Skip to main content
Log in

Ruminative and Catastrophizing Cognitive Styles Mediate the Association Between Daily Hassles and High Anxiety in Hong Kong Adolescents

  • Original Article
  • Published:
Child Psychiatry & Human Development Aims and scope Submit manuscript

Abstract

This study assessed rumination, catastrophizing and daily hassles as predictors of anxiety when controlling for depressive symptoms in a community sample of adolescents reporting high anxiety. Adolescents aged 12–18 (N = 2,802, mean age of 14.9) completed the Screen For Child Anxiety-Related Emotional Disorders. With a total score of 30 as the cutoff, a group of high anxiety adolescents was identified (a prevalence rate of 28.02 %). Path analyses results showed that amongst the high anxiety boys, catastrophizing but not rumination was a positive predictor of anxiety and it mediated the effects of daily hassles on anxiety. In the high anxiety girls, both rumination and catastrophizing predicted anxiety but only catastrophizing was the mediator between daily hassles and anxiety. It is suggested that such gender differences in cognitive responses styles should be considered in cognitive-behavioral therapeutic approaches designed to help adolescents showing high anxiety.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Costello EJ, Egger HL, Angold A (2004) Developmental epidemiology of anxiety disorders. In: Ollendick TH, March JS (eds) Phobic and anxiety disorders in children and adolescents: a clinician’s guide to effective psychosocial and pharmacological interventions. Oxford University Press, New York, pp 61–91

    Google Scholar 

  2. Merikangas KR, He JP, Burstein M, Swanson SA, Avenevoli S, Cui L et al (2010) Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication-adolescent supplement (NCS-A). J Am Acad Child Adolesc Psychiatry 49:980–989

    Article  PubMed Central  PubMed  Google Scholar 

  3. Kessler RC, Angermeyer M, Anthony JC, DE Graaf R, Demyttenaere K, Gasquet I et al (2007) Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s World Mental Health Survey Initiative. World Psychiatry 6:168–176

    PubMed Central  PubMed  Google Scholar 

  4. Van Ameringen M, Mancini C, Farvolden P (2003) The impact of anxiety disorders on educational achievement. J Anxiety Disord 17:561–571

    Article  PubMed  Google Scholar 

  5. Ialongo N, Edelsohn G, Werthamer-Larsson L, Crockett L, Kellam S (1995) The significance of self-reported anxious symptoms in first grade children: prediction to anxious symptoms and adaptive functioning in fifth grade. J Child Psychol Psychiatry 36:427–437

    Article  PubMed  Google Scholar 

  6. Pine DS, Cohen P, Gurley D, Brook J, Ma Y (1998) The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Arch Gen Psychiatry 55:56–64

    Article  PubMed  Google Scholar 

  7. Wong JG, Cheung EP, Chan KK, Ma KK, Tang SW (2006) Web-based survey of depression, anxiety and stress in first-year tertiary education students in Hong Kong. Aust N Z J Psychiatry 40:777–782

    Article  PubMed  Google Scholar 

  8. Essau CA, Leung PW, Conradt J, Cheng H, Wong T (2008) Anxiety symptoms in Chinese and German adolescents: their relationship with early learning experiences, perfectionism and learning motivation. Depress Anxiety 25:801–810

    Article  PubMed  Google Scholar 

  9. Beck AT, Emery G, Greenberg RL (1985) In Anxiety disorders and phobias: a cognitive perspective. Basic Books, New York

    Google Scholar 

  10. Weems CF, Berman SL, Silverman WK, Saavedra LM (2001) Cognitive errors in youths with anxiety disorders: the linkages between negative cognitive errors and anxiety symptoms. Cogn Ther Res 25:559–579

    Article  Google Scholar 

  11. Nolen-Hoeksema S (1991) Responses to depression and their effects on the duration of depressive episodes. J Abnorm Psychol 100:569–582

