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1.
BMC Psychol ; 12(1): 484, 2024 Sep 13.
Artigo em Inglês | MEDLINE | ID: mdl-39272175

RESUMO

The goal of this study is to learn more about social media ostracism, a stressor associated with online social networks, defined by feelings of rejection, exclusion, or ignoring. We investigate the connection between social media ostracism and worker creativity. We suggest that psychological safety and psychological rumination serve as intermediaries in this relationship. Furthermore, we investigate emotional intelligence as a relationship regulator. To verify our hypothesis, we gathered data with the help of the HR department from 244 workers of nine Chinese organizations. Our research shows that psychological rumination and social media exclusion are significantly correlated, but only in workers with low emotional intelligence. Furthermore, for individuals with strong emotional intelligence, we did not discover a statistically negative association between psychological safety and social media exclusion. Findings suggest that psychological safety and psychological rumination serve as mediating factors in the relationship between employee creativity and social media exclusion. This study illuminates the negative aspects of social media ostracism and reveals how it might hinder creativity. It also emphasizes how emotional intelligence functions as a moderator. Organizations may learn a lot from this study on how to lessen the negative impacts of social media exclusion on employee creativity.


Assuntos
Criatividade , Inteligência Emocional , Mídias Sociais , Humanos , Mídias Sociais/estatística & dados numéricos , Masculino , Adulto , Feminino , Distância Psicológica , Isolamento Social/psicologia , Emprego/psicologia , Ruminação Cognitiva , Pessoa de Meia-Idade , China
2.
Transl Psychiatry ; 14(1): 354, 2024 Sep 04.
Artigo em Inglês | MEDLINE | ID: mdl-39227376

RESUMO

Real-time fMRI neurofeedback (rtfMRI-NF) has emerged as a promising intervention for psychiatric disorders, yet its clinical efficacy remains underexplored due to an incomplete mechanistic understanding. This study aimed to delineate the whole-brain mechanisms underpinning the effects of rtfMRI-NF on repetitive negative thinking in depression. In a double-blind randomized controlled trial, forty-three depressed individuals underwent NF training targeting the functional connectivity (FC) between the posterior cingulate cortex and the right temporoparietal junction, linked to rumination severity. Participants were randomly assigned to active or sham groups, with the sham group receiving synthesized feedback mimicking real NF signal patterns. The active group demonstrated a significant reduction in brooding rumination scores (d = -1.52, p < 0.001), whereas the sham group did not (d = -0.23, p = 0.503). While the target FC did not show discernible training effects or group differences, connectome-based predictive modeling (CPM) analysis revealed that the interaction between brain activity during regulation and brain response to the feedback signal was the critical factor in explaining treatment outcomes. The model incorporating this interaction successfully predicted rumination changes across both groups. The FCs significantly contributing to the prediction were distributed across brain regions, notably the frontal control, salience network, and subcortical reward processing areas. These results underscore the importance of considering the interplay between brain regulation activities and brain response to the feedback signal in understanding the therapeutic mechanisms of rtfMRI-NF. The study affirms rtfMRI-NF's potential as a therapeutic intervention for repetitive negative thinking and highlights the need for a nuanced understanding of the whole-brain mechanisms contributing to its efficacy.


Assuntos
Conectoma , Imageamento por Ressonância Magnética , Neurorretroalimentação , Humanos , Neurorretroalimentação/métodos , Feminino , Masculino , Adulto , Método Duplo-Cego , Ruminação Cognitiva/fisiologia , Giro do Cíngulo/fisiopatologia , Giro do Cíngulo/diagnóstico por imagem , Adulto Jovem , Pessoa de Meia-Idade , Pessimismo , Encéfalo/fisiopatologia , Encéfalo/diagnóstico por imagem , Transtorno Depressivo Maior/terapia , Transtorno Depressivo Maior/fisiopatologia , Transtorno Depressivo Maior/diagnóstico por imagem , Resultado do Tratamento
3.
Gen Hosp Psychiatry ; 90: 157-164, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39197230

