & Hops, H. (1994). Adolescent psychopathology, II: Psychosocial risk factors for depression. Journal of Abnormal Psychology, 103, 302–315. doi: http://psycnet.apa.org/doi/10.1037/0021-843X.103.2.302CrossRefGoogle ScholarPubMed
Maric, M., Heyne, D. A., van Widenfelt, B. M., & Westenberg, P. M. (2011). Distorted cognitive processing in youth: the structure of negative cognitive errors and their associations with anxiety. Cognitive Therapy Research, 35, 11–20. doi: 10.1007/s10608-009-9285-3CrossRefGoogle ScholarPubMed
McCauley, E., Pavlidis, K., & Kendall, K. (2001). Developmental precursors of depression: the child and the social environment. In Goodyer, I. M. (ed), The Depressed Child and Adolescent (2nd edn, pp. 46–78). Cambridge, UK: Cambridge University Press.CrossRefGoogle Scholar
McGee, R., Feehan, M., Williams, S., Partridge, F., Silva, P. A., & Kelly, J. (1990). DSM-III disorders in a large sample of adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 611–619. doi: https://doi.org/10.1097/00004583-199007000-00016CrossRefGoogle Scholar
Messer, S. C., Kempton, T., Hasselt, V. B. V., Null, J. A., & Bukstein, O. G. (1994). Cognitive distortions and adolescent affective disorder: validity of the CNCEQ in an inpatient sample. Behavior Modification, 18, 339–351. doi: https://doi.org/10.1177/01454455940183006CrossRefGoogle Scholar
Ostrander, R., Nay, W. R., Anderson, D., & Jensen, J. (1995). Developmental and symptom specificity of hopelessness, cognitive errors, and attributional bias among clinic-referred youth. Child Psychiatry and Human Development, 26, 97–112. doi: https://doi.org/10.1007/BF02353234CrossRefGoogle ScholarPubMed
Patel, V., Flisher, A. J., Hetrick, S., & McGorry, P. (2007). Mental health of young people: a global public-health challenge. Lancet, 369, 1302–1313. doi: 10.1016/S0140-6736(07)60368-7CrossRefGoogle ScholarPubMed
Piaget, J. (1964). Six Psychological Studies. New York, NY, USA: Vintage Books.Google Scholar
Piaget, J. (1972). Intellectual evolution from adolescence to adulthood. Human Development, 15, 1–12.CrossRefGoogle Scholar
Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measures, 1, 385–401. doi: 10.1177/014662167700100306CrossRefGoogle Scholar
Radloff, L. S. (1991). The use of the Center for Epidemiologic Studies Depression Scale in adolescent s and young adults. Journal of Youth and Adolescence, 20, 149–166.CrossRefGoogle Scholar
Roberts, R. E., Andrews, J. A., Lewinsohn, P. M., & Hops, H. (1990). Assessment of depression in adolescents using the Center for Epidemiologic Studies Depression Scale. Psychological Assessment, 2, 122–128. doi: 10.1037/1040-3590.2.2.122CrossRefGoogle Scholar
Santor, D.A., Zuroff, D.C., Ramsay, J.O., Cervantes, P., & Palacios, J. (1995). Examining scale discriminability in the BDI and CES-D as a function of depressive severity. Psychological Assessment, 7, 131–139. doi: http://psycnet.apa.org/doi/10.1037/1040-3590.7.2.131CrossRefGoogle Scholar
Sawyer, S. M., Afifi, R. A., Bearinger, L. H., Blakemore, S-J., Dick, B., Ezeh, A. C., & Patton, G. C. (2012). Adolescence: a foundation for future health. Lancet, 379, 1630–1640. doi: 10.1016/S0140-6736(12)60531-5CrossRefGoogle ScholarPubMed
Schoenbach, V. J., Kaplan, B. H., Grimson, R. C., & Wagner, E. H. (1982). Use of a symptom scale to study the prevalence of a depressive syndrome in young adolescents. American Journal of Epidemiology, 116, 791–800.CrossRefGoogle Scholar
