Abstract
Recent research suggests that how information is organized in the mind may be important for determining one’s vulnerability to depression. The purpose of the current study was to examine potential developmental precursors to a depressotypic cognitive organization (i.e., tightly-connected negative schemas and loosely-connected positive schemas) in a sample of young adult men and women (N = 91). The relation between childhood maltreatment (i.e., mother emotional maltreatment, father emotional maltreatment, physical abuse, and sexual abuse) and cognitive organization was assessed using a computer task in which participants with different self-reported maltreatment histories plotted a series of cognitive schema contents (e.g., “I am a failure”) on a 2-dimensional grid along the dimensions of self-descriptiveness and valence. As hypothesized, higher levels of mother emotional maltreatment, father emotional maltreatment and physical abuse (but not sexual abuse) were associated with a depressotypic schema organization. Consistent with hypotheses, a depressotypic schema organization mediated the relation between maltreatment and depression, suggesting that the organization of cognitive schemas may help to elucidate why individuals with maltreatment histories are so vulnerable to develop depression.
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Notes
Although this research does not consider actual neurological structures in the brain, there is a growing area of research examining environmental experience (particularly early childhood experiences) on brain development (for review see Siegel 1999).
It is noteworthy that 34% of participants met criteria for past or current major depression in this study, despite no special measures to recruit depressed participants. One possibility is that potential participants with maltreatment histories were more likely to agree to participate when contacted and given the brief description, “this project investigates how childhood experiences relate to your thinking and mood”. Given the strong association between maltreatment and depression, having a higher ratio of maltreated individuals in the study may have inadvertently increased the ratio of past- or current-depressed to never-depressed participants.
Although the use of the Sable test has been criticized as overly conservative, especially in relatively small samples (Preacher and Hayes 2004), nonparametric approaches such as Shrout and Bolger’s bootstrapping approach (2002) are not appropriate for use with dichotomous outcomes variables. Due to concerns about power and the conservative nature of the Sobel test, we applied no further correction of alpha in the current investigation.
The past- and current-depressed groups did not differ in reported levels of M-EMT (M s = 36.29, 35.24, SD s = 14.44, 11.91; t (28) = −.76, p = .45) or F-EMT (M s = 43.69, 47.69 SD s = 13.23, 16.00; t (28) = .74, p = .47), thus further supporting our decision to combine them in these analyses.
References
Abela, J. R. Z., & Hankin, B. L. (2008). Cognitive vulnerability to depression in children and adolescents: A developmental psychopathology perspective. In J. R. Z. Abela & B. L. Hankin (Eds.), Depression in children and adolescents (pp. 35–78). New York: Guilford.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182. doi:10.1037/0022-3514.51.6.1173.
Beck, A. T. (1967). Depression. Harper and Row: New York.
Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities Press.
Beck, A. T., & Steer, R. A. (1987). Manual for the beck depression inventory. Sanantonio, TX: The Psychological Corporation.
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.
Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the beck depression inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8(1), 77–100. doi:10.1016/0272-7358(88)90050-5.
Bifulco, A., Brown, G. W., & Harris, T. O. (1994). Childhood experience of care and abuse (CECA): A retrospective measure. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 35, 1419–1435. doi:10.1111/j.1469-7610.1994.tb01284.x.
Bifulco, A., Bernazzani, O., Moran, P., & Jacobs, C. (2005). The childhood experience of care and abuse questionnaire (CECA.Q.): Validation in a community series. The British Journal of Clinical Psychology, 44, 563–581. doi:10.1348/014466505X35344.
Bower, G. H. (1981). Mood and memory. The American Psychologist, 36, 129–148. doi:10.1037/0003-066X.36.2.129.
Bower, G. H. (1987). Commentary on mood and memory. Behaviour Research and Therapy, 25, 443–455. doi:10.1016/0005-7967(87)90052-0.
Bowlby, J. (1969). Attachment and loss, Vol. I. Attachment. New York: Basic Books.
Brown, J., Cohen, P., Johnson, J. G., & Smailes, E. M. (1999). Childhood abuse and neglect: Specificity and effects on adolescent and young adult depression and suicidality. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1490–1496. doi:10.1097/00004583-199912000-00009.
Collins, A. M., & Loftus, E. F. (1975). A spreading-activation theory of semantic processing. Psychological Review, 82(6), 407–428. doi:10.1037/0033-295X.82.6.407.
Cukor, D., & McGinn, L. K. (2006). History of child abuse and severity of adult depression: The mediating role of cognitive schema. Journal of Child Sexual Abuse, 15(3), 19–34. doi:10.1300/J070v15n03_02.
Dozois, D. J. A. (2002). Cognitive organization of self-schematic content in nondysphoric, mildly dysphoric, and moderately-severely dysphoric individuals. Cognitive Therapy and Research, 26(3), 417–429. doi:10.1023/A:1016037229820.
