Ruminative Response Scale Research Articles

THE ROLE OF COGNITIVE CONTROL AND RUMINATION IN PREDICTING DEPRESSION AMONG ADOLESCENTS WITH INTERNALIZING DISORDERS

Given the high prevalence of internalizing disorders among adolescents, it is necessary to define the factors affecting the development and course of psychopathology. Nolen Hoeksema demonstrated the effect of rumination on the development of various forms of psychopathology in adults, while recent data suggest that cognitive control may be a factor underlying this relationship. The aim of this study is to investigate the relation between cognitive control impairments and symptoms of depression through rumination in adolescents suffering from internalizing psychiatric disorders. The study included 100 adolescents of both genders diagnosed with internalizing psychiatric disorders at the Unit for Child and Adolescent Psychiatry at University Hospital Center Osijek. During psychodiagnostic assessment, subjects completed Youth self report, CANTAB Intra-dimensional/extra-dimensional (IED) task, The Ruminative Response Scale, and Beck Depression Inventory-II. The results indicate a clinically significant level of internalizing symptoms and a clinically and subclinically high level of depressive symptoms. The results also show a high positive correlation between internalizing symptoms, rumination, and depressive symptoms, as well as a positive correlation between female gender and internalizing symptoms, rumination, and depressive symptoms. Significant predictors of depression are female gender and rumination while cognitive control has not been detected as a significant predictor. The results of the study emphasize the importance of rumination in the prediction of depressive symptoms in internalizing psychiatric disorders among adolescents and, accordingly, the importance of rumination as a clinical variable in terms of implications in the prevention and treatment of internalizing psychopathology.

Metacognitions, rumination, and worry in personality disorder

Research on metacognitions and repetitive negative thinking in patients with Personality Disorder (PD) is scarce. We aimed to determine if metacognitions and repetitive negative thinking differed between patients with PD and those without PD, and if metacognitions would predict repetitive negative thinking in patients with PD controlling for several variables. A sample of 558 clinical participants were assessed for the presence of a PD diagnosis and completed the following questionnaires: Penn-State Worry Questionnaire, Ruminative Response Scale, Metacognitions Questionnaire 30, Beck Anxiety Inventory and Beck Depression Inventory. Compared to patients without a diagnosis of PD, patients with a PD diagnosis reported higher scores on both rumination and worry (as well as depression and anxiety) and three out of five of the MCQ-30 subscales (positive beliefs about worry, negative beliefs about thoughts concerning uncontrollability and danger, and beliefs about the need to control thoughts). Furthermore, the results of two hierarchical regression analyses in patients with a diagnosis of PD indicated that positive beliefs about worry and negative beliefs about thoughts concerning uncontrollability and danger were independent predictors of worry, and that negative beliefs about thoughts concerning uncontrollability and danger and cognitive self-consciousness were independent predictors of rumination. Metacognitions and repetitive negative thinking may play a role in the severity of psychological distress experienced in PD presentations. The implications of these findings are discussed.

Mindfulness-Based Cognitive Therapy for Late-Life Depression: a Randomised Controlled Trial.

Rumination and overgeneral autobiographical memory are dysfunctional cognitions commonly found in older adults with depression. The theoretical underpinnings of mindfulness-based cognitive therapy (MBCT) address the ruminative tendencies and the non-specific retrieval of autobiographical memories. This study aims to examine the efficacy and cognitive mechanisms of MBCT in older adults with active depressive symptoms. 57 older adults (mean age, 70 years) with normal cognition and mild to moderate depressive symptoms were randomly allocated to either the MBCT group or the active control group for 8 weeks. The MBCT group consisted of eight 2-hour weekly sessions and a 7-hour full-day retreat, with different themes for each class, guided mindfulness exercises, feedback and discussion, homework review, and psychoeducation. The active control group comprised a 1-hour physical exercise and a standardised health education of the specific theme with group discussion (eg fall prevention, chronic pain). Participants were assessed before and after the 8-week intervention for four outcome measures: the Hamilton Depression Rating Scale (HAMD), the Ruminative Response Scale (RRS), the Autobiographical Memory Test (AMT), and the Mindful Attention Awareness Scale (MAAS). There was a significant reduction in severity of depressive symptoms (HAMD score) in both the MBCT group (F(1, 27) = 35.9, p < 0.001, η2 = 0.57) and the active control group (F(1, 28) = 9.29, p < 0.01, η2 = 0.24), but only the MBCT group showed substantial improvements in autobiographical memory specificity (AMT score), rumination (RRS score), and mindfulness (MAAS score). Although both MBCT and active control programme decrease the severity of depressive symptoms in older adults, only MBCT improves AMS, rumination, and mindfulness. Our findings provide empirical support for the theoretical underpinnings of MBCT. Older adults with more severe depression and more severe dysfunctional cognition may benefit more from the specific therapeutic effects of MBCT.

