Social and Behavioral Sciences Commons^™

The Conceptualization Of The Positive Cognitive Triad And Associations With Depressive Symptoms In Adolescents., Caroline M. Pittard

Electronic Theses and Dissertations

Depressive symptoms during adolescence have been found to be associated with negative outcomes such as decreased academic performance, absenteeism, substance abuse, and poor physical health. The positive cognitive triad has been considered to be a protective factor against adolescent depressive symptoms. The positive cognitive triad is made up of three subfactors of cognitions, specifically, positive cognitions about the self, the world, and the future. This dissertation examined the various conceptualizations of the positive cognitive triad and their relation to depressive symptoms. These conceptualizations included considering the positive cognitive triad as a single overall protective factor (additive model), as multiple possible …

Disordered Eating, Depression, And Cognitive Vulnerabilities In College Women., Kelsea Visalli

Electronic Theses and Dissertations

This study tests a path model of disordered eating and symptoms of depression derived from the Hopelessness Theory of Depression (Abramson, Metalsky, & Alloy, 1989). The model proposes that cognitive vulnerabilities to depression will be associated with disordered eating behaviors and symptoms of depression in college women. A sample of undergraduate women (n = 181) completed self-report measures assessing disordered eating symptoms and symptoms of depression. Findings revealed that one, but not all, cognitive vulnerability was associated with disordered eating behavior, and that disordered eating behaviors and symptoms of depression are bi-directionally associated. Implications and future research directions are discussed.

The Role Of Hardiness In The Relation Between Perceived Daily Discrimination And Depressive Symptoms In Community College Students., Rosamond J. Smith

Electronic Theses and Dissertations

In the current study, perceived daily discrimination (PDD) is conceptualized as a chronic stressor which repeatedly activates a stress response and results in depressive symptoms, per the theory of allostatic load. Psychological hardiness is explored as a potential moderator of the relation between PDD and depressive symptoms, because individuals who repeatedly demonstrate hardiness may be primed for making cognitive reappraisals of potential stressors and/or for mobilizing appropriate coping strategies, thus limiting the body’s repeated stress responses and subsequent depressive symptoms. This cross-sectional survey of a diverse sample of 305 community college students included measures of hardiness (Dispositional Resilience Scale, …

Self-Forgiveness In Japanese Adolescents., Tetsuo "Ted" Sato

Electronic Theses and Dissertations

The literature of forgiveness has been proliferated the last two decades (Davis et al., 2015b), but it has primarily focused on forgiveness of others and the research of self-forgiveness has just increased in recent years (Worthington & Langberg, 2012). Woodyatt and Wenzel (2013a) proposed a process-oriented approach of self-forgiveness while considering three possible responses to the self (i.e., genuine self-forgiveness, pseudo self-forgiveness, and self-punitiveness) after interpersonally offending others. Self-forgiveness among children and adolescents and in Japanese culture was discussed. The association of self-forgiveness to depressive and anxiety symptoms, and culturally and developmentally unique factors (i.e., fear of negative evaluation and …

Can The Hopelessness Model Of Depression And The Response Style Theory Be Integrated?, Patrick Pössel, Stephanie Winkeljohn Black

Faculty Scholarship

The hopelessness model (Abramson et al., 1989) and response style theory (Nolen-Hoeksema et al., 1992) have been integrated in various ways, but these integrations have not been compared. German college students (N = 311; mean age = 23.27 years, SD = 6.57 years, 80% female) rated their depressive symptoms, negative inferences, and rumination three times. Findings supported an integrated model where individual inferences predict and interact with the rumination subtype brooding to affect depressive symptoms.

Integrating Beck’S Cognitive Model And The Response Style Theory In An Adolescent Sample., Stephanie Winkeljohn Black, Patrick Pössel

Faculty Scholarship

Depression becomes more prevalent as individuals progress from childhood to adulthood. Thus, empirically supported and popular cognitive vulnerability theories to explain depression in adulthood have begun to be tested in younger age groups, particularly adolescence, a time of significant cognitive development. Beck’s cognitive theory and the response style theory are well known, empirically supported theories of depression. The current, two-wave longitudinal study (N = 462; mean age = 16.01 years; SD = 0.69; 63.9 % female) tested various proposed integrative models of Beck’s cognitive theory and the response style theory, as well as the original theories themselves, to determine if …

