Abstract
This study aimed to examine the mediating role of rumination on the relationship between neuroticism and anxiety–depression among a sample of 405 elderly adults from China. The participants completed a questionnaire packet containing neuroticism, ruminative response, and depression and anxiety scales. Path analysis was adopted to test the mediating effects, and bootstrap methods were applied to assess the magnitude of indirect effects. Results showed that anxiety and depression were positively correlated with neuroticism and rumination. Neuroticism positively influenced the symptoms of anxiety and depression, and this relationship was partially mediated by rumination. This study expounded the mediating role of rumination underlying the positive association between neuroticism and anxiety–depression in older adults.
Similar content being viewed by others
References
Barg, F. K., Huss-Ashmore, R., Wittink, M. N., Murray, G. F., Bogner, H. R., & Gallo, J. J. (2006). A mixed-methods approach to understanding loneliness and depression in older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 61(6), S329–S339.
Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.
Black, J., & Reynolds, W. M. (2013). Examining the relationship of perfectionism, depression, and optimism: Testing for mediation and moderation. Personality and Individual Differences, 54(3), 426–431.
Boyle, L. L., Lyness, J. M., Duberstein, P. R., Karuza, J., King, D. A., Messing, S., & Tu, X. (2010). Trait neuroticism, depression, and cognitive function in older primary care patients. The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 18(4), 305–312. https://doi.org/10.1097/JGP.0b013e3181c2941b.
Cheung, F. M., & Leung, K. (1998). Indigenous personality measures Chinese examples. Journal of Cross-Cultural Psychology, 29(1), 233–248.
Chia, A.-L., & Graves, R. (2016). Examining anxiety and depression comorbidity among Chinese and European Canadian University students. Journal of Cross-Cultural Psychology, 47(2), 215–233. https://doi.org/10.1177/0022022115618025.
Costa, P. T., & McCrae, R. R. (1992). Normal personality assessment in clinical practice: The NEO personality inventory. Psychological Assessment, 4(1), 5–13. https://doi.org/10.1037/1040-3590.4.1.5.
Coyle, C. E., & Dugan, E. (2012). Social isolation, loneliness and health among older adults. Journal of Aging and Health, 24(8), 1346–1363.
Denburg, N., Weller, J., Yamada, T., Shivapour, D., Kaup, A., LaLoggia, A., et al. (2009a). Poor decision making among older adults is related to elevated levels of neuroticism. Annals of Behavioral Medicine, 37(2), 164–172.
Denburg, N. L., Weller, J. A., Yamada, T. H., Shivapour, D. M., Kaup, A. R., LaLoggia, A., et al. (2009b). Poor decision making among older adults is related to elevated levels of neuroticism. Annals of Behavioral Medicine, 37(2), 164–172. https://doi.org/10.1007/s12160-009-9094-7.
Djernes, J. K. (2006). Prevalence and predictors of depression in populations of elderly: A review. Acta Psychiatrica Scandinavica, 113(5), 372–387. https://doi.org/10.1111/j.1600-0447.2006.00770.x.
Fiske, A., Wetherell, J. L., & Gatz, M. (2009). Depression in older adults. Annual Review of Clinical Psychology, 5, 363–389. https://doi.org/10.1146/annurev.clinpsy.032408.153621.
Garnefski, N., & Kraaij, V. (2006). Relationships between cognitive emotion regulation strategies and depressive symptoms: A comparative study of five specific samples. Personality and Individual Differences, 40(8), 1659–1669. https://doi.org/10.1016/j.paid.2005.12.009.
George, L. K. (2011). Social factors, depression, and aging. Handbook of aging and the. Social Sciences, 7, 149–162.
Gou, Y., Jiang, Y., Rui, L., Miao, D., & Peng, J. (2013). The nonfungibility of mental accounting: a revision. Social Behavior and Personality: An International Journal, 41(4), 625–633.