Spielberger, C. D. (1983). Manual for the State-Trait Anxiety inventory (Form Y). Palo Alto, CA, USA: Consulting Psychologists Press.Google Scholar
Stallard, P. (2009). Anxiety: Cognitive Behavioural Therapy with Children and Young People. London, UK: Routledge.Google Scholar
Stewart, S. M., Kennard, B. D., Lee, P. W. E., Hughes, C. W., Mayes, T. L., Emslie, G. J., & Lewinsohn, P. M. (2004). A cross-cultural investigation of cognitions and depressive symptoms in adolescents. Journal of Abnormal Psychology, 113, 248–257. doi: 10.1037/0021-843X.113.2.248CrossRefGoogle ScholarPubMed
Tairi, T., Adams, B., & Zilikis, N. (2016). Cognitive errors in Greek adolescents: the linkages between negative cognitive errors and anxious and depressive symptoms. International Journal of Cognitive Therapy, 9, 261–279. doi: https://doi.org/10.1521/ijct_2016_09_11CrossRefGoogle Scholar
Tems, C. L., Stewart, S. M., Skinner, J. R., Hughes, C. W., & Emslie, G. (1993). Cognitive distortions in depressed children and adolescents: Are they state dependent or traitlike? Journal of Clinical Child Psychology, 22, 316–326. doi: https://doi.org/10.1207/s15374424jccp2203_2CrossRefGoogle Scholar
Thurber, S., Crow, L. A., Thurber, J. A., & Woffington, L. M. (1990). Cognitive distortions and depression in psychiatrically disturbed adolescent inpatients. Journal of Clinical Psychology, 46, 57–60. doi: https://doi.org/10.1002/1097-4679(199001)46:1%3C57:AID-JCLP2270460110%3E3.0.CO;2-43.0.CO;2-4>CrossRefGoogle ScholarPubMed
Watson, D., & Clark, L. A. (1984). Negative affectivity: the disposition to experience aversive emotional states. Psychological Bulletin, 96, 465–490. doi: http://psycnet.apa.org/doi/10.1037/0033-2909.96.3.465CrossRefGoogle ScholarPubMed
Watts, S. E., & Weems, C. F. (2006). Associations among selective attention, memory bias, cognitive errors and symptoms of anxiety in youth. Journal of Abnormal Child Psychology, 34, 841–852. doi: 10.1007/s10802-006-9066-3CrossRefGoogle ScholarPubMed
Weems, C. F., Berman, S. L., Silverman, W. K., & Saavedra, L. M. (2001). Cognitive errors in youth with anxiety disorders: the linkages between negative cognitive errors and anxious symptoms. Cognitive Therapy and Research, 25, 559–575. doi: http://psycnet.apa.org/doi/10.1023/A:1005505531527CrossRefGoogle Scholar
Weems, C. F., Costa, N. M., Watts, S. E., Taylor, L. K., & Cannon, M. F. (2007). Cognitive errors, anxiety sensitivity, and anxiety control belief: their unique and specific associations with childhood anxiety symptoms. Behavior Modification, 31, 174–201. doi: 10.1177/0145445506297016CrossRefGoogle ScholarPubMed
World Health Organization (2012). Adolescent Mental Health: Mapping Actions of Nongovernmental Organizations and Other International Development Organizations. Geneva, Switzerland. Retrieved from http://apps.who.int/iris/bitstream/handle/10665/44875/9789241503648_eng.pdf?sequence=1Google Scholar
World Health Organization (2014). Preventing Suicide: A Global Imperative. Geneva, Switzerland. Retrieved from: https://www.who.int/mental_health/suicide-prevention/world_report_2014/en/Google Scholar
World Health Organization (2017). WHO Mortality Database. Retrieved from: https://www.who.int/healthinfo/mortality_data/en/Google Scholar
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