RESUMO

OBJECTIVE: Individuals with severe burn injuries may develop depression, yet knowledge about psychological risk factors for depression following trauma is limited. This study investigated the prospective impact and interplay of prior depression and trauma-related cognitive processes (posttraumatic negative appraisals and trauma-related rumination) to depressive symptoms between 6 and 24 months after burn injury. METHOD: Taiwanese adult survivors of burn (N = 118) participated in surveys immediately post-burn and at 6-, 12-, and 24-months follow-up. Participants were 7 5% men, with an average age of 41.8 years and an average of TBSA of 18.3%. RESULTS: A total of 8.5%, 5.9%, and 4.2% met criteria for probable major depression at 6, 12, and 24 months post-burn, respectively. The prevalence increased to 23.7%, 11.0%, and 5.9% using the cutoff on the PHQ-9. Prior depression and trauma-related cognitive processes immediately post-burn explained 13.5%, 20.5%, and 18.6% of the variance in depressive symptoms at 6, 12, and 24 months post-burn, respectively. Posttraumatic negative appraisals strongly predicted depressive symptoms post-burn across follow-ups. Moreover, posttraumatic negative appraisals significantly mediated the effect of prior depression on subsequent depressive symptoms across follow-ups. Prior depression significantly moderated the effect of trauma-related rumination on depressive symptoms at 6 months post-burn. CONCLUSIONS: Our results are the first to demonstrate the role and interplay of prior depression and trauma-related cognitive processes in post-burn depression. Findings highlight that pre-and post-trauma psychological factors jointly affect depression following trauma, broadening the applicability of cognitive theories of PTSD.


Assuntos
Queimaduras , Transtorno Depressivo Maior , Sobreviventes , Humanos , Masculino , Queimaduras/psicologia , Adulto , Feminino , Sobreviventes/psicologia , Pessoa de Meia-Idade , Taiwan/epidemiologia , Transtorno Depressivo Maior/epidemiologia , Estudos Prospectivos , Ruminação Cognitiva/fisiologia , Seguimentos , Depressão/epidemiologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia
4.
J Affect Disord ; 366: 74-82, 2024 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-39142590

RESUMO

BACKGROUND: Repetitive negative thinking (RNT) is a transdiagnostic process involving perseverative, unproductive, and uncontrollable thoughts. Although RNT may impede adaptive psychosocial functioning by prolonging negative mood states, strengthening cognitive biases, and preventing effective problem-solving, the extent to which RNT is associated with risk for poor psychosocial outcomes is unclear. Given that this has clear transdiagnostic treatment implications, the present study aimed to isolate the unique relationship of RNT with social functioning and life satisfaction in a mixed clinical and non-clinical sample. METHODS: In 201 mid-to-later life adult participants (27 with primary diagnoses of bipolar disorder, 84 with major depressive disorder, and 90 healthy volunteers), we measured RNT, social functioning, life satisfaction, trait rumination, DSM-5 diagnoses, depressive symptoms, manic symptoms, cognitive control performance, and global cognitive functioning. RESULTS: Linear regression models revealed that RNT, but not rumination, was significantly associated with poorer social functioning (ß = 0.42 p < .001) and reduced life satisfaction (ß = -0.42, p < .001) after controlling for clinical and cognitive covariates. LIMITATIONS: Limited demographic diversity, cross-sectional design, self-reporting of outcomes. CONCLUSIONS: Results suggest that RNT may confer risk for key psychosocial outcomes during middle to later adulthood, over and above the effects of clinical and cognitive variables and independent of diagnostic status. Findings lend support to the notion of RNT as a transdiagnostic process and suggest that RNT may be an important therapeutic target for adults with poor social functioning and/or reduced life satisfaction.


Assuntos
Transtorno Bipolar , Transtorno Depressivo Maior , Satisfação Pessoal , Funcionamento Psicossocial , Ruminação Cognitiva , Humanos , Feminino , Masculino , Pessoa de Meia-Idade , Transtorno Depressivo Maior/psicologia , Transtorno Depressivo Maior/diagnóstico , Transtorno Bipolar/psicologia , Transtorno Bipolar/diagnóstico , Adulto , Ruminação Cognitiva/fisiologia , Pessimismo/psicologia , Estudos Transversais , Idoso
5.
J Affect Disord ; 366: 244-253, 2024 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-39181165

RESUMO

BACKGROUND: A diagnostic criterion for Major Depressive Disorder (MDD) is difficulty concentrating and increased distractibility. One form of distraction that occurs in everyday life is mind-wandering. The current study aims to test how individuals with MDD and healthy controls differ in their mind-wandering in everyday life. METHODS: Adults diagnosed with MDD (n = 53) and healthy controls (n = 53) completed a week of experience sampling, with prompts administered up to eight times per day. At each prompt, participants reported the occurrence and characteristics of their mind-wandering. They also reported levels of momentary negative affect (NA), positive affect (PA), and rumination. RESULTS: MDD participants reported mind-wandering almost twice as often as healthy control participants. Compared to healthy participants, MDD participants rated their mind-wandering as more negative, but did not differ in terms of temporal orientation. Higher NA and lower PA predicted mind-wandering in the MDD group but not healthy controls, even after controlling for rumination. Time-lagged analyses revealed that current mind-wandering predicted future levels of PA in MDD participants but not in healthy controls; in contrast, current NA and PA did not predict future mind-wandering. LIMITATIONS: Limitations include our examination of specific forms of mind-wandering (i.e., we did not sample the full spectrum of this construct). CONCLUSIONS: Individuals with MDD frequently report engaging in mind-wandering in everyday life, and this appears to be coupled with affect. Mind-wandering may have maladaptive effects in MDD and could serve as a target for intervention.


