Negative Spontaneous Thoughts and Depression in Adolescents with Suicidal Ideation: Mediating Role of Cognitive Distortion and Cognitive Flexibility
Authors
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Hamaseh Naderi
Department of Psychology, Islamic Azad University, Tafresh Branch, Tafresh, Iran
https://orcid.org/0009-0003-8080-6820
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Shima Alizadeh
Department of Psychology, PayameNoor university, shiraz, Iran
https://orcid.org/0009-0000-1446-0575
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Zeynab Alipour
Department of Psychology, The University of Quran and Hadith, Qom, Iran.
https://orcid.org/0009-0009-9357-2246
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Somayeh Mahdizadeh Azdin
Departement of Psychology, Faculty of Social Sciences, Imam Khomeini International University, Qazvin, Iran
https://orcid.org/0009-0001-3213-9707
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Maryam Khalilnezhad
Department of Psychology, Islamic Azad University, South Tehran branch, Tehran, Iran.
https://orcid.org/0009-0005-6340-4074
DOI:
https://doi.org/10.22100/ijhs.v9i4.1075Keywords:
Negative Spontaneous Thoughts, Depression, Adolescents, Suicidal Ideation, Cognitive Distortion, Cognitive FlexibilityAbstract
Background: This study aims to examine how cognitive distortion and cognitive flexibility contribute to the connection between negative spontaneous thoughts and depression among adolescents with thoughts of suicide.
Methods: This study constitutes a descriptive-correlational and cross-sectional research design, utilizing Structural Equation Modeling (SEM) as the analytical approach. The target population for this research consists of all adolescents residing in Tehran from September to November 2023 who have previously attempted suicide. For this study, a sample of 214 adolescents with a history of suicide attempts was purposefully selected. The research instruments used in this study consisted of the BDI-II for measuring depression, the ICDS for assessing interpersonal cognitive distortions, the ATQ-30 for evaluating negative spontaneous thoughts, and the CFI questionnaire developed by Dennis and Vander Waal to measure cognitive flexibility. The research data was analyzed using the SPSS version 27 and SmartPLS version 4 software. The bootstrap method with a volume of 5000 was employed to examine the indirect relationships. In the same way, the significance of the mediator variable was examined using Sobel's test.
Results: According to the findings, the helplessness component had a noticeable and adverse impact on the cognitive flexibility factor (β=-0.619, P<0.001). In addition, the cognitive flexibility variable was negatively and significantly influenced by the Individual incompatibility component (β=-0.225, P<0.001). Similarly, this particular component exhibited a significant effect on depression as well (β=0.159, p <0.001).
Conclusion: The findings of the current research demonstrated the impact of cognitive flexibility and cognitive distortion on mitigating individual incompatibility, negative self-concept expectations, and depression among adolescents with suicidal ideation.
References
References
Duarte TA, Paulino S, Almeida C, Gomes HS, Santos N, Gouveia-Pereira M. Self-harm as a predisposition for suicide attempts: A study of adolescents' deliberate self-harm, suicidal ideation, and suicide attempts. Psychiatry research. 2020 May 1;287:112553. doi:10.1016/j.psychres.2019.112553
Lee J, Bang YS, Min S, Ahn JS, Kim H, Cha YS, Park IS, Kim MH. Characteristics of adolescents who visit the emergency department following suicide attempts: comparison study between adolescents and adults. BMC psychiatry. 2019 Dec;19:1-9. doi:10.1186/s12888-019-2213-5
Fresán A, Dionisio-García DM, González-Castro TB, Ramos-Méndez MÁ, Castillo-Avila RG, Tovilla-Zárate CA, Juárez-Rojop IE, López-Narváez ML, Genis-Mendoza AD, Nicolini H. Cannabis smoking increases the risk of suicide ideation and suicide attempt in young individuals of 11-21 years: A systematic review and meta-analysis. Journal of psychiatric research. 2022 Sep 1;153:90-8. doi:10.1016/j.jpsychires.2022.06.053
Kumar PJ, Perveen A. Effectiveness of emotional competency module train-ing on adolescents emotional intelligence and auto-matic negative thoughts. Psychology and education. 2020;57(9):3048-57. doi:10.6007/IJARBSS/v9-i7/6092
Sudhan HM, Kumar SS. Automatic Negative Thoughts using Multimodal Approach with Deep Neural Network. In2021 IEEE 3rd PhD Colloquium on Ethically Driven Innovation and Technology for Society (PhD EDITS) 2021 Nov 13 (pp. 1-2). IEEE.
