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Self-referent speech and psychopathology: The balance of positive and negative thinking

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Abstract

Psychometrically defined analogue populations and inpatient psychiatric samples were used to examine (a) the hypothesis that positive and negative self-statements and the balance between positive and negative self-talk are differentially associated with psychopathology, and (b) the merits of a revised ATQ. Two studies involved completion of an extended self-statement inventory that included the Automatic Thoughts Questionnaire (ATQ) and some positive and neutral items. Subjects indicated the frequency of particular cognitions and rated each for degree of positive or negative valence. Study 1 used psychometrically defined groups—dysphoric, overly optimistic, and normal. Positive items that discriminated groups were tested in a cross-validation sample. Study 2 incorporated a Depressed inpatient group and an Other Psychiatric Disorder inpatient comparison group. Regression analysis showed that the addition of 10 positive items to the 30-item ATQ significantly increased the amount of variance accounted for, using diagnostic group as the criterion. Dysphoric/depressed groups endorsed significantly more negative self-talk and evidenced a significantly less-frequent occurrence of positive self-talk than normals or overly optimistic subjects (Study 1) or than the inpatient psychiatric group with other diagnoses (Study 2). Valence did not account for additional variance. The obtained proportions of positive and negative self-referent speech supported the notion that a psychologically healthy internal dialogue is a 1.6:1.0 (.62 to .38) ratio of positive and negative thinking. Discussion includes consideration of the role of negative and positive self-statements in depression, the notion of optimally balanced self-talk, and the recommendation to use the ATQ-R for future research.

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References

  • Arnkoff, D. B., & Glass, C. R. (1982). Clinical cognitive constructs: Examination, evaluation, and elaboration. In P. C. Kendall (Ed.),Advances in cognitive-behavior research and therapy (Vol. 1, pp. 1–34). New York: Academic Press.

    Google Scholar 

  • Beck, A. T. (1963). Thinking and depression: I. Idiosyncratic content and cognitive distortions.Archives of General Psychiatry, 9 324–333.

    Google Scholar 

  • Beck, A. T. (1976).Cognitive therapy and the emotional disorders. New York: International Universities Press.

    Google Scholar 

  • Beck, A. T., Brown, G., Steer, R. A., Eidelson, J. I., & Riskind, J. H. (1987). Differentiating anxiety and depression: A test of the cognitive content-specificity hypothesis.Journal of Abnormal Psychology, 96 179–183.

    Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, B. (1979).Cognitive therapy of depression. New York: Guilford Press.

    Google Scholar 

  • Beck, A. T., Ward, C. H., Mendelson, M., & Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression.Archives of General Psychiatry, 4 561–571.

    Google Scholar 

  • Breslow, R., Kocsis, J., & Belkin, B. (1981). Contribution of the depressive perspective to memory function in depression.American Journal of Psychiatry, 138 227–229.

    Google Scholar 

  • Clark, D. A., & Beck, A. T. (1989). Cognitive theory and therapy of anxiety and depression. In P. C. Kendall & D. Watson (Eds.),Anxiety and depression: Distinctive and overlapping features. New York: Academic Press.

    Google Scholar 

  • Depue, R. A., Slater, J. F., Wofstetter-Kausch, H., Klein, D., Goplerud, E., & Farr, D. (1981). A behavioral paradigm for identifying persons at risk for bipolar depressive disorder: A conceptual framework and five validation studies.Journal of Abnormal Psychology, 90 381–437.

    Google Scholar 

  • Dobson, K. S., & Breiter, H. J. (1983). Cognitive assessment of depression: Reliability and validity of three measures.Journal of Abnormal Psychology, 92 107–109.

    Google Scholar 

  • Dobson, K. S., & Shaw, B. F. (1986). Cognitive assessment with major depressive disorders.Cognitive Therapy and Research, 10 13–29.

    Google Scholar 

  • Eaves, G., & Rush, A. J. (1984). Cognitive patterns in symptomatic and remitted unipolar major depression.Journal of Abnormal Psychology, 33 31–40.

    Google Scholar 

  • Harrell, T. H., & Ryon, N. B. (1983). Cognitive-behavioral assessment of depression: Clinical validation of Automatic Thoughts Questionnaire.Journal of Consulting and Clinical psychology, 51 721–725.

    Google Scholar 

  • Hathaway, S. R., & McKinley, J. C. (1940). The measurement of symptomatic depression with the Minnesota Multiphasic Personality Schedule.Psychological Bulletin, 27 425.