Assuntos
Afeto , Atenção , Transtorno Depressivo Maior , Avaliação Momentânea Ecológica , Humanos , Transtorno Depressivo Maior/psicologia , Feminino , Masculino , Adulto , Pessoa de Meia-Idade , Ruminação Cognitiva/fisiologia , Adulto Jovem , Pensamento/fisiologia , Estudos de Casos e Controles
6.
J Affect Disord ; 366: 83-90, 2024 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-39191310

RESUMO

BACKGROUND: Depression is linked to cognitive biases towards more negative and less positive self-relevant information. Rumination, perseverative negative thinking about the past and the self, may contribute to these biases. METHODS: 159 adolescents (12-18 years), with a range of depression symptoms, completed the SRET during fMRI. Multiple regressions tested associations between conventional self-report and ecological momentary assessment (EMA) measured rumination, and neural and behavioral responses during a self-referent encoding task (SRET). RESULTS: Higher rumination (conventional self-report and EMA) was associated with more negative and fewer positive words endorsed and recalled. Higher self-reported (but not EMA) rumination was associated with higher accuracy in recognizing negative words and greater insula and dorsal anterior cingulate activity to negative versus positive words. LIMITATIONS: The sample included mostly non-Hispanic White participants with household incomes above the national average, highlighting the need for replication in more diverse samples. Word endorsement discrepancies required fMRI analyses to model neural response to viewing negative versus positive words. CONCLUSIONS: Adolescents with higher rumination endorsed and recalled more negative and fewer positive words and recognized more negative words during the SRET. Higher insula reactivity, a key region for modulating externally-oriented attention and internally-oriented self-referential processes, may contribute to links between rumination and negative memory biases. These findings provide insight into neurocognitive mechanisms underlying depression.


Assuntos
Imageamento por Ressonância Magnética , Ruminação Cognitiva , Humanos , Adolescente , Masculino , Feminino , Ruminação Cognitiva/fisiologia , Criança , Encéfalo/fisiopatologia , Encéfalo/diagnóstico por imagem , Depressão/fisiopatologia , Depressão/psicologia , Giro do Cíngulo/fisiopatologia , Giro do Cíngulo/diagnóstico por imagem , Autorrelato , Autoimagem , Avaliação Momentânea Ecológica , Córtex Insular/fisiopatologia , Córtex Insular/diagnóstico por imagem , Córtex Cerebral/fisiopatologia , Córtex Cerebral/diagnóstico por imagem
8.
Behav Ther ; 55(5): 1015-1025, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39174262

RESUMO

Pain, substance use, and mental health conditions are common among people living with HIV (PLWH), and avoidance and rumination may influence the co-occurrence of these conditions. The present study examined longitudinal associations between avoidance/rumination and pain outcomes, anxiety, anger, and substance use among PLWH. Participants (N = 187) with chronic pain and depressive symptoms completed self-report assessments over a 1-year period. Greater avoidance/rumination was positively associated with mental health outcomes (anxiety, anger), pain interference, and alcohol use across participants after controlling for depression severity. At time points with greater avoidance/rumination than average, participants also reported increased pain severity and interference, anxiety and anger symptoms, and alcohol use. No associations were found between avoidance/rumination and cannabis use. Results suggest a mechanistic effect of avoidance/rumination, such that increases in avoidance/rumination correspond with poorer health outcomes among PLWH over time. Targeting avoidance/rumination through intervention approaches may be beneficial for addressing comorbid health conditions among PLWH. Additional research is necessary to investigate this possibility and further characterize the effects of avoidance/rumination on health outcomes for PLWH.


