Evidence map›Paper›PMID 31931769›Full record

ArticleBMC psychiatry2020

Associations of negative cognitions, emotional regulation, and depression symptoms across four continents: International support for the cognitive model of depression.

Saghar Chahar Mahali, Shadi Beshai, Justin R Feeney, Sandeep Mishra

Abstract read
In one paragraph

Article in BMC psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Trial
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  6. Observational
  7. Article
  8. How mood shapes belief updating bias in depression.Cognitive, affective & behavioral neuroscience · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Saghar Chahar MahaliDepartment of Psychology, University of Regina, 3737 Wascana Parkway, Regina, Saskatchewan, S4S0A2, Canada.
Shadi BeshaiDepartment of Psychology, University of Regina, 3737 Wascana Parkway, Regina, Saskatchewan, S4S0A2, Canada. Shadi.Beshai@uregina.ca.ORCID 0000-0001-7119-0129
Justin R FeeneyFaculty of Business Administration, University of Regina, Regina, Canada.
Sandeep MishraDepartment of Management, Lang School of Business and Economics, University of Guelph, 50 Stone Road East, Guelph, Ontario, N1G 2W1, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCognitive-behavioral therapy (CBT) is one of the most widely tested and empirically supported psychological treatments for depression. Beck and other scholars established the theoretical foundations of CBT among North American populations, yet surprisingly few studies have examined central hypotheses of the cognitive model of depression among people living in non-Western regions.

methodsIn the present study, we used the alignment method to minimize measurement bias to examine several central hypotheses of the cognitive model among adults living on four continents (n = 752): North America (n = 103; female = 29.1%), Europe (n = 404; female = 36.4%), South America (n = 108; female = 18.5%), and Asia (n = 136; female = 19.9%).

resultsDepressive symptoms were positively and strongly correlated with negative automatic thoughts about self (ATQ-N), and moderately associated with dysfunctional attitudes (DAS) among people living on the four continents. Further, use of emotional suppression strategies to regulate emotion (ERQ-Suppression) was moderately and positively associated with depressive symptoms among people on all four continents, while use of cognitive-reappraisal (ERQ-Reappraisal) was not systematically associated with depressive symptoms.

conclusionsResults of this study offer preliminary cross-continental support for foundational hypotheses of the cognitive model of depression. Negative thoughts appear to be associated with depression in all regions of the world, cementing this construct as a hallmark feature of the disorder.

Indexed as

DepressionEmotional RegulationAdultAsiaCognitionEuropeFemaleHumansAlignment methodCognitive reappraisalCultureDepressionDysfunctional attitudesEmotion regulationNegative automatic thoughtsSuppression

Identifiers

PMID31931769
PMCPMC6958702

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.