The relationship between rumination, PTSD, and depression symptoms

Michelle E. Roley, Meredith A. Claycomb, Ateka A. Contractor, Paula Dranger, Cherie Armour, Jon D. Elhai

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

BackgroundPosttraumatic stress disorder (PTSD) and major depressive disorder (MDD) are highly comorbid (Elhai et al., 2008. J. Clin. Psychiatry, 69, (4), 597–602). Rumination is a cognitive mechanism found to exacerbate and maintain both PTSD and MDD (Elwood et al., 2009. Clin. Psychol. Rev. 29, (1), 87–100; Olatunji et al., 2013. Clin. Psychol.: Sci. Pract. 20, (3), 225–257).AimsAssess whether four rumination subtypes moderate the relationship between comorbid PTSD and MDD symptoms.MethodWe consecutively sampled patients (N=45) presenting to a mental health clinic using self-report measures of PTSD and MDD symptoms, and rumination in a cross-sectional design.ResultsRepetitive rumination moderates the relationship between PTSD and MDD symptoms at one standard deviation above the mean (β=.044, p=.016), while anticipatory rumination moderates the relationship between PTSD and MDD symptoms at mean levels and higher levels of anticipatory rumination (mean β=.030, p=.042; higher β=.060, p=.008).DiscussionRepetitive and anticipatory rumination should be assessed in the context of comorbid PTSD and MDD and interventions should focus on reducing these rumination subtypes.LimitationsResults should be replicated with other trauma populations because the number and complexity of traumatic events may impact the assessed symptoms. Constructs should also be assessed longitudinally, in order to establish causality. We are unable to confirm why rumination styles moderated the relationship between PTSD and depression or why counterfactual thinking and problem-focused thinking did not moderate the relationship between the two constructs.
LanguageEnglish
Pages116-121
JournalJournal of Affective Disorders
Volume180
DOIs
Publication statusPublished - 2015

Fingerprint

Post-Traumatic Stress Disorders
Major Depressive Disorder
Depression
Causality
Self Report
Psychiatry
Mental Health
Wounds and Injuries
Population

Keywords

  • Depression
  • PTSD
  • Trauma
  • Cognition
  • Abuse/maltreatment/neglect

Cite this

Roley, M. E., Claycomb, M. A., Contractor, A. A., Dranger, P., Armour, C., & Elhai, J. D. (2015). The relationship between rumination, PTSD, and depression symptoms. Journal of Affective Disorders, 180, 116-121. https://doi.org/10.1016/j.jad.2015.04.006
Roley, Michelle E. ; Claycomb, Meredith A. ; Contractor, Ateka A. ; Dranger, Paula ; Armour, Cherie ; Elhai, Jon D. / The relationship between rumination, PTSD, and depression symptoms. In: Journal of Affective Disorders. 2015 ; Vol. 180. pp. 116-121.
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Roley, ME, Claycomb, MA, Contractor, AA, Dranger, P, Armour, C & Elhai, JD 2015, 'The relationship between rumination, PTSD, and depression symptoms', Journal of Affective Disorders, vol. 180, pp. 116-121. https://doi.org/10.1016/j.jad.2015.04.006

The relationship between rumination, PTSD, and depression symptoms. / Roley, Michelle E.; Claycomb, Meredith A.; Contractor, Ateka A.; Dranger, Paula; Armour, Cherie; Elhai, Jon D.

In: Journal of Affective Disorders, Vol. 180, 2015, p. 116-121.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The relationship between rumination, PTSD, and depression symptoms

AU - Roley, Michelle E.

AU - Claycomb, Meredith A.

AU - Contractor, Ateka A.

AU - Dranger, Paula

AU - Armour, Cherie

AU - Elhai, Jon D.

PY - 2015

Y1 - 2015

N2 - BackgroundPosttraumatic stress disorder (PTSD) and major depressive disorder (MDD) are highly comorbid (Elhai et al., 2008. J. Clin. Psychiatry, 69, (4), 597–602). Rumination is a cognitive mechanism found to exacerbate and maintain both PTSD and MDD (Elwood et al., 2009. Clin. Psychol. Rev. 29, (1), 87–100; Olatunji et al., 2013. Clin. Psychol.: Sci. Pract. 20, (3), 225–257).AimsAssess whether four rumination subtypes moderate the relationship between comorbid PTSD and MDD symptoms.MethodWe consecutively sampled patients (N=45) presenting to a mental health clinic using self-report measures of PTSD and MDD symptoms, and rumination in a cross-sectional design.ResultsRepetitive rumination moderates the relationship between PTSD and MDD symptoms at one standard deviation above the mean (β=.044, p=.016), while anticipatory rumination moderates the relationship between PTSD and MDD symptoms at mean levels and higher levels of anticipatory rumination (mean β=.030, p=.042; higher β=.060, p=.008).DiscussionRepetitive and anticipatory rumination should be assessed in the context of comorbid PTSD and MDD and interventions should focus on reducing these rumination subtypes.LimitationsResults should be replicated with other trauma populations because the number and complexity of traumatic events may impact the assessed symptoms. Constructs should also be assessed longitudinally, in order to establish causality. We are unable to confirm why rumination styles moderated the relationship between PTSD and depression or why counterfactual thinking and problem-focused thinking did not moderate the relationship between the two constructs.

AB - BackgroundPosttraumatic stress disorder (PTSD) and major depressive disorder (MDD) are highly comorbid (Elhai et al., 2008. J. Clin. Psychiatry, 69, (4), 597–602). Rumination is a cognitive mechanism found to exacerbate and maintain both PTSD and MDD (Elwood et al., 2009. Clin. Psychol. Rev. 29, (1), 87–100; Olatunji et al., 2013. Clin. Psychol.: Sci. Pract. 20, (3), 225–257).AimsAssess whether four rumination subtypes moderate the relationship between comorbid PTSD and MDD symptoms.MethodWe consecutively sampled patients (N=45) presenting to a mental health clinic using self-report measures of PTSD and MDD symptoms, and rumination in a cross-sectional design.ResultsRepetitive rumination moderates the relationship between PTSD and MDD symptoms at one standard deviation above the mean (β=.044, p=.016), while anticipatory rumination moderates the relationship between PTSD and MDD symptoms at mean levels and higher levels of anticipatory rumination (mean β=.030, p=.042; higher β=.060, p=.008).DiscussionRepetitive and anticipatory rumination should be assessed in the context of comorbid PTSD and MDD and interventions should focus on reducing these rumination subtypes.LimitationsResults should be replicated with other trauma populations because the number and complexity of traumatic events may impact the assessed symptoms. Constructs should also be assessed longitudinally, in order to establish causality. We are unable to confirm why rumination styles moderated the relationship between PTSD and depression or why counterfactual thinking and problem-focused thinking did not moderate the relationship between the two constructs.

KW - Depression

KW - PTSD

KW - Trauma

KW - Cognition

KW - Abuse/maltreatment/neglect

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DO - 10.1016/j.jad.2015.04.006

M3 - Article

VL - 180

SP - 116

EP - 121

JO - Journal of Affective Disorders

T2 - Journal of Affective Disorders

JF - Journal of Affective Disorders

SN - 0165-0327

ER -