Abstract
Rumination and worry are two types of repetitive negative thinking (RNT) that have been identified as risk factors for depression and anxiety, but it remains unclear whether the common (i.e., RNT) and/or distinct (i.e., temporal orientation and thought content) features of these thinking styles are associated with internalizing psychopathology. The goal of the current study was to represent rumination and worry with common and distinct components and test their associations to internalizing symptoms. Bifactor modeling was used to create common RNT, rumination-specific, and worry-specific factors in an emerging adult undergraduate sample (N=224) at the beginning of the academic semester. Structural equation modeling tested these factors as predictors of anhedonic depression and anxious arousal symptoms at the end of the semester. The common RNT factor was a predictor of later (but not change in) anhedonic depression and anxious arousal symptoms, while the specific factors did not show any consistent associations with either symptom dimension. These results suggest that the common process of RNT is the primary pathway through which rumination and worry are associated with risk for internalizing psychopathology. Clinical interventions that reduce RNT as a general thought process, rather than targeting specific thought content, may be effective.
Similar content being viewed by others
Availability of Data and Material
The preregistration is available at https://osf.io/ub94w. The datasets and analysis files are available at https://osf.io/6kxrb/.
Notes
See Supplemental Materials for information on departures from the pre-registration.
Participants completed cognitive tasks and additional questionnaires not relevant to the current hypotheses, which will be reported elsewhere. Selection of variables for the analyses in this paper were pre-registered.
References
Arditte, K. A., Shaw, A. M., & Timpano, K. R. (2016). Repetitive Negative Thinking: A Transdiagnostic Correlate of Affective Disorders. Journal of Social and Clinical Psychology, 35(3), 181–201. https://doi.org/10.1521/jscp.2016.35.3.181
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(3), 179–183. https://doi.org/10.1037//0021-843x.96.3.179
Beck, R., & Perkins, T. S. (2001). Cognitive Content-Specificity for Anxiety and Depression: A Meta-Analysis. Cognitive Therapy and Research, 25(6), 651–663. https://doi.org/10.1023/A:1012911104891
Caspi, A., Houts, R. M., Belsky, D. W., Goldman-Mellor, S. J., Harrington, H., Israel, S., Meier, M. H., Ramrakha, S., Shalev, I., Poulton, R., & Moffitt, T. E. (2014). The p Factor: One General Psychopathology Factor in the Structure of Psychiatric Disorders? Clinical Psychological Science : A Journal of the Association for Psychological Science, 2(2), 119–137. https://doi.org/10.1177/2167702613497473
Clark, L. A., & Watson, D. (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100(3), 316–336. https://doi.org/10.1037/0021-843X.100.3.316
Conway, C. C., Forbes, M. K., Forbush, K. T., Fried, E. I., Hallquist, M. N., Kotov, R., Mullins-Sweatt, S. N., Shackman, A. J., Skodol, A. E., South, S. C., Sunderland, M., Waszczuk, M. A., Zald, D. H., Afzali, M. H., Bornovalova, M. A., Carragher, N., Docherty, A. R., Jonas, K. G., Krueger, R. F., & Eaton, N. R. (2019). A hierarchical taxonomy of psychopathology can transform mental health research. Perspectives on Psychological Science, 14(3), 419–436. https://doi.org/10.1177/1745691618810696