Assuntos
Ansiedade , Depressão , Infecções por HIV , Saúde Mental , Ruminação Cognitiva , Transtornos Relacionados ao Uso de Substâncias , Humanos , Masculino , Feminino , Infecções por HIV/psicologia , Infecções por HIV/complicações , Infecções por HIV/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/psicologia , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/complicações , Pessoa de Meia-Idade , Depressão/psicologia , Depressão/epidemiologia , Depressão/complicações , Adulto , Ansiedade/psicologia , Ansiedade/epidemiologia , Saúde Mental/estatística & dados numéricos , Dor Crônica/psicologia , Dor Crônica/epidemiologia , Ira , Aprendizagem da Esquiva , Autorrelato
9.
J Affect Disord ; 364: 194-204, 2024 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-39147149

RESUMO

Intolerance of uncertainty has been proposed as a transdiagnostic factor in emotional disorders. Despite comprehensive empirical evidence demonstrating the association between intolerance of uncertainty and emotional disorders, the underlying mechanism remains elusive. Drawing on theoretical frameworks and empirical studies, the current study proposed that emotion regulation emerges as a potential mechanism. We explored the connections among intolerance of uncertainty, eight emotion regulation strategies (both adaptive and maladaptive), and emotional difficulties (specifically anxiety and depression) using a three-wave longitudinal approach (N = 341). Our findings revealed that heightened intolerance of uncertainty predicted increased anxiety but not depression over time. Greater intolerance of uncertainty significantly predicted elevated levels of maladaptive emotion regulation strategies including experiential avoidance, thought suppression, rumination, and reassurance-seeking. Adaptive strategies (i.e., mindfulness, cognitive reappraisal, problem-solving) predicted lower anxiety and/or depression whereas maladaptive emotion regulation strategy rumination predicted greater levels of anxiety and depression. Surprisingly, thought suppression predicted lower levels of anxiety and depression. More importantly, our analysis showed that both rumination and thought suppression served as significant mediators in the relationship between intolerance of uncertainty and both anxiety and depression. These results hold implications for future interventions, emphasising rumination and thought suppression as potential targets for interventions aimed at alleviating emotional difficulties in individuals with intolerance of uncertainty.


Assuntos
Ansiedade , Depressão , Regulação Emocional , Humanos , Regulação Emocional/fisiologia , Incerteza , Masculino , Feminino , Estudos Longitudinais , Adulto , Ansiedade/psicologia , Depressão/psicologia , Adaptação Psicológica , Adulto Jovem , Ruminação Cognitiva/fisiologia , Pessoa de Meia-Idade , Emoções , Adolescente , Atenção Plena
10.
Asian Nurs Res (Korean Soc Nurs Sci) ; 18(3): 305-312, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39117188

RESUMO

PURPOSE: This study aimed to explore the potential categories of parenting sense of competence and to analyze the influence of rumination and dyadic coping on the potential categories of parenting sense of competence. METHODS: A total of 199 postpartum women who met the criteria were surveyed from a tertiary grade-A hospital in Shanxi (China) from May 2023 to August 2023. The instruments included the general demographic characteristics, Chinese version of parenting sense of competence scale, Chinese event related rumination inventory, and Chinese version of dyadic coping inventory. Latent profile analysis (LPA) was used to classify the parenting sense of competence in postpartum women, and logistic regression analysis was used to identify the influencing factors. RESULTS: The characteristics of parenting sense of competence in postpartum women can be divided into two potential categories, namely, easy-to-satisfy group (39.3%) and strict-demand group (60.7%). Logistic regression analysis showed that years of marriage, place of residence, deliberate rumination, and dyadic coping were the influencing factors of the potential categories of parenting sense of competence in postpartum women (p < .05). CONCLUSIONS: Through Latent profile analysis (LPA) analysis, it was found that postpartum women's parenting sense of competence exhibits different characteristics. Clinical workers should identify the characteristics and influencing factors of different categories of women and adopt targeted intervention strategies to promote the level of parenting sense of competence.


Assuntos
Adaptação Psicológica , Poder Familiar , Período Pós-Parto , Humanos , Feminino , Adulto , Estudos Transversais , China , Período Pós-Parto/psicologia , Poder Familiar/psicologia , Ruminação Cognitiva , Adulto Jovem , Inquéritos e Questionários
11.
Behav Res Ther ; 182: 104622, 2024 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-39213740

RESUMO

Suicidal ideation (SI), a risk factor for suicide, is prevalent in internalizing psychopathologies, including depression and anxiety. Rumination and worry are well-studied repetitive negative thinking (RNT) constructs implicated in internalizing psychopathologies. These constructs have shared and distinct characteristics. However, the relationship between rumination and worry and their associations with SI are not fully understood in clinical samples. The present study used correlational and regression analysis to evaluate these relationships as a secondary data analysis in treatment-seeking participants with internalizing psychopathologies in two independent samples (Study 1:n = 143; Study 2:n = 133). Results showed about half of the participants endorsed SI (Study 1:n = 79; Study 2:n = 71). Correlations revealed a significant, positive relationship between rumination and worry. Regression results with SI as the dependent variable showed rumination significantly positively corresponded with SI in both studies. Post-hoc partial correlations controlling for symptom severity (depression, anxiety), worry, and age showed the rumination-SI relationship was maintained in both studies. Findings for worry and SI were inconsistent between studies. Findings indicate rumination, but not worry, could be a stable, unique contributor to SI in internalizing psychopathologies. It may be useful to incorporate RNT into suicide risk assessment for individuals with internalizing conditions.