Influence of FKBP5 Variants and Childhood Trauma on Brain Volume in Non-clinical Individuals.

The present study aimed to investigate the possible influence of childhood trauma and its interaction effect with 10 single-nucleotide polymorphisms (SNPs) of the FK506-binding protein 51 (FKBP5) gene on brain volume in non-clinical individuals. One hundred forty-four non-clinical volunteers (44 men and 100 women) were genotyped with respect to 10 variants (rs9296158, rs3800373, rs1360780, rs9470080, rs4713916, rs4713919, rs6902321, rs56311918, rs3798345, and rs9380528) of FKBP5. Participants underwent magnetic resonance imaging (MRI) scan and psychological assessments such as the childhood Trauma Questionnaire (CTQ), Hospital Anxiety and Depression Scale, rumination response scale, and quality of life assessment instrument. Individuals with the high CTQ score showed enlarged volume of the left orbitofrontal cortex (OFC) if they have childhood trauma-susceptible genotype of FKBP5 rs3800373, rs1360780, rs4713916, rs4713919, rs6902321, and rs3798345 and enlarged volume of the left middle temporal gyrus (MTG) if they have childhood trauma-susceptible genotype of FKBP5 rs3800373, rs1360780, rs4713916, and rs3798345. Among those with the childhood trauma-susceptible genotype, the left OFC and left MTG showed significant negative correlations with positive feelings about life, and the left OFC showed significant positive correlations with negative cognition. This is one of the few studies to identify the volume alteration of the left OFC and the left MTG for the FKBP5 gene–childhood trauma interaction in non-clinical individuals.

Investigating the structure of trait rumination in autistic adults: A network analysis.

Autistic adults are substantially more likely to develop depression than individuals in the general population, and recent research has indicated that certain differences in thinking styles associated with autism may play a role in this association. Rumination, the act of thinking about the same thing over and over without a functional outcome, is a significant risk factor for depression in both autistic and non-autistic adults. However, little is known about how different kinds of rumination relate to each other and to depressive symptoms in the autistic population specifically. To fill this gap in knowledge, we recruited a large online sample of autistic adults, who completed questionnaire measures of both the tendency to ruminate and symptoms of depression. By examining the interacting network of rumination and depression symptoms, this study was able to identify particular aspects of rumination-such as thinking repetitively about one's guilty feelings or criticizing oneself-that may be particularly important in maintaining these harmful thought patterns in autistic adults. Although further study is needed, it is possible that the symptoms identified as most "influential" in the network may be particularly good targets for future interventions for mood and anxiety disorders in the autistic population.

The effectiveness of acceptance and commitment therapy on cognitive flexibility, rumination, and distress tolerance in persons with Migraine headache

Introduction: Tolerating migraine pain has a variety of psychological consequences that should be considered in the context of psychotherapy applications. Aim: The purpose of the current study was to determine the effectiveness of acceptance and commitment therapy based on cognitive flexibility, rumination and confusion tolerance in headache patients. Method: This research was a quasi-experimental with pre-test and post-test design with a control group. Among female students of Guilan University during the second semester of the 2018-2019 academic year, the numbers of 32 patients with migraine headache were selected by accessible sampling method and then assigned randomly into two groups included experimental (n=14) and control (n=18) groups. Eight sessions in 60 minutes per week were under-treatment based on acceptance and commitment in the group. Before and after the sessions, both groups answered voluntarily using Dennis &amp; Wenderval’s (2010) Cognitive Flexibility Inventory, Nolen-Hoeksema &amp; Davis Ruminative Responses Scale (1999), and Simons &amp; Gaher Distress Tolerance Scale (2005). Data were analyzed by the Mann-Whitney U test. Results: The results revealed that the experimental group had significantly lower scores in rumination (U= 62.00, P=0.005) and higher scores in distress tolerance (U=69.50, P&lt;0.01) than the control group after the intervention. Intervention on cognitive flexibility in the headache group indicated no significant difference (U= 133.00, P&lt;0.70). Conclusion: Achieved results from the current research revealed that the acceptance and commitment therapy could be an appropriate alternative to reduce the rumination in people having migraine headache and to increase the distress tolerance in people having chronic pains.

