Cognitive vulnerability to depression: An exploration of dysfunctional attitudes and ruminative response styles in the United Arab Emirates

Background. There has been little exploration of Beck\u27s cognitive theory of depression and Nolen-Hoeksem\u27s response styles theory within Arab populations. Objectives. The study investigates the generalizability of these clinically influential models to Emirati citizens residing within United Arab Emirates (UAE). Method. An opportunity sample of 450 undergraduate participants was assessed for dysfunctional attitudes using an Arabic/English 40-item version of Weissman and Beck\u27s Dysfunctional Attitudes Scale (DAS). Participants also completed Arabic/English versions of Nolen-Hoeksema\u27s ruminative response styles (RRS) scale and the Beck Depression Inventory-II (BDI-II). Results. Correlation and regression analyses showed depression to be associated with both RRS and dysfunctional attitudes. Conclusion. The study supports the generalization of these clinically influential theories of depression within a UAE context. ©2011 The British Psychological Society

Self-Pity: Exploring the Links to Personality, Control Beliefs, and Anger

Self-pity is a frequent response to stressful events. So far, however, empirical research has paid only scant attention to this subject. The present article aims at exploring personality characteristics associated with individual differences in feeling sorry for oneself. Two studies with N = 141 and N = 161 university students were conducted, employing multidimensional measures of personality, control beliefs, anger, loneliness, and adult attachment. With respect to personality, results showed strong associations of self-pity with neuroticism, particularly with the depression facet. With respect to control beliefs, individuals high in self-pity showed generalized externality beliefs, seeing themselves as controlled by both chance and powerful others. With respect to anger expression, self-pity was primarily related to anger-in. Strong connections with anger rumination were also found. Furthermore, individuals high in self-pity reported emotional loneliness and ambivalent-worrisome attachments. Finally, in both studies, a strong correlation with gender was found, with women reporting more self-pity reactions to stress than men. Findings are discussed with respect to how they support, extend, and qualify the previous literature on self-pity, and directions for future empirical research are pointed out

Being depleted and being shaken: an interpretative phenomenological analysis of the experiential features of a first episode of depression

- Objectives: This article presents a detailed idiographic analysis of patients' experience of first-episode depression. - Design: This is a qualitative interview study using interpretative phenomenological analysis (IPA). - Methods: Semi-structured interviews were carried out with a purposive sample of seven patients presenting to a mental health service in London, UK with symptoms of first-episode major depression. There were four males and three females; mean age was 44 years. Interviews were audio-recorded and subjected to IPA. - Results: Participants described a significant loss event prior to onset of depression. The depression involved a major diminishing of the life-world with relational, corporeal, and temporal depletion. This depletion was accompanied in each case by occasional extreme emotions, frenzied thoughts, confused sense of self. - Conclusions: Depression can represent a major existential threat to the sufferer. We discuss how our findings can illuminate the extant literature. The study suggests the value of exploring these existential features in early therapy

Trait Rumination Influences Neural Correlates of the Anticipation but Not the Consumption Phase of Reward Processing

Cumulative evidence suggests that trait rumination can be defined as an abstract information processing mode, which leads people to constantly anticipate the likely impact of present events on future events and experiences. A previous study with remitted depressed patients suggested that enhanced rumination tendencies distort brain mechanisms of anticipatory processes associated with reward and loss cues. In the present study, we explored the impact of trait rumination on neural activity during reward and loss anticipation among never-depressed people. We analyzed the data of 37 healthy controls, who performed the monetary incentive delay (MID) task which was designed for the simultaneous measurement of the anticipation (motivational) and consumption (hedonic) phase of reward processing, during functional magnetic resonance imaging (fMRI). Our results show that rumination-after controlling for age, gender, and current mood-significantly influenced neural responses to reward (win) cues compared to loss cues. Blood-oxygenation-level-dependent (BOLD) activity in the left inferior frontal gyrus (IFG) triangularis, left anterior insula, and left rolandic operculum was positively related to Ruminative Response Scale (RRS) scores. We did not detect any significant rumination-related activations associated with win-neutral or loss-neutral cues and with reward or loss consumption. Our results highlight the influence of trait rumination on reward anticipation in a non-depressed sample. They also suggest that for never-depressed ruminators rewarding cues are more salient than loss cues. BOLD response during reward consumption did not relate to rumination, suggesting that rumination mainly relates to processing of the motivational (wanting) aspect of reward rather than the hedonic (liking) aspect, at least in the absence of pathological mood

Rumination, event centrality, and perceived control as predictors of post-traumatic growth and distress: The Cognitive Growth and Stress model

Objectives: The Cognitive Growth and Stress (CGAS) model draws together cognitive processing factors previously untested in a single model. Intrusive rumination, deliberate rumination, present and future perceptions of control and event centrality were assessed as predictors of posttraumatic growth and posttraumatic stress. Method: The CGAS model is tested on a sample of survivors (N = 250) of a diverse range of adverse events using structural equation modelling techniques. Results: Overall, the best fitting model was supportive of the theorised relations between cognitive constructs, and accounted for 30% of the variance in posttraumatic growth and 68% of the variance in posttraumatic stress across the sample. Conclusions: Rumination, centrality and perceived control factors are significant determinants of positive and negative psychological change across the wide spectrum of adversarial events. In its first phase of development, the CGAS model also provides further evidence of the distinct processes of growth and distress following adversity

