Abstract
Adolescence is a critical period in the development of depression. Hence, researching the applicability of cognitive theories in adolescents is crucial. Currently, much remains unknown about how cognitive variables proposed in different theories interplay with one another and whether gender differences in these associations exist. Attempting to integrate Beck’s cognitive model and the hopelessness model in adolescents, we conducted a 4-wave study using self-report instruments with 499 adolescents (mean ageTime1 = 15.33 years; SD = 0.75; 63.3% female; 73.7% White, 13.8% Black, 5.4% Latina/o, 4.4% mixed race/ethnicity, and 2.6% other) from a high school where almost one third of the students were eligible for free or reduced lunch. Using AMOS and PROCESS to calculate and compare four different theory-driven models, we found support for an integrated model in which the inferential styles proposed in the hopelessness model are located between cognitive errors and the cognitive triad from Beck’s cognitive theory. Further, the individual inferential styles and elements of the cognitive triad are associated differently with each other and other variables in the integrated cognitive model. The gender differences we found were limited and did not form a meaningful pattern. If replicated, the integrated model could be the basis to understand how therapeutic techniques developed to modify cognitive variables proposed in one model can impact cognitive constructs from a different theory. This might make cognitive psychotherapies for depression more effective, as it will allow clinicians to integrate therapeutic techniques based on either of the original theories in one theory-driven treatment approach.
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References
Abela, J. R., & Hankin, B. L. (2008). Handbook of depression in children and adolescents. New York, NY: Guilford Press.
Abramson, L. Y., Alloy, L. B., & Metalsky, G. I. (1988). The cognitive diathesis-stress theories of depression: Toward an adequate evaluation of the theories’ validities. In L. B. Alloy (Ed.), Cognitive processes in depression (pp. 3–30). New York: Guilford Press.
Abramson, L. Y., Alloy, L. B., & Metalsky, G. I. (1989). Hopelessness depression: A theory-based subtype of depression. Psychological Bulletin, 96, 358–372.
Abramson, L. Y., Seligman, M. E. P., & Teasdale, J. D. (1978). Learned helplessness in humans: Critique and reformulation. Journal of Abnormal Psychology, 87, 49–74.
Akaike, H. (1974). A new look at the statistical model identification. IEEE Transactions on Automatic Control, 19, 716–723. https://doi.org/10.1109/TAC.1974.1100705.
Alloy, L. B., Clements, C., & Kolden, G. (1985). The cognitive diathesis-stress theories of depression: Therapeutic implications. In S. Reiss & R. R. Bootzin (Eds.), Theoretical issues in behaviour therapy. Orlando, FL: Academic Press.
Arbuckle, J. L. (1999). Amos user’s guide. Chicago, IL: SmallWaters.
Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. New York, NY: Harper & Row.
Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York, NY: International University Press.
Beck, A. T. (1996). Beyond belief: A theory of modes, personality, and psychopathology. In P. M. Salkovskis (Ed.), Frontiers of cognitive therapy. New York, NY: Guildford Press.
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York, NY: Guilford Press.
Beck, A. T., & Weishaar, M. (2005). Cognitive therapy. In R. J. Corsini & D. Wedding (Eds.), Current psychotherapies. Thomson Brooks: Belmont, CA.
Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246.
Bufferd, S. J., Dougherty, L. R., Carlson, G. A., Rose, S., & Klein, D. N. (2012). Psychiatric disorders in preschoolers: Continuity from ages 3 to 6. American Journal of Psychiatry, 169, 1157–1164.
Burkholder, G. J., & Harlow, L. L. (2003). An illustration of a longitudinal cross-lagged design for larger structural equation models. Structural Equation Modeling, 10, 465–486.
Burnham, K. P., & Anderson, D. R. (2002). Model selection and multimodel inference (2nd ed.). New York, NY: Springer.
