Abstract
The factor structure of several self-report questionnaires assessing depression-relevant cognitions frequently employed in clinical research was examined in a sample of 390 adolescents (M age=14.54; 216 girls; 74% Caucasian) with current major depressive disorder enrolled in the Treatment of Adolescents with Depression Study. A four-factor solution resulted, accounting for 65% of the total variance. The factors were labeled (a) Cognitive Distortions and Maladaptive Beliefs, (b) Cognitive Avoidance, (c) Positive Outlook, and (d) Solution-Focused Thinking. Internal consistencies for the factor-based composite scores were .83, .85, .84, and .82, respectively. Girls endorsed more negative cognitions than boys on three of the four factors. Maladaptive cognitions were positively related to severity of depression and predicted treatment response. Taken together, findings indicated that there are four distinct domains of cognitions that are present among adolescents with depression that are tapped by several widely used self-report measures of cognitions.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 790-802 |
| Number of pages | 13 |
| Journal | Journal of Clinical Child and Adolescent Psychology |
| Volume | 38 |
| Issue number | 6 |
| DOIs | |
| State | Published - 2009 |
Funding
We acknowledge The Treatment for Adolescents with Depression Study (TADS) Team. The TADS Team is coordinated by the Department of Psychiatry and Behavioral Sciences and the Duke Clinical Research Institute at Duke University Medical Center in collaboration with the National Institute of Mental Health (NIMH), Rockville, Maryland. The Coordinating Center principal collaborators were John March, Susan Silva, Stephen Petrycki, John Curry, Karen Wells, John Fairbank, Barbara Burns, Marisa Domino, and Steven McNulty. The NIMH principal collaborators were Benedetto Vitiello and Joanne Severe. Principal Investigators and Co-investigators from the clinical sites were as follows: Carolinas Medical Center: Charles Casat, Jeanette Kolker, Karyn Riedal, Marguerita Goldman; Case Western Reserve University: Norah Feeny, Robert Findling, Sheridan Stull, Susan Baab; Children’s Hospital of Philadelphia: Elizabeth B. Weller, Michele Robins, Ronald A. Weller, Naushad Jessani; Columbia University: Bruce Waslick (now at Baystate Health/Tufts University, Springfield MA), Michael Sweeney, Randi Dublin, Dena Schoenholz; Johns Hopkins University: John Walkup, Golda Ginsburg, Elizabeth Kastelic, Hyung Koo; University of Nebraska: Christopher Kratochvil, Diane May, Randy LaGrone, Brigette Vaughan; New York University: Anne Marie Albano (now at Columbia), Glenn S. Hirsch, Elizabeth Podniesinki, Angela Chu; University of Chicago/Northwestern University: Mark Reinecke, Bennett Leventhal, Gregory Rogers, Rachel Jacobs; Cincinnati Children’s Hospital Medical Center: Sanjeev Pathak, Jennifer Wells, Sarah Arszman, Arman Danielyan; University of Oregon: Paul Rohde, Anne Simons, James Grimm, Stephenie Frank; University of Texas Southwestern: Graham Emslie, Beth Kennard, Carroll Hughes, Taryn L. Mayes; Wayne State University: David Rosenberg, Nili Benazon, Michael Butkus, and Marla Bartoi. Greg Clarke (Kaiser Permanente) and David Brent (University of Pittsburgh) were consultants; James Rochon (Duke University Medical Center) was statistical consultant. Preparation of this manuscript was supported by NIMH fellowship F31 MH075308 to Rachel H. Jacobs. TADS was supported by contract N01 MH80008 from the National Institute of Mental Health to Duke University Medical Center (John S. March, Principal Investigator). Rachel H. Jacobs is now at Columbia University Medical Center.
ASJC Scopus subject areas
- Clinical Psychology
- Developmental and Educational Psychology