Psychometric Properties of the Chinese Version of the 10-Item Ruminative Response Scale Among Undergraduates and Depressive Patients.

Objective: Rumination is considered as a key process in the mechanism of depression. Assessing rumination is important for both research and clinical practice. The Ruminative Response Scale (RRS) is a widely-used instrument to measure rumination. This study aimed to examine the psychometric properties of the Chinese 10-item Ruminative Response Scale (RRS-10) in a large sample of Chinese undergraduates and depressive patients.Methods: A total of 1,773 university students and 286 clinical patients with major depressive disorder finished the Chinese version of the RRS10, State Trait Anxiety Inventory (STAI), and Beck Depression Inventory (BDI). A confirmatory factor analysis (CFA) was performed to examine the two-factor structure (reflection and brooding) of the RRS-10. The correlations among RRS-10, STAI, and BDI were explored in two samples. In addition, the measurement invariance of the RRS-10 across gender, time, and groups with and without depressive symptoms were further investigated. The internal consistency and test-retest reliability were also evaluated.Results: Confirmatory Factor Analysis revealed that the two-factor structure of RRS-10 fitted reasonably both in undergraduates (CFI = 0.933, TLI = 0.905, RMSEA = 0.071, SRMR = 0.035) and depressive patients (CFI = 0.941, TLI = 0.910, RMSEA = 0.077, SRMR = 0.057). The results of the multi-group confirmatory factor analysis supported the full strict invariance across genders and across groups (undergraduates and depressive patients). The full strong invariance over time was also supported by MGCFA. Besides, the RRS-10 showed acceptable internal consistency and good stability.Conclusions: The RRS-10 has good reliability and validity in different samples and over time, which demonstrated that RRS-10 is a valid measurement instrument to assess rumination.

Factors Associated With Ruminative Thinking in Individuals With Gender Dysphoria.

This study aimed to examine psychosocial factors and medical history as well as symptoms of depression, anxiety, and stress associated with ruminative thinking in transgender people with gender dysphoria (GD) before undergoing gender affirmation surgery (GAS). This study evaluated 189 participants with GD (111 trans women and 78 trans men) from a specialized service for GAS in southern Brazil. Semi-structured interviews were conducted, and participants were asked to complete self-report questionnaires. We recovered participants' sociodemographic and psychosocial data (e.g., history of sexual abuse, expulsion from home, and history of drug use) and data regarding their clinical history (e.g., medication, history of suicidal ideation and attempted suicide, and HIV status). Further, we implemented the Depression, Anxiety and Stress Scale (DASS-21) to examine participants' psychological state, as well as the Ruminative Response Scale (RRS) to assess ruminative thinking, which includes brooding and reflection. The predictor variables were those that exhibited a minimum level of significance of p ≤ 0.05 in multivariate linear regression. The ruminative thinking scores for trans women were higher than those of trans men (Brooding p = 0.014; Reflection p = 0.052).In the multivariate model, suicidal ideation, moderate depression, and severe/very severe anxiety were associated with both brooding and reflection. Feminine gender identity and stress symptoms moderated only brooding, while anxiety symptoms moderated only reflection. Our findings show that trans women had the highest ruminative thinking scores, and that depression, anxiety, stress, and suicidal ideation were associated with ruminative thinking in total sample. Psychological symptoms should be examined in the context of gender affirmation surgery to minimize the possibility of adverse mental health outcomes. Follow-up studies are required to measure ruminative thinking levels more accurately and to identify its predictors.