Associations Between Teacher Emotional Support And Depressive Symptoms In Australian Adolescents : A 5-Year Longitudinal Study., Patrick Pössel, Kathleen Moritz Rudasill, Michael G. Sawyer, Susan H. Spence, Annie C. Bjerg

Faculty Scholarship

Approximately one-fifth of adolescents develop depressive symptoms. Given that youth spend a good deal of their lives at school, it seems plausible that supportive relationships with teachers could benefit their emotional well-being. Thus, the purpose of this study is to examine the association between emotionally supportive teacher relationships and depression in adolescence. The so-called principle-effect and stress-buffer models could explain relationships between teacher emotional support and depressive symptoms, yet no study has used both models to test bidirectional relationships between teacher support and depressive symptoms in students separately by sex. Four thousand three hundred forty-one students (boys: n = 2063; …

A Randomized Controlled Trial Of A Cognitive-Behavioral Program For The Prevention Of Depression In Adolescents Compared To Nonspecific And No-Intervention Control Conditions., Patrick Pössel, Nina C. Martin, Judy Garber, Martin Hautzinger

Faculty Scholarship

Adolescent depression is a common and recurrent disorder associated with significant impairment and other forms of psychopathology. Finding an effective intervention that prevents depression in adolescents is an important public health priority. Participants were 518 high school students (mean age = 15.09; SD = 0.76) from the mid-south of the United States. Participants were randomly assigned to one of three conditions: a cognitive-behavioral program (CB; n = 166), nonspecific control (NSp; n = 175), or a no-intervention control condition (NIC; n = 177). Both the CB and NSp conditions consisted of 90-minute sessions administered once a week over a 10-week …

Depression As A Risk Factor For Breast Cancer : Investigating Methodological Limitations In The Literature., Patrick Pössel, Erica Adams, Jeffrey C. Valentine

Faculty Scholarship

Purpose: A relationship between depression and the development of breast cancer has not been convincingly shown in the research conducted over the past three decades. Methods: In an effort to better understand the conflicting results, a review was conducted focusing on the methodological problems associated with this literature, including time frame between the assessment of depression and the diagnosis of breast cancer and the use of somatic items in measuring depression. Fifteen breast cancer prospective studies were reviewed. Results: While twelve of the studies found positive associations between depression and breast cancer development, three studies found negative associations. With regards …

A Randomized Trial To Evaluate The Course Of Effects Of A Program To Prevent Adolescent Depressive Symptoms Over 12 Months., Patrick Pössel, Jill L. Adelson, Martin Hautzinger

Faculty Scholarship

Although few prevention studies have been designed to investigate the course of prevention effects over time, it seems that the effects on depressive symptoms increase from post-intervention to 6-month follow-up but then decrease with longer lags to follow-up. Furthermore, previous prevention studies have found differential intervention effects for boys and girls without testing possible explanations for this effect. The present randomized control group study with 301 8th-grade students examined the effects of a depression prevention program from baseline until 12-month follow-up. As expected, while positive intervention effects were found on girls’ depressive symptoms, no such effects were found on boys’ …

Can Beck’S Theory Of Depression And The Response Style Theory Be Integrated?, Patrick Pössel

Faculty Scholarship

There are obvious similarities between the cognitive constructs of Beck’s cognitive theory (1976) and the response style theory (Nolen-Hoeksema & Morrow, 1991). Different propositions of Ciesla and Roberts (2007) and Lyubomirsky and Nolen-Hoeksema (1993, 1995) concerning associations of two response styles, brooding and reflection, with constructs of Beck’s cognitive theory (schemata, cognitive errors, cognitive triad, automatic thoughts) were tested. Model comparisons were based on a 4-week study in which 397 participants completed self-report instruments at two time points. A model allowing schemata to influence brooding and reflection which influence the other cognitive variables of Beck’s cognitive theory fits the data …

Bridging The Gaps : An Attempt To Integrate Three Major Cognitive Depression Models., Patrick Pössel, Kerstin Knopf

Faculty Scholarship

There are obvious similarities between the cognitive constructs of Beck’s cognitive theory, the hopelessness model, and the response styles theory. No single comprehensive model has yet integrated the core cognitive concepts of these theories, however. In order to develop such an integrative cognitive model, we conducted two independent studies with 588 and 606 participants, respectively, from a university population. Both studies support the idea that all cognitive constructs of the three models are distinct from each other. Furthermore, both studies provide evidence for the possibility an integration of the constructs in one cognitive model. If future studies replicate these findings, …

