Abstract
This paper quantitatively reviews longitudinal studies examining three central cognitive theories of depression—Beck’s theory, Hopelessness theory, and the Response Styles theory—among children (age 8–12) and adolescents (age 13–19). We examine the effect sizes in 20 longitudinal studies, which investigated the relation between the cognitive vulnerability–stress interaction and its association with prospective elevations in depression after controlling for initial levels of depressive symptoms. The results of this review suggest that across theories there is a small relation between the vulnerability–stress interaction and elevations in depression among children (pr = 0.15) and a moderately larger effect (pr = 0.22) among adolescents. Despite these important findings, understanding their implications has been obscured by critical methodological, statistical, and theoretical limitations that bear on cognitive theories of depression. The evidence base has been limited by poor measurement of cognitive vulnerabilities and over reliance on null hypothesis significance testing; these have contributed to a field with many gaps and inconsistencies. The relative paucity of research on developmental applications of such theories reveals that surprisingly little is known about their hypothesized etiologic mechanisms in children and adolescents. Ways to advance knowledge in the area of cognitive theories of depression among youth are discussed.
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Abela J. R. Z. (2001). The hopelessness theory of depression: A test of the diathesis-stress and causal mediation components in third and seventh grade children. Journal of Abnormal Child Psychology 29: 241–254
Abela J. R. Z., Payne A. V. L. (2003). A test of the integration of the hopelessness and self-esteem theories of depression in schoolchildren. Cognitive Therapy & Research 27: 519–535
Abela J. R. Z, Sarin S. (2003). Cognitive vulnerability to hopelessness depression: A chain is only as strong as its weakest link. Cognitive Therapy & Research 26: 811–829
Abela J. R. Z., Seligman M. E. P. (2000). The hopelessness theory of depression: A test of the diathesis-stress component in the interpersonal and achievement domains. Cognitive Therapy and Research 24(4): 361–378
Abela J. R. Z., Sullivan C. (2003). A test of Beck’s cognitive diathesis-stress theory of depression in early adolescents. Journal of Early Adolescence 23: 384–404
Abela J. R. Z., Brozina K., Haigh E. P. (2002). An examination of the response styles theory of depression in third- and seventh-grade children: A short-term longitudinal study. Journal of Abnormal Child Psychology 30: 515–527
Abramson L. Y., Alloy L. B., Hogan M. E., Whitehouse W. G., Donovan P., Rose D. T., Panzarella C., Raniere D. (2002). Cognitive vulerability to depression: Theory and evidence. In: Leahy R. L., Dowd E. T. (eds) Clinical Advances in Cognitive Psychotherapy: Theory and Application. Springer Publishing Co, New York, pp. 75–92
Abramson L. Y., Metalsky G. I., Alloy L. B. (1989). Hopelessness depression: A theory-based subtype of depression. Psychological Review 96: 358–372
Abramson L. Y., Seligman M. E., Teasdale J. D. (1978). Learned helplessness in humans: Critique and reformulation. Journal of Abnormal Psychology. 87: 49–74
Alloy L. B., Clements C. M. (1998). Hopelessness theory of depression: Tests of the symptom component. Cognitive Therapy and Research. 22: 303–335
Alloy L. B., Abramson L. Y., Viscusi D. (1981). Induced mood and the illusion of control. Journal of Personality and Social Psychology 41: 1129–1140
Alloy L. B., Just N., Panzarella C. (1997). Attributional style, daily life events, and hopelessness depression: Subtype validation by prospective variability and specificity of symptoms. Cognitive Therapy and Research. 21: 321–344
Angold A., Erkanli A., Silberg J., Eaves L., Costello E. J. (2002). Depression scale scores in 8–17-year-olds: Effects of age and gender. Journal of Child Psychology & Psychiatry & Allied Disciplines 43: 1052–1063
Barnett P. A., Gotlib I. H. (1988). Dysfunctional attitudes and psychosocial stress: The differential prediction of future psychological symptomatology. Motivation and Emotion 12: 251–270
Beck A. T. (1967). Depression: Clinical, Experimental, and Theoretical Aspects. New York: Harper & Row
Beck A. T. (1987). Cognitive models of depression. Journal of Cognitive Psychotherapy 1: 5–37