753 The role of circadian activity rhythms in depressive symptoms among female nursing students

Abstract Introduction Depression is prevalent among nursing students. Rumination and sleep-wake rhythms are associated to mental illness; however, no clear path has been found. This exploratory study aimed to examine the associations among circadian activity rhythms (CAR), rumination, and depressive symptoms in female nursing students; further, to test a hypothesized CAR conceptual model. Methods A total of 148 female nursing junior students in China completed a battery of questionnaires, including Athens Insomnia Scale (AIS), Ruminative Responses Scale (RRS), and Self-rating Depression Scale (SDS). Wrist actigraphy was used to collect total sleep time, CAR, and acrophase (time of the peak of the fitted activity curve). The path analysis was explored by using SPSS and AMOS. Results The mean age of the students was 20.64 years (SD = 0.86). About 58.8% of the participants were either mild or moderate depressed. About 93.9% of the students reported significant insomnia symptoms (AIS scores &amp;gt;6). Rumination was measured by the RRS (M= 2.01, SD = 0.54), and students scored higher in brooding than that of reflective pondering (2.07 vs. 1.95). The average of TST was 394.59 minutes (SD = 51.92). The CAR ranged from 0.40 to 0.98, with a mean of 0.75 (SD = 0.11). The acrophase ranged from 12:46 to 20:14 (median 16:30), with a later acrophase indicates of a more delayed circadian phase. The final model shows satisfactory fit (χ2= 2.238, p= .327); a better CAR can indirectly reduce depressive symptoms by directly reducing brooding (B = -1.149) and improving insomnia symptoms (B = -6.6443). Conclusion In order to prevent psychological problems of nursing students, ruminating and CAR should be part of health screening. The novel conceptual model provides a basis for reforming nursing education to prevent psychological problems. Support (if any) Chinese National Natural Science Foundation [71603279]

Effects of CALM and SPACE Parent Training Programs on Rumination and Anxiety in Mothers With Bully Sons

Background: About one-third of children are involved in bullying in primary school. Parenting style, as family background, plays an essential role in bullying. This study aimed to compare the effects of the parent training programs of Coaching Approach Behavior and Leading by Modeling (CALM) and Supportive Parenting for Anxious Childhood Emotions (SPACE) on rumination and anxiety in mothers with a bully son. Methods: This was a quasi-experimental study with pre-test, post-test and a control group design. The setting was the primary schools for boys in district 4 of Tehran City, Iran, in 2020. The statistical population of the research included the mothers of bully sons in one of these schools, i.e., selected using a voluntary convenience sampling technique. In total, 60 mothers whose sons scored higher on the Illinois Bullying Scale (IBS; Espelage &amp; Holt, 2001) were selected as the subjects and randomly assigned into 3 groups of 20 individuals (2 intervention groups &amp; 1 control group). The necessary data were collected by the IBS, the Ruminative Response Scale (RRS; Nolen Hoeksema &amp; Morrow, 1991), and the Self-Anxiety Scale. The intervention group subjects attended CALM or SPACE training programs for 13 two-hour weekly sessions. A three-month follow-up was also performed. The collected data were analyzed using repeated-measures Analysis of Variance (ANOVA) in SPSS v. 22. Results: The present study findings suggested a significant difference between the intervention and control groups in rumination (P=0.0001, F=47.54) and anxiety (P=0.0001, F=86.34) in the post-test phase. However, no significant difference was found between CALM (42.80±2.71) and SPACE (42.16±2.71) programs respecting the effects on rumination (P=0.36). In contrast, SPACE (44±2.71) and CALM (39.46±2.71) programs indicated significant differences concerning their impact on anxiety (P&lt;0.032); the CALM program presented a greater impact on reducing anxiety than SPACE. The follow-up results indicated that the CALM program presented a greater retention effect than SPACE on decreasing anxiety in the studied mothers (42.76±1.02, P=0.0001). Conclusion: The obtained data revealed that the CALM and SPACE programs were effective in reducing maternal rumination and anxiety. However, CALM was more effective than SPACE in reducing maternal anxiety. School counselors, mental health professionals, psychiatric nurses, and school health nurses are suggested to apply the study findings.

