Department of Psychology, University of Leuven, Belgium.
Br J Clin Psychol. 2011 Nov;50(4):364-78. doi: 10.1348/014466510X532715. Epub 2011 Mar 8.
OBJECTIVES AND DESIGN. Rumination (specifically Brooding) is thought to be an important vulnerability factor for depressive symptoms whereas Worry is believed to be involved in anxiety. The present study sought to clarify the extent to which these two types of perseverative cognition show symptom specificity or generality in their associations with depression and anxiety. Additionally, reactive (negative affectivity, NA; positive affectivity, PA) and self-regulatory aspects of temperament (effortful control) were considered as vulnerability factors for depression and anxiety and were also studied in relation to rumination and worry. METHODS. Self-report questionnaires tapping Rumination, Worry, temperament, depression, and anxiety were administered to a community sample of 138 children aged 9-13. RESULTS. Brooding (but not Reflection) and Worry were significantly associated with anxiety and depressive symptoms on the one hand and with the temperamental construct of NA on the other hand. However, consistent with a model predicting symptom-specific relations, only Brooding significantly mediated the association between NA and depressive symptoms, whereas only Worry was a mediator of the relation between NA and anxiety symptoms. Finally, among self-regulatory aspects of temperament, activation control and inhibitory control were uniquely associated with depressive symptoms, whereas attentional control was only associated with anxiety symptoms. CONCLUSIONS. This study supports high NA as a vulnerability factor for the development of depressed and anxious symptoms in children, but these symptoms develop through differential paths.
目的与设计。反刍(特别是沉思)被认为是抑郁症状的一个重要脆弱性因素,而担忧则被认为与焦虑有关。本研究旨在阐明这两种类型的持续认知在与抑郁和焦虑的关联中表现出症状特异性或普遍性的程度。此外,还考虑了反应性(负性情感,NA;正性情感,PA)和气质的自我调节方面(努力控制)作为抑郁和焦虑的脆弱性因素,并研究了它们与反刍和担忧的关系。方法。对 138 名 9-13 岁的社区儿童进行了自我报告问卷,内容涉及反刍、担忧、气质、抑郁和焦虑。结果。沉思(而非反思)和担忧与焦虑和抑郁症状一方面有关,另一方面与 NA 这一气质结构有关。然而,与预测症状特异性关系的模型一致,只有沉思显著介导了 NA 与抑郁症状之间的关联,而只有担忧是 NA 与焦虑症状之间关系的中介。最后,在气质的自我调节方面,激活控制和抑制控制与抑郁症状具有独特的相关性,而注意力控制仅与焦虑症状相关。结论。这项研究支持高 NA 作为儿童抑郁和焦虑症状发展的脆弱性因素,但这些症状是通过不同的途径发展的。