Schwartz Judith S, Maric Marija
PEP Psychologen,Amsterdam,the Netherlands.
University of Amsterdam,the Netherlands.
Behav Cogn Psychother. 2015 Sep;43(5):526-37. doi: 10.1017/S1352465814000228.
Negative cognitive errors are important in the etiology and treatment of youth internalizing problems, but less is known about their unique relations with anxiety and depression.
The major purpose of this study was to examine associations between distinct negative cognitive errors and anxiety and depression in youth.
In a community sample of children and adolescents (aged 9-17; N = 278) negative cognitive errors were assessed using the revised version of the Children's Negative Cognitive Error Questionnaire (CNCEQ-R). Anxiety and depression were assessed with the Multidimensional Anxiety Scale for Children and Children's Depression Inventory, respectively.
The strongest predictors of anxiety were the negative cognitive errors "underestimation of the ability to cope" and "mind reading". The strongest predictors of depression were the errors "selective abstraction" and "overgeneralizing", with the first error explaining most variance. Analyses of age effects showed that, in comparison to adolescents, children reported higher scores on the total CNCEQ-R score, and on the errors "overgeneralizing", "personalizing", and "mind reading".
The findings underscore the importance of researching the role of distinct cognitive processing in youth with anxiety and depression and further development of the CNCEQ-R. Implications for clinical practice are discussed.
消极认知错误在青少年内化问题的病因及治疗中具有重要意义,但对于它们与焦虑和抑郁的独特关系却知之甚少。
本研究的主要目的是探讨青少年中不同消极认知错误与焦虑和抑郁之间的关联。
在一个由儿童和青少年(9至17岁;N = 278)组成的社区样本中,使用修订版儿童消极认知错误问卷(CNCEQ-R)评估消极认知错误。分别用儿童多维焦虑量表和儿童抑郁量表评估焦虑和抑郁。
焦虑的最强预测因素是消极认知错误“应对能力低估”和“读心术”。抑郁的最强预测因素是“选择性抽象”和“过度概括”错误,其中第一个错误解释了大部分变异。年龄效应分析表明,与青少年相比,儿童在CNCEQ-R总分以及“过度概括”“个人化”和“读心术”错误上的得分更高。
研究结果强调了研究不同认知加工在患有焦虑和抑郁的青少年中的作用以及进一步开发CNCEQ-R的重要性。文中还讨论了对临床实践的启示。