Transdiagnostic mechanisms in depression and anxiety: The role of rumination and attentional control

Journal of Affective Disorders
Kean J HsuThröstur Björgvinsson

Abstract

Deficits in attentional control have been hypothesized to cause rumination, suggesting that the relationships between attentional control and clinical symptoms may be mediated in part by rumination. However, to date, no clinical study has examined these constructs transdiagnostically in a path analysis model. Fifty-one adults presenting for treatment completed measures of self-reported attentional control, rumination, and depression and anxiety symptoms. A bias-corrected path analysis-based approach was employed to test whether indirect (i.e., mediating) effects of rumination were significantly associated with the direct effects of attentional control on depression and anxiety symptoms. Separate models for depression and anxiety symptoms were tested along with reverse models using attentional control as a proposed mediator. The relationship between attentional control and clinical symptomatology (i.e., both depression and anxiety symptoms) was mediated by rumination. Poor attentional control was associated with more rumination and consequently more severe symptoms of depression and anxiety. The reverse relationship (i.e., attentional control mediating the relationship between rumination and depression or anxiety symptoms) was n...Continue Reading

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Citations

Jun 11, 2016·American Journal of Men's Health·Simona GiuriGuido Veronese
Jun 21, 2017·Cognitive Behaviour Therapy·Rebecca C Cox, Bunmi O Olatunji
Nov 11, 2017·Attention Deficit and Hyperactivity Disorders·Colette GramszloJanet Woodruff-Borden
May 7, 2019·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Paolo Fusar-PoliPhilip McGuire
Jun 22, 2019·Cognition & Emotion·Jacob D KraftDanielle E Deros
Dec 6, 2019·Molecular Psychiatry·Rebecca B Price, Ronald Duman
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Aug 1, 2020·Journal of Affective Disorders·Bjørn Ingulfsvann HagenJan Stubberud
Nov 30, 2020·Journal of Behavior Therapy and Experimental Psychiatry·Malvika GodaraRudi De Raedt
Apr 25, 2021·Psychiatry Research·Huiting LiuStewart A Shankman
May 29, 2021·Journal of Affective Disorders·Lara S RifkinLauren B Alloy

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