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Can cognitive distortions differentiate between internalising and externalising problems?

P W Leung1, M M Wong

  • 1Department of Psychology, Chinese University of Hong Kong, Shatin, New Territories.

Journal of Child Psychology and Psychiatry, and Allied Disciplines
|July 21, 1998
PubMed
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Internalizing problems in adolescents are linked to cognitive distortions like catastrophizing. As problems worsen, these negative thought patterns increase in a U-shaped pattern, though measurement bias is noted.

Area of Science:

  • Psychology
  • Adolescent Mental Health
  • Cognitive Behavioral Science

Background:

  • Internalizing problems are common in adolescents.
  • Cognitive distortions are implicated in various mental health conditions.
  • Understanding the link between cognitive errors and internalizing symptoms is crucial for effective interventions.

Purpose of the Study:

  • To investigate the specific association between cognitive distortions and internalizing problems in a community sample of adolescents.
  • To explore the nature of this relationship, including potential curvilinear effects.
  • To differentiate cognitive distortions related to internalizing versus externalizing problems.

Main Methods:

  • A community sample of 405 adolescents completed the Youth Self-Report Form (YSR) and the Children's Negative Cognitive Errors Questionnaire (CNCEQ).

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  • Regression analyses and group comparison analyses were employed.
  • Both full sample and extreme scorer subsets were analyzed.

    • Main Results:

    • Internalizing problems were specifically associated with cognitive distortions such as selective abstraction, personalizing, overgeneralization, and catastrophizing.
    • A curvilinear, U-shaped relationship was observed: increased severity of internalizing problems correlated with a quadratic increase in cognitive distortions.
    • Some event/schema-linked cognitive distortions differentiated internalizing from externalizing problems.

    Conclusions:

    • Cognitive distortions are specifically linked to internalizing problems in adolescents.
    • The relationship between internalizing problems and cognitive distortions is curvilinear.
    • While some distortions distinguish internalizing from externalizing problems, potential measurement bias of the CNCEQ requires cautious interpretation regarding externalizing problems.