Messer S C, Kempton T, Van Hasselt V B, Null J A, Bukstein O G
Developmental Epidemiology Program, Duke University Medical Center, Durham, NC 27710.
Behav Modif. 1994 Jul;18(3):339-51. doi: 10.1177/01454455940183006.
Despite a proliferation of recent research examining childhood and adolescent depression, the area still lags behind the adult depression field, particularly in the investigation of cognitive correlates of affective psychopathology. To advance cognitive research with youth, the Children's Negative Cognitive Error Questionnaire (CNCEQ) was developed to provide a measure of cognitive distortions or errors in children and adolescents. Yet, few studies have employed the CNCEQ and no evidence exists supporting the validity of its four component cognitive error scales. The purpose of the present study was to examine the construct validity of the CNCEQ and its constituent scales through the use of factor analysis and criterion-group comparisons. Groups of adolescent psychiatric inpatients, diagnosed as affective or disruptive disordered, completed the CNCEQ following admission. Results failed to support the implicit four-factor structure of the CNCEQ, instead suggesting the appropriateness of a single-factor solution labeled "negative thinking." Despite no diagnostic group differences on the CNCEQ total or other scale scores, affective disordered patients evinced more cognitive errors on the Overgeneralizing scale. Findings suggest that the CNCEQ in its current stage of development holds promise, yet requires refinement to produce a valid measure of cognitive functioning in youth.
尽管近期有关儿童和青少年抑郁症的研究大量涌现,但该领域仍落后于成人抑郁症领域,尤其是在情感精神病理学认知相关性的研究方面。为了推动针对青少年的认知研究,开发了儿童消极认知错误问卷(CNCEQ),以衡量儿童和青少年的认知扭曲或错误。然而,很少有研究使用CNCEQ,也没有证据支持其四个组成认知错误量表的有效性。本研究的目的是通过因子分析和标准组比较来检验CNCEQ及其组成量表的结构效度。被诊断为情感或破坏性行为障碍的青少年精神病住院患者在入院后完成了CNCEQ。结果未能支持CNCEQ隐含的四因素结构,反而表明单一因素解决方案“消极思维”是合适的。尽管在CNCEQ总分或其他量表得分上没有诊断组差异,但情感障碍患者在过度概括量表上表现出更多的认知错误。研究结果表明,处于当前发展阶段的CNCEQ有前景,但需要完善以产生一个有效的青少年认知功能测量工具。