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01-08-2014 | Original Article

Decentering Mediates the Effect of Ruminative and Experiential Self-Focus on Negative Thinking in Depression

Auteurs: Cola S. L. Lo, Samuel M. Y. Ho, Nicky K. K. Yu, Bowie P. Y. Siu

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 4/2014

Abstract

Recent research studies found that ruminative self-focus was maladaptive to depression while experiential self-focus was associated with better psychological outcomes. However, the underlying mechanism for the differential effect has been under-investigated. Decentering, representing the capacity to take a present-focus and nonjudgmental stance to observe thoughts and feelings as temporary and objective events in the mind, was hypothesized to be an important construct that accounts for the differential effect of self-focus processing in depression. The present study investigated experimentally the potential mediating effect of decentering on the frequency of negative thinking in groups of depressed patients and dysphoric college students. A total of seventy-five participants were randomly allocated into two experimental conditions, in which the mode of self-focus was manipulated. Two identical sets of questionnaires measuring decentering and negative thinking were administered before and after the experiment. The results supported the differential effect of ruminative and experiential self-focus on decentering and negative thinking, and more importantly, decentering was found to mediate the relationship between the mode of self-focus and negative thinking in depression.

vorige artikel Emotion Regulation of Goals in Bipolar Disorder and Major Depression: A Comparison of Rumination and Mindfulness

volgende artikel The Short-Term Impact of a Paranoid Explanation on Self-esteem: An Experimental Study

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, 1173–1182.PubMedCrossRef

Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck depression inventory manual (2nd ed.). Texas: Psychological Corporation.

Bieling, P. J., Hawley, L. L., Block, K. M., Levitan, R. D., Young, L. T., Macqueen, G. M., et al. (2012). Treatment-specific changes in decentering following mindfulness-based cognitive therapy versus antidepressant medication or placebo for prevention of depressive relapse. Journal of Consulting and Clinical Psychology, 80, 364–372.

Breslin, F. C., Zack, M., & McMain, S. (2002). An information-processing analysis of mindfulness: Implications for relapse prevention in the treatment of substance abuse. Clinical Psychology Science and Practice, 9, 275–299.CrossRef

Brown, K. W., Ryan, R. M., & Creswell, J. D. (2007). Mindfulness: Theoretical foundations and evidence for it salutary effects. Psychological Inquiry, 18, 211–237.CrossRef

Byrne, B., Stewart, S. M., & Lee, P. W. H. (2004). Validating the beck depression inventory-II for Hong Kong community adolescents. International Journal of Testing, 4, 199–216.CrossRef

Chinese Behavioral Sciences Society. (2000). The Chinese Version of the beck depression inventory (2nd ed.). New York: Harcourt Brace.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.

Craske, M. G., & Hazlett-Stevens, H. (2002). Facilitating symptom reduction and behavior change in GAD: The issue of control. Clinical Psychology Science and Practice, 9, 69–75.CrossRef

Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191.PubMedCrossRef

Feldman, G., Greeson, J., & Senville, J. (2010). Differential effects of mindful breathing, progressive muscle relaxation, and loving-kindness meditation on decentering and negative reactions to repetitive thoughts. Behaviour Research and Therapy, 48, 1002–1011.PubMedCentralPubMedCrossRef

Feldman, G., Hayes, A. M., Kumar, S. M., Greeson, J. G., & Laurenceau, J. P. (2007). Mindfulness and emotion regulation: the development and initial validation of the cognitive and affective mindfulness scale-revised (CAMS-R). Journal of Psychopathology and Behavioral Assessment, 29, 177–190.CrossRef

Fresco, D. M., Moore, M. T., Van Dulmen, M. H. M., Segal, Z. V., Ma, S. H., Teasdale, J. D., et al. (2007a). Initial psychometric properties of the Experiences Questionnaire: Validation of a self-report measure of decentering. Behavior Therapy, 38, 234–246.PubMedCrossRef

Fresco, D. M., Segal, Z. V., Buis, T., & Kennedy, S. (2007b). Relationship of posttreatment decentering and cognitive reactivity to relapse in major depression. Journal of Consulting and Clinical Psychology, 75, 447–455.PubMedCrossRef

Frewen, P. A., Evans, E. M., Maraj, N., Dozois, D. J. A., & Partridge, K. (2008). Letting go: Mindfulness and negative automatic thinking. Cognitive Therapy and Research, 32, 758–774.CrossRef

Hargus, E. H., Crane, C., Barnhofer, T., & Williams, M. G. (2010). Effects of mindfulness on meta-awareness and specificity of describing prodromal symptoms in suicidal depression. Emotion, 10, 34–42.PubMedCentralPubMedCrossRef

