ArticleFrontiers in psychology2026
Affective language and transdiagnostic symptom burden in clinically referred adolescents: a multicenter Turkish sentence-completion study.
Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Self-report scales dominate adolescent mental-health assessment but depend on symptom recognition and disclosure. Participant-generated language offers a complementary window on affective processes, yet most evidence comes from adult, English-language, community, or social-media data, leaving clinically referred adolescents and structurally different languages such as Turkish understudied. Sentence-completion tasks are clinically familiar but interpreted qualitatively, yielding no quantitative index. In this multicenter cross-sectional study, 445 clinically referred adolescents (aged 10-18 years; 55.1% girls) from three Turkish child and adolescent psychiatry outpatient clinics completed a 24-item sentence-completion task, the Children's Depression Inventory (CDI), and the Strengths and Difficulties Questionnaire (SDQ). Completions were analyzed with a Turkish Linguistic Inquiry and Word Count (LIWC) dictionary at whole-response and thematic levels. Because anger and sadness words are nested within the broader negative-emotion category, negative-emotion language was separated into anger, sadness, and other negative emotion, so that each coefficient referred lexical items. Partial correlations and hierarchical regressions related these components, positive-emotion language, and first-person singular reference to symptom severity, controlling for age, sex, word count, and study site, with false-discovery-rate correction. Negative-emotion language was positively associated with depressive symptoms, total difficulties, emotional symptoms, and conduct problems (
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