Wang J, Song B, Feng X, Shen H, Liu R. Presleep focusing on positive spontaneous thoughts enhanced the possibility of dreaming of them. Frontiers in psychology. 2022 Dec 14;13:1042857. doi:10.3389/fpsyg.2022.1042857
Choon MW, Abu Talib M, Yaacob SN, Awang H, Tan JP, Hassan S, Ismail Z. Negative automatic thoughts as a mediator of the relationship between depression and suicidal behaviour in an at‐risk sample of Malaysian adolescents. Child and Adolescent Mental Health. 2015 May;20(2):89-93. doi:10.1111/camh.12075
Zeng Z, Peng L, Liu S, Yang Q, Wang H, He Z, Hu Y. Serotonergic multilocus genetic variation moderates the association between interpersonal relationship and adolescent depressive symptoms. Journal of Affective Disorders. 2023 Nov 1;340:616-25. doi:10.1016/j.jad.2023.08.085
Chen R, Peng K, Liu J, Wilson A, Wang Y, Wilkinon MR, Wen S, Cao X, Lu J. Interpersonal trauma and risk of depression among adolescents: The mediating and moderating effect of interpersonal relationship and physical exercise. Frontiers in Psychiatry. 2020 Apr 15;11:194. doi:10.3389/fpsyt.2020.00194
Fernandez-Rodrigues V, Sanchez-Carro Y, Lagunas LN, Rico-Uribe LA, Pemau A, Diaz-Carracedo P, Diaz-Marsa M, Hervas G, de la Torre-Luque A. Risk factors for suicidal behaviour in late-life depression: a systematic review. World journal of psychiatry. 2022 Jan 1;12(1):187. doi:10.5498/wjp.v12.i1.187
Zhang J, Wu Q, Slesnick N. Childhood sexual abuse moderates the mediating pathways connecting cognitive distortions and suicidal ideation among homeless youth. American journal of orthopsychiatry. 2021;91(5):682. doi:10.1037/ort0000569
Krébesz R, Ötvös DK, Fekete Z. Non-problem gamblers show the same cognitive distortions while playing slot machines as problem gamblers, with no loss of control and reduced reality control, though-An experimental study on gambling. Frontiers in Psychology. 2023 May 22;14:1175621. doi:10.3389/fpsyg.2023.1175621
Persons JB, Marker CD, Bailey EN. Changes in affective and cognitive distortion symptoms of depression are reciprocally related during cognitive behavior therapy. Behaviour Research and Therapy. 2023 May 29:104338. doi:10.1016/j.brat.2023.104338
Kumar P, Kumar P, Mishra S. Socio-demographic variables and suicidal ideation, cognitive distortions, impulsivity and depression in young adults, Patna (Bihar) India. The International Journal of Indian Psychology. 2021;9(1):2349-3429.
Itzhaky L, Chubarov E, Keilp JG, Shbiro L, Levy T, Zalsman G. Cognitive flexibility in inpatient children and adolescents with a history of suicide attempts. Psychiatry research. 2023 Mar 1;321:115067. doi:10.1016/j.psychres.2023.115067
Torrado Pacheco A, Olson RJ, Garza G, Moghaddam B. Acute psilocybin enhances cognitive flexibility in rats. Neuropsychopharmacology. 2023 Feb 20:1-0. doi:10.1101/2023.01.09.523291
Park Y, Ammerman BA. For Better or Worse?: The role of cognitive flexibility in the association between nonsuicidal self-injury and suicide attempt. Journal of psychiatric research. 2023 Feb 1;158:157-64. doi:10.1016/j.jpsychires.2022.12.040
Rajabpour M, Mirmohammadkhani M, Paknazar F. Depression and Suicidal Ideation among Patients Receiving Opioid Maintenance Treatments Considering Cognitive Flexibility. Iranian Journal of Psychiatry. 2023 Jun 20;18(3):285-93. doi:10.18502/ijps.v18i3.13005
Tabachnick BG, Fidell LS, Ullman JB. Using multivariate statistics. Boston, MA: pearson; 2013 Jul.