Dozois, D. J. A. (2007). Stability of negative self-structures: A longitudinal comparison of depressed, remitted, and nonpsychiatric controls. Journal of Clinical Psychology, 63(4), 319–338. doi:10.1002/jclp.20349.
Dozois, D. J. A., & Beck, A. T. (2008). Cognitive schemas, beliefs, and assumptions. In K. S. Dobson & D. J. A. Dozois (Eds.), Risk factors in depression. Oxford, England: Elsevier.
Dozois, D. J. A., & Dobson, K. S. (2001a). Information processing and cognitive organization in unipolar depression: Specificity and comorbidity issues. Journal of Abnormal Psychology, 110, 236–246. doi:10.1037/0021-843X.110.2.236.
Dozois, D. J. A., & Dobson, K. S. (2001b). A longitudinal investigation of information processing and cognitive organization in clinical depression: Stability of schematic interconnectedness. Journal of Consulting and Clinical Psychology, 69, 914–925. doi:10.1037/0022-006X.69.6.914.
Dozois, D. J. A., & Dobson, K. S. (2003). The structure of the self-schema in clinical depression: Differences related to episode recurrence. Cognition and Emotion, 17, 933–941.
Fergusson, D. M., Horwood, L. J., & Lynskey, M. T. (1996). Childhood sexual abuse and psychiatric disorder in young adulthood: II. Psychiatric outcomes of childhood sexual abuse. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1365–1374.
First, M. B., & Gibbon, M. (2004). The structured clinical interview for DSM-IV axis I disorders (SCID-I) and the structured clinical interview for DSM-IV axis II disorders (SCID-II). In M. J. Hilsenroth & D. L. Segal (Eds.), Comprehensive handbook of psychological assessment, vol. 2: Personality assessment (pp. 134–143). Hoboken, NJ: John Wiley & Sons, Inc.
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1995). Structured clinical interview for DSM-IV axis I disorders. New York: Biometrics Research Department, New York State Psychiatric Research Institute.
Garber, J., & Flynn, C. (2001). Predictors of depressive cognitions in young adolescents. Cognitive Therapy and Research, 25(4), 353–376. doi:10.1023/A:1005530402239.
Gibb, B. E., & Abela, J. R. Z. (2008). Emotional abuse, verbal victimization, and the development of children’s negative inferential styles and depressive symptoms. Cognitive Therapy and Research, 32(2), 161–176. doi:10.1007/s10608-006-9106-x.
Gibb, B. E., Alloy, L. B., Abramson, L. Y., Rose, D. T., Whitehouse, W. G., Donovan, P., et al. (2001). History of childhood maltreatment, negative cognitive styles, and episodes of depression in adulthood. Cognitive Therapy and Research, 25(4), 425–446. doi:10.1023/A:1005586519986.
Gibb, B., Alloy, L., Abramson, L., & Marx, B. (2003). Childhood maltreatment and maltreatment-specific inferences: A test of Rose and Abramson’s (1992) extension of the hopelessness theory. Cognition and Emotion, 17, 917–931.
Hardt, J., & Rutter, M. (2004). Validity of adult retrospective reports of adverse childhood experiences: Review of the evidence. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 45, 260–273. doi:10.1111/j.1469-7610.2004.00218.x.
Harkness, K. L., & Lumley, M. N. (2008). Child abuse and neglect and the development of depression in children and adolescents. In J. Abela & B. Hankin (Eds.), Depression in children and adolescents. Guilford: New York.
Harris, A. E., & Curtin, L. (2002). Parental perceptions, early maladaptive schemas, and depressive symptoms in young adults. Cognitive Therapy and Research, 26(3), 405–416. doi:10.1023/A:1016085112981.
Harter, S. L., & Wanecek, S. J. (2000). Cognitive assumptions and long-term distress in survivors of childhood abuse, parental alcoholism, and dysfunctional family environments. Cognitive Therapy and Research, 24(4), 445–472. doi:10.1023/A:1005531803919.
Herr, N. R. (2008). Mediation with dichotomous outcomes. Retrieved November 20, 2008 from http://nrher.bol.ucla.edu/Mediation/logmed.html.
Ingram, R. E. (2003). Origins of cognitive vulnerability to depression. Cognitive Therapy and Research, 27(1), 77–88. doi:10.1023/A:1022590730752.
Ingram, R. E., Miranda, J., & Segal, Z. V. (1998). Cognitive vulnerability to depression. New York: Guilford Press.
Kendall-Tackett, K., & Becker-Blease, K. (2004). The importance of retrospective findings in child maltreatment research. Child Abuse & Neglect, 28, 723–727. doi:10.1016/j.chiabu.2004.02.002.
