Cognitive Distortions and Psychiatric Diagnosis in Dually Diagnosed Adolescents

Kempton, Tracy; Hasselt, Vincent B. Van; Bukstein, Oscar G.; Null, Jane A.

doi:10.1097/00004583-199402000-00009

Cited by 55 publications

(22 citation statements)

References 30 publications

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“…When they do, they sometimes fail to have a normal control group to confirm the absence of cognitive distortions with externalising problems (e.g. Kempton et al, 1994 ;Messer et al, 1994). This present study redresses this methodological shortcoming.…”

Section: Discussionmentioning

confidence: 53%

“…A score for each form of cognitive distortions is available. The CNCEQ had proven test-retest reliability and validity, and was found to predict suicidality, depression, test anxiety, and low self-esteem (Brent, Kolko, Allan & Brown, 1990 ;Kempton et al, 1994 ;Leitenberg et al, 1986 ;Messer et al, 1994 ;Thurber, Crow, Thurber, & Woffington, 1990).…”

Section: Methods Measuresmentioning

confidence: 99%

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Can Cognitive Distortions Differentiate between Internalising and Externalising Problems?

Leung

Wong

1998

Child Psychology Psychiatry

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A community sample of 405 adolescents were given the Youth Self-Report Form (YSR) and the Children's Negative Cognitive Errors Questionnaire (CNCEQ). Both regression and group comparison analyses, using the full sample and a subset of extreme scorers, respectively, indicated that internalising problems were specifically associated with the various forms of cognitive distortions assessed, namely, selective abstraction, personalising, overgeneralisation, and catastrophising. Furthermore, they displayed a curvilinear relationship; as the severity of internalising problems increased, the magnitude of cognitive distortions grew positively at a quadratic rate, displaying a U-shaped upward curve. However, in view of the potential measurement bias of CNCEQ toward internalising problems, the conclusion was qualified. Although our results found some specific event/schema-linked cognitive distortions that distinguished internalising from externalising problems, we could not conclude that the latter were free from any other event/schemalinked cognitive distortions that the CNCEQ might have failed to elicit.

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Section: Discussionmentioning

confidence: 53%

Section: Methods Measuresmentioning

confidence: 99%

Can Cognitive Distortions Differentiate between Internalising and Externalising Problems?

Leung

Wong

1998

Child Psychology Psychiatry

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“…Two studies reported that aggression was not linked to cognitive distortions (Kempton, Van Hasselt, Bukstein, & Null, 1994 ;Leung & Wong, 1998). However, this finding may be partly due to the measurement bias of the instrument used, the Children Negative Cognitive Error Questionnaire (CNCEQ) (Leitenberg et al, 1986).…”

Section: Introductionmentioning

confidence: 99%

Dysfunctional Schemas and Cognitive Distortions in Psychopathology: A Test of the Specificity Hypothesis

Leung

Poon

2001

Child Psychology Psychiatry

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This study aimed at testing whether there were different types of dysfunctional schemas and cognitive distortions that could help to differentiate three emotional/behavioural problems, i.e., anxiety, depression, and aggression, from each other. Five hundred and eighty-one Chinese adolescents from five mainstream high schools in Hong Kong were recruited and completed several self-report questionnaires. Bivariate correlation showed an indiscriminate pattern of association between dysfunctional schemas, cognitive distortions, and the three emotional/behavioural problems. However, when the effects of the confounding correlated emotional/behavioural problems were controlled in regression analysis, different problems did show some specific association with different types of dysfunctional schemas and/or cognitive distortions. Despite some inconsistency, these findings generally supported a specificity hypothesis. Cognitive variables were thus not only relevant in understanding psychopathology, but their different patterns of association with anxiety, depression, and aggression also supported the separability of these three emotional/behavioural problems, despite their significant correlation.

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“…The CNCEQ measures distorted processing in the form of four negative cognitive errors: catastrophizing, overgeneralizing, personalizing, and selective abstraction. The errors have been variously identified among depressed young people (e.g., Kempton et al 1994; Leitenberg, et al 1986), anxious young people (e.g., Watts and Weems 2006; Weems et al 2001, 2007), and young people experiencing both depression and anxiety (e.g., Barriga et al 2000; Epkins 2000; Leung and Wong 1998). …”

mentioning

confidence: 99%

“…In particular, there is still a need to determine the overlapping and distinctive cognitive factors associated with narrow-band conceptualizations of psychopathology such as anxiety versus depression (Abela and Hankin 2008; Epkins 2000; Messer et al 1994; Weems et al 2001). Support for the existence of unique cognitive phenomena represented by specific cognitive errors could provide more direction for cognitive therapists addressing the distorted cognitive processing of their clients (Yurica and DiTomasso 2005), including young clients (Alfano et al 2002; Kempton, et al 1994). Over a decade ago Messer et al (1994) argued for the need to refine the CNCEQ, and to date, this task has not been undertaken.…”

mentioning

confidence: 99%

Distorted Cognitive Processing in Youth: The Structure of Negative Cognitive Errors and Their Associations with Anxiety

et al. 2010

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The Children’s Negative Cognitive Error Questionnaire (CNCEQ) is commonly used to measure four errors in young people’s thinking, but research has failed to support the factorial validity of the measure. The primary objective of the present study was to examine the factor structure of a refined and extended version of the CNCEQ. Revision of the CNCEQ involved the exclusion of items rated as contaminated, and the addition of items measuring cognitive errors closely associated with anxiety (‘threat conclusion’ and ‘underestimation of the ability to cope’). A secondary objective was to determine the relation between the negative cognitive errors and anxiety. Principal component analysis of data from 481 children and adolescents indicated five distinct negative cognitive error subscales labeled ‘underestimation of the ability to cope’, ‘personalizing without mind reading’, ‘selective abstraction’, ‘overgeneralizing’, and ‘mind reading’ which contained the new ‘threat conclusion’ items. Confirmatory factor analysis in an independent sample of 295 children and adolescents yielded further support for the five-factor solution. All cognitive errors except ‘selective abstraction’ were correlated with anxiety. Multiple regression analysis indicated that the strongest predictors of anxiety were the two subscales containing new items, namely ‘underestimation of the ability to cope’ and ‘mind reading’. The results are discussed with respect to further development of the instrument so as to advance the assessment of distorted cognitive processing in young people with internalizing symptoms.

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Cognitive Distortions and Psychiatric Diagnosis in Dually Diagnosed Adolescents

Cited by 55 publications

References 30 publications

Can Cognitive Distortions Differentiate between Internalising and Externalising Problems?

Can Cognitive Distortions Differentiate between Internalising and Externalising Problems?

Dysfunctional Schemas and Cognitive Distortions in Psychopathology: A Test of the Specificity Hypothesis

Distorted Cognitive Processing in Youth: The Structure of Negative Cognitive Errors and Their Associations with Anxiety

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