Laurent J, Stark K D
Department of Psychology, Illinois State University, Normal 61761.
J Abnorm Psychol. 1993 May;102(2):226-37. doi: 10.1037//0021-843x.102.2.226.
Beck's (1976) cognitive model of psychopathology stipulates that each emotional disorder can be characterized by a cognitive content specific to that disorder. Although other aspects of Beck's theory have been empirically supported with youngsters, few have tested the applicability of the cognitive content-specificity hypothesis to children. Forty-five youngsters in Grades 4 through 7 who met diagnostic criteria of the revised third edition of the Diagnostic and Statistical Manual of Mental Disorders for a depressive or anxiety disorder and 18 controls completed measures of anxious and depressive cognitions. Analysis revealed that the valence of depressive cognitions played an important role in distinguishing the anxious group from the depressed and mixed groups. Specifically, negatively worded items did not differentiate between groups as well as positively worded items. The anxious, depressed, and mixed depressed-anxious groups were not differentiated on the basis of their anxious cognitions. The results provide partial support for Beck's cognitive content-specificity hypothesis and the broader positive-negative affectivity construct.
贝克(1976年)的精神病理学认知模型规定,每种情绪障碍都可以由该障碍特有的认知内容来表征。尽管贝克理论的其他方面已在青少年中得到实证支持,但很少有人检验认知内容特异性假设对儿童的适用性。45名四至七年级符合《精神疾病诊断与统计手册》第三版修订版中抑郁症或焦虑症诊断标准的青少年以及18名对照组完成了焦虑和抑郁认知测量。分析表明,抑郁认知的效价在区分焦虑组与抑郁组和混合组方面发挥了重要作用。具体而言,消极措辞的项目在区分组间差异方面不如积极措辞的项目。焦虑组、抑郁组和抑郁-焦虑混合组在焦虑认知方面没有差异。这些结果为贝克的认知内容特异性假设和更广泛的正负情感结构提供了部分支持。