Griffith, J. W., Zinbarg, R. E., Craske, M. G., Mineka, S., Rose, R. D., Waters, A. M., & Sutton, J. M. (2010). Neuroticism as a common dimension in the internalizing disorders. Psychological Medicine, 40(07), 1125–1136.
Hansell, N., Wright, M., Medland, S., Davenport, T., Wray, N., Martin, N., & Hickie, I. (2012). Genetic co-morbidity between neuroticism, anxiety/depression and somatic distress in a population sample of adolescent and young adult twins. Psychological Medicine, 42(06), 1249–1260.
Harrington, J. A., & Blankenship, V. (2002). Ruminative thoughts and their relation to depression and Anxiety1. Journal of Applied Social Psychology, 32(3), 465–485.
Hayes, A. F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication Monographs, 76(4), 408–420.
He, F., Guan, H., Kong, Y., Cao, R., & Peng, J. (2014). Some individual differences influencing the propensity to happiness: Insights from behavioral economics. Social Indicators Research, 119, 897–908.
Hirani, S. P., Beynon, M., Cartwright, M., Rixon, L., Doll, H., Henderson, C.,. .. Rogers, A. (2014). The effect of telecare on the quality of life and psychological well-being of elderly recipients of social care over a 12-month period: The whole systems demonstrator cluster randomised trial. Age and Ageing, 43(3), 334–341.
Hull, S. L., Kneebone, I. I., & Farquharson, L. (2013). Anxiety, depression, and fall-related psychological concerns in community-dwelling older people. The American Journal of Geriatric Psychiatry, 21(12), 1287–1291.
Ingersoll-Dayton, B., Torges, C., & Krause, N. (2010). Unforgiveness, rumination, and depressive symptoms among older adults. Aging & Mental Health, 14(4), 439–449. https://doi.org/10.1080/13607860903483136.
Jiang, J., Tang, Z., Futatsuka, M., & Zhang, K. (2004). Exploring the influence of depressive symptoms on physical disability: A cohort study of elderly in Beijing, China. Quality of Life Research, 13(7), 1337–1346.
Jo, S. A., Park, M. H., Jo, I., Ryu, S. H., & Han, C. (2007). Usefulness of Beck depression inventory (BDI) in the Korean elderly population. International Journal of Geriatric Psychiatry, 22(3), 218–223.
Kardum, I., & Krapić, N. (2001). Personality traits, stressful life events, and coping styles in early adolescence. Personality and Individual Differences, 30(3), 503–515.
Kendler, K. S., Gatz, M., Gardner, C. O., & Pedersen, N. L. (2006). Personality and major depression: A swedish longitudinal, population-based twin study. Archives of General Psychiatry, 63(10), 1113–1120. https://doi.org/10.1001/archpsyc.63.10.1113.
Kendler, K. S., Gardner, C. O., Gatz, M., & Pedersen, N. L. (2007). The sources of co-morbidity between major depression and generalized anxiety disorder in a Swedish national twin sample. Psychological Medicine, 37(3), 453–462. https://doi.org/10.1017/s0033291706009135.
Kocovski, N. L., Endler, N. S., Rector, N. A., & Flett, G. L. (2005). Ruminative coping and post-event processing in social anxiety. Behaviour Research and Therapy, 43(8), 971–984.
Kong, T., He, Y., Auerbach, R. P., McWhinnie, C. M., & Xiao, J. (2014). Rumination and depression in Chinese university students: The mediating role of overgeneral autobiographical memory. Personality and Individual Differences, 77, 221–224.
Kuyken, W., Watkins, E., Holden, E., & Cook, W. (2006). Rumination in adolescents at risk for depression. Journal of Affective Disorders, 96(1), 39–47.
Leach, L. S., Christensen, H., Mackinnon, A. J., Windsor, T. D., & Butterworth, P. (2008). Gender differences in depression and anxiety across the adult lifespan: The role of psychosocial mediators. Social Psychiatry and Psychiatric Epidemiology, 43(12), 983–998. https://doi.org/10.1007/s00127-008-0388-z.
