Cognitive Therapy and Research

, Volume 17, Issue 3, pp 289–308

Automatic cognitions and the symptoms of depression and anxiety in children and adolescents: An examination of the content specificity hypothesis

  • Belinda Ambrose
  • William S. Rholes
Article

Abstract

Beck and his collegues have hypothesized that the symptoms of anxiety and depression have distinct cognitive correlates. They hypothesized that depression is associated with cognitions concerning loss and deprivation, whereas anxiety is associated with cognitions concerning threat and danger. In the present work, we suggest a modification of this hypothesis. We hypothesize that the impact of threat and loss congitions varies as a function of severity: specificially, that very high levels of threat influence symptomatology as loss cognitions typically do and that low levels of loss have effects similar to those of threat cognitions. Threat and loss cognitions and symptoms of depression and anxiety were assessed in a nonclinical sample of young persons and analyzed through regression techniques. The results of these analyses provide support for the hypotheses.

Key words

depression anxiety cognitions specificity 

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References

  1. Alloy, L. B., Kelly, K. A., Mineka, S., & Clements, C. M. (1990). Comorbidity in anxiety and depressive disorders: A helplessness/hoplessness perspective. In J. D. Maser & C. R. Cloninger (Eds.),Comorbidity of mood and anxiety disorders. Washington, DC: American Psychiatric Press.Google Scholar
  2. Beck, A. T. (1967).Depression: Clinical, experimental, and theoretical aspects. New York: Hoeber.Google Scholar
  3. Beck, A. T. (1976).Cognitive therapy and the emotional disorders. New York: International Universities Press.Google Scholar
  4. 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.PubMedGoogle Scholar
  5. Beck, A. T., & Epstein, N. (1982). Cognitions, attitudes, and personality dimensions in depression. Paper presented at the annual meeting of the Society of Psychotherapy Research, Smugglers Notch, VT.Google Scholar
  6. Beck, A. T., Epstein, N., & Harrison, R. (1983). Cognitions, attitudes and personality dimensions in depression.British Journal of Cognitive Psychotherapy, 1 1–16.Google Scholar
  7. Beck, A. T., Riskind, J. H., Brown, G., & Steer, R. A. (1988). Levels of hoplessness in DSM-III disorders: A partial test of content specificity in depression.Cognitive Therapy and Research, 12 459–469.Google Scholar
  8. Beck, A. T., Rush, A. J., Shaw, B F., & Emery, G. (1979).Cognitive therapy of depression. New York: Guilford Press.Google Scholar
  9. Beck, A. T., Ward, C. H., Mendelson, M., Mock, J. E., & Erbaugh, J. K. (1961). An inventory for measuring depression.Archives of General Psychiatry, 4 561–571.PubMedGoogle Scholar
  10. Blatt, S. J., D'Afflitti, J. P., & Quinlan, D. M. (1976). Experiences of depression in normal adults.Journal of Abnormal Psychology, 85 383–389.PubMedGoogle Scholar
  11. Clark, D. A. (1986). Cognitive-affective interaction: A test of the “specificity” and “generality” hypotheses.Cognitive Therapy and Research, 10 607–623.Google Scholar
  12. Clark, D. A., Beck, A. T., & Brown, G. (1989). Cognitive mediation in general psychiatric outpatients: A test of the content-specificity hypothesis.Journal of Personality and Social Psychology, 56 958–964.PubMedGoogle Scholar
  13. Cohen, J., & Cohen, P. (1983).Applied multiple regression/correlation analysis for the behavioral sciences. Hillsdale, NJ: Erlbaum.Google Scholar
  14. Cole, P. M., & Kaslow, N. J. (1988). Interactional and cognitive strategies for affect regulation: Developmental perspective on childhood depression. In L. B. Alloy (Ed.),Cognitive processes in depression. (pp. 310–343). New York: Guilford Press.Google Scholar