Buschmann, T., Horn, R. A., Blankenship, V. R., Garcia, Y. E., & Bohan, K. B. (2018). The relationship between automatic thoughts and irrational beliefs predicting anxiety and depression. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 36, 137–162. https://doi.org/10.1007/s10942-017-0278-y.
Byrne, B. M. (2001). Structural equation modeling with AMOS. Mahwah, NJ: Erlbaum.
Cole, D. A., Ciesla, J. A., Dallaire, D. H., Jacquez, F. M., Pineda, A. Q., LaGrange, B., Truss, A. E., Folmer, A. S., Tilghman-Osborne, C., & Felton, J. W. (2008). Emergence of attributional style and its relation to depressive symptoms. Journal of Abnormal Psychology, 117, 16–31. https://doi.org/10.1037/0021-843X.117.1.16.
Cole, D. A., & Maxwell, S. E. (2003). Testing mediational models with longitudinal data: Questions and tips in the use of structural equation modeling. Journal of Abnormal Psychology, 112, 558–577. https://doi.org/10.1037/0021-843X.112.4.558.
Collins, L. M., Schafer, J. L., & Kam, C.-M. (2001). A comparison of inclusive and restrictive strategies in modern missing data procedures. Structural Equation Modeling, 6, 330–351.
DeRubeis, R. J., Evans, M. D., Hollon, S. D., Garvey, M. J., Grove, W. M., & Tuason, V. B. (1990). How does cognitive therapy work? Cognitive change and symptoms change in cognitive therapy and pharmacotherapy for depression. Journal of Consulting and Clinical Psychology, 58, 862–869.
Garber, J., Weiss, B., & Shanley, N. (1993). Cognitions, depressive symptoms, and development in adolescents. Journal of Abnormal Psychology, 102, 47–57. https://doi.org/10.1037/0021-843X.102.1.47.
Ge, X., Conger, R. D., & Elder, G. H., Jr. (2001). Pubertal transition, stressful life events, and the emergence of gender differences in adolescent depressive symptoms. Developmental Psychology, 37, 404–417. https://doi.org/10.1037/0012-1649.37.3.404.
Gibb, B. E., & Alloy, L. B. (2006). A prospective test of the hopelessness theory of depression in children. Journal of Clinical Child and Adolescent Psychology, 35, 264–274. https://doi.org/10.1207/s15374424jccp3502_10.
Gillham, J. E., Jaycox, L. H., Reivich, K. J., Seligman, M. E. P., & Silver, T. (1990). The Penn resiliency program. Unpublished manual, University of Pennsylvania, Philadelphia.
Gotlib, I. H., & Neubauer, D. L. (2000). Information-processing approaches to the study of cognitive biases in depression. In S. L. Johnson, A. M. Hayes, T. M. Field, N. Schneiderman, & P. M. McCabe (Eds.), Stress, coping, and depression (pp. 117–142). Mahwah, NJ: Lawrence Erlbaum Associates.
Graham, J. W. (2003). Adding missing-data-relevant variables to FIML-based structural equation models. Structural Equation Modeling, 10, 80–100. https://doi.org/10.1207/S15328007SEM1001_4.
Haeffel, G. J., Abramson, L. Y., Voelz, Z. R., Metalsky, G. I., Halberstadt, L., Dykman, B. M., et al. (2003). Cognitive vulnerability to depression and lifetime history of axis I psychopathology: A comparison of negative cognitive styles (CSQ) and dysfunctional attitudes (DAS). Journal of Cognitive Psychotherapy, 17, 3–22. https://doi.org/10.1891/jcop.17.1.3.58269.
Hankin, B. L., & Abramson, L. Y. (2002). Measuring cognitive vulnerability to depression in adolescence: Reliability, validity, and gender differences. Journal of Clinical Child and Adolescent Psychology, 31, 491–504. https://doi.org/10.1207/S15374424JCCP3104_8.