    Article  PubMed  Google Scholar 

  12. Versteraeten K, Bijttebier P, Vasey MW (2011) Specificity of worry and rumination in the development of anxiety and depressive symptoms in children. Br J Clin Psychol 50:364–378

    Article  Google Scholar 

  13. Hazlett-Stevens H, Craske MG (2003) The catastrophizing worry process in generalized anxiety disorders: a preliminary investigation of an analog population. Behav Cogn Psychother 31:387–401

    Article  Google Scholar 

  14. Hoffman SG (2005) Perception of control over anxiety mediates the relation between catastrophizing thinking and social anxiety in social phobia. Behav Res Ther 43:885–895

    Article  Google Scholar 

  15. Leitenberg H, Yost LW, Carroll-Wilson M (1986) Negative cognitive errors in children: questionnaire development, normative data, and comparisons between children with and without self-reported symptoms of depression, low self-esteem, and evaluation anxiety. J Consult Clin Psychol 54:528–536

    Article  PubMed  Google Scholar 

  16. Thomsen DK (2006) The association between rumination and negative affect: a review. Cogn Emot 20:1216–1235

    Article  Google Scholar 

  17. Nolen-Hoeksema S (2000) The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. J Abnorm Psychol 109:504–511

    Article  PubMed  Google Scholar 

  18. Broderick PC, Korteland C (2004) A prospective study of rumination and depression in early adolescence. Clin Child Psychol Psychiatry 9:382–394

    Article  Google Scholar 

  19. Burwell RA, Shink R (2007) Subtypes of rumination in adolescence: associations between brooding, reflection, depressive symptoms, and coping. J Clin Child Adolesc Psychol 36:56–65

    Article  PubMed  Google Scholar 

  20. Grabe S, Hyde JS, Lindberg SM (2007) Body objectification and depression in adolescents: the role of gender, shame and rumination. Psychol Women Q 31:164–175

    Article  Google Scholar 

  21. Mellings TMB, Alden LE (2000) Cognitive processes in social anxiety: the effects of self-focus, rumination and anticipatory processing. Behav Res Ther 38:243–257

    Article  PubMed  Google Scholar 

  22. Calmes CA, Roberts JE (2007) Repetitive thoughts and emotional distress: rumination and worry as prospective predictors of depressive and anxiety symptomatology. Cogn Ther Res 30:343–356

    Article  Google Scholar 

  23. Blagden JC, Craske MG (1996) Effects of active and passive rumination and distraction: a pilot replication with anxious mood. J Anxiety Disord 10:243–252

    Article  Google Scholar 

  24. Roelofs J, Hubers M, Peeters F, Arntz A (2008) Effects of neuroticism on depression and anxiety: rumination as a possible mediator. Pers Individ Differ 44:576–586

    Article  Google Scholar 

  25. Yook K, Kim KH, Suh SY, Lee KS (2010) Intolerance of uncertainty, worry, and rumination in major depressive disorder and generalized anxiety disorder. J Anxiety Disord 24:623–628

    Article  PubMed  Google Scholar 

  26. Garnefski N, Legerstee J, Kraaij VV, Van Den Kommer T, Teerds J (2002) Cognitive coping strategies and symptoms of depression and anxiety: a comparison between adolescents and adults. J Adolesc 25:603–611

    Article  PubMed  Google Scholar 

  27. Martin RC, Dahlen ER (2005) Cognitive emotion regulation in the prediction of depression, anxiety, stress and anger. Pers Individ Differ 39:1246–1260

    Google Scholar 

  28. Zahn-Waxler C, Klimes-Dougan B, Slattery MJ (2000) Internalizing problems of childhood and adolescence: prospects, pitfalls, and progress in understanding the development of anxiety and depression. Dev Psychopathol 12:443–466

    Article  PubMed  Google Scholar 

  29. Weems CF, Costa NM, Watts SE, Taylor LK, Cannon MF (2007) Cognitive errors, anxiety sensitivity and anxiety control beliefs: their unique and specific association with childhood anxiety symptoms. Behav Modif 31:174–201

