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1.
Aggress Behav ; 50(3): e22157, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38770707

RESUMO

This study examined the mediating role of anger rumination in the relationship between anger and reactive aggression and the potential of adaptive anger rumination in reducing reactive aggression. Study 1, a two-wave longitudinal survey of 177 Chinese adolescents, showed that anger rumination mediated the relationship between anger and reactive aggression. Study 2, an experimental study with 160 university students, showed that the self-distanced group had lower aggression than the self-immersed group, and anger rumination mediated the impact of anger on reactive aggression in only the self-immersed group. These findings clarify the role of anger rumination concerning the relationship between anger and reactive-aggression and highlight the importance of self-distanced anger rumination in preventing reactive aggression among adolescents and young adults.


Assuntos
Agressão , Ira , Ruminação Cognitiva , Humanos , Ira/fisiologia , Agressão/psicologia , Masculino , Feminino , Adolescente , Ruminação Cognitiva/fisiologia , Adulto Jovem , Estudos Longitudinais , Adulto , China , Estudantes/psicologia
2.
Clin Psychol Psychother ; 31(3): e2999, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38769633

RESUMO

Can 'a distress shared is a distress halved' be universally applied? The relationship between sharing distress with others and individuals' psychological health may oscillate depending on how and where it is shared. This meta-analysis aimed to examine (1) whether the relationship between sharing distress and psychological distress is moderated by the manner of sharing (i.e. general tendency to share distress with others [general distress sharing] vs. ruminatively fixating on the negatives during the sharing [co-rumination]) and (2) cultural context (Eastern vs. Western). A total of 110 effect sizes from 105 studies (91 articles on general distress sharing and 84 articles on co-rumination) were included in the analysis with sharing manner as a moderator. For the cross-cultural analyses, 61 studies were included with 47 studies conducted in Western cultures and 15 studies conducted in Eastern cultures. Whereas generally sharing distress was negatively related to psychological distress, co-rumination showed a positive correlation with psychological distress. Culture significantly moderated co-rumination but not general distress sharing in relation to psychological distress. General distress sharing was consistently associated with decreased psychological distress across cultures. In contrast, co-rumination was related to deleterious psychological health only among Westerners, while Easterners showed a non-significant association with psychological distress. Our results align with the increasing importance of taking contextual factors into account in the field of emotion regulation literature.


Assuntos
Angústia Psicológica , Humanos , Comparação Transcultural , Relações Interpessoais , Estresse Psicológico/psicologia , Ruminação Cognitiva
3.
Sci Rep ; 14(1): 10874, 2024 05 13.
Artigo em Inglês | MEDLINE | ID: mdl-38740852

RESUMO

Theories of rumination have proposed different psychological factors to place one at risk for repetitive negative thinking. A comprehensive empirical test that captures the most relevant contributors to rumination is lacking. Building on influential self-regulatory and metacognitive frameworks, we modeled how key constructs in this context relate to ruminative thinking. 498 participants completed online questionnaires including indicators of rumination, metacognition, promotion goal orientation, effortful control, and depression. We estimated regularized partial correlation networks to investigate unique associations between the different constructs and followed these analyses up with directed acyclic graphs to identify potential pathways towards rumination. Results demonstrated that: (1) both self-regulatory and metacognitive factors were directly linked to rumination, amongst these were (2) positive beliefs, negative beliefs about uncontrollability and harm, cognitive self-consciousness, depression, effortful control, perfectionism, and (lack of) cognitive confidence, and (3) we identified multiple directed pathways, suggesting three direct contributors to rumination while controlling for the influence of all other variables: diminished effortful control, positive beliefs, and cognitive self-consciousness. This study is the first to comprehensively assess metacognitive and self-regulatory frameworks of rumination in a data-driven manner. Our findings suggest that there are multiple pathways towards rumination, which should be incorporated in clinical case conceptualization of rumination and related disorders.


