Dimensions of Negative Thinking and the Relations with Symptoms of Depression and Anxiety in Children and Adolescents

Aim:Changes in mood and anxiety constantly follow nearly all clinical categories which we encounter in working with adolescents. While recent studies that followed the therapeautic effects of antidepressants on children and adolescents report results which argue against the use of antidepressants on children and adolescents, our experiences show that within the therapeutic process it is often necessary to include medication, keeping in mind their developmental processes as well as the risks and protection i factors in potential psychopathological phenomena. The study is directed towards the confirmation of the therapeutic effects of Tianeptine in the treatment of adolescents.Method:60 adolescents (ages 15 - 23) took Tianeptine in a daily dosage of 37,5mg and were followed for the duration of 3-6 months. Tianeptine monotherapy was applied for 31,8% of adolescents, while we involved 68,2% of adolescents in some form of pscyhotherapeutic work. Clinical monitoring was conducted with the HRDA scale. Psychological testing (MMPI, PIE) was done at the beginning of therapy and after three months.Results:Statistically, a less significant depression and anxiety resulted in both clinical and pyschological tests following the utilisation of Tianeptine in both monotherapeutic as well as combined psychotherapeutic techniques.Conclusions:Our results confirm the therapeutic effects of Tianeptine on symptoms of depression and anxiety in adolescents. We want to point out the efficacy of a rational application of antidepressants for adolescents, especially when the same is utilised as part of a complex medical psychotherapy treatment of adolescents.

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Automatic cognitions and the symptoms of depression and anxiety in children and adolescents: An examination of the content-specificity hypothesis

Cognitive Therapy and Research ◽

10.1007/bf01172963 ◽

1993 ◽

Vol 17 (2) ◽

pp. 153-171 ◽

Cited By ~ 9

Author(s):

Belinda Ambrose ◽

William S. Rholes

Keyword(s):

Children And Adolescents ◽

Depression And Anxiety ◽

Symptoms Of Depression ◽

Content Specificity

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Symptom-level network analysis distinguishes the unique associations of repetitive negative thinking and experiential avoidance on depression and anxiety in a transdiagnostic clinical sample

10.31234/osf.io/z7fps ◽

2019 ◽

Author(s):

Kean J. Hsu ◽

Michael C Mullarkey ◽

Mallory Dobias ◽

Christopher G Beevers ◽

Thröstur Björgvinsson

Keyword(s):

Network Analysis ◽

Experiential Avoidance ◽

Clinical Sample ◽

Depression And Anxiety ◽

Permutation Testing ◽

Repetitive Negative Thinking ◽

Symptoms Of Depression ◽

Negative Thinking ◽

Maintenance Factors ◽

Symptom Level

Repetitive negative thinking and experiential avoidance have been hypothesized to be related, transdiagnostic maintenance factors for depression and anxiety. Work to date has not examined these maintenance factors in a comorbid clinical sample using a symptom-level approach. Adults presenting for treatment to an intensive CBT program (n = 492) completed measures of depression and anxiety symptom severity, repetitive negative thinking, and experiential avoidance. Permutation testing indicates that repetitive negative thinking improved the predictability of excessive worrying and concentration, whereas experiential avoidance improved the predictability of feeling like a failure, difficulties relaxing, and being afraid something bad was going to happen. Applying network analysis helps to more precisely identify which symptoms of depression and anxiety are associated with transdiagnostic maintenance factors, thus providing insight into how these factors may contribute to the maintenance of co-occurring disorders.

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Psychotic Children with Hallucinations

The British Journal of Psychiatry ◽

10.1192/bjp.145.1.74 ◽

1984 ◽

Vol 145 (1) ◽

pp. 74-77 ◽

Cited By ~ 14

Author(s):

M. E. Garralda

Keyword(s):

Retrospective Study ◽

Children And Adolescents ◽

Reading Ability ◽

Late Onset ◽

Auditory Hallucinations ◽

Internal Space ◽

Depression And Anxiety ◽

Cognitive Changes ◽

Symptoms Of Depression

SummaryIn a retrospective study, 20 psychotic children and adolescents with hallucinations were compared with 15 psychotic controls without hallucinations. In the former, auditory hallucinations predominated, which tended to be localised in the internal space of the child. Subjects with hallucinations had significantly more symptoms of depression and anxiety, more precipitants of illness and problems in reading ability. There was a trend for increased laconic speech in them. The findings suggest a link between hallucinations and mood and cognitive changes in children and adolescents with psychoses of late onset.

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Emotion Regulation Difficulties Related to Depression and Anxiety: A Network Approach to Model Relations Among Symptoms, Positive Reappraisal, and Repetitive Negative Thinking

Clinical Psychological Science ◽

10.1177/2167702619859342 ◽

2019 ◽

Vol 7 (6) ◽

pp. 1304-1318 ◽

Cited By ~ 7

Author(s):

Jonas Everaert ◽

Jutta Joormann

Keyword(s):

Depression And Anxiety ◽

Positive Reappraisal ◽

Repetitive Negative Thinking ◽

Cross Sectional ◽

Symptoms Of Depression ◽

Negative Thinking ◽

Correlation Networks ◽

Regulatory Strategies ◽

Increase Risk ◽

Differential Relations

Frequent repetitive negative thinking and infrequent positive reappraisal use are theorized to increase risk for depression and anxiety. Yet, research has studied these regulatory strategies at the disorder level, ignoring the clinical heterogeneity and differential relations among their individual symptoms. In this study, we examined the associations among repetitive negative thinking, positive reappraisal, and individual symptoms of depression and anxiety disorders. Models of regularized partial-correlation networks were estimated using cross-sectional data from 468 participants. Results showed that repetitive negative thinking and positive reappraisal were differentially related to affective, cognitive, and somatic symptoms of depression and anxiety. Moreover, repetitive negative thinking was more central than positive reappraisal with stronger connections to individual symptoms. Finally, repetitive negative thinking was more important than positive reappraisal in connecting clusters of depression and anxiety symptoms. These findings cast light on potential pathways through which repetitive negative thinking and positive reappraisal may operate within depression and anxiety.

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