Berger J. O., Berry D. A. (1988). Statistical analysis and illusion of objectivity. American Scientist 76: 159–165
Bower G. H. (1981). Mood and memory. American Psychologist 36: 129–148
Brown G. P., Hammen C. L., Craske M G., Wickens T. D. (1995). Dimensions of dysfunctional attitudes as vulnerabilities to depressive symptoms. Journal of Abnormal Psychology 104: 431–435
Brown G. W., Harris T. (1978). Social Origins of Depression. New York: Free Press
Butler L. D., Nolen-Hoeksema S. (1994). Gender differences in responses to depressed mood in a college sample. Sex Roles 30: 331–346
Carlson G. A., Kashani J. H. (1988). Phenomenology of major depression from childhood through adulthood: Analysis of three studies. American Journal of Psychiatry. 145: 1222–1225
Chow S. L. (1988). Significance test or effect size? Psychological Bulletin 103: 105–110
Cohen J. (1988). Statistical Power Analysis for the Behavioral Science. Hillsdale, NJ, England: Lawrence Erlbaum Associates, Inc
Cole D. A., Turner J. E. Jr. (1993). Models of cognitive mediation and moderation in child depression. Journal of Abnormal Psychology 102: 271–281
Collins, L. M., and Sayer, A. G. (2001). New methods for the analysis of change. American Psychological Association, Washington, DC
Conley C. S., Haines B. A., Hilt L. M., Metalsky G. I. (2001). The Children’s Attributional Style Interview: Developmental tests of cognitive diathesis-stress theories of depression. Journal of Abnormal Child Psychology 29: 445–463
Coyne J. C., Whiffen V. E. (1995). Issues in personality as diathesis for depression—The case of sociotropy-dependency and autonomy-self-criticism. Psychological Bulletin 118(3): 358–378
Crick N. R., Dodge K. A. (1994). A review and reformulation of social information-processing mechanisms in children’s social adjustment. Psychological Bulletin 115: 74–101
Curran P. J., Willoughby M. T. (2003). Implications of latent trajectory models for the study of developmental psychopathology. Development And Psychopathology 15(3):581–612
Dixon J. F. Ahrens A. H. (1992). Stress and attributional style as predictors of self-reported depression in children. Cognitive Therapy & Research 16: 623–634
Dykman B. M., Johll M. (1988). Dysfunctional attitudes and vulnerability to depressive symptoms: A 14-week longitudinal study. Cognitive Therapy and Research 22: 337–352
Fennell M. J., Teasdale J. D. (1984). Effects of distraction on thinking and affect in depressed patients. British Journal of Clinical Psychology 23: 65–66
Forgas J. P., Bower G. H., Krantz S. E. (1984). The influence of mood on perceptions of social interactions. Journal of Experimental Social Psychology 20: 497–513
Garber J., Weiss B., Shanley N. (1993). Cognitions, depressive symptoms, and development in adolescents. Journal Of Abnormal Psychology 102(1): 47–57
Gibb B. E., and Coles, M. E. (2005). Cognitive vulnerability–stress models of psychopathology: A developmental perspective. In Hankin B. L., Abela J. R. Z. (Eds.), Development of Psychopathology: A Vulnerability–Stress Perspective. Sage Publishing
Gladstone T. R. G., Kaslow N. J. (1995). Depression and attributions in children and adolescents: A meta-analytic review. Journal of Abnormal Child Psychology 23: 597–606
Goodman S. H., Lahey B. B., Fielding B., Dulcan M., Narrow W., Regier D. (1997). Representativeness of clinical samples of youths with mental disorders: A preliminary population-based study. Journal of Abnormal Psychology 106: 3–14
Gotlib I. H., MacLeod C. (1997). Information processing in anxiety and depression: A cognitive-developmental perspective. In: J. A Burack, J. T. Enns (eds) Attention, Development, and Psychopathology. Guilford Press, New York, NY, US, pp. 350–378
Gotlib I. H., Krasnoperova E., Yue D. N., Joormann J. (2004). Attentional biases for negative interpersonal stimuli in clinical depression. Journal Of Abnormal Psychology 113(1):127–135
Gotlib I. H., Hammen C. (2002). Handbook of Depression. Guilford Press, NY
Gotlib, I. H., and Neubauer, D. L. (2000). Information-processing approaches to the study of cognitive biases in depression. In S. L. Johnson, A. M. Hayes, T. M. Field, N. Schneiderman, and P. M. McCabe (Eds.), Stress, coping, and depression. Lawrence Erlbaum Associates Publishers, Mahwah, NJ, pp. 117–143
Haaga, D. A., Dyck, M. J., and Ernst, D. (1991). Empirical status of cognitive theory of depression. Psychological Bulletin 110: 215–236