Assuntos
Metacognição , Ruminação Cognitiva , Humanos , Feminino , Masculino , Ruminação Cognitiva/fisiologia , Adulto , Adulto Jovem , Inquéritos e Questionários , Metacognição/fisiologia , Depressão/psicologia , Pessoa de Meia-Idade , Adolescente , Pensamento/fisiologia
4.
Clin Psychol Psychother ; 31(2): e2982, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38659356

RESUMO

The period after psychiatric hospitalization is an extraordinarily high-risk period for suicidal thoughts and behaviours (STBs). Affective-cognitive constructs (ACCs) are salient risk factors for STBs, and intensive longitudinal metrics of these constructs may improve personalized risk detection and intervention. However, limited research has examined how within-person daily levels and between-person dynamic metrics of ACCs relate to STBs after hospital discharge. Adult psychiatric inpatients (N = 95) completed a 65-day ecological momentary assessment protocol after discharge as part of a 6-month follow-up period. Using dynamic structural equation models, we examined both within-person daily levels and between-person dynamic metrics (intensity, variability and inertia) of positive and negative affect, rumination, distress intolerance and emotion dysregulation as risk factors for STBs. Within-person lower daily levels of positive affect and higher daily levels of negative affect, rumination, distress intolerance and emotion dysregulation were risk factors for next-day suicidal ideation (SI). Same-day within-person higher rumination and negative affect were also risk factors for same-day SI. At the between-person level, higher overall positive affect was protective against active SI and suicidal behaviour over the 6-month follow-up, while greater variability of rumination and distress intolerance increased risk for active SI, suicidal behaviour and suicide attempt. The present study provides the most comprehensive examination to date of intensive longitudinal metrics of ACCs as risk factors for STBs. Results support the continued use of intensive longitudinal methods to improve STB risk detection. Interventions focusing on rumination and distress intolerance may specifically help to prevent suicidal crises during critical transitions in care.


Assuntos
Ideação Suicida , Humanos , Masculino , Feminino , Adulto , Fatores de Risco , Pessoa de Meia-Idade , Avaliação Momentânea Ecológica , Tentativa de Suicídio/psicologia , Tentativa de Suicídio/estatística & dados numéricos , Regulação Emocional , Transtornos Mentais/psicologia , Ruminação Cognitiva , Hospitalização/estatística & dados numéricos , Afeto , Hospitais Psiquiátricos
5.
Behav Ther ; 55(3): 469-484, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38670662

RESUMO

Although the literature suggests trait-like differences in affective and cognitive vulnerabilities between individuals with and without a history of nonsuicidal self-injury (NSSI), little is known about how these dispositional differences are experienced in the natural environment. The present study compares the intensity, inertia, interaction, and variability of affective (negative and positive affect) and cognitive states (rumination, self-criticism) in the everyday lives of individuals who do and do not engage in NSSI. Using experience sampling methodology (ESM), 60 emerging adults (ages = 18-22 years) with and without past-year NSSI (equally distributed) completed eight questionnaires per day for 12 days (in total, 96 questionnaires per participant), resulting in 4,587 assessments (median compliance = 83.3%; IQR = 71.9-91.7). In a dynamic structural equation modeling framework, dynamic parameters (i.e., mean intensity, carryover effects, spillover effects, and within-person variability) were evaluated using multilevel vector autoregressive models. Emerging adults who engage in NSSI experience higher intensity and greater variability of negative affect, rumination, and self-criticism, whereas those who do not engage in NSSI experience higher intensity and lower variability of positive affect. In addition, past-year NSSI predicted stronger affective-cognitive interactions over time, with stronger spillover effects of negative and positive affect on subsequent rumination and self-criticism in individuals who engage in NSSI. Depressive symptoms and trait levels of emotion dysregulation and self-criticism partially negated these differences. Our findings provide evidence that emerging adults who self-injure experience more negative affective-cognitive states in daily life and point to the potential relevance of boosting positive emotions to buffer negative cognitions.


Assuntos
Afeto , Cognição , Comportamento Autodestrutivo , Humanos , Comportamento Autodestrutivo/psicologia , Masculino , Feminino , Adulto Jovem , Adolescente , Inquéritos e Questionários , Avaliação Momentânea Ecológica , Autoavaliação (Psicologia) , Ruminação Cognitiva , Adulto , Autoimagem
6.
Behav Res Ther ; 177: 104550, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38688821

