Cognitive vulnerability to depressive symptoms in adolescents in urban and rural Hunan, China: a multiwave longitudinal study.

The current multiwave longitudinal study examined the applicability of two cognitive vulnerability-stress models of depression-Beck's (1967, 1983) cognitive theory and the hopelessness theory (Abramson, Metalsky, & Alloy, 1989)-in two independent samples of adolescents from Hunan Province, China (one rural and one urban). During an initial assessment, participants completed measures assessing dysfunctional attitudes (Beck, 1967, 1983), negative cognitive style (Abramson et al., 1989), neuroticism (Costa & McCrae, 1992), depressive symptoms, and anxiety symptoms. Once a month for the subsequent 6 months, participants completed measures assessing the occurrence of different types of negative events, depressive symptoms, and anxiety symptoms. Results provided support for cognitive vulnerability factors as predictors of increases in depressive symptoms following the occurrence of higher than average levels of negative events in Chinese adolescents. The results also supported the specificity of these two cognitive vulnerability factors as predictors of depressive versus anxiety symptoms following the occurrence of higher than average levels of negative events (i.e., symptom specificity), and the ability of cognitive vulnerability factors to predict prospective change in depressive symptoms above and beyond the effects of trait neuroticism (i.e., etiological specificity).

[1]  S. Mineka,et al.  The Northwestern-UCLA youth emotion project: Associations of cognitive vulnerabilities, neuroticism and gender with past diagnoses of emotional disorders in adolescents. , 2010, Behaviour research and therapy.

[2]  J. Abela,et al.  Cognitive vulnerability-stress interaction predicts prospective increases of depressive symptoms and onsets of new depressive episodes in the transition from early to middle adolescence , 2010 .

[3]  B. Knäuper,et al.  Development and validation of the revised Children's Dysfunctional Attitudes Scale. , 2009, The British journal of clinical psychology.

[4]  E. Calvete,et al.  Attributional style and depressive symptoms in adolescents: an examination of the role of various indicators of cognitive vulnerability. , 2008, Behaviour research and therapy.

[5]  Shuqiao Yao,et al.  The cultural shaping of depression: somatic symptoms in China, psychological symptoms in North America? , 2008, Journal of abnormal psychology.

[6]  B. Hankin Cognitive Vulnerability–Stress Model of Depression During Adolescence: Investigating Depressive Symptom Specificity in a Multi-Wave Prospective Study , 2008, Journal of abnormal child psychology.

[7]  S. Monroe,et al.  Modern approaches to conceptualizing and measuring human life stress. , 2008, Annual review of clinical psychology.

[8]  S. Nolen-Hoeksema,et al.  A prospective test of cognitive vulnerability models of depression with adolescent girls. , 2008, Behavior therapy.

[9]  S. Yao,et al.  A diathesis-stress model of engagement in risky behaviors in Chinese adolescents. , 2007, Behaviour research and therapy.

[10]  A. McGirr,et al.  Operationalizing cognitive vulnerability and stress from the perspective of the hopelessness theory: a multi-wave longitudinal study of children of affectively ill parents. , 2007, The British journal of clinical psychology.

[11]  A. McGirr,et al.  Depressogenic inferential styles, negative events, and depressive symptoms in youth: an attempt to reconcile past inconsistent findings. , 2007, Behaviour research and therapy.

[12]  J. Abela,et al.  Dysfunctional attitudes, self-esteem, and hassles: cognitive vulnerability to depression in children of affectively ill parents. , 2007, Behaviour research and therapy.

[13]  S. Yao,et al.  Reliability and Validity of the Chinese Version of the Multidimensional Anxiety Scale for Children Among Chinese Secondary School Students , 2007, Child psychiatry and human development.

[14]  J. Hunsley,et al.  Evidence-based assessment. , 2007, Annual review of clinical psychology.

[15]  J. Abela,et al.  Are neuroticism, cognitive vulnerabilities and self-esteem overlapping or distinct risks for depression? Evidence from exploratory and confirmatory factor analyses , 2007 .

[16]  Robin Mermelstein,et al.  Cognitive Theories of Depression in Children and Adolescents: A Conceptual and Quantitative Review , 2007, Clinical child and family psychology review.

[17]  J. Abela,et al.  Symptoms of Depression and Anxiety in Children: Specificity of the Hopelessness Theory , 2006, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[18]  T. Ollendick,et al.  Evidence-Based Assessment of Anxiety and Its Disorders in Children and Adolescents , 2005, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[19]  Z. Segal,et al.  Cognitive reactivity and vulnerability: empirical evaluation of construct activation and cognitive diatheses in unipolar depression. , 2005, Clinical psychology review.