Lou, V. W., & Ng, J. W. (2012). Chinese older adults’ resilience to the loneliness of living alone: A qualitative study. Aging & Mental Health, 16(8), 1039–1046.
Lyubomirsky, S., Layous, K., Chancellor, J., & Nelson, S. K. (2015). Thinking about rumination: The scholarly contributions and intellectual legacy of Susan Nolen-Hoeksema. Annual Review of Clinical Psychology, 11, 1–22.
Ma, X., Xiang, Y.-T., Li, S.-R., Xiang, Y.-Q., Guo, H.-L., Hou, Y.-Z.,. .. Tao, Y.-F. (2008). Prevalence and sociodemographic correlates of depression in an elderly population living with family members in Beijing, China. Psychological Medicine, 38(12), 1723–1730.
McLaughlin, K. A., Aldao, A., Wisco, B. E., & Hilt, L. M. (2014). Rumination as a transdiagnostic factor underlying transitions between internalizing symptoms and aggressive behavior in early adolescents. Journal of Abnormal Psychology, 123(1), 13–23.
Merema, M. R., Speelman, C. P., Foster, J. K., & Kaczmarek, E. A. (2013). Neuroticism (not depressive symptoms) predicts memory complaints in some community-dwelling older adults. The American Journal of Geriatric Psychiatry, 21(8), 729–736.
Mohlman, J., Bryant, C., Lenze, E. J., Stanley, M. A., Gum, A., Flint, A.,. .. Craske, M. G. (2012). Improving recognition of late life anxiety disorders in diagnostic and statistical manual of mental disorders, fifth edition: Observations and recommendations of the advisory committee to the lifespan disorders work group. International Journal of Geriatric Psychiatry, 27(6), 549–556. doi: https://doi.org/10.1002/gps.2752.
Mor, N., & Winquist, J. (2002). Self-focused attention and negative affect: A meta-analysis. Psychological Bulletin, 128(4), 638–662.
Muris, P., Roelofs, J., Rassin, E., Franken, I., & Mayer, B. (2005). Mediating effects of rumination and worry on the links between neuroticism, anxiety and depression. Personality and Individual Differences, 39(6), 1105–1111.
Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100(4), 569–582. https://doi.org/10.1037/0021-843x.100.4.569.
Nolen-Hoeksema, S. (2000). The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. Journal of Abnormal Psychology, 109(3), 504–511.
Nolen-Hoeksema, S., & Jackson, B. (2001). Mediators of the gender difference in rumination. Psychology of Women Quarterly, 25(1), 37–47.
Nolen-Hoeksema, S., Parker, L. E., & Larson, J. (1994). Ruminative coping with depressed mood following loss. Journal of Personality and Social Psychology, 67(1), 92–104.
Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3(5), 400–424.
Ormel, J., Jeronimus, B. F., Kotov, R., Riese, H., Bos, E. H., Hankin, B.,. .. Oldehinkel, A. J. (2013). Neuroticism and common mental disorders: Meaning and utility of a complex relationship. Clinical Psychology Review, 33(5), 686–697.
Painter, J. A., Allison, L., Dhingra, P., Daughtery, J., Cogdill, K., & Trujillo, L. G. (2012). Fear of falling and its relationship with anxiety, depression, and activity engagement among community-dwelling older adults. American Journal of Occupational Therapy, 66(2), 169–176.
Papadakis, A. A., Prince, R. P., Jones, N. P., & Strauman, T. J. (2006). Self-regulation, rumination, and vulnerability to depression in adolescent girls. Development and Psychopathology, 18(03), 815–829.
Papageorgiou, C., & Wells, A. (2000). Treatment of recurrent major depression with attention training. Cognitive and Behavioral Practice, 7(4), 407–413. https://doi.org/10.1016/S1077-7229(00)80051-6.
Pasyugina, I., Koval, P., De Leersnyder, J., Mesquita, B., & Kuppens, P. (2015). Distinguishing between level and impact of rumination as predictors of depressive symptoms: An experience sampling study. Cognition and Emotion, 29(4), 736–746.
