Abstract
Worry and depressive rumination have both been described as unproductive, repetitive thought which contributes to anxiety or depression, respectively. It was hypothesized that repetitive thought, rather than its specific forms, is a general concomitant of negative mood. Study 1 was a cross-sectional test of the hypothesis. Repetitive thought was positively correlated with anxiety and depression in students (n = 110). In patients (n = 40), repetitive thought was positively correlated with anxiety and depression, and rumination was also specifically correlated with depression. Study 2 was a prospective test of the hypothesis. In students (n = 90), there were significant cross-sectional relationships between repetitive thought and both anxiety and depression. In addition, repetitive thought at least partially predicted maintenance of anxious symptoms. Phenomena such as goal interruption, failures of emotional processing, and information processing may lead to repetitive thought which increases negative mood states, including both anxiety and depression.
Similar content being viewed by others
REFERENCES
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.
Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. New York: Harper & Row.
Beck, A. T., Brown, G., Steer, R. A., Eidelson, J. I., & Riskind, J. H. (1987). Differentiating anxiety and depression: A test of the cognitive content-specificity hypothesis. Journal of Abnormal Psychology, 96, 179-183.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893-897.
Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77-100.
Bentler, P. M. (1995). EQS structural equations program manual. Encino, CA: Multivariate Software.
Bentler, P. M., & Wu, E. J. C. (1995). EQS for Windows user's guide. Encino, CA: Multivariate Software.
Borkovec, T. D., & Hu, S. (1990). The effect of worry on cardiovascular response to phobic imagery. Behaviour Research and Therapy, 28, 69-73.
Borkovec, T. D., Lyonfields, J. D., Wiser, S. L., & Deihl, L. (1993). The role of worrisome thinking in the suppression of the cardiovascular response to phobic imagery. Behaviour Research and Therapy, 31, 321-324.
Borkovec, T. D., Robinson, E., Pruzinsky, T., & DePree, J. A. (1983). Preliminary exploration of worry: Some characteristics and process. Behaviour Research and Therapy, 21, 9-16.
Brewin, C. R. (1996). Cognitive processing of adverse experiences. International Review of Psychiatry, 8, 333-339.
Brewin, C. R., Dagleish, T., & Joseph, S. (1996). A dual representation theory of posttraumatic stress disorder. Psychological Review, 103, 670-686.
Carver, C. S., & Scheier, M. F. (1982). Control theory: A useful conceptual framework for personalitysocial, clinical, and health psychology. Psychological Bulletin, 92, 111-135.
Carver, C. S., & Scheier, M. F. (1990). Origins and functions of positive and negative affect: A control-process view. Psychological Review, 97, 19-35.
Clark, D. M., Beck, A. T., & Brown, G. (1989). Cognitive mediation in general psychiatric outpatients: A test of the content-specificity hypothesis. Journal of Personality and Social Psychology, 56, 958-964.
Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg & M. R. Liebowitz (Eds.), Social phobia: Diagnosis, assessment, and treatment. New York: Guilford Press.
Clark, L. A., & Watson, D. (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100, 316-336.
Davey, G. C. L. (1994). Pathological worrying as exacerbated problem-solving. In G. C. L. Davey & F. Tallis (Eds.), Worrying: Perspectives on theory, assessment, and treatment. New York: Wiley.
Dugas, M. J., Freeston, M. H., & Ladouceur, R. (1997). Intolerance of uncertainty and problem orientation in worry. Cognitive Therapy and Research, 21, 593-606.
Finlay-Jones, R., & Brown, G. W. (1981). Types of stressful life event and the onset of anxiety and depressive disorders. Psychological Medicine, 11, 803-815.
Foa, E. B., & Kozac, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99, 20-35.
Gotlib, I. H. (1984). Depression and general psychopathology in university students. Journal of Abnormal Psychology, 93, 19-30.
Hoehn-Saric, R., McLeod, D. R., & Zimmerli, W. D. (1989). Somatic manifestations in women with generalized anxiety disorder: Psychophysiological repsonses to psychological stress. Archives of General Psychiatry, 46, 1113-1119.
Ingram, R. E. (1984). Toward an information-processing analysis of depression. Cognitive Therapy and Research, 8, 443-478.
Ingram, R. E. (1990). Self-focused attention in clinical disorders: Review and a conceptual model. Psychological Bulletin, 107, 156-176.
Kendall, P. C., & Ingram, R. E. (1989). Cognitive-behavioral perspectives: Theory and research on depression and anxiety. In P. C. Kendall & D. Watson (Eds.), Anxiety and depression. San Diego, CA: Academic Press.