Cross-cultural and gender invariance of emotion regulation in the United States and India

BackgroundThe ability to effectively regulate one's emotions has been established as an important transdiagnostic mechanism in the development and maintenance of psychopathology. To date, much of the research on emotion regulation (ER) has been conducted in Western, educated, industrialized, rich, and democratic (WEIRD) samples. Specifically, there is a dearth of cross-cultural construct equivalence studies on measures of ER. Establishing measurement equivalence is an important first step to facilitate future research on ER in culturally diverse samples. MethodsThe present study sought to validate the latent structures of three commonly used ER measures: the Emotion Regulation Questionnaire (ERQ), Ruminative Responses Scale (RRS-10), and Acceptance subscale of the Five-Facet Mindfulness Questionnaire (FFMQ-AS). Measurement equivalence was examined across 123 American and 121 Indian participants (Mage = 36.60) and across gender. ResultsCross-cultural confirmatory factor analyses revealed configural equivalence (i.e., same factor structures) in both cultural groups across all three measures. The RRS-10 met weak invariance across cultures; however, factor loadings were not equal across the two samples for all items on the ERQ or FFMQ-AS. Consequently, a partial invariance solution was identified, and all measures subsequently met criteria for Level 2 strict cross-cultural invariance. Across gender, full invariance was found on all measures except the FFMQ-AS. ConclusionFindings suggest that the structure of ER processes is largely invariant across these two cultural groups, with a few notable exceptions, pointing to the importance of continued work in this area.

Identifying the subtypes of psychological profiles in senior undergraduate nursing students and its relationship with academic performance: A latent class analysis.

Students' academic performance is closely related to their personal psychological factors. The subtypes and heterogeneity of psychological profiles among nursing students has not been systematically examined. To identify subtypes of psychological profiles among nursing students using latent class analysis (LCA). A cross-sectional study design included 379 senior nursing undergraduate students aged 18-22 from three medical colleges in Shanghai. The subjects were investigated by Ruminative Responses Scale, Academic Burnout Scale and Psychological Capital Scale and were categorized into subtypes by LCA. Four latent classes were identified: Class 1 - General group; Class 2 - Negative psychological dominated group; Class 3 - Positive psychological dominated group; and Class 4 - Ambivalence psychological group. Students with higher exam failure rate were more likely to belong to Class 2. After adjusted for demographic variables, the subtypes of psychological profiles significantly correlated with academic performance. The significant heterogeneities were noted between psychological profile subtypes and academic performance among senior undergraduate nursing students.

Mechanisms of rumination change in adolescent depression (RuMeChange): study protocol for a\xa0randomised controlled trial of rumination-focused cognitive behavioural therapy to reduce ruminative habit and risk of depressive relapse in high-ruminating adolescents

BackgroundAdolescent-onset depression often results in a chronic and recurrent course, and is associated with worse outcomes relative to adult-onset depression. Targeting habitual depressive rumination, a specific known risk factor for relapse, may improve clinical outcomes for adolescents who have experienced a depressive episode. Randomized controlled trials (RCTs) thus far have demonstrated that rumination-focused cognitive behavioral therapy (RFCBT) reduces depressive symptoms and relapse rates in patients with residual depression and adolescents and young adults with elevated rumination. This was also observed in a pilot RCT of adolescents at risk for depressive relapse. Rumination can be measured at the self-report, behavioral, and neural levels- using patterns of connectivity between the Default Mode Network (DMN) and Cognitive Control Network (CCN). Disrupted connectivity is a putative important mechanism for understanding reduced rumination via RFCBT. A feasibility trial in adolescents found that reductions in connectivity between DMN and CCN regions following RFCBT were correlated with change in rumination and depressive symptoms.MethodThis is a phase III two-arm, two-stage, RCT of depression prevention. The trial tests whether RFCBT reduces identified risk factors for depressive relapse (rumination, patterns of neural connectivity, and depressive symptoms) in adolescents with partially or fully remitted depression and elevated rumination. In the first stage, RFCBT is compared to treatment as usual within the community. In the second stage, the comparator condition is relaxation therapy. Primary outcomes will be (a) reductions in depressive rumination, assessed using the Rumination Response Scale, and (b) reductions in resting state functional magnetic resonance imaging connectivity of DMN (posterior cingulate cortex) to CCN (inferior frontal gyrus), at 16 weeks post-randomization. Secondary outcomes include change in symptoms of depression following treatment, recurrence of depression over 12 months post-intervention period, and whether engagement with therapy homework (as a dose measure) is related to changes in the primary outcomes.DiscussionRFCBT will be evaluated as a putative preventive therapy to reduce the risk of depressive relapse in adolescents, and influence the identified self-report, behavioral, and neural mechanisms of change. Understanding mechanisms that underlie change in rumination is necessary to improve and further disseminate preventive interventions.Trial registrationClinicalTrials.gov Identifier: NCT03859297, registered 01 March 2019.

