Attachment Quality and Psychopathological Symptoms in Clinically Referred Adolescents: The Mediating Role of Early Maladaptive Schema

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Abstract

This study investigated relationships between attachment insecurity, maladaptive cognitive schemas, and various types of psychopathological symptoms in a sample of clinically referred adolescents ( N = 82). A mediation model was tested in which maladaptive schemas operated as mediators in the relations between indices of attachment quality and conduct, peer, and emotional problems. Results revealed partial support for the hypothesized mediation effect: the schema domain of disconnection/rejection acted as a mediator in the links between insecure attachment and peer problems and emotional problems. Further analysis of these effects revealed that different types of maladaptive schemas were involved in both types of psychopathology. Altogether, findings suggest that treatment of adolescent psychological problems may need to target the improvement of attachment relationships with peers and parents and the correction of underlying cognitive schemas.

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Most cited references 19

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The extended version of the Strengths and Difficulties Questionnaire as a guide to child psychiatric caseness and consequent burden.

R. Goodman (1999)

The Strengths and Difficulties Questionnaire (SDQ) is a brief behavioural screening questionnaire that asks about children's and teenagers' symptoms and positive attributes; the extended version also includes an impact supplement that asks if the respondent thinks the young person has a problem, and if so, enquires further about chronicity, distress, social impairment, and burden for others. Closely similar versions are completed by parents, teachers, and young people aged 11 or more. The validation study involved two groups of 5-15-year-olds: a community sample (N = 467) and a psychiatric clinic sample (N = 232). The two groups had markedly different distributions on the measures of perceived difficulties, impact (distress plus social impairment), and burden. Impact scores were better than symptom scores at discriminating between the community and clinic samples; discrimination based on the single "Is there a problem?" item was almost as good. The SDQ burden rating correlated well (r = .74) with a standardised interview rating of burden. For clinicians and researchers with an interest in psychiatric caseness and the determinants of service use, the impact supplement of the extended SDQ appears to provide useful additional information without taking up much more of respondents' time.

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The Strengths and Difficulties Questionnaire (SDQ)--further evidence for its reliability and validity in a community sample of Dutch children and adolescents.

Peter Muris, Cor Meesters, Frank van den Berg (2003)

This study was a first attempt to examine the psychometric properties of the Strengths and Difficulties Questionnaire (SDQ) in Dutch youths. A large sample of normal children and adolescents ( N = 562) and their parents completed the SDQ along with a number of other psychopathology measures. Factor analysis of the SDQ yielded five factors that were in keeping with the hypothesised subscales of hyperactivity-inattention, emotional symptoms, peer problems, conduct problems, and prosocial behaviour. Furthermore, internal consistency, test-retest stability, and parent-youth agreement of the various SDQ scales were acceptable. Finally, the concurrent validity of the SDQ was good: that is, its scores correlated in a theoretically meaningful way with other measures of psychopathology. It can be concluded that the psychometric properties of the parent- and self-report version of the SDQ were satisfactory in this Dutch community sample. Moreover, the current data provide further support for the utility of the SDQ as an index of psychopathological symptoms in youths.

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Dutch version of the Strengths and Difficulties Questionnaire (SDQ).

Brigit van Widenfelt, Arnold Goedhart, Philip D. A. Treffers … (2003)

A Dutch translation of the Strengths and Difficulties Questionnaire (SDQ) was made. In the first wave of data collection, self-report data of 11- to 16-yearolds (N = 970) were collected on the SDQ and other measures of psychopathology. In the second wave of data collection, extended versions of the SDQ were completed by 11- to 16-year-olds (N = 268), by parents of 8- to 16-year-olds (N = 300) and by teachers of 8- to 12-year-olds (N = 208); in addition, the Child Behaviour Checklist (CBCL) was completed by the parents and the Youth Self Report (YSR) by the 11- to 16-year-olds. The results reveal that the internal consistency of the teacher SDQ is good; and the parent and self-report SDQ are generally acceptable and comparable with the internal consistencies of CBCL/YSR. The mean inter-informant product-moment correlations of the SDQ scales were satisfactory (parent-teacher 0.38; teacher-self-report 0.27; parent-self-report 0.35) and comparable with the mean inter-informant correlations of the CBCL and YSR (0.34). The inter-informant rank correlations of the impact questions were also satisfactory (mean parent-teacher 0.48; mean parent-self-report 0.24). Concurrent validity with the other measures of psychopathology used in the present study was good.

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Author and article information

Contributors

: peter.muris@maastrichtuniversity.nl

Journal

Journal ID (nlm-ta): J Child Fam Stud

Journal ID (iso-abbrev): J Child Fam Stud

Title: Journal of Child and Family Studies

Publisher: Springer US (Boston )

ISSN (Print): 1062-1024

ISSN (Electronic): 1573-2843

Publication date (Electronic): 4 May 2012

Publication date PMC-release: 4 May 2012

Publication date (Print): April 2013

Volume: 22

Issue: 3

Pages: 377-385

Affiliations

RIAGG Maastricht, Child and Youth Care and Clinical Psychology Science, Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands

Article

Publisher ID: 9589

DOI: 10.1007/s10826-012-9589-x

PMC ID: 3602614

PubMed ID: 23524954

SO-VID: ed3a0b5d-3610-4081-afdd-3c5d7033035a

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ScienceOpen disciplines: Family & Child studies

Keywords: attachment insecurity,early maladaptive schemas,psychopathological symptoms,clinically referred adolescents

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ScienceOpen disciplines: Family & Child studies

Keywords: attachment insecurity, early maladaptive schemas, psychopathological symptoms, clinically referred adolescents

Attachment Quality and Psychopathological Symptoms in Clinically Referred Adolescents: The Mediating Role of Early Maladaptive Schema

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SDG 4: Quality Education

Most cited references 19

The extended version of the Strengths and Difficulties Questionnaire as a guide to child psychiatric caseness and consequent burden.

The Strengths and Difficulties Questionnaire (SDQ)--further evidence for its reliability and validity in a community sample of Dutch children and adolescents.

Dutch version of the Strengths and Difficulties Questionnaire (SDQ).

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