Cognitive Triad As Mediator In The Hopelessness Model? : A Three-Wave Longitudinal Study., Patrick Pössel, S. Denise Thomas

Faculty Scholarship

Several authors proposed that all elements of Beck’s cognitive triad (1976) mediate the associations between inference style as described in the hopelessness model (Abramson, Alloy, & Metalsky, 1989) and depressive symptoms. Results of a 3-wave longitudinal study indicate only a partial mediation model with all elements of the cognitive triad being associated with all inference styles, with depressive symptoms fitting the data best. Controlling for direct and indirect effects, no individual element of the cognitive triad mediates the association between inference styles and depressive symptoms. The partial mediation model is not stable across sex or clinical vs subclinical samples. In …

Bidirectional Relations Of Religious Orientation And Depressive Symptoms In Adolescents : A Short-Term Longitudinal Study., Patrick Pössel, Nina C. Martin, Judy Garber, Aaron W. Banister, Natalie K. Pickering, Martin Hautzinger

Faculty Scholarship

Religious orientation can be divided into intrinsic and extrinsic: intrinsically oriented individuals “live their religion,” whereas extrinsically oriented individuals practice religion mainly to gain external benefits. In adults, depression has been found to correlate negatively with intrinsic religious orientation and positively with extrinsic orientation. Studies of the relation between religiosity and depression typically have not been longitudinal, conducted with adolescents, controlled for the influence of other factors associated with depression (i.e., negative cognitions), or examined the reverse relation of depression predicting religious orientation. Our four-month longitudinal study of 273 ninth-grade students addressed these issues. Results showed that higher intrinsic religious …

Cognitive Error Questionnaire (Ceq) : Psychometric Properties And Factor Structure Of The German Translation., Patrick Pössel

Faculty Scholarship

A central component of Beck et al.’s (1979) cognitive theory of depression is faulty information processing reflected by so-called cognitive errors. These cognitive errors are the reason why depressed individuals systematically misinterpret the significance of events in a negative way. They are usually assessed with the application of the Cognitive Error Questionnaire (CEQ). This study examines the psychometric properties and factor structure of the German version of the CEQ in a sample of 796 volunteers at a German university. Results confirmed that the German CEQ has satisfactory to very good psychometric properties, like the American original. Confirmatory factor analyses demonstrated …

Cognitive Triad Inventory (Cti) : Psychometric Properties And Factor Structure Of The German Translation., Patrick Pössel

Faculty Scholarship

A central component of Beck, A. T., Rush, J., & Shaw, B. F. [(1979). Cognitive therapy of depression. New York: Guilford Press] cognitive theory of depression is the cognitive triad (negative view of self, world, and future) measurable with the Cognitive Triad Inventory (CTI). This study examined the psychometric properties and factor structure of the German CTI in a sample of 796 German volunteers. The study provides evidence for the reliability and validity of the German CTI and of independent positive and negative elements of the cognitive triad. Furthermore, results emphasize methodological above conceptual problems in Beck et al.'s (1979) …

An Experimental Test Of The Maintenance And Vulnerability Hypothesis Of Depression In Consideration Of The Cognitive Hierarchy., Patrick Pössel, Kerstin Knopf

Faculty Scholarship

According to Beck's cognitive model of depression the activation of dysfunctional beliefs triggers negative automatic thoughts, which can be interpreted as the proximal “cause” for emotional, somatic, and motivational symptoms of depression. This top-down processes of beliefs causing thoughts and furthermore of thoughts causing symptoms can be called “cognitive hierarchy.” Besides these processes there are bottom-up influences as well with dysfunctional beliefs being activated by external and internal events. A differentiation between top-down processes and bottom-up influences can be drawn with the first being seen as causing thoughts and emotions while the latter only activate existing beliefs. To test Beck's …

Testing The Causal Mediation Component Of Dodge’S Social Information Processing Model Of Social Competence And Depression., Patrick Pössel, Simone Seemann, Stefanie Ahrens, Martin Hautzinger