Beck AT, Steer RA, Brown G. Beck depression inventory-II. Psychological assessment. 1996 Jan 1. doi:10.1037/t00742-000
Hamidi R, Fekrizadeh Z, Azadbakht M, Garmaroudi G, Taheri Tanjani P, Fathizadeh S, Ghisvandi E. Validity and reliability Beck Depression Inventory-II among the Iranian elderly population. Journal of Sabzevar University of Medical Sciences. 2015 Apr 25;22(1):189-98.
Hamamci Z, Büyüköztürk Ş. The interpersonal cognitive distortions scale: development and psychometric characteristics. Psychological Reports. 2004 Aug;95(1):291-303. doi:10.2466/pr0.95.1.291-303
EsmaeelPoor K. Bakhshi Poor Rodsari A, Mohammadzadegan R. Determining the factor structure, validity and reliability of interpersonal cognitive distortions scale among students of Tabriz University. Biquarterly Journal of Cognitive Strategies in Learning. 2015;2(3):54-72.
Hollon SD, Kendall PC. Cognitive self-statements in depression: Development of an automatic thoughts questionnaire. Cognitive therapy and research. 1980 Dec;4:383-95. doi:10.1007/BF01178214
MahmoudiTabar M, Alimohammadi A, Borujen K, Pirzadeh F, AhmadiPour F, Jafari M, Salehi F. The spiritual effectiveness of mindfulness-based stress therapy on spontaneous negative thoughts and irritability in people with social anxiety. Islamic Life Journal. 2022 Oct 10;6(3):0-.
Dennis JP, Vander Wal JS. The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cognitive therapy and research. 2010 Jun;34:241-53. doi:10.1007/s10608-009-9276-4
Gorbani F. Relationship between depression and cognitive flexibility with addictive behaviors with the mediating role of shame and guilt. Scientific Quarterly Research on Addiction. 2020 May 10;14(55):279-97. doi:10.29252/etiadpajohi.14.55.279
Trindade IA, Mendes AL, Ferreira NB. The moderating effect of psychological flexibility on the link between learned helplessness and depression symptomatology: A preliminary study. Journal of Contextual Behavioral Science. 2020 Jan 1;15:68-72. doi:10.1016/j.jcbs.2019.12.001
Momenpour S, Saffarinia M, Bazzazian S, Vatankhah H. The role of negative spontaneous thoughts and dysfunctional attitudes in psychological well-being mediated by perceived stress in women with breast cancer. Iranian Journal of Nursing Research. 2022 Apr 10;17(1):19-30.
Peng B, Hu N, Yu H, Xiao H, Luo J. Parenting style and adolescent mental health: The chain mediating effects of self-esteem and psychological inflexibility. Frontiers in psychology. 2021 Oct 13;12:738170. doi:10.3389/fpsyg.2021.738170
Will GJ, Moutoussis M, Womack PM, Bullmore ET, Goodyer IM, Fonagy P, Jones PB, NSPN Consortium, Rutledge RB, Dolan RJ. Neurocomputational mechanisms underpinning aberrant social learning in young adults with low self-esteem. Translational Psychiatry. 2020 Mar 17;10(1):96. doi:10.1038/s41398-020-0702-4
Zhou J, Li X, Tian L, Huebner ES. Longitudinal association between low self‐esteem and depression in early adolescents: The role of rejection sensitivity and loneliness. Psychology and Psychotherapy: Theory, Research and Practice. 2020 Mar;93(1):54-71. doi:10.1111/papt.12207
Kube T, Schwarting R, Rozenkrantz L, Glombiewski JA, Rief W. Distorted cognitive processes in major depression: A predictive processing perspective. Biological psychiatry. 2020 Mar 1;87(5):388-98. doi:10.1016/j.biopsych.2019.07.017
Yanhong L, Zhenrong S, Yiping Z. Self-esteem and interpersonal difficulties of college students: Influences of self-control and self-concept. Journal of Psychology in Africa. 2021 Nov 2;31(6):615-21. doi:10.1080/14330237.2021.2001950
Henss L, Pinquart M. Expectations do not need to be accurate to be maintained: Valence and need for cognitive closure predict expectation update vs. persistence. Frontiers in Psychology. 2023 Feb 10;14:1127328. doi:10.3389/fpsyg.2023.1127328
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