Assuntos
Ansiedade , Ruminação Cognitiva , Ideação Suicida , Humanos , Feminino , Masculino , Adulto , Ruminação Cognitiva/fisiologia , Pessoa de Meia-Idade , Ansiedade/psicologia , Adulto Jovem , Depressão/psicologia , Pessimismo/psicologia , Adolescente , Fatores de Risco , Idoso
12.
JMIR Mhealth Uhealth ; 12: e51932, 2024 Aug 13.
Artigo em Inglês | MEDLINE | ID: mdl-39137411

RESUMO

BACKGROUND: Delivery of preventative interventions via mobile phone apps offers an effective and accessible way to address the global priority of improving the mental health of adolescents and young adults. A proven risk factor for anxiety and depression is elevated worry and rumination, also known as repetitive negative thinking (RNT). OBJECTIVE: This was a prevention mechanism trial that aimed to investigate whether an RNT-targeting self-help mobile phone app (MyMoodCoach) reduces worry and rumination in young adults residing in the United Kingdom. A secondary objective was to test whether the app reduces symptoms of anxiety and depression and improves well-being. METHODS: A web-based, single-blind, 2-arm parallel-group randomized controlled trial was conducted with 236 people aged between 16 and 24 years, who self-reported high levels of worry or rumination. Eligible participants were randomized to an active intervention group (usual practice, plus up to 6 weeks of using the RNT-targeting mobile app, n=119) or a waitlist control group (usual practice with no access to the app until after 6 weeks, n=117). The primary outcome was changes in worry and rumination 6 weeks after randomization. Secondary outcomes included changes in well-being and symptoms of anxiety and depression after 6 weeks and changes in all measures after 12 weeks. RESULTS: Participants randomly allocated to use the RNT-targeting self-help app showed significantly lower levels of rumination (mean difference -2.92, 95% CI -5.57 to -0.28; P=.03; ηp2=0.02) and worry (mean difference -3.97, 95% CI -6.21 to -1.73; P<.001; ηp2=0.06) at 6-week follow-up, relative to the waitlist control. Similar differences were observed for well-being (P<.001), anxiety (P=.03), and depression (P=.04). The waitlist control group also showed improvement when given access to the app after 6 weeks. Improvements observed in the intervention group after 6 weeks of using the app were maintained at the 12-week follow-up point. CONCLUSIONS: The MyMoodCoach app had a significant positive effect on worry and rumination, well-being, anxiety, and depression in young adults, relative to waitlist controls, providing proof-of-principle that an unguided self-help app can effectively reduce RNT. This app, therefore, has potential for the prevention of anxiety and depression although longer-term effects on incidence need to be directly evaluated. TRIAL REGISTRATION: ClinicalTrials.gov NCT04950257; https://www.clinicaltrials.gov/ct2/show/NCT04950257. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.1186/s12888-021-03536-0.


Assuntos
Ansiedade , Aplicativos Móveis , Ruminação Cognitiva , Humanos , Masculino , Aplicativos Móveis/estatística & dados numéricos , Aplicativos Móveis/normas , Feminino , Adolescente , Método Simples-Cego , Adulto Jovem , Reino Unido , Ruminação Cognitiva/fisiologia , Ansiedade/psicologia , Ansiedade/terapia , Depressão/psicologia , Depressão/terapia
13.
Sci Rep ; 14(1): 18116, 2024 08 05.
Artigo em Inglês | MEDLINE | ID: mdl-39103574

RESUMO

Smartphone distraction (SD) is closely related to depression, and the prevalence of SD among nursing students is gradually increasing. However, the potential mechanism of the effect of SD on nursing students' depression is unclear. A total of 574 nursing students were assessed using Smartphone Distraction Scale, Ruminative Response Scale, Hikikomori Questionnaire, and Patient Health Questionnaire-9. The results indicated that SD among nursing students had an impact on depression through four pathways: (1) SD was positively associated with depression (ß = 0.353, P < 0.001); (2) Rumination (ß = 0.199, 95% CI: 0.081 to 0.162) and social withdrawal (ß = 0.061, 95% CI: 0.034 to 0.091) mediated the effects of SD on depression, respectively; and (3) Rumination and social withdrawal played a chain mediating role in the effect of SD on nursing students' depression (ß = 0.027, 95% CI: 0.015 to 0.042). The negative impact of SD on nursing students' mental health should not be taken lightly. Schools and hospitals should guide nursing students to use smartphones correctly, including providing mental health education and professional psychological counselling; families could play a supervisory role and communicate regularly to understand the psychological state and learning of nursing students. These measures can help nursing students cope with stress and reduce the risk of depression.


