Cognitive specificity in internalizing and externalizing problems in community and clinic-referred children

Examined whether cognitive features in Beck's (1967) model of depression and his cognitive content-specificity hypothesis (Beck, Brown, Steer, Eidelson, & Riskind, 1987) are broadband specific features that distinguish internalizing problems from externalizing problems. From a community (n = 389; 196 boys, 193 girls; age M = 9.98, SD = 1.52) and clinic (n = 82; 55 boys, 27 girls; age M = 10.42, SD = 2.91) sample, 4 groups were defined on behavioral measures and then examined on cognitive measures: externalizing only (n = 33), internalizing only (n = 41), comorbid externalizing and internalizing (n = 53), and control (neither externalizing nor internalizing; n = 35). Both the internalizing only and comorbid groups reported significantly more cognitive disturbances (negative cognitive triad, cognitive processing distortions, and "depressive" and "anxious" thought content) than both of the externalizing only and control groups in both the community and clinic samples. The results were not related to either overall level of psychopathology (as reported by mothers) or social desirability in children's reporting. These findings suggest that the cognitive features in Beck's model distinguish internalizing from externalizing problems and add to a growing literature that calls for further conceptual refinement of cognitive models for understanding both narrow-band and broadband syndromes.     

Création de l’Échelle de Distorsions Cognitives pour adultes (EDC-A) : étude des propriétés psychométriques en population générale et association avec l’anxiété et la dépression

IntroductionCognitive distortions contribute to the maintenance of inappropriate cognitive schemas and play a role in the emergence of pathologies such as anxiety and depression. We developed the Cognitive Distortion Scale for Adults in order to identify distortions in individuals’ reasoning. The main objectives of this study were: (1) to study the psychometric properties of the Cognitive Distortion Scale for Adults, (2) to identify cognitive distortions associated with anxiety and depression in the general population.MethodThe study involved 916 participants (151 men and 765 women) aged 18 to 85-years. The participants completed the Cognitive Distortion Scale for Adults. The tool presents 42 mini scenarios with a daily life situation and a proposition concerning a cognitive distortion. Participants must give their degree of agreement (0 to 10) with this one. Seven cognitive distortions are operationalized (dichotomous reasoning, disqualification of one of the poles, arbitrary focusing, omission of the neutral, requalification in the other pole, maximization and minimization). They also completed the Hospital Anxiety and Depression Scale. Both scales were available online on the Internet. The total duration of the test was approximately 10 minutes. A group of 35 participants completed the two scale 15 days apart.ResultsThe sub-dimensions of EDC-A obtain Cronbach alphas higher than .65 and EDC-A has a coherent factor structure. The scale has good temporal stability. Anxiety is predicted by dichotomous reasoning, disqualification of one of the poles, arbitrary focusing and maximization. Depression is predicted by dichotomous reasoning, arbitrary focusing, omission of the neutral and requalification in the other pole. Anxiety and depression are associated with negative cognitive distortions in reasoning. However, depression is also associated with positive cognitive distortions. Subjects with depression produce more varied cognitive distortions than subjects with anxiety.DiscussionThe Cognitive Distortion Scale for Adults shows promising psychometric properties. Further studies will need to be conducted to confirm these results. Anxiety would be related to biased information treatment of negative information, whereas depression would be related to more comprehensive biased information treatment, both negative and positive information. Anxiety would be related to suboptimal functioning of reasoning abilities; depression would be more characterized by a structural deficit of reasoning abilities.     

Attitudes and cognitive distances: On the non-unitary and flexible nature of cognitive maps

Spatial relations of our environment are represented in cognitive maps. These cognitive maps are prone to various distortions (e.g., alignment and hierarchical effects) caused by basic cognitive factors (such as perceptual and conceptual reorganization) but also by affectively loaded and attitudinal influences. Here we show that even differences in attitude towards a single person representing a foreign country (here Barack Obama and the USA) can be related to drastic differences in the cognitive representation of distances concerning that country. Europeans who had a positive attitude towards Obama’s first presidential program estimated distances between US and European cities as being much smaller than did people who were skeptical or negative towards Obama’s ideas. On the basis of this result and existing literature, arguments on the non-unitary and flexible nature of cognitive maps are discussed.     