du Pont, A., Rhee, S. H., Corley, R. P., Hewitt, J. K., & Friedman, N. P. (2018). Rumination and Psychopathology: Are Anger and Depressive Rumination Differentially Associated With Internalizing and Externalizing Psychopathology? Clinical Psychological Science, 6(1), 18–31. https://doi.org/10.1177/2167702617720747
Eckland, N. S., & Berenbaum, H. (2020). Emotional Awareness in Daily Life: Exploring Its Potential Role in Repetitive Thinking and Healthy Coping. Behavior Therapy. https://doi.org/10.1016/j.beth.2020.04.010
Ehring, T., & Watkins, E. R. (2008). Repetitive Negative Thinking as a Transdiagnostic Process. International Journal of Cognitive Therapy, 1(3), 192–205. https://doi.org/10.1521/ijct.2008.1.3.192
Fresco, D. M., Frankel, A. N., Mennin, D. S., Turk, C. L., & Heimberg, R. G. (2002). Distinct and Overlapping Features of Rumination and Worry: The Relationship of Cognitive Production to Negative Affective States. Cognitive Therapy and Research, 26(2), 179–188. https://doi.org/10.1023/A:1014517718949
Goring, H. J., & Papageorgiou, C. (2008). Rumination and Worry: Factor Analysis of Self-Report Measures in Depressed Participants. Cognitive Therapy and Research, 32(4), 554–566. https://doi.org/10.1007/s10608-007-9146-x
Greene, A. L., Eaton, N. R., Li, K., Forbes, M. K., Krueger, R. F., Markon, K. E., Waldman, I. D., Cicero, D. C., Conway, C. C., Docherty, A. R., Fried, E. I., Ivanova, M. Y., Jonas, K. G., Latzman, R. D., Patrick, C. J., Reininghaus, U., Tackett, J. L., Wright, A. G. C., & Kotov, R. (2019). Are fit indices used to test psychopathology structure biased? A simulation study. Journal of Abnormal Psychology. https://doi.org/10.1037/abn0000434
Hirsch, C. R., & Mathews, A. (2012). A cognitive model of pathological worry. Behaviour Research and Therapy, 50(10), 636–646. https://doi.org/10.1016/j.brat.2012.06.007
Hosseinichimeh, N., Wittenborn, A. K., Rick, J., Jalali, M. S., & Rahmandad, H. (2018). Modeling and estimating the feedback mechanisms among depression, rumination, and stressors in adolescents. PLOS One, 13(9), e0204389. https://doi.org/10.1371/journal.pone.0204389
Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/10.1080/10705519909540118
Hughes, M. E., Alloy, L. B., & Cogswell, A. (2008). Repetitive Thought in Psychopathology: The Relation of Rumination and Worry to Depression and Anxiety Symptoms. Journal of Cognitive Psychotherapy, 22(3), 271–288. https://doi.org/10.1891/0889-8391.22.3.271
Hur, J., Heller, W., Kern, J. L., & Berenbaum, H. (2017). A Bi-Factor Approach to Modeling the Structure of Worry and Rumination. Journal of Experimental Psychopathology, 8(3), jep.057116. https://doi.org/10.5127/jep.057116
Jose, P. E., & Brown, I. (2008). When does the Gender Difference in Rumination Begin? Gender and Age Differences in the Use of Rumination by Adolescents. Journal of Youth and Adolescence, 37(2), 180–192. https://doi.org/10.1007/s10964-006-9166-y
Kertz, S. J., Koran, J., Stevens, K. T., & Björgvinsson, T. (2015). Repetitive negative thinking predicts depression and anxiety symptom improvement during brief cognitive behavioral therapy. Behaviour Research and Therapy, 68, 54–63. https://doi.org/10.1016/j.brat.2015.03.006
Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, Severity, and Comorbidity of 12-Month DSM-IV Disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 617–627. https://doi.org/10.1001/archpsyc.62.6.617
Kessler, R. C., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Wittchen, H.-U. (2012). Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. International Journal of Methods in Psychiatric Research, 21(3), 169–184. https://doi.org/10.1002/mpr.1359
