Event Related Rumination Inventory Research Articles

The four faces of rumination to stressful events: A psychometric analysis.

To increase the knowledge of rumination and its associations with stressful events, we explored the relationships between 4 types of rumination (brooding, reflection, intrusive, and deliberate rumination) in a sample of 750 adult participants who experienced a highly stressful event. We also explored the predictive value of the different types of rumination on posttraumatic stress symptoms and posttraumatic growth 6 months after the highly stressful event occurred. Participants completed the Ruminative Response Scale and the Event-Related Rumination Inventory. Brooding and reflection rumination were obtained from the Ruminative Response Scale, whereas deliberate and intrusive rumination were obtained from the Event-Related Rumination Inventory. Confirmatory factorial analyses were conducted using the 4 types of rumination to test 3 different models: (a) 4-factor model (brooding, reflection, intrusive, and deliberate rumination), (b) 2-factor model: adaptive rumination (reflection and deliberate) and maladaptive rumination (brooding and intrusive), and (c) 2-factor model: depressive rumination (brooding and reflection) and posttraumatic rumination (intrusive and deliberate). It was observed that the 4-factor model showed the best fit to the data. Moreover, 6 months later it was observed that the most significant predictor of posttraumatic symptoms was intrusive rumination, whereas deliberate rumination was the most significant predictor of posttraumatic growth. Results indicate that the 4 types of rumination are differentiated constructs. Ruminative thoughts experienced after a stressful event predicted posttraumatic consequences 6 months later. Implications of these findings are discussed. (PsycINFO Database Record

The relationship among resilience, rumination and posttraumatic growth in hemodialysis patients in North China

Research has indicated that clinical serious disease may lead to posttraumatic growth (PTG). However, little is known about PTG among hemodialysis (HD) patients. The study examined the relationship among resilience, rumination and PTG among Chinese HD patients. 196 HD patients were recruited from a tertiary hospital in a Northern city of China between 1 June 2015 and 30 May 2016. Patients were surveyed using the Posttraumatic Growth Inventory-Chinese version, Connor-Davidson Resilience Scale, and Chinese Event Related Rumination Inventory. Correlation analyses showed that resilience was most highly positively correlated with PTG (r = .70, p < .001), deliberate rumination moderately correlated to PTG (r = .50, p < .001), and intrusive rumination was lower negatively related to PTG (r = –.26, p < .001). Regression analyses showed that age, gender, duration of dialysis, resilience and deliberate rumination had significant associations with PTG (β = −.31, p ＜ .0001; β = –.14, p = .002; β = .10, p = .032; β = .44, p < .001; β = .20, p < .001). They together explained 65% of the total variance in PTG (F [8,195] = 46.74, p < .001). However, intrusive rumination was not associated with PTG (p > .05). The results suggested that resilience and deliberate rumination may be instrumental for PTG improvement.

외상 후 스트레스 장애에 대한 외상 경험과 침습적 반추의 효과: 미래 인지와 성차의 조절된 조절된 매개

The purpose of the present study was to examine whether intrusive rumination mediated the relationship between trauma and Posttraumatic Stress Disorder (PTSD) symptoms and if negative prospective cognition moderated the mediating effect of intrusive rumination in the relationship between trauma and PTSD symptoms. In particular, we aimed to investigate whether there would be a gender difference in the aforementioned moderated mediation. A total of 440 Korean undergraduate students and graduate students were asked to complete the Life Event Checklist, Impact of the Event Scale-Revised, Event Related Rumination Inventory, and the Prospective Cognition Questionnaire for this research. The main findings were as follows: Firstly, intrusive rumination partially mediated the relationship between trauma and PTSD symptoms. Secondly, negative prospective cognition moderated the mediating effect of trauma on PTSD symptoms via intrusive rumination. Finally, there was a gender difference in the moderating effect, confirming a moderated moderated mediation. More specifically, the moderated mediating effect was observed in female students but not in male students. In conclusion, after trauma, female students who recognize the future negatively are more susceptible to PTSD symptoms through the intrusive rumination, while female students who recognize the future less negatively can be protected from PTSD symptoms under the same condition. Based on these results the implications and limitations of this study are discussed.

Quality of death, rumination, and posttraumatic growth among bereaved family members of cancer patients in home palliative care.

