COGNITIVE DISTORTIONS AND PSYCHIATRIC-DIAGNOSIS IN DUALLY DIAGNOSED ADOLESCENTS

Objective: The purpose of this study was to examine the characteristic s and patterns of cognitive distortions among psychiatrically hospital ized adolescents. Method: Measures of cognitive distortions, depressio n, and hopelessness were administered to 135 adolescents on two psychi atric inpatient units. Subjects were grouped according to their Axis I diagnoses: depression only, conduct disorder only, depression and sub stance abuse, conduct disorder and substance abuse, all three diagnose s, and none of the three diagnoses. Results: Multivariate analyses of covariance indicated that differently diagnosed adolescents exhibited varying levels of cognitive distorting as measured by the Children's N egative Cognitive Errors Questionnaire (CNCEQ). In particular, adolesc ents with multiple Axis I diagnoses tended to score highest. On all bu t one of four CNCEQ subscales, the depression only group evidenced as much cognitive distortion as did the group with multiple diagnoses. Ho wever, each diagnostic grouping demonstrated its own somewhat distinct distortions based on CNCEQ subscales. Conclusions: Findings are discu ssed in terms of the utility of differentiating cognitive styles for s ubsequent treatment. It is suggested that disparate cognitive interven tions could be matched with adolescents displaying particular problems .