Koster, E. H. W., De Lissnyder, E., Derakshan, N., & De Raedt, R. (2011). Understanding depressive rumination from a cognitive science perspective: The impaired disengagement hypothesis. Clinical Psychology Review, 31(1), 138–145. https://doi.org/10.1016/j.cpr.2010.08.005
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(1), 176–190. https://doi.org/10.1037//0022-3514.69.1.176
McEvoy, P. M., Mahoney, A. E. J., & Moulds, M. L. (2010). Are worry, rumination, and post-event processing one and the same? Journal of Anxiety Disorders, 24(5), 509–519. https://doi.org/10.1016/j.janxdis.2010.03.008
McEvoy, P. M., Moulds, M. L., & Mahoney, A. E. J. (2013). Mechanisms driving pre- and post-stressor repetitive negative thinking: Metacognitions, cognitive avoidance, and thought control. Journal of Behavior Therapy and Experimental Psychiatry, 44(1), 84–93. https://doi.org/10.1016/j.jbtep.2012.07.011
McLaughlin, K. A., Borkovec, T. D., & Sibrava, N. J. (2007). The Effects of Worry and Rumination on Affect States and Cognitive Activity. Behavior Therapy, 38(1), 23–38. https://doi.org/10.1016/j.beth.2006.03.003
McLaughlin, K. A., & Nolen-Hoeksema, S. (2012). Interpersonal Stress Generation as a Mechanism Linking Rumination to Internalizing Symptoms in Early Adolescents. Journal of Clinical Child & Adolescent Psychology, 41(5), 584–597. https://doi.org/10.1080/15374416.2012.704840
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(6), 487–495.
Muris, P., Roelofs, J., Meesters, C., & Boomsma, P. (2004). Rumination and Worry in Nonclinical Adolescents. Cognitive Therapy and Research, 28(4), 539–554. https://doi.org/10.1023/B:COTR.0000045563.66060.3e
Muthén, L. K., & Muthén, B. O. (1998-2017). Mplus User’s Guide. Eighth Edition.
Newby, J. M., Williams, A. D., & Andrews, G. (2014). Reductions in negative repetitive thinking and metacognitive beliefs during transdiagnostic internet cognitive behavioural therapy (iCBT) for mixed anxiety and depression. Behaviour Research and Therapy, 59, 52–60. https://doi.org/10.1016/j.brat.2014.05.009
O’Driscoll, C., Laing, J., & Mason, O. (2014). Cognitive emotion regulation strategies, alexithymia and dissociation in schizophrenia, a review and meta-analysis. Clinical Psychology Review, 34(6), 482–495. https://doi.org/10.1016/j.cpr.2014.07.002
Paredes, P. P., & Zumalde, E. C. (2015). A Test of the Vulnerability-Stress Model with Brooding and Reflection to Explain Depressive Symptoms in Adolescence. Journal of Youth and Adolescence, 44(4), 860–869. https://doi.org/10.1007/s10964-014-0148-1
Reise, S. P., Moore, T. M., & Haviland, M. G. (2010). Bifactor Models and Rotations: Exploring the Extent to which Multidimensional Data Yield Univocal Scale Scores. Journal of Personality Assessment, 92(6), 544–559. https://doi.org/10.1080/00223891.2010.496477
Robins, R. W., Fraley, R. C., & Krueger, R. F. (2009). The Self-Report Method. In Handbook of Research Methods in Personality Psychology (pp. 224–229). Guilford Press.
Rodriguez, A., Reise, S. P., & Haviland, M. G. (2016). Evaluating bifactor models: Calculating and interpreting statistical indices. Psychological Methods, 21(2), 137–150. https://doi.org/10.1037/met0000045
Rood, L., Roelofs, J., Bögels, S. M., & Alloy, L. B. (2010). Dimensions of Negative Thinking and the Relations with Symptoms of Depression and Anxiety in Children and Adolescents. Cognitive Therapy and Research, 34(4), 333–342. https://doi.org/10.1007/s10608-009-9261-y
Satorra, A., & Bentler, P. M. (1994). Corrections to test statistics and standard errors in covariance structure analysis. In Latent variables analysis:Applications for developmental research (pp. 399–419). Sage Publications, Inc.