Hankin, B. L., Lakdawalla, Z., Latchis Carter, I., Abela, J. R. Z., & Adams, P. (2007). Are neuroticism, cognitive vulnerabilities and self-esteem overlapping or distinct risks for depression? Evidence from exploratory and confirmatory factor analyses. Journal of Social and Clinical Psychology, 26, 29–63. https://doi.org/10.1521/jscp.2007.26.1.29.
Hankin, B. L., Mermelstein, R., & Roesch, L. (2007). Sex differences in adolescent depression: Stress exposure and reactivity models. Child Development, 78, 279–295. https://doi.org/10.1111/j.1467-8624.2007.00997.x.
Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (2nd ed.). New York: The Guilford Press.
Hjemdal, O., Stiles, T., & Wells, A. (2013). Automatic thoughts and meta-cognition as predictors of depressive or anxious symptoms: A prospective study of two trajectories. Scandinavian Journal of Psychology, 54, 59–65. https://doi.org/10.1111/sjop.12010.
Hollon, S. D., Kendall, P. C., & Lumry, A. (1980). Specificity of depressotypic cognitions in clinical depression. Journal of Abnormal Psychology, 95, 52–59.
Hosmer, D. W., & Lemeshow, S. (1989). Applied logistic regression. New York: Wiley.
Hu, L., & Bentler, P. M. (1999). Cut-off criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55. https://doi.org/10.1080/10705519909540118.
Jacobs, R. H., Reinecke, M. A., Gollan, J. K., & Kane, P. (2008). Empirical evidence of cognitive vulnerability for depression among children and adolescents: A cognitive science and developmental perspective. Clinical Psychology Review, 28, 759–782. https://doi.org/10.1016/j.cpr.2007.10.006.
Johnson, D., Dupuis, G., Piche, J., Clayborne, Z., & Colman, I. (2018). Adult mental health outcomes of adolescent depression: A systematic review. Depression and Anxiety, 35, 700–716. https://doi.org/10.1002/da.22777.
Jones, E. B., & Sharpe, L. (2017). Cognitive bias modification: A review of meta-analyses. Journal of Affective Disorders, 223, 175–183. https://doi.org/10.1016/j.jad.2017.07.034.
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. https://doi.org/10.1207/s15374424jccp2104_3.
Kessler, R. C., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Wittchen, H.-U. (2012). Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. International Journal of Methods in Psychiatric Research, 21, 169–184. https://doi.org/10.1002/mpr.1359.
Kline, R. B. (2015). Principles and practice of structural equation modeling. New York, NY: Guilford Press.
Kwon, S.-M., & Oei, T. P. S. (1992). Differential causal roles of dysfunctional attitudes and automatic thoughts in depression. Cognitive Therapy and Research, 16, 309–328.
Lakdawalla, Z., Hankin, B. J., & Mermelstein, R. (2007). Cognitive theories of depression in children and adolescents: A conceptual and quantitative review. Clinical Child and Family Psychology Review, 10, 1–24. https://doi.org/10.1007/s10567-006-0013-1.
Leitenberg, H., Yost, L., & 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. https://doi.org/10.1037/0022-006X.54.4.528.
McCarty, C. A., Vander Stoep, A., & McCauley, E. (2007). Cognitive features associated with depressive symptoms in adolescence: Directionality and specificity. Journal of Clinical Child and Adolescent Psychology, 36, 147–158. https://doi.org/10.1080/15374410701274926.
Meade, A. W., Johnson, E. C., & Braddy, P. W. (2008). Power and sensitivity of alternative fit indices in tests of measurement invariance. Journal of Applied Psychology, 93, 568–592. https://doi.org/10.1037/0021-9010.93.3.568.
Metalsky, G. I., & Joiner, T. E., Jr. (1992). Vulnerability to depressive symptomatology: A prospective test of the diathesis-stress and causal mediation components of the hopelessness theory of depression. Journal of Personality and Social Psychology, 63, 667–675.
Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61, 115–121. https://doi.org/10.1037/0022-3514.61.1.115.