Hammen C., Rudolph K. D. (2003). Childhood mood disorders. In: E. J. Mash R. A Barkley (eds) Child psychopathology (2nd ed.). Guilford Press, New York, NY, US, pp. 233–278
Hammen C., Adrian C., Hiroto D. (1988). A longitudinal test of the attributional vulnerability model in children at risk for depression. British Journal Of Clinical Psychology 27: 37–46
Hankin B. L. Abramson L. Y. (2001). Development of gender differences in depression: An elaborated cognitive vulnerability–transactional stress theory. Psychological Bulletin 127: 773–796
Hankin B. L., Abramson L. Y. (2002). Measuring cognitive vulnerability to depression in adolescence: Reliability, validity and gender differences. Journal of Clinical Child and Adolescent Psychology 31: 491–504
Hankin B. L., Abela J. R. Z. (2005). Depression from childhood through adolescence and adulthood: A developmental vulnerability–stress perspective. In: B. L. Hankin, J. R. Z. Abela (eds) Development of Psychopathology: A Vulnerability–Stress Perspective. Sage Publications, Thousand Oaks, California, pp. 245–288
Hankin B. L., Abramson L. Y., Siler M. (2001) A prospective test of the hopelessness theory of depression in adolescence. Cognitive Therapy and Research 25: 607–632
Hankin, B. L., Fraley, R. C., and Abela, J. R. Z. (2005). Daily depression and cognitions about stress: Evidence for a trait-like depressogenic cognitive style and the prediction of depressive symptoms trajectories in a prospective daily diary study. Journal of Personality and Social Psychology 88: 673–685
Hankin B. L., Abramson L. Y., Miller N., Haeffel G. J. (2004). Cognitive vulnerability–stress theories of depression: Examining affective specificity in the prediction of depression versus anxiety in three prospective studies. Cognitive Therapy and Research 28: 309–345
Hankin B. L., Abramson L. Y., Moffitt T. E., McGee R., Silva P. A., Angell K.E. (1998). Development of depression from preadolescence to young adulthood: Emerging gender differences in a 10-year longitudinal study. Journal of Abnormal Psychology 107: 128–140
Hankin, B. L., Lakdawalla, Z., Lee, A., Grace, D., and Roesch, L. (November, 2004). Cognitive and Interpersonal Vulnerabilities for Depression in Adolescence: Predicting Depressive Symptoms Trajectories in a Multi-wave Prospective Study. Paper presented at the symposium, “Towards an Integration of Cognitive and Interpersonal Theories of Depression: A Developmental Psychopathology Perspective.” Mitchell J. Prinstein, Benjamin L. Hankin, and John R.Z. Abela Co-Chairs. 38th Annual Meeting of the Association for Advancement of Behavior Therapy, New Orleans
Hunter J. E., Schmidt F. L. (2004). Methods of meta-analysis: Correcting error and bias in research findings. (2nd ed) Sage Publications Inc, Thousand Oaks, CA
Ingram R. E., Miranda J., Segal Z. V. (1998). Cognitive Vulnerability to Depression. Guilford Press, New York, NY, US
Joiner T. E. (2000). A test of the hopelessness theory of depression in youth psychiatric inpatients. Journal of Clinical Child Psychology 29: 167–176
Joiner T. E. Jr., Wagner K. D. (1995). Attributional style and depression in children and adolescents: A meta-analytic review. Clinical Psychology Review 15: 777–798
Joiner T. E. Jr., Metalsky G. I., Lew A., Klocek J. (1999). Testing the causal mediation component of Beck’s theory of depression: Evidence for specific mediation. Cognitive Therapy and Research 23: 401–412
Just N., Alloy L. B. (1997). The response styles theory of depression: Tests and an extension of the theory. Journal of Abnormal Psychology 106(2): 221–229
Kaslow, N. J., and Nolen-Hoeksema, S. (1991). Children’s Attributional Style Questionnaire—Revised. Unpublished manuscript, Emory University, Atlanta, GA
Katz E. J., Bertelson A. D. (1993. Effects of gender and response style on depressed mood. Sex Roles 29: 509–514
Kovacs M. (1986). A developmental perspective on methods and measures in the assessment of depressive disorders: The clinical interview. In M. Rutter, C. Izard, P. Read (eds) Depression in Young People: Developmental and Clinical Perspectives. Guilford, New York, pp. 435–468
Kovacs M. (1996). Presentation and course of major depressive disorder during childhood and later years of the life span. Journal of the American Academy of Child & Adolescent Psychiatry 35: 705–715
Kraemer H. C. (2003) Current concepts of risk in psychiatric disorders. Current Opinion In Psychiatry 16(4): 421–430