Peng, J., Jiang, Y., Miao, D., Li, R., & Xiao, W. (2013). Framing effects in medical situations: Distinctions of attribute, goal and risky choice frames. Journal of International Medical Research, 41(3), 771–776.
Peng, J., Xiao, W., Yang, Y., Wu, S., & Miao, D. (2014). The impact of trait anxiety on self-frame and decision making. Journal of Behavioral Decision Making, 27(1), 11–19.
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891.
Roelofs, J., Huibers, M., Peeters, F., Arntz, A., & van Os, J. (2008). Rumination and worrying as possible mediators in the relation between neuroticism and symptoms of depression and anxiety in clinically depressed individuals. Behaviour Research and Therapy, 46(12), 1283–1289.
Santor, D.A., & Rosenbluth, M. (2005). Evaluating the contribution of personality factors to depressed mood in adolescents: conceptual and clinical issues. Depression and personality: Conceptual and clinical challenges, 22(1), 229–266.
Servaas, M. N., van der Velde, J., Costafreda, S. G., Horton, P., Ormel, J., Riese, H., & Aleman, A. (2013). Neuroticism and the brain: A quantitative meta-analysis of neuroimaging studies investigating emotion processing. Neuroscience & Biobehavioral Reviews, 37(8), 1518–1529.
Sorrell, J. M. (2013). Diagnostic and statistical manual of mental disorders-5: Implications for older adults and their families. Journal of Psychosocial Nursing and Mental Health Services, 51(3), 19–22. https://doi.org/10.3928/02793695-20130207-01.
Steger, M. F., Kashdan, T. B., Sullivan, B. A., & Lorentz, D. (2008). Understanding the search for meaning in life: Personality, cognitive style, and the dynamic between seeking and experiencing meaning. Journal of Personality, 76(2), 199–228.
Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27(3), 247–259.
Vink, D., Aartsen, M. J., & Schoevers, R. A. (2008). Risk factors for anxiety and depression in the elderly: A review. Journal of Affective Disorders, 106(1), 29–44.
Wolitzky-Taylor, K. B., Castriotta, N., Lenze, E. J., Stanley, M. A., & Craske, M. G. (2010). Anxiety disorders in older adults: A comprehensive review. Depression and Anxiety, 27(2), 190–211.
Yohannes, A. M., Baldwin, R. C., & Connolly, M. J. (2000). Depression and anxiety in elderly outpatients with chronic obstructive pulmonary disease: Prevalence, and validation of the BASDEC screening questionnaire. International Journal of Geriatric Psychiatry, 15(12), 1090–1096.
Yu, X., Zhou, Z., Fan, G., Yu, Y., & Peng, J. (2016). Collective and individual self-esteem mediate the effect of self-Construals on subjective well-being of undergraduate students in China. s, 11, 209–219.
Zhang, Z., & Zhang, J. (2015). Belief in a just world mediates the relationship between institutional trust and life satisfaction among the elderly in China. Personality and Individual Differences, 83, 164–169.
Zung, W. W., & Green, R. L. (1974). Seasonal variation of suicide and depression. Archives of General Psychiatry, 30(1), 89–91.
Funding
This study was supported by the National Natural Science Foundation of China (Grant No. 31160201), the National Social Science Foundation Education Program (Grant No. CEA130144), and National Social Science Fund (11BGL047).
Author information
Authors and Affiliations
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
Informed consent was obtained from all individual participants included in the study.
Conflict of Interest
Xiaohui Chen declares that she has no conflict of interest. Jun Pu declares that he has no conflict of interest. Wendian Shi declares that he has no conflict of interest. Yangen Zhou declares that he has no conflict of interest.
Rights and permissions
About this article
Cite this article
Chen, X., Pu, J., Shi, W. et al. The Impact of Neuroticism on Symptoms of Anxiety and Depression in Elderly Adults: the Mediating Role of Rumination. Curr Psychol 39, 42–50 (2020). https://doi.org/10.1007/s12144-017-9740-3
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12144-017-9740-3