  15. Eaves, G., & Rush A. J. (1984). Cognitive patterns in symptomatic and remitted unipolar major depression.Journal of Abnormal Psychology, 92 31–40.Google Scholar
  16. Greenberg, M. S., & Beck, A. T. (1989). Depression versus anxiety: A test of the content-specificity hypothesis.Journal of Abnormal Psychology, 98 9–13.PubMedGoogle Scholar
  17. Greenberg, M. S., Vazquez, C. V., & Alloy, L. B. (1988). Depression vs. anxiety: Differences in self- and other schemata. In L. B. Alloy (Ed),Cognitive processes in depression (pp. 109–142). New York: Guilford Press.Google Scholar
  18. Hershberg, S. G., Carlson, G. A., Cantwell, D. P., & Strober, M. (1982). Anxiety and depressive disorders in psychiatrically disturbed children.Journal of Clinical Psychiatry, 43 358–361.PubMedGoogle Scholar
  19. Hollon, S. D., & Kendall, P. C. (1980). Cognitive self-statements in depression: Development of an automatic thoughts questionnaire.Cognitive Therapy and Research, 4 383–395.Google Scholar
  20. Hollon, S. D., Kendall, P. C., & Lumry, A. (1986). Specificity of depressotypic cognitions in clinical depresion.Journal of Abnormal Psychology, 95 52–59.PubMedGoogle Scholar
  21. 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.PubMedGoogle Scholar
  22. Kandel, D. B., & Davies, M. (1986). Adult sequelae of adolescent depressive symptoms.Archives of General Psychiatry, 39 1205–1212.Google Scholar
  23. Kovacs, M. (1979).Children's depression inventory. Pittsburgh: University of Pittsburgh.Google Scholar
  24. Kovacs, M. (1980/1981). Rating scales to assess depression in school-aged children.Acta Paedopsychiatrica, 46 305–315.Google Scholar
  25. Kovacs, M., Feinberg, T. L., Crouse-Novak, M. A., Paulauskas, S. L., & Finkelstein, R. (1984). Depression disorders in childhood: I. A longitudinal prospective study of characteristics and recovery.Archives of General Psychiatry, 41 229–237.PubMedGoogle Scholar
  26. Kovacs, M., Feinberg, T. L., Crouse-Novak, M. A., Paulauskas, S. L., Pollack, M., & Finkelstein, R. (1984). Depressive disorders in childhood: II. A longitudinal study of the risk for a subsequent major depression.Archives of General Psychiatry, 41 636–644.Google Scholar
  27. Reynolds, W. M. (1985). Depression in childhood and adolescence: Diagnosis, assessment, intervention strategies and research. In T. R. Kratochwill (Ed.),Advances in school psychology (Vol. IV, pp. 133–189). Hillsdale, NJ: Erlbaum.Google Scholar
  28. Rholes, W. S., Riskind, J. H., & Neville, B. (1985). The relationship of cognitions and hopelessness to depression and anxiety.Social Cognition, 3 36–50Google Scholar
  29. Rutter, M. (1987). Continuities and discontinuities from infancy. In J. D. Osofsky (Ed.),Handbook of infant development (pp. 1256–1296). New York: Wiley.Google Scholar
  30. Smucker, M. R., Craighead, W. E., Craighead, L. W., & Green, B. J. (1986). Normative and reliability data for the children's depression inventory.Journal of Abnormal Child Psychology, 14 25–39.PubMedGoogle Scholar
  31. Spielberger, C. D., Edwards, C. D., Lushene, R. E., Montuori, J., & Platzek, D. (1973).Manual for the state-trait anxiety inventory for children (STAIC). Palo Alto, CA: Consulting Psychologists Press.Google Scholar
  32. Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970).Manual for the state-trait anxiety inventory (self-evaluation questionnaire). Palo Alto, CA: Consulting Psychologists Press.Google Scholar
  33. Strober, M., Green, J., & Carlson, G. (1981). Utility of the Beck Depression Inventory with psychiatrically hospitalized adolescents.Journal of Consulting and Clinical Psychology, 49 482–483.PubMedGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1993

Authors and Affiliations

  • Belinda Ambrose
    • 1
  • William S. Rholes
    • 1
  1. 1.Department of PsychologyTexas A&M UniversityCollege StationUSA

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