Kuiper N. A., Dance K. A. (1994). Dysfunctional attitudes, roles stress evaluations, and psychological well-being. Journal of Research in Personality 28: 245–262
Ladouceur C. D., Dahl R. E., Williamson D. E., Birmaher B., Ryan N. D., Casey B. J. (2005). Altered emotional processing in pediatric anxiety, depression, and comorbid anxiety-depression. Journal Of Abnormal Child Psychology 33(2): 165–177
Lewinsohn P. M., Clarke G. N., Seeley J. R, Rohde P. (1994). Major depression in community adolescents: Age at onset, episode duration, and time to recurrence. Journal of the American Academy of Child & Adolescent Psychiatry 33: 809–818
Lewinsohn P. M., Joiner T. E Jr, Rohde P. (2001). Evaluation of cognitive diathesis-stress models in predicting major depressive disorder in adolescents. Journal of Abnormal Psychology 110: 203–215
Lewinsohn P., Hops H., Roberts R. E., Seeley J. R. (1993). Adolescent psychopathology: I. Prevalence and incidence of depression and other DSM-III–R disorders in high school students. Journal of Abnormal Psychology 102: 517
Metalsky G. I., Joiner T. E. (1992). Vulnerability to depressive symptomatology: A prospective test of the diathesis-stress and causal mediation components of the hopelessness theory of depression. Journal of Personality and Social Psychology 63: 667–675
Metalsky G. I., Joiner T. E. Jr. (1997). The hopelessness depression symptom questionnaire. Cognitive Therapy and Research 21: 359–384
Meehl, P. E. (1978). Theoretical risks and tabular asterisks: Sir Karl, Sir Ronald, and the slow progress of soft psychology. Journal of Consulting and Clinical Psychology 46: 806–834
Morgan P. L. (2003). . Null hypothesis significance testing: Philosophical and practical considerations of a statistical controversy. Exceptionality 11: 209–221
Morrow J., Nolen-Hoeksema S. (1990). Effects of responses to depression on the remediation of depressive affect. Journal of Personality and Social Psychology 58: 519–527
Murray C. J. L., Lopez A. D. (1996). The Global Burden of Disease. Harvard University Press, Cambridge, MA
Nolen-Hoeksema S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology 100: 569–582
Nolen-Hoeksema S. (1995).Epidemiology and theories of gender differences in unipolar depression. In: M. V. Seeman (eds) Gender and Psychopathology. American Psychiatric Association, Washington, DC, US, pp. 63–87
Nolen-Hoeksema S. (2000). The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. Journal of Abnormal Psychology 109(3), 504–511
Nolen-Hoeksema S., Girgus J. S. (1994). The Emergence of gender differences in depression during adolescence. Psychological Bulletin 115(3): 424–443
Nolen-Hoeksema S., Morrow J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology 61: 115–121
Nolen-Hoeksema S., Girgus J. S., Seligman M. E. (1986). Learned helplessness in children: A longitudinal study of depression, achievement, and explanatory style. Journal of Personality & Social Psychology 51: 435–442
Nolen-Hoeksema S., Girgus J. S., Seligman M. E. (1992). Predictors and consequences of childhood depressive symptoms: A 5-year longitudinal study. Journal of Abnormal Psychology 101: 405–422
Nolen-Hoeksema S., Morrow J., Fredrickson B. L. (1993). Response styles and the duration of episodes of depressed mood. Journal of Abnormal Psychology 102: 20–28
Nolen-Hoeksema S., Parker L. E., Larson J. (1994). Ruminative coping with depressed mood following loss. Journal of Personality and Social Psychology 67: 92–104
Panak W. F. Garber J. (1992). Role of aggression, rejection, and attributions in the prediction of depression in children. Development & Psychopathology 4: 145–165
Persons J. B., Miranda J. (1992). Cognitive theories of vulnerability to depression: Reconciling negative evidence. Cognitive Therapy and Research 16: 485–502
Prinstein M. J., Aikins J. W. (2004). Cognitive moderators of the longitudinal association between peer rejection and adolescent depressive symptoms. Journal of Abnormal Child Psychology 32: 147–158
Raudenbush S. W. (2001). Comparing personal trajectories and drawing causal inferences from longitudinal data. Annual Review of Psychology 52: 501–525
Reilly-Harrington N. A., Alloy L. B., Fresco D. M., Whitehouse W. G. (1999). Cognitive styles and life events interact to predict bipolar and unipolar symptomatology. Journal of Abnormal Psychology 108: 567–578
Robinson N. S., Garber J., Hilsman R. (1995). Cognitions and stress—Direct and moderating effects on depressive versus externalizing symptoms during the junior-high-school transition. Journal of Abnormal Psychology 104(3): 453–463