Assuntos
Depressão , Ruminação Cognitiva , Smartphone , Isolamento Social , Estudantes de Enfermagem , Feminino , Humanos , Masculino , Adulto Jovem , China/epidemiologia , Depressão/epidemiologia , Depressão/psicologia , População do Leste Asiático , Isolamento Social/psicologia , Estudantes de Enfermagem/psicologia , Inquéritos e Questionários
14.
BMC Public Health ; 24(1): 2294, 2024 Aug 23.
Artigo em Inglês | MEDLINE | ID: mdl-39180034

RESUMO

BACKGROUND: Evidence suggests that natural disasters, such as earthquakes, can lead to post-traumatic stress disorder (PTSD), with women being particularly vulnerable. However, there is a dearth of knowledge about the underlying mechanisms linking traumatic experiences to PTSD as well as gender differences in the operation of these mechanisms. This study examined the mediating effect of intrusive rumination and the moderating effect of gender on the relationship between earthquake exposure level and PTSD symptoms. METHODS: This cross-sectional study was conducted 12 months after the devastating earthquake in Kahramanmaras, Turkey. The sample included 632 adult survivors of the earthquake, including 374 females (59.2%) and 258 males (40.8%). Participants completed a set of questionnaires assessing their demographic information, level of earthquake exposure, intrusive rumination, and PTSD symptoms. Correlation analysis, mediation analysis, and conditional process analysis were employed to evaluate the research hypotheses. RESULTS: Findings revealed significant associations between the level of earthquake exposure, intrusive rumination and PTSD symptoms. The level of earthquake exposure significantly predicted PTSD symptoms. Moreover, intrusive rumination partially mediated the relationship between earthquake exposure level and PTSD symptoms. Additionally, the mediating effect of intrusive rumination was more pronounced among females than males. CONCLUSION: This study revealed the significant mediating role of intrusive rumination in the development of post-earthquake PTSD symptoms. By uncovering gender differences in this mechanism, it also emphasized the importance of designing interventions that are sensitive to the varying needs of different demographic groups affected by the disaster in post-disaster mental health interventions.


Assuntos
Terremotos , Transtornos de Estresse Pós-Traumáticos , Sobreviventes , Humanos , Transtornos de Estresse Pós-Traumáticos/psicologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Estudos Transversais , Masculino , Feminino , Sobreviventes/psicologia , Sobreviventes/estatística & dados numéricos , Adulto , Pessoa de Meia-Idade , Turquia/epidemiologia , Fatores Sexuais , Inquéritos e Questionários , Ruminação Cognitiva , Adulto Jovem , Idoso
15.
Clin Psychol Psychother ; 31(4): e3018, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38948943

RESUMO

BACKGROUND: In this study, we re-examined data from a previous randomized controlled trial investigating 'technology supported mindfulness' (TSM)-an 8-week treatment intervention for individuals experiencing OCD. The current analysis involves an examination of the longitudinal relationships between rumination, worry and OCD symptom changes during mindfulness treatment, in comparison to a waitlist control. METHODS: Participants experiencing OCD (n = 71) were randomly assigned to 8 weeks of (1) TSM or (2) waitlist control. We tested the extent to which rumination (using the Ruminative Response Scale) and worry (using the Penn State Worry Questionnaire) are associated with OCD symptom changes during the acute phase of treatment, concurrently (i.e., within the same longitudinal model). RESULTS: Generalized linear model (GLM) results indicated a significant time (week 1 vs. week 8) by condition interaction involving decreased rumination in the TSM condition: F(1, 61) = 13.37, p = 0.001, partial η2 = 0.18 and observed power = 0.94. A second GLM demonstrated decreased worry in the TSM condition: F(1, 69) = 37.34, p = 0.001, partial η2 = 0.35 and observed power = 0.83. Longitudinal 'latent difference' structural equation analyses demonstrated a cross-lagged association between worry (but not rumination) and OCD symptom changes. CONCLUSIONS: Individuals in the TSM condition experienced greater reductions in rumination and worry during 8 weeks of TSM treatment compared to the waitlist control, and reduced worry predicted subsequent OCD symptom reduction.


