{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T06:02:16Z","timestamp":1789970536181,"version":"4.0.1"},"reference-count":60,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:p>\n                    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\u201318 years; 55.1% girls) from three Turkish child and adolescent psychiatry outpatient clinics completed a 24-item sentence-completion task, the Children\u2019s 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 (\n                    <jats:italic>r<\/jats:italic>\n                    = 0.25 to 0.35), whereas positive-emotion language showed inverse associations. After decomposition, the affective-language block explained 8.1\u201313.3% of incremental variance, and anger and sadness each contributed beyond general negative tone. The anger coefficient exceeded the sadness coefficient in the conduct-problems model but not in the depressive or emotional-symptoms models. First-person singular reference, which included Turkish verbal morphology and tracked referential context, was unrelated to symptom severity, and no cognitive-process, third-person, or social-content category yielded a detectable association in exploratory screening. The negative-emotion\u2013depression association was of comparable magnitude at all three sites, and the findings persisted after diagnostic adjustment and without the minimum word-count criterion. Affective language in brief Turkish sentence-completion responses therefore tracked dimensional symptom burden, while the absence of a first-person effect under a morphology-informed operationalization underscores the need for cross-linguistically valid measures of self-reference. Automated analysis offers a way of rendering a clinically familiar task quantifiable, as a complementary research measure rather than a standalone diagnostic tool.\n                  <\/jats:p>","DOI":"10.3389\/fpsyg.2026.1958650","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T05:36:33Z","timestamp":1789968993000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Affective language and transdiagnostic symptom burden in clinically referred adolescents: a multicenter Turkish sentence-completion study"],"prefix":"10.3389","volume":"17","author":[{"given":"Zeynep Seda","family":"Albayrak","sequence":"first","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Ko\u00e7 University Faculty of Medicine","place":["Istanbul, T\u00fcrkiye"]},{"name":"Ko\u00e7 University Research Center for Translational Medicine (KUTTAM)","place":["Istanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Herdem","family":"Aslan Gen\u00e7","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Ko\u00e7 University Faculty of Medicine","place":["Istanbul, T\u00fcrkiye"]},{"name":"Ko\u00e7 University Research Center for Translational Medicine (KUTTAM)","place":["Istanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ezgi Eymen","family":"Ekici","sequence":"additional","affiliation":[{"name":"Clinic of Child and Adolescent Psychiatry, \u015ei\u015fli Hamidiye Etfal Training and Research Hospital","place":["Istanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tunahan Tayyip","family":"G\u00f6rg\u00fcl\u00fc","sequence":"additional","affiliation":[{"name":"Clinic of Child and Adolescent Psychiatry, \u015ei\u015fli Hamidiye Etfal Training and Research Hospital","place":["Istanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dilara","family":"Demirpen\u00e7e Se\u00e7inti","sequence":"additional","affiliation":[{"name":"Clinic of Child and Adolescent Psychiatry, \u015ei\u015fli Hamidiye Etfal Training and Research Hospital","place":["Istanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00fcl\u00e7in","family":"Kahraman","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Faculty of Medicine, Bursa Uluda\u011f University","place":["Bursa, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u015eafak","family":"Eray \u00c7aml\u0131","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Faculty of Medicine, Bursa Uluda\u011f University","place":["Bursa, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hale","family":"Yap\u0131c\u0131 Eser","sequence":"additional","affiliation":[{"name":"Ko\u00e7 University Research Center for Translational Medicine (KUTTAM)","place":["Istanbul, T\u00fcrkiye"]},{"name":"Department of Psychiatry, Faculty of Medicine, Ko\u00e7 University","place":["Istanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1037\/0021-843X.96.3.179","article-title":"Differentiating anxiety and depression: A test of the cognitive content-specificity hypothesis.","volume":"96","author":"Beck","year":"1987","journal-title":"J. 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Technol."},{"key":"B20","unstructured":"Psychometric properties of the Turkish version of the Strengths and Difficulties Questionnaire (SDQ).\n          \n          65\n          74\n          \n            \n              G\u00fcvenir\n              T.\n            \n            \n              \u00d6zbek\n              A.\n            \n            \n              Baykara\n              B.\n            \n            \n              Arkar\n              H.\n            \n            \n              \u015eent\u00fcrk\n              B.\n            \n            \n              \u0130nceka\u015f\n              S.\n            \n          \n          Turk. J. Child Adolesc. Ment. Health\n          15\n          2008"},{"key":"B21","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1016\/j.jad.2019.11.012","article-title":"Negative view of the self and symptoms of depression in adolescents.","volume":"262","author":"Hards","year":"2020","journal-title":"J. Affect. 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Psychol."},{"key":"B41","unstructured":"Turkish text analysis system for automatic detection of psychiatric disorders.\n          \n          24\n          30\n          \n            \n              Orhan\n              Z.\n            \n            \n              Mercan\n              M.\n            \n            \n              Sertba\u015f\n              A.\n            \n          \n          T\u00fcrkiye Bili\u015fim Vakf\u0131 Bilgisayar Bilimleri ve M\u00fchendisli\u011fi Derg\n          7\n          2014"},{"key":"B42","first-page":"132","article-title":"\u00c7ocuklar i\u00e7in Depresyon \u00d6l\u00e7e\u011fi: ge\u00e7erlik ve g\u00fcvenirlik \u00e7al\u0131\u015fmas\u0131 [Children\u2019s depression inventory: Validity and reliability study].","volume":"2","author":"\u00d6y","year":"1991","journal-title":"T\u00fcrk Psikiyatri Derg."},{"key":"B43","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1080\/15374410709336569","article-title":"Rumination on anger and sadness in adolescence: Fueling of fury and deepening of despair.","volume":"36","author":"Peled","year":"2007","journal-title":"J. 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