scholarly journals Symptom-level network analysis distinguishes the unique associations of repetitive negative thinking and experiential avoidance on depression and anxiety in a transdiagnostic clinical sample

2019 ◽  
Author(s):  
Kean J. Hsu ◽  
Michael C Mullarkey ◽  
Mallory Dobias ◽  
Christopher G Beevers ◽  
Thröstur Björgvinsson
Keyword(s):  
Network Analysis ◽  
Experiential Avoidance ◽  
Clinical Sample ◽  
Depression And Anxiety ◽  
Permutation Testing ◽  
Repetitive Negative Thinking ◽  
Symptoms Of Depression ◽  
Negative Thinking ◽  
Maintenance Factors ◽  
Symptom Level

Repetitive negative thinking and experiential avoidance have been hypothesized to be related, transdiagnostic maintenance factors for depression and anxiety. Work to date has not examined these maintenance factors in a comorbid clinical sample using a symptom-level approach. Adults presenting for treatment to an intensive CBT program (n = 492) completed measures of depression and anxiety symptom severity, repetitive negative thinking, and experiential avoidance. Permutation testing indicates that repetitive negative thinking improved the predictability of excessive worrying and concentration, whereas experiential avoidance improved the predictability of feeling like a failure, difficulties relaxing, and being afraid something bad was going to happen. Applying network analysis helps to more precisely identify which symptoms of depression and anxiety are associated with transdiagnostic maintenance factors, thus providing insight into how these factors may contribute to the maintenance of co-occurring disorders.

scholarly journals Examining Symptom-level Networks of Youth- and Parent-reported Depression and Anxiety in a Transdiagnostic Clinical Sample

2021 ◽  
Author(s):  
Hannah L Grassie ◽  
Sarah Kennedy ◽  
Elizabeth Halliday ◽  
Sierra Bainter ◽  
Jill Ehrenreich-May
Keyword(s):  
Network Analysis ◽  
Latent Variables ◽  
Clinical Sample ◽  
Health Concern ◽  
Depression And Anxiety ◽  
Correlation Networks ◽  
Treatment And Prevention ◽  
The Future ◽  
Symptom Level

Background: Depression and anxiety disorders are a significant public health concern for youth and their co-occurrence places youth at a higher risk for poor psychosocial outcomes. This comorbidity is often examined through the lens of the common cause model that emphasizes shared latent variables; however, this approach minimizes the role of individual symptoms as meaningful agents contributing to comorbidity in youth. In the present study, we use network analysis to investigate the role of and interactions among individual depression and anxiety symptoms in a treatment-seeking clinical sample. Methods: We estimate regularized partial correlation networks for youth- and parent reported symptoms in a transdiagnostic sample of youth (N= 417, ages 8-18). We examined features of the symptom-level networks such as network stability, centrality, bridge symptoms, and communities. Moreover, we compare the youth- and parent-reported networks to examine informant discrepancies in such features. Results: Results indicate stable networks with disorder-specific clustering, such that symptoms were more interconnected within compared to between disorders. Symptoms related to self-comparison to peers and negative views of the future were most central in both networks. In the youth-reported network, worries for the future and hopelessness bridged the two symptom domains, whereas self-comparison to peers and low self-efficacy bridged depression and anxiety sub-networks in the parent network. Distinct symptom clusters emerged in the parent- and youth-reported networks. Conclusions: Our findings indicate that negative self-evaluations and negative views of the future are influential symptoms in the presentation and co-occurrence of depression and anxiety and as such may be promising targets in the treatment and prevention of depression and anxiety in youth. These findings contribute to a growing body of literature suggesting network analysis is an effective tool for elucidating transdiagnostic symptoms of psychiatric disorders.

scholarly journals Emotion Regulation Difficulties Related to Depression and Anxiety: A Network Approach to Model Relations Among Symptoms, Positive Reappraisal, and Repetitive Negative Thinking

2019 ◽  
Vol 7 (6) ◽  
pp. 1304-1318 ◽  
Author(s):  
Jonas Everaert ◽  
Jutta Joormann
Keyword(s):  
Depression And Anxiety ◽  
Positive Reappraisal ◽  
Repetitive Negative Thinking ◽  
Cross Sectional ◽  
Symptoms Of Depression ◽  
Negative Thinking ◽  
Correlation Networks ◽  
Regulatory Strategies ◽  
Increase Risk ◽  
Differential Relations