Assuntos
Atenção Plena , Transtorno Obsessivo-Compulsivo , Ruminação Cognitiva , Humanos , Feminino , Masculino , Atenção Plena/métodos , Transtorno Obsessivo-Compulsivo/terapia , Transtorno Obsessivo-Compulsivo/psicologia , Adulto , Resultado do Tratamento , Ansiedade/psicologia , Ansiedade/terapia , Pessoa de Meia-Idade , Inquéritos e Questionários
16.
BMC Psychiatry ; 24(1): 516, 2024 Jul 19.
Artigo em Inglês | MEDLINE | ID: mdl-39030505

RESUMO

BACKGROUND: Behavioral activation has gained increasing attention as an effective treatment for depression. However, the effectiveness of Behavioral Activation Group Therapy (BAGT) in controlled conditions compared to its self-help programs requires more investigation. The present study aimed to compare their effectiveness on depressive symptoms, repetitive negative thinking (RNT), and performance in patients with major depressive disorder (MDD). METHODS: In this randomized clinical trial, 40 patients diagnosed with Major Depressive Disorder (MDD) were recruited based on a structured clinical interview for DSM-5 (SCID-5). Participants were allocated to BAGT (n = 20) and self-help behavioral activation (SBA; n = 20) groups. BAGT received ten weekly sessions (90 min), while the SBA group followed the same protocol as the self-help intervention. Participants were evaluated at pre-treatment, post-treatment, and the 2-month follow-up using the Beck Depression Inventory-II (BDI-II), repetitive thinking questionnaire (RTQ-31), and work and social adjustment scale (WSAS). RESULTS: The results of a Mixed ANOVA analysis revealed that participants who underwent BAGT showed significant improvement in depression, rumination, work, and social functioning post-treatment and at the 2-month follow-up. However, the SBA group did not show significant changes in any outcome. The study also found that, based on clinical significance, 68% of the BAGT participants were responsive to treatment, and 31% achieved a high final performance status at the 2-month follow-up. DISCUSSION: BAGT was more effective than SBA in MDD patients. Participants' engagement with self-help treatment is discussed. TRIAL REGISTRATION: The present trial has been registered in the Iranian Registry of Clinical Trials Center (IRCT ID: IRCT20181128041782N1|| http://www.irct.ir/ ) (Registration Date: 04/03/2019).


Assuntos
Transtorno Depressivo Maior , Psicoterapia de Grupo , Humanos , Transtorno Depressivo Maior/terapia , Transtorno Depressivo Maior/psicologia , Feminino , Masculino , Adulto , Psicoterapia de Grupo/métodos , Pessoa de Meia-Idade , Resultado do Tratamento , Escalas de Graduação Psiquiátrica , Ruminação Cognitiva/fisiologia , Terapia Comportamental/métodos , Grupos de Autoajuda , Adulto Jovem
17.
Behav Brain Res ; 472: 115144, 2024 08 24.
Artigo em Inglês | MEDLINE | ID: mdl-38992844

RESUMO

Although trait and state rumination play a central role in the exacerbation of negative affect, evidence suggests that they are weakly correlated and exert distinct influences on emotional reactivity to stressors. Whether trait and state rumination share a common or exhibit distinct neural substrate remains unclear. In this study, we utilized functional near-infrared spectroscopy (fNIRS) combined with connectome-based predictive modeling (CPM) to identify neural fingerprints associated with trait and state rumination. CPM identified distinctive functional connectivity (FC) profiles that contribute to the prediction of trait rumination, primarily involving FC within the default mode network (DMN) and the dorsal attention network (DAN) as well as FC between the DMN, control network (CN), DAN, and salience network (SN). Conversely, state rumination was predominantly associated with FC between the DMN and CN. Furthermore, the predictive features of trait rumination can be robustly generalized to predict state rumination, and vice versa. In conclusion, this study illuminates the importance of both DMN and non-DMN systems in the emergence and persistence of rumination. While trait rumination was associated with stronger and broader FC than state rumination, the generalizability of the predictive features underscores the presence of shared neural mechanisms between the two forms of rumination. These identified connectivity fingerprints may hold promise as targets for innovative therapeutic interventions aimed at mitigating rumination-related negative affect.


Assuntos
Conectoma , Rede de Modo Padrão , Ruminação Cognitiva , Espectroscopia de Luz Próxima ao Infravermelho , Humanos , Ruminação Cognitiva/fisiologia , Masculino , Feminino , Adulto Jovem , Adulto , Rede de Modo Padrão/fisiologia , Rede de Modo Padrão/diagnóstico por imagem , Rede Nervosa/diagnóstico por imagem , Rede Nervosa/fisiologia , Personalidade/fisiologia , Encéfalo/fisiologia , Encéfalo/diagnóstico por imagem , Adolescente
18.
Behav Res Ther ; 181: 104604, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39079255

RESUMO

In three studies, we examined the effect of shifting from a negative to a positive inference for a negative personal event, on mood, state rumination, and next-day inferences, and assessed whether trait brooding moderates these effects. Participants described a personal event and made two inferences for it. Studies 1 and 2 showed that instructing participants to shift from a negative to a positive inference, improved mood and decreased state rumination, compared to a no-shift condition. Lasting effects of this shift were observed on the next day, but not among high brooders. In Study 3, trait brooding was associated with less shifting from a negative to a positive inference, when participants were free to make any inference following a negative one. These findings highlight the benefits of shifting from negative to positive inferences for mood and state rumination. We also discuss the potential of shifting for brooders, who do not shift spontaneously but can do so with guidance, offering a potential intervention to enhance emotion regulation.