Prevention of pathological gambling: a randomized controlled trial

Although the gambling industry is expanding rapidly throughout North America and around the world, there are only a few empirically evaluated programs aimed at the prevention of pathological gambling (PG). The purpose of this study was to measure the effectiveness of a new prevention program aimed at PG. The Stop & Think! program was designed to teach at-risk video lottery terminal (VLT) gamblers cognitive restructuring and problem-solving skills that may help to prevent the development of PG. These skills were taught through a variety of methods - including an automated educational presentation, video and text vignettes, audio training tapes, and skill rehearsal. The program was evaluated using a randomized, 2-group experimental design with a wait-list control group and pre-, post-, and follow-up measures. Results indicated that, compared with the control group, the experimental group was less at risk for developing a gambling problem after the program. The experimental group endorsed fewer gambling-related cognitive distortions, engaged in less VLT gambling, and had lower scores on a measure of PG. The results of this study provide the basis for the implementation of the Stop & Think! program in the province of Prince Edward Island, Canada, and perhaps other jurisdictions too.     

Inside the Creative Sifter: Recognizing Metacognition in Creativity Development

The parallels between cognitive development and creativity are neglected in the literature. Piaget's information transformations are personalized, meaning individual constructions can involve creativity. Vygotsky's work considers the implications and interactions of social influences, conventions, and personal implications for creative development. The Cognitive‐Creative Sifting Model is proposed to focus attention on these and other connections between cognitive development and creativity. Other common methods of assessing creativity are compared to the proposed model. It is argued that the model provides a foundation to evaluate individual creative potentials more holistically. Specifically, the conceptual elements of metacognition are described and their role in the development of creativity is suggested. It is argued that future researchers should pay particular attention to the interaction effects metacognition has with traditional measures of creativity focused on ideation and product evaluation.     

Memory distortion: an adaptive perspective

Memory is prone to distortions that can have serious consequences in everyday life. Here we integrate emerging evidence that several types of memory distortions - imagination inflation, gist-based and associative memory errors, and post-event misinformation - reflect adaptive cognitive processes that contribute to the efficient functioning of memory, but produce distortions as a consequence of doing so. We consider recent cognitive and neuroimaging studies that link these distortions with adaptive processes, including simulation of future events, semantic and contextual encoding, creativity, and memory updating. We also discuss new evidence concerning factors that can influence the occurrence of memory distortions, such as sleep and retrieval conditions, as well as conceptual issues related to the development of an adaptive perspective.     

Invited Special Review: Psychological Approaches for Managing Chronic Pain

Psychologists have had an important impact on the conceptualization, assessment, and treatment of chronic pain. Their contributions have been in the areas of emotional distress, behavioral limitations, cognitive mediating events, and psychosocial disruption of chronic pain. These foci have enabled them to clarify the multidimensional nature of chronic pain and to support the biopsychosocial framework as a conceptual guide for research and clinical purposes. Clinically, along with members of an interdisciplinary team, psychologists have a key role in the assessment and treatment of patients with chronic pain. Interdisciplinary collaboration allows the team to recognize important interactions between biomedical and psychosocial dimensions and to appreciate a broader conceptualization of patients' problems. The literature documents strong empirical support for operant-behavioral and cognitive-behavioral therapies for the treatment of chronic pain. On the other hand, although widely accepted from a clinical perspective, the use of motivational interviewing and motivational enhancement therapies is more recent and less well documented for use with patients with chronic pain.     

Sex and achievement domain: Cognitive patterns of success and failure

Subjects (N=439) were asked to write an account of an achievement of failure, and to describe it in terms of locus of standards (internal-external), conceptual focus (process-impact), and initial expectations for success (or failure). Additionally, accounts were classified on the basis of achievement domain (personal, interpersonal, mastery). Analyses of variance [2 (sex)×3 (domain)] for each cognitive measure revealed few sex differences. However, cognitive responses did vary as a function of achievement domain. Main effects for domain were observed under success instructions for locus of control (p<.0002) and under failure instructions for locus of control (p<.05), conceptual focus (p<.05), and expectations (p<.06). Interaction effects of sex and achievement domain were observed on locus of standards for success (p<.0002) and initial expectations preceding failure (p<.025), indicating that women were more responsive to domain differences than were men. Discriminant analyses indicated that cognitions were more readily patterned in terms of achievement domain than sex. Elaboration and incorporation of the concept of domain in cognitive models of achievement is suggested.     

The school-to-work transition: A role identity perspective

The current article provides an extension of the conceptual literature on the school-to-work transition (STWT). Specifically, we attempt to integrate this diverse literature by proposing a role identity approach to studying STWTs. Here, we suggest that an individual’s work role identity plays three roles in understanding the outcomes of STWTs: as a direct predictor of STWT success, as a mediator of distal factors on STWT success, and as moderator variable that interacts with other role identities (e.g., family member) in influencing STWT success. The article concludes with directions for future theoretical and empirical research as well as implications for practice.     

How many hindsight biases are there?