The current study was designed to test the hypothesis that quality of death (QOD) and intrusive and deliberate rumination are associated with posttraumatic growth (PTG) among bereaved family members of cancer patients in home palliative care. Data were collected from 805 bereaved family members of cancer patients who died at home in Japan. We used a cross-sectional design and participants completed Good Death Inventory, Event-Related Rumination Inventory, and PTG Inventory. Structural equation modeling was used to test the hypothesized relationships. A direct pathway from QOD to PTG was significant. We also found significant indirect pathways between QOD and PTG via deliberate rumination soon after the death and recent deliberate rumination. Clinicians should provide high-quality end-of-life care with the goals of achieving a good death for terminally ill cancer patients and supporting the experience of PTG in bereaved family members after their loss.

Ruminacje a potraumatyczny wzrost u ratowników medycznych

Przedstawiciele służb ratowniczych narażeni są na doświadczanie zdarzeń o charakterze traumatycznym w związku z wykonywaną pracą. Celem badań było ustalenie roli ruminacji w występowaniu pozytywnych zmian potraumatycznych. Badaniami objęto 120 ratowników medycznych, spośród których 85 (55 mężczyzn i 30 kobiet) potwierdziło wystąpienie w ostatnich 5 latach przynajmniej jednego zdarzenia traumatycznego w związku z wykonywaną pracą. Wiek badanych mieścił się w granicach 25–61 lat (M = 38,07, SD = 9,61). W badaniach wykorzystano polskie wersje standaryzowanych narzędzi, tj. Inwentarz Potraumatycznego Rozwoju oraz Inwentarz Ruminacji o Negatywnym Zdarzeniu. Badani ratownicy medyczni ujawnili niski poziom potraumatycznego wzrostu oraz niskie nasilenie ruminacji, tak natrętnych, jak i refleksyjnych. Spośród dwóch analizowanych rodzajów ruminacji jedynie refleksyjne okazały się predyktorami potraumatycznego wzrostu i wszystkich jego czynników. Ruminacje refleksyjne pełnią istotną – choć słabą – rolę w występowaniu pozytywnych następstw doświadczonej traumy.

The negative and positive effects of trauma resulting from cancer – the role of personality and rumination

&lt;b&gt;Background&lt;/b&gt;&lt;br /&gt; Personality and cognitive engagement, including event-related rumination, play essential roles in the negative and positive outcomes of experienced trauma. The aim of the study was to establish the role of personality traits and rumination in the occurrence of posttraumatic stress disorder (PTSD) symptoms and posttraumatic growth (PTG).&lt;br /&gt; &lt;br /&gt; &lt;b&gt;Participants and procedure&lt;/b&gt;&lt;br /&gt; Sixty persons, aged 18-78 years (M = 50.40, SD = 17.74), who had experienced malignant tumours in the craniofacial area, i.e. the lips, palate, parotid gland, eye, nasopharynx, nasal cavity, middle ear and paranasal sinuses, were examined. The majority of respondents (68.30%) were women. The subjects were surveyed with the Impact of Event Scale-R (IES-R), the Posttraumatic Growth Inventory (PTGI), the NEO-Five Factor Personality (NEO-FFI), and the Event Related Rumination Inventory (ERRI).&lt;br /&gt; &lt;br /&gt; &lt;b&gt;Results&lt;/b&gt;&lt;br /&gt; Both PTSD symptoms and PTG were observed in the examined group. Almost 77.00% of participants demonstrated at least a medium degree of PTSD. Twenty three percent of subjects revealed a high level of PTG. Both intrusive and deliberate ruminations were related to the presence of PTSD symptoms and PTG. No direct relationship was found between personality dimensions and the negative and positive outcomes of trauma. Neuroticism, which is related to intrusive rumination, affects PTSD symptoms. Conscientiousness, which is related to deliberate ruminations, affects posttraumatic growth.&lt;br /&gt; &lt;br /&gt; &lt;b&gt;Conclusions&lt;/b&gt;&lt;br /&gt; Personality has an indirect impact on the negative and positive consequences of trauma via rumination over the experienced event.