    Article  PubMed  Google Scholar 

  30. Allen JL, Rapee RM, Sandberg S (2008) Severe life events and chronic adversities as antecedents to anxiety in children: a matched control study. J Abnorm Child Psychol 36:1047–1056

    Article  PubMed  Google Scholar 

  31. Boer F, Markus MT, Maingay R, Lindhout IE, Borst SR, Hoogendijk TH (2002) Negative life events of anxiety disordered children: bad fortune, vulnerability or reporter bias? Child Psychiatry Hum Dev 32:187–199

    Article  PubMed  Google Scholar 

  32. Michl LC, McLaughlin KA, Shepherd K, Nolen-Hoeksema S (2013) Rumination as a mechanism linking stressful life events to symptoms of depression and anxiety: longitudinal evidence in early adolescents and adults. J Abnorm Psychol 122:339–352

    Article  PubMed Central  PubMed  Google Scholar 

  33. Cooper SM, Guthrie BJ, Brown C, Metzger I (2011) Daily hassles and African American adolescent females’ psychological functioning: direct and interactive associations with gender role orientation. Sex Roles 65:397–409

    Article  Google Scholar 

  34. Gaylord-Harden NK, Elmore CA, Campbell CL, Wethington A (2011) An examination of the tripartite model of depressive and anxiety symptoms in African American youth: stressors and coping strategies as common and specific correlates. J Clin Child Adolesc Psychol 40:360–374

    Article  PubMed  Google Scholar 

  35. Grover RL, Ginsburg GS, Ialongo N (2005) Childhood predictors of anxiety symptoms: a longitudinal study. Child Psychiatry Hum Dev 36:133–153

    Article  PubMed Central  PubMed  Google Scholar 

  36. Lewinsohn PM, Gotlib IH, Lewinsohn M, Seeley JR, Allen NB (1998) Gender differences in anxiety disorders and anxiety symptoms in adolescents. J Abnorm Psychol 107:109–117

    Article  PubMed  Google Scholar 

  37. Muris P, Ollendick TH (2002) The assessment of contemporary fears in adolescents using a modified version of the Fear Survey Schedule for Children-Revised. J Anxiety Disord 16:567–584

    Article  PubMed  Google Scholar 

  38. Garnefski N, Teerds J, Kraaij V, Legerstee J, van den Kommer T (2004) Cognitive emotion regulation strategies and depressive symptoms: differences between males and females. Pers Individ Differ 36:267–276

    Article  Google Scholar 

  39. Lai JCL, Hamid NP, Chow P (1996) Gender difference in hassles and symptom reporting among Hong Kong adolescents. J Soc Behav Pers 11:149–164

    Google Scholar 

  40. Wu KK, Lam DJ (1993) The relationship between daily stress and health: replicating and extending previous findings. Psychol Health 8:329–344

    Article  Google Scholar 

  41. Birmaher B, Khetarpal S, Brent D, Cully M, Balach L, Kaufman J et al (1997) The Screen for Child Anxiety Related Emotional Disorders (SCARED): scale construction and psychometric characteristics. J Am Acad Child Adolesc Psychiatry 36:545–553

    Article  PubMed  Google Scholar 

  42. Su L, Wang K, Fan F, Su Y, Gao X (2008) Reliability and validity of the screen for child anxiety-related emotional disorders (SCARED) in Chinese children. J Anxiety Disord 22:612–621

    Article  PubMed  Google Scholar 

  43. Birmaher B, Brent DA, Chiappetta L, Bridge J, Monga S, Baugher M (1999) Psychometric properties of the screen for child anxiety related emotional disorders (SCARED): a replication study. J Am Acad Child Adolesc Psychiatry 38:1230–1236

    Article  PubMed  Google Scholar 

  44. Canals J, Hernández-Martínez C, Cosi S, Domènech E (2012) Examination of a cutoff score for the Screen for Child Anxiety-Related Emotional Disorders (SCARED) in a non-clinical Spanish population. J Anxiety Disord 26:785–791

