Dong Kaixi, Qi Huizi, Zhao Guozhen
Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences, Beijing, China.
Department of Psychology, University of Chinese Academy of Sciences, Beijing, China.
J Youth Adolesc. 2025 Feb 1. doi: 10.1007/s10964-025-02140-9.
Numerous studies have explored the link between co-rumination and depressive symptoms, but a consensus remains elusive. This study proposes a dual-pathway model to explain this relationship through a "positive path" (adaptive response) and a "negative path" (distress response). It also conducts a meta-analysis to evaluate the exact association between co-rumination and depressive symptoms in children, adolescents, and young adults. A total of 66 studies (27,794 participants) were included in the meta-analysis. In this study, the main effect test revealed a significant positive correlation between co-rumination and depressive symptoms (n = 70; r = 0.128; 95% CI = 0.106 to 0.150). Moreover, age was found to be a significant moderator. Specifically, the association between co-rumination and depressive symptoms was weaker in adolescents compared to undergraduates and adults. In addition, measure of co-rumination was identified as an important moderator, showing marginal significance. The association was stronger when using the original Co-Rumination Questionnaire compared to other versions and code methods. Finally, the relationship between co-rumination and depressive symptoms was not moderated by gender, measure of depressive symptoms, publication year, study quality, or simple size. The current study reveals the positive association between co-rumination and depressive symptoms while highlighting both the positive and negative trade-offs of co-rumination.
众多研究探讨了共同反刍与抑郁症状之间的联系，但尚未达成共识。本研究提出了一个双路径模型，通过“积极路径”（适应性反应）和“消极路径”（痛苦反应）来解释这种关系。该研究还进行了一项荟萃分析，以评估儿童、青少年和年轻人中共同反刍与抑郁症状之间的确切关联。共有66项研究（27794名参与者）纳入了荟萃分析。在本研究中，主效应检验显示共同反刍与抑郁症状之间存在显著正相关（n = 70；r = 0.128；95%CI = 0.106至0.150）。此外，年龄被发现是一个显著的调节因素。具体而言，与大学生和成年人相比，青少年中共同反刍与抑郁症状之间的关联较弱。此外，共同反刍的测量方法被确定为一个重要的调节因素，具有边际显著性。与其他版本和编码方法相比，使用原始的共同反刍问卷时，这种关联更强。最后，共同反刍与抑郁症状之间的关系不受性别、抑郁症状测量方法、发表年份、研究质量或样本量的调节。当前研究揭示了共同反刍与抑郁症状之间的正相关，同时强调了共同反刍的正负权衡。