The cross-cultural and transdiagnostic nature of unwanted mental intrusions

Background/Objective: Unwanted mental intrusions (UMIs), typically discussed in relation to Obsessive-Compulsive Disorder (OCD), are highly prevalent, regardless of the specific nationality, religion, and/or cultural context. Studies have also shown that UMIs related to Body Dysmorphic Disorder (BDD), Illness anxiety/Hypochondriasis (IA-H), and Eating Disorders (EDs) are commonly experienced. However, the influence of culture on these UMIs and their transdiagnostic nature has not been investigated. Method: Participants were 1,473 non-clinical individuals from seven countries in Europe, the Middle-East, and South America. All the subjects completed the Questionnaire of Unpleasant Intrusive Thoughts, which assesses the occurrence and discomfort of four UMI contents related to OCD, BDD, IA-H, and EDs, and symptom questionnaires on the four disorders. Results: Overall, 64% of the total sample reported having experienced the four UMIs. The EDs intrusions were the most frequently experienced, whereas hypochondriacal intrusions were the least frequent but the most disturbing. All the UMIs were significantly related to each other in frequency and disturbance, and all of them were associated with clinical measures of OCD, BDD, IA-H, and EDs. Conclusions: UMIs are a common phenomenon across different cultural contexts and operate transdiagnostically across clinically different disorders. (C) 2019 Asociacion Espanola de Psicologia Conductual.Agência financiadora Número do subsídio Spanish Ministerio de Economia y Competitividad, MINECO PSI2013-44733-R Generalitat Valenciana (GVA), Conselleriad'Educacio, Cultura i Esport PROMETEO/2013/066info:eu-repo/semantics/publishedVersio

The role of rumination, attentional biases and stress in psychological distress

This experimental study examines the relationship between rumination and attentional bias. Additionally, the study aims to determine, within a diathesis-stress framework, whether rumination or attentional bias (or both) can prospectively predict psychological distress. Eighty-one participants completed selected measures of rumination and psychological distress at time one, in addition to experimental manipulations of rumination and mood and measures of mood and attentional bias at time two. Seventy-three participants (90% follow-up) completed final measures of stress and psychological distress approximately three weeks later. In combination with negative mood, inducing rumination decreased positive attentional bias, whilst inducing distraction increased positive attentional bias. Rumination and stress interacted to predict change in psychological distress. Negative attentional bias showed a trend towards interacting with rumination and stress to predict dysphoria. The findings supported the proposed diathesis-stress models. In addition, a causal relationship between rumination and positive attentional bias has been empirically established for the first time

A habit-goal framework of depressive rumination.

Journal ArticleCopyright © 2014 American Psychological AssociationRumination has been robustly implicated in the onset and maintenance of depression. However, despite empirically well-supported theories of the consequences of trait rumination (response styles theory; Nolen-Hoeksema, 1991), and of the processes underlying state episodes of goal-oriented repetitive thought (control theory; Martin & Tesser, 1989, 1996), the relationship between these theories remains unresolved. Further, less theoretical and clinical attention has been paid to the maintenance and treatment of trait depressive rumination. We propose that conceptualizing rumination as a mental habit (Hertel, 2004) helps to address these issues. Elaborating on this account, we propose a framework linking the response styles and control theories via a theoretical approach to the relationship between habits and goals (Wood & Neal, 2007). In this model, with repetition in the same context, episodes of self-focused repetitive thought triggered by goal discrepancies can become habitual, through a process of automatic association between the behavioral response (i.e., repetitive thinking) and any context that occurs repeatedly with performance of the behavior (e.g., physical location, mood), and in which the repetitive thought is contingent on the stimulus context. When the contingent response involves a passive focus on negative content and abstract construal, the habit of depressive rumination is acquired. Such habitual rumination is cued by context independent of goals and is resistant to change. This habit framework has clear treatment implications and generates novel testable predictions

Divorce, conflict and mental health: how the quality of intimate relationships is linked to post-divorce well-being

Partner relationships, including new relationships after divorce, are found to be beneficial for mental health. However, the impact of their quality remains unclear; this uncertainty applies to past and ongoing relationships between ex-spouses as well. We study the relationship between conflict—in the prior marriage, with the ex-partner, with a new partner—and both positive and negative mental health. Multilevel linear models are carried out on a subsample of 892 divorcees from the dataset “Divorce in Flanders.” Living together with a new partner, either in marriage or cohabitation, seems beneficial for mental health, even in cases of (high) conflict. Nevertheless, conflict places a burden on well-being, especially for women in non-marital relationships. Ongoing conflict with the ex-spouse is also damaging for mental health. In contrast, prior marital conflict does not relate to lower, but to slightly higher, levels of life satisfaction after divorce

Rumination, substance use, and self-harm in a representative Australian adult sample

Background: There are few data on self-harm in the general population, especially examining the roles of rumination and substance use. Objectives: To evaluate the inter-relationships of rumination, self-harm, and potential mediating variables. Method: A cohort with follow-up every 4 years involving a random sample of adults aged 20–24 and 40–44 years (at baseline) living in Australia. The survey included items on three common forms of self-harm. Other measures included rumination, Goldberg Anxiety and Depression scales, substance use, coping style (Brief COPE), and demographic risk factors. Results: The sample comprised 2,184 women and 1,942 men with 287 self-harm cases (7.0%). Depression and coping style were significant mediators of rumination on self-harm for men, with depression being the only robust mediator for women. For males, age and education were also significantly associated, while for women, age, smoking, trauma, and sexual abuse were significant. Conclusions: Men and women differ on mediators of self-harm