RESUMO

BACKGROUND: Current research is moving from studying cognitive biases and maladaptive emotion regulation (ER) as relatively stable phenomena contributing to affective disturbances, adopting ecological methodologies, such as Experience Sampling Methods (ESM). However, there is still limited ESM evidence on the interactions between stress and ER strategies' use, and negative interpretation biases, regarding their relations with momentary affective states. In this study, we used a new ESM design to disentangle the contextual, regulatory and cognitive processes implicated in daily affective experiences. METHOD: A sample of 103 participants completed an ESM study (3 times a day for 10 days) that included self-reports of momentary affect, stress intensity, ER strategies' use and a cognitive task measuring momentary negative interpretation biases. RESULTS: Multilevel analyses supported significant interactions of both rumination and worry with stress intensity, to account for momentary higher negative and lower positive affect levels. Furthermore, higher state negative interpretation bias levels uniquely predicted both higher negative and lower positive momentary affect levels. CONCLUSION: This study implemented a novel online cognitive task within an ESM procedure, which helped to disentangle how contextual ER strategies' use and momentary cognitive biases uniquely relate to affective experiences in daily life.


Assuntos
Afeto , Cognição , Avaliação Momentânea Ecológica , Regulação Emocional , Estresse Psicológico , Humanos , Feminino , Masculino , Adulto , Adulto Jovem , Estresse Psicológico/psicologia , Adolescente , Ansiedade/psicologia , Autorrelato , Pessoa de Meia-Idade , Ruminação Cognitiva/fisiologia , Atividades Cotidianas/psicologia
7.
Behav Res Ther ; 177: 104524, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38583292

RESUMO

According to the cognitive model of suicide, interactions between hopelessness and attentional biases toward suicidal information create a narrowed attentional focus on suicide as a viable solution, particularly in the presence of life stress, leading to increased suicide risk. This study used a dynamic systems approach to examine the short-term temporal patterns between stress, hopelessness, suicide-specific rumination, and suicidal intent. Adults (N = 237; M = 27.12 years; 62% cisgender women; 87% White/European American) with elevated suicidal ideation completed ecological momentary assessments six times a day for 14 days. A multilevel model approach informed by dynamic systems theory was used to simultaneously assess stable and dynamic temporal processes underlying perceived stress, hopelessness, suicide-specific rumination, and suicidal intent. Each variable demonstrated temporal stability. In support of the cognitive model of suicide, we observed (1) a reciprocal relationship between stress and hopelessness such that stress and hopelessness amplified each other (early-stage processes), and (2) reinforcing loops such that hopelessness, suicide-specific rumination, and suicidal intent amplified each other (later-stage processes). A dynamic systems modeling approach underscored the negative impact of a perpetuating cycle of suicide-specific rumination, deepening hopelessness, and escalating suicidal intent on increasing suicide risk, which may be targets for intervention.


Assuntos
Modelos Psicológicos , Ruminação Cognitiva , Estresse Psicológico , Ideação Suicida , Humanos , Feminino , Masculino , Adulto , Estresse Psicológico/psicologia , Adulto Jovem , Avaliação Momentânea Ecológica , Suicídio/psicologia , Cognição , Adolescente , Pessoa de Meia-Idade
8.
Behav Res Ther ; 177: 104521, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38615373

RESUMO

OBJECTIVE: Rumination is a major risk factor for the onset and recurrence of depressive episodes and has been associated with deficits in updating working memory content. This randomized controlled trial examines whether training updating-specific cognitive control processes reduces daily ruminative thoughts in clinically depressed individuals. METHODS: Sixty-five individuals with a current major depressive episode were randomized to 10 sessions of either cognitive control training (N = 31) or placebo training (N = 34). The frequency and negativity of individuals' daily ruminative thoughts were assessed for seven days before training, after training, and at a 3-month follow-up using experience sampling methodology. Secondary outcomes were depressive symptoms, depressed mood, and level of disability. RESULTS: Cognitive control training led to stronger improvements in the trained task than placebo training. However, cognitive control training did not lead to greater reductions in the frequency or negativity of daily ruminative thoughts than placebo training. There were no training-specific effects on participants' depressive symptoms or level of disability. CONCLUSIONS: The robustness of the present null-findings, combined with the methodological strengths of the study, suggest that training currently depressed individuals to update emotional content in working memory does not affect the frequency or negativity of their daily ruminative thoughts.