Harrell, T. H., & Ryon, N. B. (1983). Cognitive-behavioral assessment of depression: Clinical validation of the Automatic Thoughts Questionnaire. Journal of Consulting and Clinical Psychology, 51, 721–725.PubMedCrossRef

Hofmann, S. G., Sawyer, A. T., Fang, A., & Asnaani, A. (2012). Emotion dysregulation model of mood and anxiety disorders. Depression and Anxiety, 29, 409–416.PubMedCrossRef

Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78, 169–183.PubMedCentralPubMedCrossRef

Hollon, S. D., & Kendall, P. C. (1980). Cognitive self-statements in depression: Development of an automatic thoughts questionnaire. Cognitive Therapy and Research, 4, 383–395.CrossRef

Kuyken, W., Watkins, E., Holden, E., White, K., Taylor, R. S., Byford, S., et al. (2010). How does mindfulness-based cognitive therapy work? Behaviour Research and Therapy, 48, 1105–1112.PubMedCrossRef

Lau, M. A., Bishop, S. R., Segal, Z. V., Buis, T., Anderson, N. D., Carlson, L., et al. (2006). The Toronto mindfulness scale: Development and validation. Journal of Clinical Psychology, 62, 145–1467.CrossRef

Lo, C. S. L., Ho, S. M. Y., & Hollon, S. D. (2008). The effects of rumination and negative cognitive styles on depression: A mediation analysis. Behaviour Research and Therapy, 46, 487–495.PubMedCrossRef

Lo, C. S. L., Ho, S. M. Y., & Hollon, S. D. (2010). The effects of rumination and depressive symptoms on the prediction of negative attributional style among college students. Cognitive Therapy and Research, 34, 116–123.PubMedCentralPubMedCrossRef

Ma, H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72, 31–40.PubMedCrossRef

MacKinnon, D. P., Fairchild, A. J., & Fritz, M. S. (2004). Confidence limits for the indirect effect: Distribution of the product and resampling methods. Multivariate Behavioral Research, 39, 99–128.PubMedCentralPubMedCrossRef

Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61, 561–570.CrossRef

Preacher, K., & Hayes, A. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods Instruments and Computers, 36, 717–731.CrossRef

Preacher, K., & Hayes, A. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.PubMedCrossRef

Rimes, K. A., & Watkins, E. (2005). The effects of self-focused rumination on global negative self-judgments in depression. Behaviour Research and Therapy, 43, 1673–1681.PubMedCrossRef

Safran, J. D., & Segal, Z. V. (1990). Interpersonal process in cognitive therapy. New York: Basic Books.

Sanders, W. A., & Lam, D. H. (2010). Ruminative and mindful self-focused processing modes and their impact on problem solving in dysphoric individuals. Behaviour Research and Therapy, 48, 747–753.PubMedCrossRef

Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: The Guildford Press.

Teasdale, J. D. (1999). Emotional processing, three modes of mind and the prevention of relapse in depression. Behaviour Research and Therapy, 37, 53–77.CrossRef

Teasdale, J. D., & Dent, J. (1987). Cognitive vulnerability to depression: An investigation of two hypotheses. British Journal of Clinical Psychology, 26, 113–126.PubMedCrossRef

Teasdale, J. D., Moore, R. G., Hayhurst, H., Pope, M., Williams, S., & Segal, Z. V. (2002). Metacognitive awareness and prevention of relapse in depression: Empirical evidence. Journal of Consulting and Clinical Psychology, 70, 275–287.PubMedCrossRef

Teasdale, J. D., Segal, Z. V., & Williams, J. M. G. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615–623.PubMedCrossRef

Treynor, W., Gonzalex, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27, 247–259.CrossRef

Watkins, E., & Moulds, M. (2005). Distinct modes of ruminative self-focus: Impact of abstract versus concrete rumination on problem solving in depression. Emotions, 5, 319–328.CrossRef

Watkins, E., & Teasdale, J. D. (2001). Rumination and overgeneral memory in depression: Effects of self-focus and analytic thinking. Journal of Abnormal Psychology, 110, 353–357.PubMedCrossRef

Watkins, E., & Teasdale, J. D. (2004). Adaptive and Maladaptive self-focus in depression. Journal of Affective Disorders, 82, 1–8.PubMedCrossRef

Wells, A. (2002). GAD, metacognition, and mindfulness: An information processing analysis. Clinical Psychology Science and Practice, 9, 95–100.CrossRef

Titel: Decentering Mediates the Effect of Ruminative and Experiential Self-Focus on Negative Thinking in Depression
Auteurs: Cola S. L. Lo
Samuel M. Y. Ho
Nicky K. K. Yu
Bowie P. Y. Siu
Publicatiedatum: 01-08-2014
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 4/2014
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-014-9603-2

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