Kendall, P. C., & Watson, D. (1989). Anxiety and depression. San Diego, CA: Academic Press.
Lader, M. H., & Wing, L. (1964). Habituation of the psycho-galvanic reflex in patient with anxiety states and in normal subjects. Journal of Neurology, Neurosurgery, and Psychiatry, 27, 210-218.
Lang, P. J. (1977). Physiological assessment of anxiety and fear. In J. D. Cone & R. P. Hawkins (Eds.), Behavioral assessment: New directions in clinical psychology. New York: Brunner/Mazel.
Lyonfields, J. D., Borkovec, T. D., & Thayer, J. F. (1995). Vagal tone in generalized anxiety disorder and the effects of aversive imagery and worrisome thinking. Behavior Therapy, 26, 457-466.
Lyubomirsky, S., & Nolen-Hoeksema, S. (1995). Effects of self-focused rumination on negative thinking and interpersonal problem-solving. Journal of Personality and Social Psychology, 69, 176-190.
Martin, L., & Tesser, A. (1989). Toward a motivational and structural theory of ruminative thought. In J. S. Uleman & J. A. Bargh (Eds.), Unintended thought. New York: Guilford Press.
McIntosh, W. D., & Martin, L. L. (1992). The cybernetics of happiness: The relation of goal attainment, rumination, and affect. Review of Personality and Social Psychology, 14, 222-246.
Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28, 487-495.
Molina, S., & Borkovec, T. D. (1994). The Penn State Worry Questionnaire: Psychometric properties and associated characteristics. In G. C. L. Davies & F. Tallis (Eds.), Worrying: Perspectives on theory, assessment, and treatment. New York: Wiley.
Molina, S., & Borkovec, T. D. Peasley, C., & Person, D. (1998). Content analysis of worrisome streams of thought in anxious and dysphoric participants. Cognitive Therapy and Research, 22, 109-123.
Nix, G., Watson, C., Pyszczynski, T., & Greenberg, J. (1995). Reducing depressive affect through external focus of attention. Journal of Social and Clinical Psychology, 14, 36-52.
Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100, 569-582.
Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61, 115-121.
Nolen-Hoeksema, S., & Morrow, J. (1993). Effects of rumination and distraction on naturally occurring depressed mood. Cognition and Emotion, 7, 561-570.
Nolen-Hoeksema, S., Morrow, J., & Fredrickson, B. L. (1993). Response styles and the duration of episodes of depressed mood. Journal of Abnormal Psychology, 102, 20-28.
Pennebaker, J. W. (1997). Writing about emotional experiences as a therapeutic process. Psychological Science, 8, 162-165.
Pyszczynski, T., & Greenberg, J. (1987). Self-regulatory perseveration and the depressive self-focusing style: A self-awareness theory of reactive depression. Psychological Bulletin, 102, 122-138.
Roemer, L., & Borkovec, T. D. (1993). Worry: Unwanted cognitive activity that controls unwanted somatic experience. In D. M. Wegner & J. W. Pennebaker (Eds.), Handbook of mental control (pp. 220-238). Englewood Cliffs, NJ: Prentice-Hall.
Smith, T. W., Ingram, R. E., & Roth, L. D. (1985). Self-focused attention and depression: Self-evaluation, affect, and life stress. Motivation and Emotion, 9, 381-389.
Stanton, A. L., Danoff-Burg, S., Cameron, C. L., & Ellis, A. P. (1994). Coping through emotional approach: Problems of conceptualization and confounding. Journal of Personality and Social Psychology, 66, 350-362.
Starcevic, V. (1995). Pathological worry in major depression: A preliminary report. Behaviour Research and Therapy, 33, 55-56.
Watson, D., & Clark, L. A. (1984). Negative affectivity: The disposition to experience aversive emotional states. Psychological Bulletin, 96, 465-490.
Wells, A., & Papageorgiou, C. (1995). Worry and the incubation of intrusive images following stress. Behaviour Research and Therapy, 3, 579-583.
Woody, S., & Rachman, S. (1994). Generalized anxiety disorder (GAD) as a unsuccessful search for safety. Clinical Psychology Review, 14, 743-753.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Segerstrom, S.C., Tsao, J.C.I., Alden, L.E. et al. Worry and Rumination: Repetitive Thought as a Concomitant and Predictor of Negative Mood. Cognitive Therapy and Research 24, 671–688 (2000). https://doi.org/10.1023/A:1005587311498
Issue Date:
DOI: https://doi.org/10.1023/A:1005587311498