Assuntos
Terapia Cognitivo-Comportamental , Transtorno Depressivo Maior , Memória de Curto Prazo , Ruminação Cognitiva , Humanos , Feminino , Masculino , Transtorno Depressivo Maior/psicologia , Transtorno Depressivo Maior/terapia , Adulto , Ruminação Cognitiva/fisiologia , Terapia Cognitivo-Comportamental/métodos , Pessoa de Meia-Idade , Terapia Assistida por Computador/métodos , Adulto Jovem , Resultado do Tratamento
9.
Addict Behav ; 155: 108042, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38642444

RESUMO

Background and aims Problematic Social Network Sites Use (PSNSU) mirrors substance use disorders with regard to symptoms (e.g., diminished control). Recent theoretical advances in the addiction research field recognize a central role of affective and cognitive processes in the development of addictive behaviors. For example, the metacognitive model of addictive behaviors sustains that cognitive processes like extended thinking, disruption in metacognitive monitoring, and thought suppression are associated with addictive behaviors leading to increased craving. The current study aims to test the mediating role of extended thinking (i.e., worry, rumination, and desire thinking) in the relationship between psychological distress and PSNSU. Methods A community sample of 548 individuals (F = 68.5%, Mage= 29.29 ± 12.04 years) completed an online survey. Structural Equation Modeling (SEM) was utilized to analyze the relationships among the variables under study. Results The assessed structural model adequately fits the data, accounting for 89% of PSNSU variance. Psychological distress predicted PSNSU through the mediation of desire thinking and rumination and the serial mediation of (i) worry and craving (ii) desire thinking and craving The model is gender invariant. Conclusions The current findings provide preliminary evidence for the role of extended thinking in PSNSU. Worry, rumination and desire thinking may be central cognitive processes in eliciting craving and PSNSU for individuals who experience psychological distress.


Assuntos
Fissura , Transtorno de Adição à Internet , Pensamento , Humanos , Masculino , Feminino , Adulto , Adulto Jovem , Transtorno de Adição à Internet/psicologia , Ruminação Cognitiva , Pessoa de Meia-Idade , Angústia Psicológica , Adolescente , Análise de Classes Latentes , Ansiedade/psicologia , Comportamento Aditivo/psicologia , Rede Social
11.
Clin Neurophysiol ; 162: 235-247, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38556367

RESUMO

OBJECTIVE: Previous studies suggest that theta burst stimulation (TBS), a form of repetitive transcranial magnetic stimulation (rTMS), applied to the left dorsolateral prefrontal cortex (DLPFC) might be a promising approach to modulate stress-reactive rumination and the associated psychophysiological stress response. Crucially, individuals showing higher levels of trait rumination might benefit more from prefrontal stimulation. METHODS: In this sham-controlled study, 127 healthy individuals, with varying ruminative tendencies, received a single-session of intermittent TBS (iTBS), continuous TBS (cTBS) or sham TBS (sTBS) over the left DLPFC before being confronted with a Trier Social Stress Test. RESULTS: Results showed significant TBS effects on salivary cortisol as a function of trait rumination. cTBS, as compared to sTBS and iTBS, resulted in an attenuated stress-induced cortisol response in high compared to low trait ruminators. Although independent of trait rumination levels, cTBS showed positive effects on stress-related changes in mood and, both cTBS and iTBS (versus sham) presented an enhanced heart rate recovery following the stressor. We found no evidence for (trait rumination-dependent) TBS effects on stress-reactive rumination, negative affect, subjective stress or heart rate variability. CONCLUSIONS: cTBS shows beneficial effects on certain measures of stress, especially in high trait ruminators. SIGNIFICANCE: These findings highlight the importance of accounting for individual differences when examining TBS effects.


Assuntos
Hidrocortisona , Estresse Psicológico , Ritmo Teta , Estimulação Magnética Transcraniana , Humanos , Masculino , Feminino , Estimulação Magnética Transcraniana/métodos , Estresse Psicológico/fisiopatologia , Estresse Psicológico/terapia , Adulto , Ritmo Teta/fisiologia , Adulto Jovem , Hidrocortisona/metabolismo , Hidrocortisona/análise , Frequência Cardíaca/fisiologia , Saliva/química , Saliva/metabolismo , Voluntários Saudáveis , Córtex Pré-Frontal Dorsolateral/fisiologia , Ruminação Cognitiva/fisiologia , Adolescente , Córtex Pré-Frontal/fisiologia
12.
Compr Psychiatry ; 132: 152472, 2024 07.
Artigo em Inglês | MEDLINE | ID: mdl-38513451