Segerstrom, S. C., Tsao, J. C. I., Alden, L. E., & Craske, M. G. (2000). Worry and rumination: Repetitive thought as a concomitant and predictor of negative mood. Cognitive Therapy and Research, 24(6), 671–688. https://doi.org/10.1023/A:1005587311498
Snyder, H. R., Friedman, N. P., & Hankin, B. L. (2019). Transdiagnostic Mechanisms of Psychopathology in Youth: Executive Functions, Dependent Stress, and Rumination. Cognitive Therapy and Research, 43(5), 834–851. https://doi.org/10.1007/s10608-019-10016-z
Snyder, H. R., & Hankin, B. L. (2017). All Models Are Wrong, but the p Factor Model Is Useful: Reply to Widiger and Oltmanns (2017) and Bonifay, Lane, and Reise (2017). Clinical Psychological Science, 5(1), 187–189. https://doi.org/10.1177/2167702616659389
Spinhoven, P., van Hemert, A. M., & Penninx, B. W. (2018). Repetitive negative thinking as a predictor of depression and anxiety: A longitudinal cohort study. Journal of Affective Disorders, 241, 216–225. https://doi.org/10.1016/j.jad.2018.08.037
Stanton, K., & Watson, D. (2014). Positive and Negative Affective Dysfunction in Psychopathology: Emotion and Psychopathology. Social and Personality Psychology Compass, 8(9), 555–567. https://doi.org/10.1111/spc3.12132
Topper, M., Molenaar, D., Emmelkamp, P. M. G., & Ehring, T. (2014). Are Rumination and Worry Two Sides of the Same Coin? A Structural Equation Modelling Approach. Journal of Experimental Psychopathology, 5(3), jep.038813. https://doi.org/10.5127/jep.038813
Trapnell, P. D., & Campbell, J. D. (1999). Private self-consciousness and the five-factor model of personality: Distinguishing rumination from reflection. Journal of Personality and Social Psychology, 76(2), 284–304.
Watkins, E. (2008). Constructive and Unconstructive Repetitive Thought. Psychological Bulletin, 134(2), 163–206. https://doi.org/10.1037/0033-2909.134.2.163
Watkins, M. W. (2013). Omega.
Watson, D., Weber, K., Assenheimer, J. S., Clark, L. A., Strauss, M. E., & McCormick, R. A. (1995). Testing a tripartite model: I. Evaluating the convergent and discriminant validity of anxiety and depression symptom scales. Journal of Abnormal Psychology, 104(1), 3–14.
Zetsche, U., Bürkner, P.-C., & Schulze, L. (2018). Shedding light on the association between repetitive negative thinking and deficits in cognitive control – A meta-analysis. Clinical Psychology Review, 63, 56–65. https://doi.org/10.1016/j.cpr.2018.06.001
Funding
Research was supported by funds from Brandeis University. Morgan M. Taylor is supported by the National Institute of General Medical Sciences of the National Institutes of Health [Award No. 1T32GM132498-0]. The funding sources had no role in study design, data collection, analysis and interpretation, manuscript preparation, or decision to submit this article for publication.
Author information
Authors and Affiliations
Contributions
Morgan M. Taylor developed the research question and hypotheses, contributed to data collection, performed all analyses, and drafted the manuscript. Hannah R. Snyder designed the research study and provided input on the research question, hypotheses, analyses, and manuscript. All authors have approved the final article.
Corresponding author
Ethics declarations
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed Consent
Written informed consent was obtained from all individual participants included in the study.
Conflict of Interest
Morgan M. Taylor and Hannah R. Snyder declare that they have no conflict of interest.
Experiment Participants
This study included human subject participants. The current study was performed in accordance with the ethical standards for human subjects research.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Taylor, M.M., Snyder, H.R. Repetitive Negative Thinking Shared Across Rumination and Worry Predicts Symptoms of Depression and Anxiety. J Psychopathol Behav Assess 43, 904–915 (2021). https://doi.org/10.1007/s10862-021-09898-9
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10862-021-09898-9