Investigating and Comparison of Rumination and Defense Mechanisms in Students With or Without Special Learning Disorder

Objective: This study aimed to investigate and compare rumination and defense mechanisms in students with and without specific learning disorders. Methods: The research method was causal-comparative. The statistical population included all male and female students of seventh, eighth, and ninth grade in Sanandaj city in the academic year 2018-2019. The study sample included 106 students (53 students with a specific learning disorder and 53 students without specific learning disorders) selected by multistage cluster random sampling. The data was collected using the Chronic Liver Disease Questionnaire (CLDQ), Defense Style Questionnaire, Ruminative Response Scale (RRS), and structured clinical interview. The data was analyzed by SPSS software and a Multivariate test. Results: The results showed a significant difference between the two groups of students with and without specific learning disorders in rumination and defense mechanisms (P&lt;0.00) Conclusion: Students with specific learning disabilities have more rumination and use more immature and neurotic defense mechanisms.

اعتباریابی و پایایی سنجی نسخه فارسی پرسشنامه نشخوار فکری مشترک

Introduction: Co-rumination refers to excessively frequent discussing personal problems within dyadic relationship. The purpose of present study was to investigate the validity and reliability assessment of the Persian version of the Co-rumination questionnaire. Methods: In a correlational design, 167 adults who were referred to health care centers in Mashhad were selected with multistage cluster sampling. Data were collected by a Co-rumination Questionnaire, Depression, Anxiety, Stress Scale (DASS-21), and Rumination Response Scale (RRS). Exploratory factor analysis, Pearson correlation coefficient and multivariate analysis of variance were used to analyze the data. Results: The results showed that the scale had three factors of rehashing, encouraging problem talk and mulling which explains 66.01% of the variance. Co-rumination had a positive and significant relationship with stress, anxiety, depression and rumination (p < 0.01). Age had no significant relationship with Co-rumination. But differences were significant based on gender, and women had higher mean. Conclusion: It seems that the Persian version of the Co-rumination Questionnaire has a proper validity and reliability in common population and can be used in related research.

Relationship of Depression, Anxiety, and Rumination Scores with EEG Connectivity of Resting State Networks

The aim of the research was to study the effect of depression, anxiety, and rumination scores on the balance of activity of the default mode network and attention networks revealed in the resting state EEG records. Forty-five healthy volunteers (24 men aged from 18 to 25 years) participated in the resting state EEG recording. The participants filled in the Beck Depression Inventory-II (BDI II), Ruminative Responses Scale, and Eysenck Personality Profiler. The connectivity measures of resting state networks were calculated in EEG data. The networks were detected by the “seed” method. The effects of depressive symptoms, anxiety, and rumination on the connectivity of the networks were analyzed by the regression method. The depressive symptom scores and the rumination scores were correlated with the dominance of the default mode network over attention networks in the right temporal cortex. The depression scores and the anxiety scores were correlated with the dominance of attention networks over the default mode network in the anterior cingulate cortex. It could be suggested that rumination processes are specific for depressive symptoms and are reflected in the dominance of the default mode network in brain structures associated with the processing of emotional introspection. Common to depressive and anxious symptoms is a state of alertness, which is reflected in the dominance of attention networks in brain structures associated with decision-making.