Faculty Scholarship

In Dodge’s model of “social information processing” depression is the result of a linear sequence of five stages of information processing (Dodge, 1993). These stages follow a person’s reaction to situational stimuli, such that each stage of information processing mediates the relationship between earlier and later stages. Because support for the social information processing model of depression has mainly come from retrospective examination of the literature (Dodge, 1993), we conducted a three wave prospective study including 92 adolescents without lifetime or current depression. Depressive symptoms and information processing were assessed by using well established measures employed in previous studies. The …

Effekte Pharmakologischer Und Psychotherapeutischer Interventionen Auf Depressionen Bei Kindern Und Jugendlichen. [Effects Of Pharmaco- And Psychotherapeutic Interventions Of Depression In Children And Adolescents]., Patrick Pössel, Martin Hautzinger

Faculty Scholarship

Entgegen früheren Überzeugungen besteht heute Konsens und Evidenz dahingehend, dass Depressionen eine bedeutsame Problematik bei Jugendlichen darstellen. Aus diesem Grund stellt sich die Frage nach effektiven Therapieangeboten für depressive Kinder und Jugendliche. Deshalb werden in der vorliegenden Übersichtsarbeit 24 Originalstudien (Kriterium: kontrollierte, randomisierte Interventionsstudien) zu pharmakologischen, 11 Studien zu psychotherapeutischen Interventionen und zwei Studien zur Kombinationsbehandlung dargestellt. Für etwa die Hälfte der Behandlungmethoden (pharmakologische Methoden 3/8; psychotherapeutische Methoden: 2/5) liegen keine randomisierten Kontrollgruppenstudien vor. Weiterhin liegen nur für einige SSRIs (Fluoxetin, Citalopram, Sertralin) ausschließlich positive Daten bezüglich der Besserung depressiver Symptomatik vor. Weiterhin zeigen sich nur für Fluoxetin keine Hinweise, …

Vergleich Zweier Schulbasierter Programme Zur Prävention Depressiver Symptome Bei Jugendlichen (Comparison Of Two School Based Depression Prevention Programs For Adolescents)., Patrick Pössel, Andrea B. Horn, Martin Hautzinger

Faculty Scholarship

Theoretischer Hintergrund: Depressive Störungen im Jugendalter sind ein weitverbreitetes Problem mit weitreichenden psychosozialen Folgen. Um beidem vorzubeugen wurde ein kognitiv-verhaltenstherapeutisches und ein auf dem Paradigma des Expressiven Schreibens beruhendes universales schulbasiertes Präventionsprogramm entwickelt. Fragestellung: Haben die beiden Präventionsprogramme positive Wirkung auf depressive Symptomatik und Lebenszufriedenheit Jugendlicher? Methode: Es wurde eine randomisierte Kontrollgruppenstudie mit 3-Monats Follow-up an 579 Realschülern und -schülerinnen der 8. Klasse durchgeführt. Ergebnisse: Das kognitiv-verhaltenstherapeutische Programm wirkt in Abhängigkeit der Ausgangssymptomatik kurz- bzw. mittelfristig auf die depressive Symptomatik, während das Schreibprogramm unabhängig von der Ausgangssymptomatik kurz- und mittelfristig positiv auf die Lebenszufriedenheit wirkt. Schlussfolgerungen: Trotz Einschränkungen in Bezug …

Influence Of General Self-Efficacy On The Effects Of A School-Based Universal Primary Prevention Program Of Depressive Symptoms In Adolescents : A Randomized And Controlled Follow-Up Study., Patrick Pössel, Christiane Baldus, Andrea B. Horn, Gunter Groen, Martin Hautzinger

Faculty Scholarship

Background:  Depressive disorders in adolescents are a widespread and increasing problem. Prevention seems a promising and feasible approach.

Methods:  We designed a cognitive-behavioral school-based universal primary prevention program and followed 347 eighth-grade students participating in a randomized controlled trial for three months.

