Decentering predicts attenuated perseverative thought and internalizing symptoms following stress exposure: A multi-level, multi-wave study.
Anxiety
Decentering
Depression
Perseverative thinking
Rumination
Stress
Worry
Journal
Behaviour research and therapy
ISSN: 1873-622X
Titre abrégé: Behav Res Ther
Pays: England
ID NLM: 0372477
Informations de publication
Date de publication:
05 2022
05 2022
Historique:
received:
13
07
2020
revised:
14
12
2021
accepted:
19
12
2021
pubmed:
23
3
2022
medline:
13
4
2022
entrez:
22
3
2022
Statut:
ppublish
Résumé
While research identifies a growing list of risk factors for anxiety and depression, it is equally important to identify potential protective factors that may prevent or reduce vulnerability to developing internalizing psychopathology. We hypothesized that forms of perseverative thinking, such as rumination and worry, act as mechanisms linking negative life experiences and prospective symptoms of anxiety and depression. More specifically, we investigated whether decentering, the meta-cognitive capacity to adopt a distanced perspective toward one's thoughts and feelings, serves as a protective factor at various points along this mediational pathway. A sample of 181 undergraduate students were recruited and assessed at five time points over a 12-week period. Multilevel modeling indicated that decentering was associated with an attenuated impact of (1) negative events on prospective depressive symptoms; (2) negative events on prospective brooding, and (3) brooding, pondering and worry on prospective internalizing symptoms. Multilevel moderated mediation analyses provided partial support for the hypothesis that perseverative thinking would mediate the longitudinal associations between negative life events and internalizing symptoms, with decentering attenuating risk at several connections of the indirect pathways. The strongest support was provided for moderated mediation models in which decentering was associated with attenuated relationships between negative events, brooding, and symptoms of depression. This study is the first to elucidate the role of decentering as a protective factor against anxiety and depressive symptoms at different points in the path from stress to perseverative thought to internalizing symptoms. Decentering therefore may be a critical target for clinical intervention to promote resilience against anxiety and depression.
Identifiants
pubmed: 35316616
pii: S0005-7967(21)00216-3
doi: 10.1016/j.brat.2021.104017
pmc: PMC9007852
mid: NIHMS1771112
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
104017Subventions
Organisme : NIMH NIH HHS
ID : F31 MH099761
Pays : United States
Organisme : NIMH NIH HHS
ID : K01 MH121584
Pays : United States
Organisme : NIMH NIH HHS
ID : K23 MH112769
Pays : United States
Organisme : NIMH NIH HHS
ID : L30 MH117642
Pays : United States
Informations de copyright
Copyright © 2021 Elsevier Ltd. All rights reserved.
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