[20]  C. Dennis Mental health: Asia's tigers get the blues , 2004, Nature.

[21]  L. Abramson,et al.  Cognitive Vulnerability-Stress Theories of Depression: Examining Affective Specificity in the Prediction of Depression Versus Anxiety in Three Prospective Studies , 2004, Cognitive Therapy and Research.

[22]  S. Stewart,et al.  A cross-cultural investigation of cognitions and depressive symptoms in adolescents. , 2004, Journal of abnormal psychology.

[23]  Caroline Sullivan,et al.  A Test of Beck's Cognitive Diathesis-Stress Theory of Depression in Early Adolescents , 2003 .

[24]  L. Abramson,et al.  Measuring Cognitive Vulnerability to Depression in Adolescence: Reliability, Validity, and Gender Differences , 2002, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[25]  Harald Merckelbach,et al.  Three traditional and three new childhood anxiety questionnaires: their reliability and validity in a normal adolescent sample. , 2002, Behaviour research and therapy.

[26]  Rachel Jenkins,et al.  Suicide ideation in Chinese adolescents , 2002, Social Psychiatry and Psychiatric Epidemiology.

[27]  M. Seligman,et al.  Preventing depressive symptoms in Chinese children. , 2002 .

[28]  L. Abramson,et al.  A Prospective Test of the Hopelessness Theory of Depression in Adolescence , 2001, Cognitive Therapy and Research.

[29]  P. Leung,et al.  Dysfunctional schemas and cognitive distortions in psychopathology: a test of the specificity hypothesis. , 2001, Journal of child psychology and psychiatry, and allied disciplines.

[30]  D. Kupfer,et al.  Screening for anxiety and depression in early adolescence. , 2001, Journal of the American Academy of Child and Adolescent Psychiatry.

[31]  P. Lewinsohn,et al.  Evaluation of cognitive diathesis-stress models in predicting major depressive disorder in adolescents. , 2001, Journal of abnormal psychology.

[32]  Sing Lee In China, suicide in young women is a problem too , 2000, BMJ : British Medical Journal.

[33]  M. Seligman,et al.  The Hopelessness Theory of Depression: A Test of the Diathesis-Stress Component in the Interpersonal and Achievement Domains , 2000, Cognitive Therapy and Research.

[34]  T. Joiner A Test of the Hopelessness Theory of Depression in Youth Psychiatric Inpatients , 2000, Journal of clinical child psychology.

[35]  H. Kraemer,et al.  Predictors of panic attacks in adolescents. , 2000, Journal of the American Academy of Child and Adolescent Psychiatry.

[36]  Sing Lee,et al.  Diagnosis Postponed: Shenjing Shuairuo and the Transformation of Psychiatry in Post-Mao China , 1999, Culture, medicine and psychiatry.

[37]  G. Metalsky,et al.  Testing the Causal Mediation Component of Beck's Theory of Depression: Evidence for Specific Mediation , 1999, Cognitive Therapy and Research.

[38]  J. Mezzich,et al.  The place of culture in DSM-IV. , 1999, The Journal of nervous and mental disease.

[39]  Sing Lee Estranged Bodies, Simulated Harmony, and Misplaced Cultures: Neurasthenia in Contemporary Chinese Society , 1998, Psychosomatic medicine.

[40]  Z. Segal,et al.  Cognitive Vulnerability to Depression , 1998, Journal of Cognitive Psychotherapy.

[41]  M. Phillips The Transformation of China's Mental Health Services , 1998, The China Journal.

[42]  J. Riskind Looming vulnerability to threat: a cognitive paradigm for anxiety. , 1997, Behaviour research and therapy.

[43]  J. Barendregt,et al.  Global burden of disease , 1997, The Lancet.

[44]  L. Abramson,et al.  Cognitive/Personality Subtypes of Depression: Theories in Search of Disorders , 1997, Cognitive Therapy and Research.

[45]  J. Parker,et al.  The Multidimensional Anxiety Scale for Children (MASC): factor structure, reliability, and validity. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[46]  P. Sanders Evidence based assessment , 1996, British Dental Journal.

[47]  R. A. Pollock,et al.  Anxiety disorders of childhood, Implications for adult psychopathology. , 1995, The Psychiatric clinics of North America.

[48]  J. Coyne,et al.  Issues in personality as diathesis for depression: the case of sociotropy-dependency and autonomy-self-criticism. , 1995, Psychological bulletin.

[49]  N. Breslau,et al.  Risk factors for PTSD-related traumatic events: a prospective analysis. , 1995, The American journal of psychiatry.