Assuntos
Afeto , Ruminação Cognitiva , Humanos , Afeto/fisiologia , Ruminação Cognitiva/fisiologia , Masculino , Feminino , Adulto Jovem , Adulto , Adolescente , Regulação Emocional/fisiologia
19.
J Affect Disord ; 363: 63-71, 2024 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-39038617

RESUMO

BACKGROUND: Using the metacognitive model of emotion dysregulation as a basis, this study explored whether, among participants with substance use disorders (SUDs), metacognitive beliefs and repetitive negative thinking were associated with emotion dysregulation. METHODS: 127 participants with SUDs and 127 controls without SUDs were recruited. Emotion dysregulation, metacognitive beliefs, rumination, worry, anxiety, and depression were assessed. t-tests, Mann-Whitney tests, logistic regression, correlation, and hierarchal regression analyses were run. RESULTS: Participants with SUDs reported significantly higher levels of emotion dysregulation, positive beliefs about worry, beliefs about the need to control thoughts, rumination, and worry, compared to controls without SUDs. Among participants with SUDs negative beliefs about thoughts concerning uncontrollability and danger, cognitive confidence, beliefs about the need to control thoughts, rumination, and worry were significantly associated with an increase of emotion dysregulation. LIMITATIONS: The cross-sectional design. CONCLUSION: Emotion dysregulation, metacognitive beliefs, and repetitive negative thinking may contribute to increase the risk of substance use. Among participants with SUDs emotion dysregulation is associated with the tendency to endorse dysfunctional metacognitive beliefs and report repetitive negative thinking. Metacognitive beliefs and repetitive negative thinking could be a suitable therapeutic target to reduce emotion dysregulation among participants with SUDs.


Assuntos
Ansiedade , Metacognição , Transtornos Relacionados ao Uso de Substâncias , Humanos , Transtornos Relacionados ao Uso de Substâncias/psicologia , Masculino , Feminino , Metacognição/fisiologia , Adulto , Estudos Transversais , Ansiedade/psicologia , Pessoa de Meia-Idade , Regulação Emocional/fisiologia , Depressão/psicologia , Ruminação Cognitiva/fisiologia , Emoções , Adulto Jovem , Pensamento/fisiologia
20.
BMC Psychiatry ; 24(1): 422, 2024 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-38840083

RESUMO

BACKGROUND: Mind wandering is a common phenomenon in daily life. However, the manifestations and cognitive correlates of mind wandering in different subclinical populations remain unclear. In this study, these aspects were examined in individuals with schizotypal traits and individuals with depressive symptoms, i.e., subclinical populations of patients with schizophrenia and depression. METHODS: Forty-two individuals with schizotypal traits, 42 individuals with subclinical depression, and 42 controls were recruited to complete a mind wandering thought sampling task (state level) and a mind wandering questionnaire (trait level). Measures of rumination and cognitive functions (attention, inhibition, and working memory) were also completed by participants. RESULTS: Both subclinical groups exhibited more state and trait mind wandering than did the control group. Furthermore, individuals with schizotypal traits demonstrated more trait mind wandering than individuals with subclinical depression. Rumination, sustained attention, and working memory were associated with mind wandering. In addition, mind wandering in individuals with subclinical depression can be accounted for by rumination or attention, while mind wandering in individuals with high schizotypal traits cannot be accounted for by rumination, attention, or working memory. CONCLUSIONS: The results suggest that individuals with high schizotypal traits and subclinical depression have different patterns of mind wandering and mechanisms. These findings have implications for understanding the unique profile of mind wandering in subclinical individuals.


Assuntos
Atenção , Depressão , Memória de Curto Prazo , Transtorno da Personalidade Esquizotípica , Humanos , Masculino , Feminino , Transtorno da Personalidade Esquizotípica/psicologia , Transtorno da Personalidade Esquizotípica/fisiopatologia , Atenção/fisiologia , Memória de Curto Prazo/fisiologia , Depressão/psicologia , Adulto , Adulto Jovem , Pensamento/fisiologia , Ruminação Cognitiva/fisiologia , Inquéritos e Questionários , Adolescente
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