Global and reflective rumination are related to suicide attempts among patients experiencing major depressive episodes

BackgroundRecent attention has focused on the role of rumination in suicidality, with evidence indicating that rumination may be positively related to suicidal ideation. There remains disagreement on the nature of the relationship between rumination and suicide attempts, especially in major affective disorders. This study was designed to identify whether rumination is a risk factor for attempted suicide.MethodsA total of 309 patients with major depressive episodes were recruited for this study, including 170 patients with major depression and 139 patients with bipolar disorder. All participants were categorized into two groups based on a series of clinical assessments: suicide attempters (n = 87) and non-suicide attempters (n = 222). Rumination was evaluated with the Ruminative Responses Scale. A binary logistic regression analysis was carried out to evaluate the relationship between rumination and suicide attempts.ResultsBoth global ruminative levels and the two subtypes of rumination, brooding and reflection, were significantly higher in the suicide attempters than the non-suicide attempters. After controlling for age, current depression and anxiety symptoms, and episode frequency, it was found that global rumination and reflection (but not brooding) were positively associated with suicide attempts.ConclusionThese results suggest that rumination may be a risk factor for suicide attempts and highlight the maladaptive nature of reflection in patients with major depressive episodes.

The Role of Social Comparison and Rumination in Predicting Social Media Addiction

The aim of this study is to determine the social media addiction levels of university students and examine whether their social comparison orientations and ruminative responses significantly predict social media addiction. The study group consists of 261 university students. “Social Media Addiction Scale”, “Iowa-Netherlands Social Comparison Orientation Measure” and “Ruminative Response Scale, Short Form” were applied to the participants. Frequency, percentage and multiple regression analysis were used to analyse the obtained data. As a result of the study, it was found out that university students were less addicted on social media. As a result of the regression analysis, it was determined that obsessive thinking, deep thinking and social comparison had significant effects in predicting social media addiction. It was concluded that obsessive thinking and social comparison predicted positively, whereas deep thinking alone was not a significant predictor. The obtained findings were discussed in the context of the relevant literature and suggestions were made for further research.

Understanding the effect of rumination on sleep quality: a mediation model of negative affect and bedtime procrastination

It has been well documented that rumination has a negative effect on sleep quality. However, the mechanism underlying this effect remains unclear. This study investigated the negative effect of rumination on sleep quality mediated by negative affect and bedtime procrastination. In the current study, Pittsburgh Sleep Quality Index, Ruminative Responses Scale, Negative Experience Scale, and Bedtime Procrastination Scale were administered to a sample of 1103 college students recruited from an online survey platform, among whom 63% were female. Their age ranged from 17 to 31 with a mean of 20.17 (SD = 1.43). The results indicated that rumination had a significant positive effect on poor sleep quality mediated by negative affect (Effect = 0.10; 95% CI = 0.06, 0.14) and bedtime procrastination (Effect = 0.05; 95% CI = 0.03, 0.07) separately. Meanwhile, this effect could be serially mediated by the two mediators (Effect = 0.04, 95% CI: 0.02, 0.06). These findings suggest that, to improve the sleep quality of college students with high levels of rumination, interventions could be targeted at developing their adaptive emotion regulation strategies and behavioral self-regulation skills.

Pattern of occurrence of obsessive-compulsive symptoms in bipolar disorder

Apparent comorbidity between Bipolar Disorder (BD) and Obsessive-Compulsive Disorder (OCD) is a common condition, but its meaning has not been clarified yet. The present study aimed to evaluate the pattern of occurrence of obsessive-compulsive symptoms (OCS) in the different phases of BD. One hundred and sixty-five BD patients, 62 (37.5%) euthymic, 34 (20.6%) in hypomanic/manic phase, 43 (26%) in depressive phase and 26 (15.7%) in mixed state, were assessed with the Yale-Brown Obsessive-Compulsive Scale (YBOCS), the Hamilton Depression Rating Scale (HAM-D), the Young Mania Rating Scale (YMRS) and the Ruminative Response Scale (RRS). In the whole sample, the severity of OCS was associated to the severity of depressive symptoms. The highest severity of OCS (YBOCS total score) was observed in the mixed group and the lowest scores in the hypomanic/manic group. Our findings suggest that OCS in BD patients appear as a state-dependent phenomenon cycling with the mood phases, particularly exacerbating in the context of depressive and mixed states.