RESUMO

BACKGROUND: This study aimed to explore the longitudinal associations of rumination with suicidal ideation and suicide attempts in individuals with major depressive disorder (MDD). METHODS: Participants were derived from the Depression Cohort in China study (DCC). Those who completed at least one follow-up visit during the 12 months were included in the analysis. Dimensions of rumination including brooding and reflection were each measured using five items of the Ruminative Responses Scale. Suicidal ideation was assessed using the Beck Scale for Suicide Ideation. Suicide attempts were also assessed and all were analyzed with generalized estimating equations. RESULTS: Our final sample included 532 participants aged 18 to 59 years (mean [SD], 26.91 [6.94] years) consisting of 148 (27.8%) males and 384 (72.2%) females. After adjusting for temporal trend and potential confounders, individuals with higher levels of reflection were more likely to report suicidal ideation (AOR =1.11, 95% CI:1.01-1.22). However, no statistically significant association was found between brooding and suicidal ideation (AOR =1.06, 95% CI:0.96-1.17). Conversely, individuals with higher levels of brooding were more likely to report suicide attempts (AOR =1.13, 95% CI:1.02-1.24), while no statistically significant association was observed between reflection and suicide attempts (AOR =0.91, 95% CI:0.82-1.01). CONCLUSION: Rumination reflects a disturbance in cognitive emotional processing and manifests in different dimensions. Our findings suggest that high levels of reflection and brooding may be associated with a higher likelihood of having suicidal ideation and suicide attempts, respectively. However, it should be interpreted with caution, given that effect sizes are small.


Assuntos
Transtorno Depressivo Maior , Ruminação Cognitiva , Ideação Suicida , Tentativa de Suicídio , Humanos , Transtorno Depressivo Maior/psicologia , Transtorno Depressivo Maior/epidemiologia , Feminino , Masculino , Tentativa de Suicídio/psicologia , Tentativa de Suicídio/estatística & dados numéricos , Adulto , China/epidemiologia , Estudos Longitudinais , Adolescente , Adulto Jovem , Pessoa de Meia-Idade
13.
Nurs Res ; 73(3): E21-E30, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38300627

RESUMO

BACKGROUND: Psychiatric nurses often face patient safety incidents that can cause physical and emotional harm, even leading to s econd victim syndrome and staff shortages. Rumination-a common response after nurses suffer a patient safety event-may play a specific role between the second victim experience and turnover intention. Understanding these mechanisms is crucial for supporting psychiatric nurses and retaining psychiatric nursing resources. OBJECTIVES: The study aimed to explore the associations among second victim experience, rumination, and turnover intention in psychiatric nurses and confirm how second victim experience influences turnover intention through rumination and its subtypes. METHODS: A descriptive, cross-sectional study was adapted to survey 252 psychiatric nurses who experienced a patient safety incident at three hospitals in China between March and April 2023. We used the Sociodemographic and Patient Safety Incident Characteristics Questionnaire (the Chinese version of the Second Victim Experience and Support Tool), the Event-Related Rumination Inventory, and the Turnover Intention Scale. Path analysis with bootstrapping was employed to accurately analyze and estimate relationships among the study variables. RESULTS: There was a positive association between second victim experience and turnover intention. In addition, both invasive and deliberate rumination showed significant associations with second victim experience and turnover intention. Notably, our results revealed that invasive and deliberate rumination played partial mediating roles in the relationship between second victim experience and turnover intention in psychiatric nurses. DISCUSSION: The negative experience and turnover intention of the psychiatric nurse second victims are at a high level. Our results showed that invasive rumination positively mediated the relationship between second victim experience and turnover intention, and deliberate rumination could weaken this effect. This study expands the knowledge of the mechanisms underlying the effect of the second victim experience on turnover intention. Organizations must attach importance to the professional dilemmas of the psychiatric nurses' second victims. Nurse managers can reduce nurses' turnover intention by taking measures to reduce invasive rumination and fostering deliberate meditation to help second victims recover from negative experiences.


