Faculty Articles
Cognitive Distortions and Psychiatric Diagnosis in Dually Diagnosed Adolescents
Document Type
Article
Publication Title
Journal of the American Academy of Child and Adolescent Psychiatry
ISSN
0890-8567
Publication Date
2-1994
Abstract
Objective
The purpose of this study was to examine the characteristics and patterns of cognitive distortions among psychiatrically hospitalized adolescents.
Method
Measures of cognitive distortions, depression, and hopelessness were administered to 135 adolescents on two psychiatric inpatient units. Subjects were grouped according to their Axis I diagnoses: depression only, conduct disorder only, depression and substance abuse, conduct disorder and substance abuse, all three diagnoses, and none of the three diagnoses.
Results
Multivariate analyses of covariance indicated that differently diagnosed adolescents exhibited varying levels of cognitive distorting as measured by the Children's Negative Cognitive Errors Questionnaire (CNCEQ). In particular, adolescents with multiple Axis I diagnoses tended to score highest. On all but one of four CNCEQ subscales, the depression only group evidenced as much cognitive distortion as did the group with multiple diagnoses. However, each diagnostic grouping demonstrated its own somewhat distinct distortions based on CNCEQ subscales.
Conclusions
Findings are discussed in terms of the utility of differentiating cognitive styles for subsequent treatment. It is suggested that disparate cognitive interventions could be matched with adolescents displaying particular problems.
DOI
10.1097/00004583-199402000-00009
Volume
33
Issue
2
First Page
217
Last Page
222
NSUWorks Citation
Kempton, T.,
Van Hasselt, V. B.,
Bukstein, O. G.,
Null, J. A.
(1994). Cognitive Distortions and Psychiatric Diagnosis in Dually Diagnosed Adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 33(2), 217-222.
Available at: https://nsuworks.nova.edu/cps_facarticles/712