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Cognitive disengagement syndrome and depressive symptoms in early adolescents

Examining the moderating role of a negative interpretation bias

Bibliographic Data

ID21344486
AuthorsMelissa C Miller (0000-0001-8037-0949, Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center Cincinnati OH USA), O Baron (0000-0003-3499-7702, Cincinnati Children's Hospital Medical Center), Olivia R Baron (Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center Cincinnati OH USA), Jeffery N Epstein (0000-0003-3464-5256, Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center Cincinnati OH USA), Leanne Tamm (0000-0001-6066-1669, Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center Cincinnati OH USA), Alex C Nyquist (0000-0001-6810-7072, Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center Cincinnati OH USA), Stephen P Becker (0000-0001-9046-5183, Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center Cincinnati OH USA, corresponding author)
Year2025
Volume66
Issue9
Pages1366-1375
Publication date2025-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Child Psychology and Psychiatry (JOURNAL)
Journal identifiersISSN: 0021-9630 • E-ISSN: 1469-7610
PublisherWiley (PUBLISHER • GB)
DOI10.1111/jcpp.14156
PMID40084601
OpenAlexW4408457482
LanguageEN
References cited57

BACKGROUND: Despite previous research demonstrating an independent association between cognitive disengagement syndrome (CDS; previously termed sluggish cognitive tempo) and depressive symptoms, studies have yet to examine what factors may moderate this link. A negative interpretation bias (i.e., maladaptive information processing whereby emotionally aversive meaning is perceived in ambiguous situations) is associated with the development and maintenance of depression and may moderate the association between CDS and depression. Using a multi-informant, multi-method design, this study examined whether negative interpretation bias exacerbated the association between CDS and depressive symptoms. METHODS: 336 adolescents (ages 10-12 years; 52.7% female; 61.9% White) and their caregivers completed measures of CDS and depressive symptoms. Adolescents completed the Scrambled Sentences Test, a task-based measure of interpretation bias. Regression analyses were conducted to examine interpretation bias as a potential moderator of the association between CDS and depressive symptoms. RESULTS: For adolescent-reported depressive symptoms, higher caregiver- and adolescent-reported CDS symptoms and interpretation bias scores were each independently associated with higher depressive symptoms (all ps .05). By contrast, significant CDS symptoms × interpretation bias interactions were found in models using both caregiver- and adolescent-reported CDS symptoms in relation to caregiver-reported depressive symptoms (ps = .01 and .003, respectively), such that CDS was more strongly associated with depression at higher levels of interpretation bias. CONCLUSIONS: Negative interpretation bias strengthens the association between CDS symptoms and depressive symptoms when depressive symptoms are rated by caregivers, but not by adolescents. Findings highlight the importance of multiple informants when examining CDS and internalizing symptoms, with a need for longitudinal research to examine CDS and interpretation bias in relation to the progression and maintenance of depression across adolescence

Association (psychology) · Attentional bias · Cognition · Cognitive bias · Depression (economics) · Depressive symptoms · Developmental psychology · Disengagement theory · Interpretation (philosophy) · Moderation · Psychiatry · Psychotherapist · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Attention Deficit Hyperactivity Disorder · Clinical Psychology · Medicine · Memory and Neural Mechanisms · Psychology · Social Psychology

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