Rutter M. (1987). The role of cognition in child-development and disorder. British Journal Of Medical Psychology 60: 1–16
Scher C. D., Ingram R. E., Segal Z. V. (2005). Cognitive reactivity and vulnerability: Empirical evaluation of construct activation and cognitive diatheses in unipolar depression. Clinical Psychology Review 25(4): 487–510
Schmidt F. L. (1996). Statistical significance testing and cumulative knowledge in psychology: Implications for training of researchers. Psychological Methods 1: 115–129
Schwartz J. A. J., Koenig L. J. (1996). Response styles & negative affect among adolescents. Cognitive Therapy & Research 20: 13–36
Seligman M. E. (1984). Attributional style and depressive symptoms among children. Journal of Abnormal Psychology 93: 235–238
Shirk S. R. (1988). Causal reasoning and children’s comprehension of therapeutic interpretations. In: S. R. Shirk (eds) Cognitive Development and Child Psychotherapy. Plenum Press, New York, NY, US
Southall D., Roberts J. E. (2002). Attributional style and self-esteem in vulnerability to adolescent depressive symptoms following life stress: A 14-week prospective study. Cognitive Therapy & Research 26: 563–579
Spence S. H., Sheffield J., Donovan C. (2002). Problem-solving orientation and attributional style: Moderators of the impact of negative life events on the development of depressive symptoms in adolescence? Journal of Clinical Child & Adolescent Psychology 31: 219–229
Strauss J., Muday T., McNall K., Wong M. (1997). Response Style Theory revisited: Gender differences and stereotypes in rumination and distraction. Sex Roles 36: 771–792
Taylor L., Ingram R. E. (1999). Cognitive reactivity and depressotypic information processing in children of depressed mothers. Journal Of Abnormal Psychology 108(2): 202–210
Thompson M., Kaslow N. J., Weiss B., Nolen-Hoeksema S. (1998). Children’s attributional style questionnaire–revised: Psychometric examination. Psychological Assessment 10: 166–170
Timbremont B., Braet C. (2004). Cognitive vulnerability in remitted depressed children and adolescents. Behaviour Research and Therapy 42(4): 423–437
Trask P. C., Sigmon S. T. (1999). Ruminating and distracting: The effects of sequential tasks on depressed mood. Cognitive Therapy and Research 23: 231–246
Treynor W., Gonzalez R., Nolen-Hoeksema S. (2003). Rumination Reconsidered: A Psychometric Analysis. Cognitive Therapy and Research 27: 247–259
Turner J. E., Cole D. A. (1994). Development differences in cognitive diatheses for child depression. Journal of Abnormal Child Psychology 22: 15–32
Voyer M., Cappeliez P. (2002). Congruency between depressogenic schemas and life events for the prediction of depressive relapse in remitted older patients. Behavioural and Cognitive Psychotherapy 30: 165–178
Wade T. J., Cairney J., Pevalin D. J. (2002). Emergence of gender differences in depression during adolescence: National panel results from three countries. Journal of the American Academy of Child & Adolescent Psychiatry 41: 190–198
Weiner B., Graham S. (1985). An attributional approach to emotional development. In: C. E. Izard, J. Kagan, R. E. Zajonc (eds) Emotions, cognition, and behavior. Cambridge University Press, New York, NY, US, pp. 167–191
Weiss B., Garber J. (2003). Developmental differences in the phenomenology of depression. Development and Psychopathology 15(2): 403–430
Whisman M. A., Pinto A. (1997). Hopelessness depression in depressed inpatient adolescents. Cognitive Therapy and Research 21: 345–358
Wolfe V. V., Finch A. J. Jr., Saylor Conway. F., Blount R. L., Pallmeyer T. P., Carek D. J. (1987). Negative affectivity in children: A multitrait-multimethod investigation. Journal of Consulting and Clinical Psychology 55: 245–250
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This work was supported, in part, by a NSF grant 0554924 to Benjamin L. Hankin, grant #CA80266 from NCI, and a grant from the Tobacco Etiology Research Network, funded by RWJF.
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Lakdawalla, Z., Hankin, B.L. & Mermelstein, R. Cognitive Theories of Depression in Children and Adolescents: A Conceptual and Quantitative Review. Clin Child Fam Psychol Rev 10, 1–24 (2007). https://doi.org/10.1007/s10567-006-0013-1
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DOI: https://doi.org/10.1007/s10567-006-0013-1