Pennant, M. E., Loucas, C. E., Whittington, C., Creswell, C., Fonagy, P., Fuggle, P., … & Group, E. A. (2015). Computerised therapies for anxiety and depression in children and young people: A systematic review and meta-analysis. Behaviour Research and Therapy, 67, 1–18. doi: https://doi.org/10.1016/j.brat.2015.01.009.
Pössel, P. (2011). Can Beck’s theory of depression and the response style theory be integrated? Journal of Counseling Psychology, 58, 618–629. https://doi.org/10.1037/a0025092.
Pössel, P. (2017). Comparing different sequential mediational interpretations of Beck’s depression model in adolescents. Journal of Youth and Adolescence, 46, 725–743. https://doi.org/10.1007/s10964-016-0551-x.
Pössel, P., & Knopf, K. (2008). An experimental test of the maintenance and vulnerability hypothesis of depression in consideration of the cognitive hierarchy. Depression and Anxiety, 25, E47–E55. https://doi.org/10.1002/da.20313.
Pössel, P., & Knopf, K. (2011). Bridging the gaps: An attempt to integrate three major cognitive depression models. Cognitive Therapy and Research, 35, 342–358. https://doi.org/10.1007/s10608-010-9325-z.
Pössel, P., Smith, E., & Alexander, O. (2018). LARS&LISA: A universal school-based cognitive-behavioral program to prevent adolescent depression. Psicologia: Reflexão e Crítica|Psychology: Research and Review, 31, 23. https://doi.org/10.1186/s41155-018-0104-1.
Pössel, P., & Thomas, S. D. (2011). Cognitive triad as mediator in the hopelessness model? A three-wave longitudinal study. Journal of Clinical Psychology, 67, 224–240. https://doi.org/10.1002/jclp.20751.
Pössel, P., & Winkeljohn Black, S. (2014). Testing three different sequential mediational interpretations of Beck’s cognitive model of the development of depression. Journal of Clinical Psychology, 70, 72–94. https://doi.org/10.1002/jclp.22001.
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.
Radloff, L. S. (1977). The CES-D: A self-report symptom scale to detect depression in the general population. Applied Psychological Measurement, 3, 385–401.
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. https://doi.org/10.1037/1040-3590.2.2.122.
Scher, C. D., Ingram, R. E., & Segal, Z. V. (2005). Cognitive reactivity and vulnerability: Empirical evaluation of construct activation and cognitive diatheses in unipolar depression. Clinical Psychology Review, 25, 487–510.
Spangler, D. L., Simons, A. D., Monroe, S. M., & Thase, M. E. (1997). Comparison of cognitive models of depression: Relationships between cognitive constructs and cognitive diathesis-stress match. Journal of Abnormal Psychology, 106, 395–403. https://doi.org/10.1037/0021-843X.106.3.395.
Steiger, J. H. & Lind, J. M. (1980, May). Statistically based tests for the number of common factors. Paper presented at the Psychometrika society meeting, Iowa City, Iowa.
Turner, J. E., & Cole, D. A. (1994). Developmental differences in cognitive diatheses for child depression. Journal of Abnormal Child Psychology, 22, 15–32.
Weissman, A. N., & Beck, A. T. (1978, November). Development and validation of the dysfunctional attitude scale (DAS). Paper presented at the 12th annual meeting of the Association for the Advancement of behavior therapy, Chicago, IL.
Weitlauf, A. S., & Cole, D. A. (2012). Cognitive development masks support for attributional style models of depression in children and adolescents. Journal of Abnormal Child Psychology, 40, 849–862. https://doi.org/10.1007/s10802-012-9617-8.
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Pössel, P., Smith, E. Integrating Beck’s Cognitive Theory of Depression and the Hopelessness Model in an Adolescent Sample. J Abnorm Child Psychol 48, 435–451 (2020). https://doi.org/10.1007/s10802-019-00604-8
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DOI: https://doi.org/10.1007/s10802-019-00604-8