Lumley, M. N., & Harkness, K. L. (2007). Specificity in the relations among childhood adversities, early maladaptive schemas, and symptom profiles in adolescent depression. Cognitive Therapy and Research, 31(5), 639–657. doi:10.1007/s10608-006-9100-3.
Mackinnon, D. P., & Dwyer, J. H. (1993). Estimating mediated effects in prevention studies. Evaluation Review, 17, 144–158. doi:10.1177/0193841X9301700202.
McGinn, L. K., Cukor, D., & Sanderson, W. C. (2005). The relationship between parenting style, cognitive style, and anxiety and depression: Does increased early adversity influence symptom severity through the mediating role of cognitive style? Cognitive Therapy and Research, 29(2), 219–242. doi:10.1007/s10608-005-3166-1.
Meston, C. M., Heiman, J. R., Trapnell, P. D., & Carlin, A. S. (1999). Ethnicity, desirable responding, and self-reports of abuse: A comparison of European and Asian-ancestry undergraduates. Journal of Consulting and Clinical Psychology, 67(3), 139–144. doi:10.1037/0022-006X.67.1.139.
Parker, G., Tupling, H., & Brown, L. B. (1979). A parental bonding instrument. The British Journal of Medical Psychology, 52, 1–10.
Preacher, K., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36, 717–731.
Preacher, K. J., & Leonardelli, J. L.(2003). Calculation for the sobel test: An interactive calculation tool for mediation tests. Retrieved November 10, 2008 from http://www.psych.ku.edu/preacher/ sobel/sobel.htm.
Rose, D. T., Abramson, L. Y., Hodulik, C. J., Halberstadt, L., & Left, G. (1994). Heterogeneity of cognitive style among depressed inpatients. Journal of Abnormal Psychology, 103, 419–429. doi:10.1037/0021-843X.103.3.419.
Segal, Z. V., Hood, J. E., Shaw, B. F., & Higgins, E. T. (1988). A structural analysis of the self-schema construct in major depression. Cognitive Therapy and Research, 12(5), 471–485. doi:10.1007/BF01173414.
Segal, Z. V., Gemar, M., Truchon, C., Guirguis, M., & Horowitz, L. M. (1995). A priming methodology for studying self-representation in major depressive disorder. Journal of Abnormal Psychology, 104, 205–213. doi:10.1037/0021-843X.104.1.205.
Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and non-experimental studies: New procedures and recommendations. Psychological Methods, 7(4), 422–425. doi:10.1037/1082-989X.7.4.422.
Siegel, D. J. (1999). The developing mind: Toward a neurobiology of interpersonal experience. New York: Guilford.
Silverman, A. B., Reinherz, H. Z., & Giaconia, R. M. (1996). The long-term sequelae of child and adolescent abuse: A longitudinal community study. Child Abuse & Neglect, 20(8), 709–723. doi:10.1016/0145-2134(96)00059-2.
Smith, N., Lam, D., Bifulco, A., & Checkley, S. (2002). Childhood experience of care and abuse questionnaire (CECA.Q): Validation of a screening instrument for childhood adversity in clinical populations. Social Psychiatry and Psychiatric Epidemiology, 37(12), 572–579. doi:10.1007/s00127-002-0589-9.
Stark, K. D., Sander, J., Hauser, M., Simpson, J., Schnoebelen, S., Glenn, R., et al. (2006). Depressive disorders during childhood and adolescence (pp. 336–407). In E. J. Mash & R. A. Barkley (Eds.), Treatment of Childhood Disorders (3rd ed.). New York: Guilford Press.
Williams, L. M. (1994). Recall of childhood trauma: A prospective study of memories of child sexual abuse. Journal of Consulting and Clinical Psychology, 62(6), 1167–1176. doi:10.1037/0022-006X.62.6.1167.
Young, J. E. (1994). Cognitive therapy for personality disorders: A schema-focused approach (rev. ed. ed.). Sarasota, FL: Professional Resource Press.
Young, J., & Brown, G. (1994). Young schema questionnaire–short form. New York: Cognitive Therapy Center.
Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner’s guide. New York: Guilford Press.
Acknowledgments
This research was supported by Social Sciences and Humanities Research Council: Canada Graduate Scholarship (first author). We are very grateful to the participants of this project for their willingness to report difficult childhood experiences. We also wish to thank Drs. John Abela, David Dozois, Kevin Parker, and Uzma Rehman for their helpful comments on this research. We are grateful to Kelly Anthony-Brown and Faye Ling for scheduling participants and data entry, and to James Kempson for his computer-programming expertise.
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Lumley, M.N., Harkness, K.L. Childhood Maltreatment and Depressotypic Cognitive Organization. Cogn Ther Res 33, 511–522 (2009). https://doi.org/10.1007/s10608-009-9257-7
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DOI: https://doi.org/10.1007/s10608-009-9257-7