[50]  Sing Lee,et al.  Rethinking neurasthenia: The illness concepts of Shenjing Shuairuo among Chinese undergraduates in Hong Kong , 1995, Culture, medicine and psychiatry.

[51]  C. Judd,et al.  Statistical difficulties of detecting interactions and moderator effects. , 1993, Psychological bulletin.

[52]  A. Simons,et al.  Diathesis-stress theories in the context of life stress research: implications for the depressive disorders. , 1991, Psychological bulletin.

[53]  C. Clifford Attkisson,et al.  Screening for Depression in Primary Care Clinics: The CES-D and the BDI , 1990, International journal of psychiatry in medicine.

[54]  D. Young Neurasthenia and related problems , 1989, Culture, medicine and psychiatry.

[55]  Shi-Hui Liu Neurasthenia in China: Modern and traditional criteria for its diagnosis , 1989, Culture, medicine and psychiatry.

[56]  H. Rin,et al.  Neurasthenia as nosological dilemma , 1989, Culture, medicine and psychiatry.

[57]  G. Metalsky,et al.  Hopelessness depression: A theory-based subtype of depression. , 1989 .

[58]  I. Gotlib,et al.  Psychosocial functioning and depression: distinguishing among antecedents, concomitants, and consequences. , 1988, Psychological bulletin.

[59]  C. Hammen,et al.  A longitudinal test of the attributional vulnerability model in children at risk for depression. , 1988, The British journal of clinical psychology.

[60]  A. Kleinman,et al.  Culture and depression. , 1986, The New England journal of medicine.

[61]  B. Wellman,et al.  Social Support, Life Events, and Depression , 1985 .

[62]  P. Clayton,et al.  Treatment of depression : old controversies and new approaches , 1983, Psychological Medicine.

[63]  Jacob Cohen,et al.  Applied multiple regression/correlation analysis for the behavioral sciences , 1979 .

[64]  L. Radloff The CES-D Scale , 1977 .

[65]  Samuel R. Friedman,et al.  Depression: Clinical, Experimental, and Theoretical Aspects , 1968 .

[66]  Benjamin F. Rodriguez,et al.  Psychometric Properties , 2009 .

[67]  Dongping Yang Appendix II Implementation of Educational Expenditures of China in 2008 Ministry of Education, National Bureau of Statistics of China , 2011 .

[68]  Tom A. B. Snijders,et al.  Multilevel Analysis , 2011, International Encyclopedia of Statistical Science.

[69]  J. Abela,et al.  Cognitive vulnerability to depression in children and adolescents: A developmental psychopathology perspective. , 2008 .

[70]  C. Oppenheimer,et al.  Beck's Cognitive Theory of Depression in Adolescence: Specific Prediction of Depressive Symptoms and Reciprocal Influences in a Multi-Wave Prospective Study , 2008 .

[71]  C. Mathers Global Burden of Disease , 2008 .

[72]  R. Gallop,et al.  The psychometric properties of the MASC in a pediatric psychiatric sample. , 2006, Journal of anxiety disorders.

[73]  J. Abela,et al.  Development of psychopathology: A vulnerability-stress perspective. , 2005 .

[74]  David D. Luxton,et al.  Vulnerability-Stress Models , 2005 .

[75]  J. Parker,et al.  The Multidimensional Anxiety Scale for Children (MASC). , 2004 .

[76]  A. Thurm,et al.  Stress and psychopathology in children and adolescents: is there evidence of specificity? , 2003, Journal of child psychology and psychiatry, and allied disciplines.

[77]  J. Strijker The psychometric properties of the SRI , 2002 .

[78]  A. Kleinman,et al.  Suicide in contemporary China: a review of China's distinctive suicide demographics in their sociocultural context. , 2001, Harvard review of psychiatry.

[79]  R. Yehuda,et al.  Risk factors for PTSD , 2000 .

[80]  X. Liu,et al.  Self-reported depressive symptoms among Chinese adolescents , 1999, Social Psychiatry and Psychiatric Epidemiology.

[81]  R. R. Abidin Psychological Assessment Resources , 1995 .

[82]  S. Mineka,et al.  Temperament, personality, and the mood and anxiety disorders. , 1994, Journal of abnormal psychology.

[83]  G. Metalsky,et al.  Depressive reactions to failure in a naturalistic setting: a test of the hopelessness and self-esteem theories of depression. , 1993, Journal of abnormal psychology.

[84]  S. Reiss Expectancy model of fear, anxiety, and panic , 1991 .

[85]  W. M. Ensel 4 – Measuring Depression: The CES-D Scale , 1986 .