Assuntos
Reorganização de Recursos Humanos , Enfermagem Psiquiátrica , Humanos , Reorganização de Recursos Humanos/estatística & dados numéricos , Feminino , Estudos Transversais , Masculino , Adulto , China , Inquéritos e Questionários , Recursos Humanos de Enfermagem Hospitalar/psicologia , Recursos Humanos de Enfermagem Hospitalar/estatística & dados numéricos , Pessoa de Meia-Idade , Intenção , Ruminação Cognitiva , Segurança do Paciente/estatística & dados numéricos
14.
Nature ; 627(8003): 358-366, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38418885

RESUMO

Astrocytes are heterogeneous glial cells of the central nervous system1-3. However, the physiological relevance of astrocyte diversity for neural circuits and behaviour remains unclear. Here we show that a specific population of astrocytes in the central striatum expresses µ-crystallin (encoded by Crym in mice and CRYM in humans) that is associated with several human diseases, including neuropsychiatric disorders4-7. In adult mice, reducing the levels of µ-crystallin in striatal astrocytes through CRISPR-Cas9-mediated knockout of Crym resulted in perseverative behaviours, increased fast synaptic excitation in medium spiny neurons and dysfunctional excitatory-inhibitory synaptic balance. Increased perseveration stemmed from the loss of astrocyte-gated control of neurotransmitter release from presynaptic terminals of orbitofrontal cortex-striatum projections. We found that perseveration could be remedied using presynaptic inhibitory chemogenetics8, and that this treatment also corrected the synaptic deficits. Together, our findings reveal converging molecular, synaptic, circuit and behavioural mechanisms by which a molecularly defined and allocated population of striatal astrocytes gates perseveration phenotypes that accompany neuropsychiatric disorders9-12. Our data show that Crym-positive striatal astrocytes have key biological functions within the central nervous system, and uncover astrocyte-neuron interaction mechanisms that could be targeted in treatments for perseveration.


Assuntos
Astrócitos , Corpo Estriado , Ruminação Cognitiva , Cristalinas mu , Animais , Humanos , Camundongos , Astrócitos/metabolismo , Corpo Estriado/citologia , Corpo Estriado/fisiologia , Edição de Genes , Técnicas de Inativação de Genes , Cristalinas mu/deficiência , Cristalinas mu/genética , Cristalinas mu/metabolismo , Ruminação Cognitiva/fisiologia , Transmissão Sináptica , Sistemas CRISPR-Cas , Neurônios Espinhosos Médios/metabolismo , Sinapses/metabolismo , Córtex Pré-Frontal/citologia , Córtex Pré-Frontal/metabolismo , Terminações Pré-Sinápticas/metabolismo , Inibição Neural
15.
J Behav Med ; 47(3): 515-530, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38281260

RESUMO

Disparities in health outcomes between Black and White Americans are well-documented, including sleep quality, and disparities in sleep may lead to disparities in health over the life course. A meta-model indicates that cognitive processes may underly the connection between race and poor sleep quality, and ultimately, health disparities. That is, there are race-specific stressors that disproportionately affect Black Americans, which are associated with poor health through biological, cognitive, and behavioral mechanisms (e.g., sleep). Among these race-specific stressors is discrimination, which has been linked to poor sleep quality, and there is a body of literature connecting perseverative cognition (e.g., rumination and worry or vigilance) to poor sleep. Microaggressions, a more subtle but pervasive form of discrimination, are another race-specific stressor. Although less research has considered the connection of microaggressions to perseverative cognition, there are some studies linking microaggressions to health outcomes and sleep. Therefore, using a cross-sectional survey, we tested the following hypotheses: racism-related vigilance and rumination would mediate the relationship between discrimination and poor sleep as well as between microaggressions and poor sleep among Black Americans (N = 223; mean age = 35.77 years, 53.8% men, 86% employed, 66.8% with college degree or higher education). Results of seven parallel mediation models showed that neither rumination nor racism-related vigilance mediated a relationship between discrimination and poor sleep quality. However, rumination partially mediated relationships between the six microaggression sub-scales and poor sleep quality: there were significant indirect effects for Foreigner/Not Belonging (ß = .13, SE = 0.03, 95% CI 0.08, 0.20), Criminality (ß = .11, SE = 0.03, 95% CI 0.05, 0.17), Sexualization (ß = .10, SE = 0.03, 95% CI 0.05, 0.17), Low-Achieving/Undesirable (ß = .10, SE = 0.03, 95% CI 0.05, 0.15), Invisibility (ß = .15, SE = 0.04, 95% CI 0.08, 0.23), and Environmental Invalidations (ß = .15, SE = 0.04, 95% CI 0.08, 0.23). Overall, these findings indicate support for the meta-model, demonstrating a specific pathway from racial microstressors to poor sleep quality. Furthermore, these results suggest the importance of developing clinical and community approaches to address the impact of microaggressions on Black Americans' sleep quality.