The role of rumination in the occurrence of positive effects of experienced traumatic events

&lt;b&gt;Background&lt;/b&gt;&lt;br /&gt; Cognitive processes play a significant role in both the negative and positive consequences of traumatic experiences. The aim of this research was to investigate the role of rumination in the occurrence of positive effects, in the form of posttraumatic growth, of experienced traumatic events.&lt;br /&gt; &lt;br /&gt; &lt;b&gt;Participants and procedure&lt;/b&gt;&lt;br /&gt; Data were collected from 227 subjects who had experienced traumatic events, including cancer patients (31.30%), women who had experienced domestic violence (39.20%), and medical rescue workers exposed to traumatic events at work (29.50%). The age of participants ranged from 19 to 67 years (M = 40.12, SD = 13.28). The Posttraumatic Growth Inventory was used to measure positive changes, and the Event Related Rumination Inventory was used to assess the two types of ruminations (intrusive and deliberate).&lt;br /&gt; &lt;br /&gt; &lt;b&gt;Results&lt;/b&gt;&lt;br /&gt; Both types of ruminations (intrusive and deliberate) were positively correlated with the level of posttraumatic growth in the group of cancer patients, and deliberate ruminations were associated with posttraumatic growth in the group of women who had experienced domestic violence and in the medical rescue workers. The results of regression analysis confirmed a significant role of deliberate rumination.&lt;br /&gt; &lt;br /&gt; &lt;b&gt;Conclusions&lt;/b&gt;&lt;br /&gt; The study of ruminations allows us to better explain the mechanisms underlying the consequences of traumatic experiences.

Posttraumatic growth measures: translation and adaptation of three self-report instruments to Brazilian Portuguese

Background Posttraumatic growth is one of the most commonly used concepts to evaluate positive changes after trauma. The principal scales used internationally to evaluate this phenomenon have not yet a Brazilian Portuguese version. Objectives This study aimed to translate and adapt to the Brazilian context the Posttraumatic Growth Inventory (PTGI), the Core Beliefs Inventory (CBI), and the Event Related Rumination Inventory (ERRI). Methods The procedures included translation, back translation, expert committee’s evaluation, and pilot testing in the target population. Results All items of all three instruments had a good content validity index after evaluation by four experts and three reformulations. The back translation of the final version also demonstrated that all Brazilian Portuguese versions convey the same meaning as the original English version. The final version was pilot tested with 30 undergraduate students, and all the items were above the cut-off point. Discussion This study was able to produce Brazilian versions of the PTGI, CBI, and ERRI. Further studies are underway to determine the reliability, factorial validity, and convergent validity of the subscales of the instruments.

Ruminations as predictors of negative and positive effects of experienced traumatic events in medical rescue workers

Emergency service workers are exposed to experienced traumatic events related to the nature of their work. The study aimed at identifying the role of cognitive processes, namely different forms of ruminations, as predictors of consequences of experienced trauma. The data on 120 medical rescuers (80 men, 40 women) who had experienced in their worksite at least 1 traumatic event in the last 5 years, were analyzed. The age of the participants ranged from 25 to 61 years (mean (M) = 38.07; standard deviation (SD) = 8.92). The following Polish versions of standardized tools were used: the Impact of Event Scale - Revised (IES-R), the Posttraumatic Growth Inventory (PTGI) and the Event Related Rumination Inventory (ERRI). The results of regression analyses indicated 2 significant predictors, intrusive rumination for posttraumatic stress disorder (PTSD) and deliberate rumination for posttraumatic growth (PTG). Ruminations play an essential role in the occurrence of negative and positive outcomes of experienced trauma. The associations between PTSD and PTG, with different forms of ruminations, may be used in therapy, treating the appearance of intrusive rumination as an opportunity to turn towards active engagement in deliberate rumination, that facilitates the occurrence of posttraumatic growth. Med Pr 2016;67(2):201-211.

Posttraumatic growth of parents struggling with cancer disease of their child – the role of rumination

Cognitive processes, including event related rumination, play an essential role among determinants of the posttraumatic growth. The study looks for any positive posttraumatic changes occurring in parents struggling with cancer disease of their child and the role of rumination in this process. Results gathered based on 49 mothers and 48 fathers of sick adolescents aged 13–18 years were analysed. The Posttraumatic Growth Inventory and the Event Related Rumination Inventory were used in the assessment. In the surveyed parents, positive changes occurred as a result of struggling with cancer of the child; the changes were bigger in the categories of appreciation of life and relations with others than in the categories of self-perception and the spiritual sphere. Mothers, compared with fathers, have observed more positive changes related to a child's disease, particularly in the categories of self-perception and relations with others. An important role in predicting the growth after the trauma of both parents is played by deliberate ruminations, especially for positive changes in relations with others. Moreover, intrusive ruminations affecting fathers favour the occurrence of their positive changes in the spiritual realm. Encouraging people struggling with cancer to ruminate may contribute to occurrence of growth after trauma.

