Rumination In Adolescents Research Articles

When does the Gender Difference in Rumination Begin? Gender and Age Differences in the Use of Rumination by Adolescents

A cross-sectional non-clinical sample of 1,218 adolescents, aged 10–17 years, completed measures of stress, rumination, and depression to allow tests of the response style theory of S. Nolen-Hoeksema [J Res Adolesc 4:519–534, 1994] in adolescents, in particular whether increasing levels of stress and rumination in early adolescence are predictive of the onset of the gender difference in depression. Overall, females reported higher levels of stress, rumination, and depression than males. The onset of the gender differences in stress and depression occurred at age 13 years, and for rumination one year earlier at 12 years. Significantly, also from 13 years, rumination explained the gender difference in depression by showing that it significantly mediated the effect of gender on depression. Gender moderated the rumination to depression relationship; specifically the association was stronger for females than males. Developmental differences were noted in that rumination significantly mediated between stress and depression earlier in the age range for females than males. Results supported many of the predictions of Nolen-Hoeksema’s model of the emergence of a gender difference in adolescent depression.

Rumination in adolescents at risk for depression

Background Identifying high-risk adolescents and understanding first onset of depression in adolescence are important steps in reducing depression morbidity. There is compelling evidence that the personality dimension neuroticism is a risk factor for depression, but the vulnerability mechanism is not yet understood. This study examined the association between a hypothesized psychological vulnerability factor (rumination) and depression in adolescents. Methods A behavioural high-risk design differentiated a sample of 326 adolescents (aged 14–18) as either at normal or high risk for depression (operationalized as scores on a measure of neuroticism). Results Adolescents at risk for depression reported more rumination than adolescents not at risk. We hypothesized that the well established relationship between neuroticism and depression would be mediated by rumination in cross-sectional analyses, and our findings suggest that rumination partially mediated this relationship. Conclusions The findings tentatively suggest that neuroticism acts as a risk factor for adolescent onset depression through increased tendency towards brooding rumination (i.e. moody self-evaluative dwelling) in response to depressed mood. Prospective and experimental research examining this mechanism is required.

Childhood Functional Gastrointestinal Disorders: Child/Adolescent

The Rome II pediatric criteria for functional gastrointestinal disorders (FGIDs) were defined in 1999 to be used as diagnostic tools and to advance empirical research. In this document, the Rome III Committee aimed to update and revise the pediatric criteria. The decision-making process to define Rome III criteria for children aged 4-18 years consisted of arriving at a consensus based on clinical experience and review of the literature. Whenever possible, changes in the criteria were evidence based. Otherwise, clinical experience was used when deemed necessary. Few publications addressing Rome II criteria were available to guide the committee. The clinical entities addressed include (1) cyclic vomiting syndrome, rumination, and aerophagia; 2) abdominal pain-related FGIDs including functional dyspepsia, irritable bowel syndrome, abdominal migraine, and functional abdominal pain; and (3) functional constipation and non-retentive fecal incontinence. Adolescent rumination and functional constipation are newly defined for this age group, and the previously designated functional fecal retention is now included in functional constipation. Other notable changes from Rome II to Rome III criteria include the decrease from 3 to 2 months in required symptom duration for noncyclic disorders and the modification of the criteria for functional abdominal pain. The Rome III child and adolescent criteria represent an evolution from Rome II and should prove useful for both clinicians and researchers dealing with childhood FGIDs. The future availability of additional evidence-based data will likely continue to modify pediatric criteria for FGIDs.

Rumination and Worry in Nonclinical Adolescents

Worry and rumination both refer to unproductive, repetitive thought processes. Few studies have addressed the relationship between these two constructs, with most researchers exclusively relating rumination to depression and worry to anxiety. The present study examined relationships between self-reported rumination as assessed by the Children's Response Style Scale (CRSS), worry as measured by the Penn State Worry Questionnaire for Children (PSWQ-C), and anxiety and depression symptoms as indexed by respectively the Screen for Child Anxiety Related Emotional Disorders (SCARED) and the Children's Depression Inventory (CDI) in a sample of 337 nonclinical adolescents aged 12–17 years. Results showed that rumination and worry were substantially correlated. Further, a factor analysis showed that both constructs were nevertheless distinct as rumination and worry items loaded on separate factors. Interestingly, both rumination and worry correlated more substantially with anxiety symptoms than with depression symptoms. Finally, worry emerged as a unique predictor of anxiety symptoms, even when controlling for rumination. In contrast, when controlling for worry, rumination no longer accounted for a significant proportion of the variance in depression symptoms.