Frequent repetitive negative thinking and infrequent positive reappraisal use are theorized to increase risk for depression and anxiety. Yet, research has studied these regulatory strategies at the disorder level, ignoring the clinical heterogeneity and differential relations among their individual symptoms. In this study, we examined the associations among repetitive negative thinking, positive reappraisal, and individual symptoms of depression and anxiety disorders. Models of regularized partial-correlation networks were estimated using cross-sectional data from 468 participants. Results showed that repetitive negative thinking and positive reappraisal were differentially related to affective, cognitive, and somatic symptoms of depression and anxiety. Moreover, repetitive negative thinking was more central than positive reappraisal with stronger connections to individual symptoms. Finally, repetitive negative thinking was more important than positive reappraisal in connecting clusters of depression and anxiety symptoms. These findings cast light on potential pathways through which repetitive negative thinking and positive reappraisal may operate within depression and anxiety.

scholarly journals Evidence for Transdiagnostic Repetitive Negative Thinking and Its Association with Rumination, Worry, and Depression and Anxiety Symptoms: A Commonality Analysis

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Daniel E. Gustavson ◽  
Alta du Pont ◽  
Mark A. Whisman ◽  
Akira Miyake
Keyword(s):  
Intrusive Thoughts ◽  
Anxiety Symptoms ◽  
Self Report ◽  
Depression And Anxiety ◽  
Repetitive Negative Thinking ◽  
Negative Thinking ◽  
The Core ◽  
Commonality Analysis ◽  
Low Levels ◽  
Shared Variation

Recent theoretical advances have emphasized the commonality between rumination and worry, often referred to as repetitive negative thinking. Although not studied extensively, repetitive negative thinking may not only account for a substantial overlap between depression and anxiety symptoms but also encapsulate other constructs including one’s tendency to experience unwanted intrusive thoughts or have low levels of mindfulness. In this study, 643 college students completed self-report questionnaire measures of repetitive negative thinking (the Habit Index of Negative Thinking) and other relevant constructs including rumination, worry, depression and anxiety symptoms, intrusive thoughts, and mindfulness. To analyze the data, we conducted systematic commonality analyses, which algebraically decomposed shared variances among these measures into various unique components. Results in Study 1 indicated that individual differences in repetitive negative thinking were explained largely by the overlap between rumination and worry, but also by some rumination-specific and worry-specific variance. Moreover, the shared variation in rumination and worry explained the frequencies of depression and anxiety symptoms and their overlap. We also found in Study 2 that repetitive negative thinking was positively related to intrusive thoughts and negatively related to mindfulness. These associations were mostly explained by shared variance with rumination and worry, but there was also some mindfulness-specific variance. These results suggest that repetitive negative thinking may indeed lie at the core of the comorbidity between depression and anxiety symptoms, but that it is also a broader construct that encompasses intrusive thoughts and low levels of mindfulness.

scholarly journals Repetitive negative thinking about suicide: Associations with lifetime suicide attempts

2021 ◽  
Vol 3 (3) ◽  
Author(s):  
Tobias Teismann ◽  
Thomas Forkmann ◽  
Johannes Michalak ◽  
Julia Brailovskaia
Keyword(s):  
Suicide Attempt ◽  
Suicidal Behavior ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Clinical Sample ◽  
Cross Sectional Study ◽  
Repetitive Negative Thinking ◽  
Cross Sectional ◽  
Suicide Attempters ◽  
Negative Thinking

Background Repetitive negative thinking has been identified as an important predictor of suicide ideation and suicidal behavior. Yet, only few studies have investigated the effect of suicide-specific rumination, i.e., repetitive thinking about death and/or suicide on suicide attempt history. On this background, the present study investigated, whether suicide-specific rumination differentiates between suicide attempters and suicide ideators, is predictive of suicide attempt history and mediates the association between suicide ideation and suicide attempts. Method A total of 257 participants with a history of suicide ideation (55.6% female; Age M = 30.56, Age SD = 11.23, range: 18–73 years) completed online measures on suicidality, general and suicide-specific rumination. Results Suicide-specific rumination differentiated suicide attempters from suicide ideators, predicted suicide attempt status (above age, gender, suicide ideation, general rumination) and fully mediated the association between suicide ideation and lifetime suicide attempts. Conclusion Overall, though limited by the use of a non-clinical sample and a cross-sectional study design, the present results suggest that suicide-specific rumination might be a factor of central relevance in understanding transitions to suicidal behavior.

Repetitive negative thinking as a transdiagnostic factor in depression and anxiety: A conceptual replication

2014 ◽  
Vol 63 ◽  
pp. 177-183 ◽  
Author(s):  
Jolijn Drost ◽  
Willem van der Does ◽  
Albert M. van Hemert ◽  
Brenda W.J.H. Penninx ◽  
Philip Spinhoven
Keyword(s):  
Depression And Anxiety ◽  
Repetitive Negative Thinking ◽  
Negative Thinking
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