Effects of rumination on posttraumatic growth of cancer patients

Objective To identify the posttraumatic growth (PTG) level of cancer patients and to examine the effects of rumination on posttraumatic growth of cancer patients. Methods A total of 312 cancer patients were recruited by convenience sampling. A cross-sectional study was conducted in cancer patient by means of questionnaires that included demographic scale, Event Related Rumination Inventory and the Posttraumatic Growth Inventory (PTGI). Results A total score of event-related rumination in cancer patients was 25.13±11.11, and the total score of posttraumatic growth was 67.21±14.66. The PTG was positively correlated to event-related rumination in cancer patients (r=0.384, P < 0.01). Multiple stepwise regressions indicated that the variables of deliberate of rumination, gender, age, degree of psychological distress, intrusive rumination and education level were main predictors of PTG. Among those deliberate of rumination positively predicts PTG, while intrusive rumination negatively predicts PTG. The level of PTG in female gender cancer patients were higher than male patients, younger age and high education level, less psychological distress patients related to higher PTG. Conclusions Cancer patients reported a lower level of rumination and PTG. Clinical healthcare providers should inspire and promote cancer patients' deliberate rumination, decrease their intrusive rumination, pay attention to male, more psychological distress, older age and lower education level patients, in order to facilitate patients' PTG and then improve their quality of life. Key words: Neoplasms; Rumination; Posttraumatic growth

Ruminacje a skutki traumy u kobiet doświadczających przemocy w rodzinie

The study aimed to establish the relationship between ruminations and the occurrence of negative (posttraumatic stress disorder symptoms) and positive (posttraumatic growth) effects of trauma resulting from the experience of violence in the family. The data of 89 women who have experienced domestic violence were analyzed. The participants’ age ranged from 18 to 60 years (M = 34.36, SD = 12.81). The following Polish versions of standardized tools were used: the Impact of Event Scale, the Posttraumatic Growth Inventory, and the Event-Related Rumination Inventory, the last of these measuring two types of ruminations: intrusive and deliberate. Both types of ruminations proved to be associated, above all, with posttraumatic stress disorder symptoms. Weaker associations were noted between the intensity of deliberate ruminations and posttraumatic growth. Intrusive ruminations played a predictive role with regard to posttraumatic stress disorder: above all, with regard to intrusion and arousal; deliberate ruminations proved to be a predictor of posttraumatic growth, mainly positive changes in self-perception and relations with others. Ruminations play an essential role in the occurrence of both negative and positive outcomes of the experienced trauma.

Ruminacje a skutki traumy u kobiet doświadczających przemocy w rodzinie

The study aimed to establish the relationship between ruminations and the occurrence of negative (posttraumatic stress disorder symptoms) and positive (posttraumatic growth) effects of trauma resulting from the experience of violence in the family. The data of 89 women who have experienced domestic violence were analyzed. The participants’ age ranged from 18 to 60 years (M = 34.36, SD = 12.81). The following Polish versions of standardized tools were used: the Impact of Event Scale, the Posttraumatic Growth Inventory, and the Event-Related Rumination Inventory, the last of these measuring two types of ruminations: intrusive and deliberate. Both types of ruminations proved to be associated, above all, with posttraumatic stress disorder symptoms. Weaker associations were noted between the intensity of deliberate ruminations and posttraumatic growth. Intrusive ruminations played a predictive role with regard to posttraumatic stress disorder: above all, with regard to intrusion and arousal; deliberate ruminations proved to be a predictor of posttraumatic growth, mainly positive changes in self-perception and relations with others. Ruminations play an essential role in the occurrence of both negative and positive outcomes of the experienced trauma.