The answer is three: questioning a conceptual default assumption in hindsight bias research, we argue that the hindsight bias is not a unitary phenomenon but consists of three separable and partially independent subphenomena or components, namely, memory distortions, impressions of foreseeability and impressions of necessity. Following a detailed conceptual analysis including a systematic survey of hindsight characterizations in the published literature, we investigated these hindsight components in the context of political elections. We present evidence from three empirical studies that impressions of foreseeability and memory distortions (1) show hindsight effects that typically differ in magnitude and sometimes even in direction, (2) are essentially uncorrelated, and (3) are differentially influenced by extraneous variables. A fourth study found similar dissociations between memory distortions and impressions of necessity. All four studies thus provide support for a separate components view of the hindsight bias. An important consequence of such a view is that apparent contradictions in research findings as well as in theoretical explanations (e.g., cognitive vs. social-motivational) might be alleviated by taking differences between components into account. We also suggest conditions under which the components diverge or converge.     

Cognitive distortions in child molesters: Theoretical and research developments over the past two decades

Cognitive distortions have become an important focus for professionals working with child molesters since the early 1980s. In this paper, we describe and discuss both the theoretical and methodological developments of child molester's cognitive distortions that have evolved over the past two decades. We conclude that although theory and research development has been a little slow in this topic, several interesting theoretical and methodological developments have been made in recent years. We describe how we believe such developments will further increase the conceptual clarity of cognitive distortions and provide some suggestions for other future developments in this field.     

Attention control in middle childhood: relations to psychopathological symptoms and threat perception distortions

The present study examined the construct of attention control, which is an important aspect of effortful control, in a sample of non-clinical children aged between 9 and 13 years. Results demonstrated that attention control was associated with a broad range of psychopathological complaints, including symptoms of anxiety, aggression, depression, and ADHD. As predicted, lower levels of attention control were accompanied by higher levels of these symptoms. Further, attention control was also negatively related to threat perception distortions, which indicates that children who display low levels of this regulative temperament factor are more prone to such cognitive biases. Third, when controlling for neuroticism, attention control remained significantly (negatively) associated with symptoms of anxiety, depression (child report only), and ADHD. The correlations between attention control and threat perception distortions largely disappeared when the influence of neuroticism was partialled out. Only the link between attention control and anxious interpretations of ambiguous vignettes survived this correction. Finally, no evidence was found for the hypothesised mediating role of cognitive distortions on the relation between temperament factors and psychopathological symptoms.     

Humanistic‐experiential therapies in the treatment of generalised anxiety: A perspective

This study discusses the current status of evidence‐based psychological therapies for generalised anxiety disorder (GAD). It points to the dominance of cognitive‐behavioural therapies (CBTs) and compares this dominance with the position of humanistic‐experiential therapies (HEPs) in this area. The paper hypothesises several reasons for this situation, including historical developments as well as HEPs’ ambivalence around embracing mainstream mental health classification systems, and corresponding types of research. The paper then highlights some recent developments in HEPs for anxiety disorders (particularly emotion‐focused therapy; EFT); developments that are breaking new conceptual grounds while also generating new outcome research.     

Relations between self-serving cognitive distortions,psychopathic traits,and antisocial behavior in a non-clinical sample of adolescents

The aim of the present study was to assess the relative contributions self-serving cognitive distortions and psychopathic traits to adolescent antisocial behavior. Participants were 972 high-school students who completed self-report questionnaires. Hierarchical multiple regression analyses showed that self-serving cognitive distortions, psychopathic traits, as well as their interaction term were significant predictors of antisocial behavior in both genders after adjustment for the main other cognitive, psychopathological and sociofamilial variables. High levels of self-serving cognitive distortions were associated with more extensive antisocial behavior among participants with higher scores on psychopathic traits. This result may have implications for prevention and treatment.     

Relations between self-serving cognitive distortions, psychopathic traits, and antisocial behavior in a non-clinical sample of adolescents

The aim of the present study was to assess the relative contributions self-serving cognitive distortions and psychopathic traits to adolescent antisocial behavior. Participants were 972 high-school students who completed self-report questionnaires. Hierarchical multiple regression analyses showed that self-serving cognitive distortions, psychopathic traits, as well as their interaction term were significant predictors of antisocial behavior in both genders after adjustment for the main other cognitive, psychopathological and sociofamilial variables. High levels of self-serving cognitive distortions were associated with more extensive antisocial behavior among participants with higher scores on psychopathic traits. This result may have implications for prevention and treatment.     