Results:  In line with our hypothesis, participants in the prevention program remained on a low level of depressive symptoms, having strong social networks. The control group showed increasing depressive symptoms and a reduced social network. Contrary to our expectations, students low in self-efficacy benefited more from the program than high self-efficient students. Social network did not mediate the …

School-Based Prevention Of Depressive Symptoms In Adolescents : A 6-Month Follow-Up., Patrick Pössel, Andrea B. Horn, Gunter Groen, Martin Hautzinger

Faculty Scholarship

Objective: Depressive disorders in adolescents are a widespread problem with extensive psychosocial consequences. We designed a school-based program to prevent the increase of depressive symptoms. We expect the program to reduce dysfunctional automatic thoughts and improve social skills and thus prevent the increase of depressive symptoms. Method: The design includes a training group and a non-treatment control group with pre- and post-measurement and 3- and 6-month follow-ups. We followed 324 eighth graders in both groups. School classes were randomly assigned to one of the two groups. The prevention program, LISA-T, is based on cognitive-behavioral therapy concepts and targets of cognitive …

Prävention Von Depression Bei Kindern Und Jugendlichen (Prevention Of Depression In Children And Adolescents)., Patrick Pössel, Martin Hautzinger

Faculty Scholarship

Depressive Störungen in Kindheit und Jugendalter sind unter anderem durch die hohe Prävalenz und Persistenz depressiver Störungen bis ins Erwachsenenleben, bedeutenden Komorbiditäten mit anderen psychischen Störungen und psychosozialen Problemen von hoher individueller und gesellschaftlichen Bedeutung. Aufgrund dieser Erkenntnisse haben verschiedene Autoren weltweit damit begonnen Präventionsprogramme zu entwickeln und zu evaluieren. In diesem Artikel werden die Probleme der Präventionsforschung und die Effektivität von Prävention bei Kindern und Jugendlichen dargestellt. Den Schwerpunkt bildet dabei ein Überblick über derzeit vorliegenden Programme und deren Evaluationen unter besonderer Berücksichtigung von Programmen, die in deutscher Sprache vorliegen. Abschließend werden mögliche Entwicklungsrichtungen der zukünftigen Präventionsforschung aufgezeigt.

Depressive …

Erste Ergebnisse Eines Programms Zur Schulbasierten Prävention Von Depressiven Symptomen Bei Jugendlichen (First Results Of A School-Based Prevention Program Of Depressive Symptoms Among Adolescents)., Patrick Pössel, Andrea B. Horn, Martin Hautzinger

Faculty Scholarship

Depressive Störungen im Jugendalter sind ein weit verbreitetes Problem mit weitreichenden psychosozialen Folgen. Um beidem vorzubeugen wurde ein universales schulbasiertes kognitiv-verhaltenstherapeutisches Präventionsprogramm entwickelt, das in Anlehnung an das Multifaktorielle Depressionsmodell aus einem kognitiven und einem sozialen Trainingselement besteht. Im kognitiven Teil werden dysfunktionale Gedanken bearbeitet und im sozialen Programmteil werden selbstsicheres Verhalten und Kontaktfähigkeit trainiert. Es wurde erwartet, dass die Teilnahme am Präventionsprogramm direkt nach Beendigung noch keinen signifikanten Effekt auf die depressiven Symptome zeigt, während geringer ausgeprägte dysfunktionale Gedanken und eine Verbesserung der sozialen Unterstützung erwartet wurden. Die Ergebnisse direkt nach Beendigung des Präventionsprogramms (Trainingsgruppe n = 187; Kontrollgruppe …

Universelle, Schulbasierte Prävention Der Depression Im Jugendalter : Ergebnisse Einer Follow-Up-Studie (Universal, School-Based Prevention Of Depression In Adolescence : Results Of A Follow-Up Study)., Gunter Groen, Patrick Pössel, Susanne Al-Wiswasi, Franz Petermann

Faculty Scholarship

Zahlreiche internationale empirische Befunde belegen heute, dass depressive Symptome und Störungen im Jugendalter ein weit verbreitetes, oftmals folgenreiches und ernst zu nehmendes Gesundheitsproblem darstellen. Depressive Jugendliche zeigen in vielen Fällen erhebliche Alltagsbeeinträchtigungen und verschiedene komorbide psychische Probleme. Sie tragen ein deutliches Risiko, auch in ihrer weiteren Entwicklung – bis in das Erwachsenenalter – unter anhaltenden oder wiederkehrenden depressiven Episoden, anderen psychischen Störungen und psychosozialen Beeinträchtigungen zu leiden (vgl. Groen & Petermann, 2002). Neben der persönlichen Leidensgeschichte der Betroffenen ist davon auszugehen, dass bereits depressive Störungen im Jugendalter mit hohen und längerfristigen öffentlichen Kosten zusammenhängen, die etwa durch notwendige Behandlungsmaßnahmen oder …