    Article  PubMed  Google Scholar 

  45. Hale WW 3rd, Crocetti E, Raaijmakers QA, Meeus WH (2010) A meta-analysis of the cross-cultural psychometric properties of the Screen for Child Anxiety Related Emotional Disorders (SCARED). J Child Psychol Psychiatry 52:80–90

    Article  Google Scholar 

  46. Garnefski N, Kraaij V, Spinhoven P (2001) Manual for the use of the Cognitive Emotion Regulation Questionnaire: a questionnaire measuring cognitive coping strategies. DATEC, Leiderdorp

    Google Scholar 

  47. Zhu X, Auerbach RP, Yao S, Abela JRZ, Xiao J, Tong X (2008) Psychometric properties of the Cognitive Emotion Regulation Questionnaire: Chinese version. Cogn Emot 22:288–307

    Article  Google Scholar 

  48. Beck AT, Steer RA, Ball R, Ranieri WF (1996) Comparision of Beck Depression Inventories-IA and -II in psychiatric outpatients. J Pers Assess 67:588–597

    Article  PubMed  Google Scholar 

  49. Byrne BM, Stewart SM, Lee PWH (2004) Validating the Beck Depression Inventory-II for Hong Kong community adolescents. Int J Test 4(3):199–216

    Article  Google Scholar 

  50. Stewart SM, Byrne MB, Lee PWH, Ho LM, Kennard BD, Lee PWH et al (2003) Personal versus interpersonal contributions to depressive symptoms among Hong Kong adolescents. Int J Psychol 38(3):160–169

    Article  Google Scholar 

  51. Preacher KJ, Hayes AF (2008) Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods 40:879–891

    Article  PubMed  Google Scholar 

  52. Muthen LK, Muthen BO (1998) Mplus user’s guide, 7th edn. Muthen & Muthen, Los Angeles

    Google Scholar 

  53. Chen X, Hastings PD, Rubin KH, Chen H, Cen G, Stewart SL (1998) Child-rearing attitudes and behavioral inhibition in Chinese and Canadian toddlers: a cross-cultural study. Dev Psychol 34:677–686

    Article  PubMed  Google Scholar 

  54. Essau CA, Conradt J, Petermann F (2000) Frequency, comorbidity, and psychosocial impairment of anxiety disorders in adolescents. J Anxiety Disord 14:263–279

    Article  PubMed  Google Scholar 

  55. Wittchen HU, Beesdo K, Bittner A, Goodwin RD (2003) Depressive episodes-evidence for a causal role of primary anxiety disorders? Eur Psychiatry 18:384–393

    Article  PubMed  Google Scholar 

  56. Nolen-Hoeksema S, Girgus JS (1994) The emergence of gender differences in depression in adolescence. Psychol Bull 115:424–443

    Article  PubMed  Google Scholar 

  57. Wahl K, Ertle A, Bohne A, Zurowski B, Kordon A (2011) Relations between a ruminative thinking style and obessive-compulsive symptoms in non-clinical samples. Anxiety Stress Coping 24:217–225

    Article  PubMed  Google Scholar 

  58. Wong QJ, Moulds ML (2009) Impact of rumination versus distraction on anxiety and maladaptive self-beliefs in socially anxious individuals. Behav Res Ther 47:861–867

    Article  PubMed  Google Scholar 

  59. Segerstrom SC, Tsao JCI, Alden LE, Craske MG (2000) Worry and rumination: repetitive thought as a concomitant and predictor of negative mood. Cogn Ther Res 24:672–688

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Siu Mui Chan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Chan, S.M., Chan, S.K. & Kwok, W.W. Ruminative and Catastrophizing Cognitive Styles Mediate the Association Between Daily Hassles and High Anxiety in Hong Kong Adolescents. Child Psychiatry Hum Dev 46, 57–66 (2015). https://doi.org/10.1007/s10578-014-0451-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10578-014-0451-9

Keywords

Navigation