Ruminative Variability Predicts Increases in Depression and Social Anxiety

IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
Christian A. L. Bean, Jeffrey A. Ciesla
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引用次数: 0

Abstract

Background

Rumination is a well-established contributor to the severity of depression and anxiety. It is unknown, however, whether individual differences in the temporal dynamics of rumination over time predict longitudinal increases in depression or anxiety.

Methods

The current study examined whether the dynamic indices of ruminative inertia and variability assessed over 14 days via ecological momentary assessment predicted change in symptoms of depression, general anxiety, and social anxiety at a 90-day follow-up (n = 115).

Results

Controlling for ruminative variability, baseline levels of the dependent variable, sex, and mean levels of momentary rumination, ruminative inertia did not predict change in symptoms of depression, general anxiety, or social anxiety at the 90-day follow-up. In contrast, greater ruminative variability predicted increases in symptoms of both depression and social anxiety but not general anxiety at follow-up. Individuals endorsing higher baseline levels of depressive symptoms demonstrated greater amounts of inertia and variability in their momentary rumination. Greater ruminative variability but not inertia was also associated with higher baseline levels of general anxiety and social anxiety.

Conclusions

These results suggest that ruminative variability may be a risk factor for increases in symptoms of depression and social anxiety over time and a potentially useful target for clinical intervention.

反刍变异性可预测抑郁和社交焦虑的增加
背景反刍是导致抑郁和焦虑严重程度的一个公认因素。方法本研究通过生态学瞬时评估,考察了 14 天内反刍惯性和变异性的动态指数是否能预测 90 天随访时抑郁症状、一般焦虑和社交焦虑的变化(n = 115)。结果在对反刍变异性、因变量基线水平、性别和瞬间反刍平均水平进行控制后,反刍惰性并不能预测抑郁、一般焦虑或社交焦虑症状在90天随访中的变化。与此相反,反刍变异性越大,就越能预测抑郁和社交焦虑症状的增加,但不能预测随访时一般焦虑症状的增加。抑郁症状基线水平较高的人在其瞬间反刍中表现出更大的惰性和变异性。结论:这些结果表明,反刍变异性可能是抑郁症状和社交焦虑症状随时间推移而增加的一个风险因素,也可能是临床干预的一个有用目标。
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来源期刊
Cognitive Therapy and Research
Cognitive Therapy and Research PSYCHOLOGY, CLINICAL-
CiteScore
5.30
自引率
0.00%
发文量
52
期刊介绍: Cognitive Therapy and Research (COTR) focuses on the investigation of cognitive processes in human adaptation and adjustment and cognitive behavioral therapy (CBT). It is an interdisciplinary journal welcoming submissions from diverse areas of psychology, including cognitive, clinical, developmental, experimental, personality, social, learning, affective neuroscience, emotion research, therapy mechanism, and pharmacotherapy.
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