    Google Scholar 

  • Hollon, S. D., & Beck, A. T. (1979). Cognitive therapy of depression. In P. C. Kendall & S. D. Hollon (Eds.),Cognitive-behavioral intervention: Theory, research and procedures. New York: Academic Press.

    Google Scholar 

  • Hollon, S. D., & Kendall, P. C. (1980). Cognitive self-statements in depression: Development of an automatic thoughts questionnaire.Cognitive Therapy and Research, 4 383–395.

    Google Scholar 

  • Hollon, S. D., Kendall, P. C., & Lumry, A. (1986). The specificity of depressotypic cognitions in clinical depression.Journal of Abnormal Psychology, 95 52–59.

    Google Scholar 

  • Ingram, R. E., & Wisnicki, K. S. (1988). Assessment of positive automatic cognition.Journal of Consulting and Clinical Psychology, 56 898–902.

    Google Scholar 

  • Kendall, P. C. (1981). Assessment and cognitive-behavioral intervention: Purposes, proposals, and problems. In P. C. Kendall & S. D. Mollon (Eds.),Assessment strategies for cognitive-behavioral intervention. New York: Academic Press.

    Google Scholar 

  • Kendall, P. C. (1982). Cognitive processes and procedures in behavior therapy. In C. M. Franks, G. T. Wilson, P. C. Kendall, & K. D. Brownell,Annual review of behavior therapy (Vol. 8, pp. 120–155). New York: Guilford Press.

    Google Scholar 

  • Kendall, P. C. (1983). Methodology and cognitive-behavioral assessment.Behavioural Psychotherapy, 11 285–301.

    Google Scholar 

  • Kendall, P. C. (1984). Cognitive processes and procedures in behavior therapy. In G. T. Wilson, C. M. Franks, K. D. Brownell, P. C. Kendall,Annual review of behavior therapy (Vol. 9, pp. 132–179). New York: Guilford Press.

    Google Scholar 

  • Kendall, P. C., & Hollon, S. D. (1981). Assessing self-referent speech: Methods in the measurement of self-statements. In P. C. Kendall & S. D. Hollon (Eds.),Assessment strategies for cognitive-behavioral interventions. New York: Academic Press.

    Google Scholar 

  • Kendall, P. C., & Watson, D. (Eds.), (1989).Anxiety and depression: Distinctive and overlapping fixtures. New York: Academic Press.

    Google Scholar 

  • Kuiper, N. A., & Derry, P. A. (1982). Depressed and nondepressed content self reference in mild depressives.Journal of Personality, 50 67–80.

    Google Scholar 

  • Meichenbaum, D. (1977).Cognitive behavior modification. New York: Plenum.

    Google Scholar 

  • Missel, P., & Sommer, B. (1983). Depression and self-verbalization.Cognitive Therapy and Research, 7 141–148.

    Google Scholar 

  • Ross, S. M., Gottfredson, D. K., Christensen, P., & Weaver, R. (1986). Cognitive self-statements in depression: Findings across clinical populations.Cognitive Therapy and Research, 10 159–166.

    Google Scholar 

  • Schwartz, R. M. (1986). The internal dialogue: On the symmetry between positive and negative coping thoughts.Cognitive Therapy and Research, 10 591–605.

    Google Scholar 

  • Schwartz, R. M., & Garamoni, G. L. (1986). A structural model of positive and negative states in mind: Asymmetry in the internal dialogue. In P. C. Kendall (Ed.),Advances in cognitive-behavioral research and therapy (Vol. 5, pp. 1–62. Orlando, FL; Academic Press.

    Google Scholar 

  • Simons, A. A., Garfield, S. L., & Murphy, G. E. (1984). The presence of change in cognitive therapy and pharmacotherapy of depression: Changes in mood and cognition.Archives of General Psychiatry, 41 45–51.

    Google Scholar 

  • Watson, D., & Clark, L. A. (1984). Negative affectivity: The disposition to experience aversive emotional states.Psychological Bulletin, 96 465–490.

    Google Scholar 

  • Watson, D., & Tellegen, A. (1985). Toward a consensual structure of mood.Psychological Bulletin, 98 219–235.

    Google Scholar 

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Kendall, P.C., Howard, B.L. & Hays, R.C. Self-referent speech and psychopathology: The balance of positive and negative thinking. Cogn Ther Res 13, 583–598 (1989). https://doi.org/10.1007/BF01176069

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