The relationship between rumination, posttraumatic stress disorder, and posttraumatic growth among Chinese adolescents after earthquake: A longitudinal study

BackgroundPosttraumatic stress disorder (PTSD) and posttraumatic growth (PTG) can coexist in individuals following traumatic experiences, and cognitive pathways to PTSD and PTG can be different. Nevertheless, to date, no study using the longitudinal-design has examine the cognitive process of PTSD and PTG, nor has the specific causal relation between cognitive factors and PTSD/PTG been clarified in the aftermath of disaster. Therefore, the aim of this study was to extend previous study from a longitudinal perspective, and further examine the possible cognitive mechanism of PTSD and PTG in a long-time frame after earthquake. Methods310 middle school students in Lushan County were assessed using the Event-Related Rumination Inventory, the Post-Traumatic Growth Inventory and the Child PTSD Symptom Scale at 6 months (T1), 12 months (T2) and 18 months (T3) after the Ya'an earthquake. ResultsIntrusive rumination at T2 partly mediated the relationship of intrusive rumination at T1 to PTSD but not PTG at T3. Deliberate rumination at T2 did not mediate the relationship of intrusive rumination at T1 and PTG/PTSD at T3 but completely mediated the relation of intrusive rumination at T2 and PTSD/PTG at T3. LimitationsAll variables were measured by self-report scales. ConclusionsIntrusive rumination at T1 had an effect on PTSD but not PTG at T3 through intrusive rumination at T2, and it could affect PTSD and PTG at T3 through deliberate rumination at T2. These results suggest that PTSD and PTG are influenced by different mechanisms and that intrusive rumination leads to PTSD, whereas deliberate rumination elicits PTG in a long time after trauma.

Core beliefs shaken by an earthquake correlate with posttraumatic growth.

Posttraumatic growth (PTG), psychological growth as a result of personal struggle with trauma, is hypothesized to occur when a highly stressful life event, such as a natural disaster, forces people to reexamine their core beliefs. To the authors' knoweldge, the present study is the first investigation in Japanese people examining the role of core beliefs, intrusive rumination, and deliberate rumination in PTG. Hypotheses that the level of reexamination of core beliefs, intrusive rumination, and deliberate rumination correlate with the seismicity of an earthquake and that the challenge to core beliefs is the major determinant of PTG were tested. Japanese undergraduate students who experienced the Great East Japan Earthquake on March 11, 2011 (N = 314) participated in this study and completed the Japanese version of the Core Beliefs Inventory (CBI), the Event-Related Rumination Inventory (ERRI), and the Posttraumatic Growth Inventory (PTGI). Results indicated that core beliefs were less likely to be challenged and that ruminations were less likely to be activated in Japanese people who were in the southern area with an approximate Richter magnitude of 4 or lower. PTG was more likely to occur when core beliefs were reexamined following the earthquake. Also, younger participants and those who recalled having engaged in both deliberate and intrusive rumination reported more PTG. Future studies should investigate which aspects of trauma can trigger or suppress the reexamination of one's core beliefs, for they are likely to be the major determinants of PTG, and should look at change longitudinally.

Relationship between coping, rumination and posttraumatic growth in mothers of children with autism spectrum disorders

This study examined the relationship between coping, rumination and posttraumatic growth in mothers of children with autism spectrum disorders (ASD). One hundred and two mothers of autistic children in China were surveyed using Post-traumatic Growth Inventory, Trait Coping Style Questionnaire, and Event Related Rumination Inventory. Mothers reported mediate level of PTG, mostly on the growth of personal strength. Hierarchal regression analysis indicated that positive coping positively predicted PTG and growth on “relating to others”; deliberate rumination was positively correlated with growth on “appreciation of life”; and intrusive rumination negatively predicted growth on “personal strength”, “new possibilities” and “spiritual change”. No statistically significant relationship between negative coping and PTG was found. The results may be used to provide mothers with a better understanding of the underlying growth process and assist service providers in facilitating this progress.

Assessing posttraumatic cognitive processes: the Event Related Rumination Inventory

Cognitive processes in the aftermath of experiencing a major life stressor play an important role in the impact of the event on the person. Intrusive thoughts about the event are likely to be associated with continued distress, while deliberate rumination, aimed at understanding and problem-solving, should be predictive of posttraumatic growth (PTG). The Event Related Rumination Inventory (ERRI), designed to measure these two styles of rumination, is described and validation information is provided. Using a college student sample screened for having experienced highly stressful life events, data were obtained (N=323) to conduct an exploratory factor analysis that supported the two factors of the ERRI. Separate confirmatory factor analyses (CFA) on two additional samples (Ns=186 and 400) supported a two-factor model. The two ERRI factors were validated by comparison with related variables and by assessing their contributions to predicting distress and PTG in two samples (Ns=198 and 202) that had been combined to conduct the second CFA. Data indicate the ERRI has solid psychometric properties, captures variance not measured by stable differences in cognitive styles, and the separate factors are related to posttraumatic distress and growth as predicted by existing models of PTG.