The effects of testosterone on cognition in elderly men: a review

In this article, the literature examining the relationship between testosterone and various cognitive domains in elderly men is reviewed. The review focuses on the role of endogenous testosterone levels and the effects of androgen depletion and replacement. The cognitive domains most commonly linked to testosterone include memory and visuospatial function. Indeed, the literature suggests that in certain conditions (ie, hypogonadism, cognitive impairment) testosterone levels may be significantly associated with memory and visuospatial function, but not other cognitive functions. Studies with larger sample sizes and more sensitive cognitive measures are indicated, as questions remain about the potential role of testosterone as a cognitive enhancer.     

Emotion Regulation Frequency and Success: Separating Constructs from Methods and Time Scale

Research on emotion regulation (ER) has largely focused upon two related lines of inquiry: ER frequency and ER success. First, research on ER frequency has focused upon the relationship between how often individuals attempt to use ER strategies in everyday life which is typically measured by subjective reports on questionnaires and interpreted as trait ER. Second, research on ER success has focused on the degree to which experimentally instructed use of different strategies results in change of one or more measures of affect as measured by relatively objective measures. Therefore, distinctions between ER frequency and success are very often confounded by time scale (ER frequency measured in the long‐term, ER success measured in the short‐term) and methods (ER frequency measured with subjective questionnaires, ER success measured with more objective affective variables). I offer examples from the literature on ER and offer suggestions for ways to uncouple ER frequency and success from the methods that are currently being used to measure them. Clarity on the distinction between these constructs should lead to the most appropriate interpretation of results from current studies and more precisely inform clinical interventions that target one or more ER process.     

Improving sleep with mindfulness and acceptance: A metacognitive model of insomnia

While there is an accumulating evidence to suggest that therapies using mindfulness and acceptance-based approaches have benefits for improving the symptoms of insomnia, it is unclear how these treatments work. The goal of this paper is to present a conceptual framework for the cognitive mechanisms of insomnia based upon mindfulness and acceptance approaches. The existing cognitive and behavioral models of insomnia are first reviewed and a two-level model of cognitive (primary) and metacognitive (secondary) arousal is presented in the context of insomnia. We then focus on the role of metacognition in mindfulness and acceptance-based therapies, followed by a review of these therapies in the treatment of insomnia. A conceptual framework is presented detailing the mechanisms of metacognition in the context of insomnia treatments. This model proposes that increasing awareness of the mental and physical states that are present when experiencing insomnia symptoms and then learning how to shift mental processes can promote an adaptive stance to one's response to these symptoms. These metacognitive processes are characterized by balanced appraisals, cognitive flexibility, equanimity, and commitment to values and are posited to reduce sleep-related arousal, leading to remission from insomnia. We hope that this model will further the understanding and impact of mindfulness and acceptance-based approaches to insomnia.     

Cognition in rapists Theoretical patterns by typological breakdown

Cognitive processing has been implicated in sexual offending in a number of recent theoretical and empirical papers. Clinicians have emphasized the need to challenge the cognitive distortions that are often exhibited by sexual offenders, and they have incorporated cognitive restructuring components into treatment programs. However, until recently, the literature has lacked an integrative theoretical approach to cognition in sexual offenders. In addition, the use of generic classifications (i.e., rapist, child molester) in both theoretical and empirical work has obscured understanding of the role played by a number of etiological factors, including cognition. In this paper, we present a multifaceted approach to cognition in rapists. We begin with a brief overview of a conceptual framework of cognitive dimensions. Next, we consider the heterogeneity that characterizes rapists as a group and the problems this presents for research. We suggest that Knight and Prentky's typology may prove useful for dealing with these problems and, in the final section, we provide our conceptualization of the potential distorted cognitions for each of the subtypes within the typology.     

Student-Teacher Relationships and Early School Adaptation of Children with ASD: A Conceptual Framework

In this conceptual article, we integrate existing literature on early school transitions, ecological systems theory, and student-teacher relationships to propose a framework for investigating the transition to school for children with autism spectrum disorders (ASD). A review of the literature suggests that the quality of early student-teacher relationships may play an important role in this process for young children with ASD. Factors important in predicting student-teacher relationship quality, and ultimately, early school outcomes, are derived from the existing literature, which is heavily focused on the experiences of typically developing children. Hypothesized direct effects of child characteristics, teacher factors, classroom/school characteristics, and parent-school connectedness on student-teacher relationship quality are set forth. Potential moderators of the relation between student-teacher relationship quality and child outcomes are proposed, including child cognitive functioning, child relationships with other school staff, classroom placement, and parent involvement. Continued research on these factors will help identify malleable targets for school-based intervention with teachers and children with ASD to enhance student-teacher relationship quality and, in turn, school adjustment for this student population.