Assuntos
Microagressão , Racismo , Ruminação Cognitiva , Distúrbios do Início e da Manutenção do Sono , Qualidade do Sono , Adulto , Feminino , Humanos , Masculino , Negro ou Afro-Americano , Estudos Transversais , Racismo/psicologia , Disparidades nos Níveis de Saúde
16.
Semin Oncol Nurs ; 40(1): 151552, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38072688

RESUMO

OBJECTIVE: The primary objective of this study was to examine the association of rumination, metacognition, and posttraumatic with growth in parents of children diagnosed with cancer. DATA SOURCES: The study adopted a descriptive correlational design, and participants (N = 103) were parents of children with cancer. The study was conducted online through the social media platforms of three cancer associations. Data were collected using the Metacognitions Questionnaire-30, the Event Related Rumination Inventory, and the Posttraumatic Growth Inventory. CONCLUSION: The findings revealed a positive correlation between deliberate rumination and metacognition with posttraumatic growth, while a negative correlation was observed between intrusive rumination and posttraumatic growth. Furthermore, deliberate rumination, intrusive rumination, and metacognition collectively accounted for 30% of the variance in posttraumatic growth among parents of children with cancer. These results underscore the significant influence of rumination and metacognition in facilitating posttraumatic growth in this specific population. Consequently, interventions aimed at fostering deliberate rumination hold substantial potential for promoting posttraumatic growth among parents of children diagnosed with cancer. IMPLICATIONS FOR NURSING PRACTICE: This research guides nurses in addressing rumination, metacognition, and posttraumatic growth in parents of children with cancer. By adopting a holistic approach, nurses can enhance parents' well-being and resilience in the face of a child's cancer diagnosis.


Assuntos
Metacognição , Neoplasias , Crescimento Psicológico Pós-Traumático , Ruminação Cognitiva , Criança , Humanos , Inquéritos e Questionários
17.
Mil Psychol ; 35(5): 451-466, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37615560

RESUMO

We examined the role of rumination and threat-biased interpretation in stress and growth responses to military stressors. Two online surveys were completed by 183 (survey 1) and 393 (survey 2) currently serving or retired military personnel. The surveys measured exposure to potential military stressors (exposure to combat, witnessing the consequences of war, and perceived moral injury), posttraumatic stress symptomatology (PTSS), posttraumatic growth (PTG), and personal wellbeing, with survey 1 including measures of rumination, and survey 2 including a measure of threat-biased interpretation. Path analyses revealed that indirect paths from both witnessing the consequences of war and experiencing betrayal to PTSS were mediated by intrusive rumination and threat-biased interpretation, and that indirect paths from both betrayal and transgressions by others to PTG were mediated by deliberate rumination and threat-biased interpretation. The results reveal the idiosyncratic nature of military stressors, their differential involvement with cognitions that underpin rumination about past events and interpretation of current events, and their relevance to posttraumatic stress and growth in military personnel.


Assuntos
Militares , Crescimento Psicológico Pós-Traumático , Ruminação Cognitiva , Transtornos de Estresse Pós-Traumáticos , Humanos , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Cognição , Ruminação Cognitiva/fisiologia
18.
J Clin Psychiatry ; 84(5)2023 07 26.
Artigo em Inglês | MEDLINE | ID: mdl-37498649

RESUMO

Background: Adolescent mood disorders (MD) have become an important public health problem worldwide. However, the psychopathological mechanisms underlying the occurrence of adolescent MD remain poorly elucidated. Therefore, in this study, we explored the mediating role of psychological resilience in the effects of rumination on depression in Chinese adolescents with MD.Methods: A total of 569 adolescent MD patients were included. Recruitment took place between October 2019 and June 2022. The Patient Health Questionnaire-9 (PHQ-9) was used to assess depressive symptoms. The 21-item Chinese version of the Ruminative Responses Scale (RRS) was used to assess rumination, and the 10-item Chinese version of the Connor-Davidson Resilience Scale (CD-RISC-10) was used to measure psychological resilience.Results: The prevalence of MD in adolescents with severe depressive symptoms (SDS) was 46.05%. The prevalence of SDS was much higher in females (50.75%) than in males (35.09%). The prevalence of SDS was much higher in adolescents with MD living with grandparents (56.25%) and living in single-parent families (61.36%) than in those living with parents (43.00%) and those having one parent who was away for a long time (40.00%). Adolescents with MD and also with SDS had higher levels of rumination and lower levels of psychological resilience than adolescents without SDS. Resilience partially mediated the relationship between rumination and depression.Conclusions: Lifestyle influences the severity of depressive symptoms in adolescents with MD. Rumination and psychological resilience were the risk and protective factors for SDS in adolescents with MD, respectively. Furthermore, resilience can reduce the impact of rumination on depressive symptoms, suggesting that clinical interventions to improve patients' resilience and reduce rumination may be a viable consideration for adolescents with MD.


Assuntos
Transtornos do Humor , Resiliência Psicológica , Adolescente , Feminino , Humanos , Masculino , Povo Asiático , Depressão/epidemiologia , Depressão/psicologia , Transtornos do Humor/epidemiologia , Transtornos do Humor/psicologia , Pais , Ruminação Cognitiva , Transtorno Depressivo Maior/epidemiologia , Transtorno Depressivo Maior/psicologia , Fatores de Risco , Fatores de Proteção
19.
Issues Ment Health Nurs ; 44(7): 663-672, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37450902

RESUMO

We evaluated how an online post-traumatic growth program affected rumination, social support, and post-traumatic growth. We recruited 33 firefighters from two Korean provinces and employed a nonequivalent control group pretest-post-test design. We administered the pretest for the intervention group (n = 16), consisting of eight sessions with an online workbook and messenger group counseling. We conducted post-tests immediately after the program and 4 weeks later. Post-traumatic growth and social support increased significantly. There were no statistically significant differences for intrusive or deliberate rumination. Psychological support programs should be developed to reflect firefighters' work characteristics and needs, including programs designed to induce rumination.


Assuntos
Bombeiros , Crescimento Psicológico Pós-Traumático , Transtornos de Estresse Pós-Traumáticos , Humanos , Povo Asiático , Bombeiros/psicologia , Apoio Social/psicologia , Transtornos de Estresse Pós-Traumáticos/terapia , Transtornos de Estresse Pós-Traumáticos/psicologia , República da Coreia , Ruminação Cognitiva
20.
Am J Orthopsychiatry ; 93(4): 293-303, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37155290

RESUMO

Experiences of racial discrimination are pervasive among Black youth, resulting in psychosocial problems such as depression and anxiety. Rumination plays a key role in linking racial discrimination and internalizing concerns. Developmental age has also been shown to influence the extent to which racial discrimination and rumination impact mental health; however, studies have yet to explore the interplay between these factors. This study examined the association between racial discrimination and internalizing concerns among Black youth, whether racial discrimination was indirectly associated with internalizing concerns through rumination, and whether developmental age moderated these direct and indirect effects. Participants included 158 pre- and early-adolescent youth recruited from a community sample (Mage = 11.56 years; 53% female). Data were from baseline questionnaire responses from a larger longitudinal study conducted in the Southeastern United States examining the effects of interpersonal stressors on youth mental health outcomes. Racial discrimination was directly and indirectly associated with internalizing concerns through rumination. Developmental age moderated the indirect link between racial discrimination and depressive symptoms via rumination with the association being stronger as participant age increased. The impact of racial discrimination on mental health among Black youth is informed by maladaptive coping strategies such as rumination and developmental age. Such factors help to identify who is most at risk for the impact of racial discrimination and potential intervening targets. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Assuntos
Ansiedade , População Negra , Depressão , Racismo , Ruminação Cognitiva , Adolescente , Criança , Feminino , Humanos , Masculino , Ansiedade/psicologia , População Negra/psicologia , Depressão/psicologia , Estudos Longitudinais , Racismo/psicologia , Desenvolvimento do Adolescente , Estresse Psicológico/psicologia , Sudeste dos Estados Unidos , Fatores Etários , Saúde Mental , Adaptação Psicológica
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