Abstract
Previous studies indicated that self-compassion can alleviate posttraumatic stress disorder (PTSD) and promote posttraumatic growth (PTG). Rumination is a cognitive process in which individuals repeatedly think about traumatic events and their consequences, which includes invasive rumination (IR) and deliberate rumination (DR). IR is a process of thoughts over traumatic event that invades the cognitive world in an undesired state, whereas DR is an individual’s conscious and repeated thinking on events. IR and DR have also been shown to have effects on PTSD and PTG. Studies have examined the relationship between self-compassion, IR, deliberate rumination DR, PTSD, and PTG, respectively, but only a few studies have examined their combined roles in PTSD and PTG among adolescents who have experienced an earthquake. In addition, recent studies have shown that the positive and negative components of self-compassion have different effects on post-traumatic stress responses, but few studies have explored the mechanisms of positive and negative self-compassion on PTSD and PTG in adolescents who experience earthquakes. This study examines the mediating roles of rumination in the relationship between self-compassion, PTSD and PTG among Chinese adolescents after the Jiuzhaigou earthquake. Ten months after the Jiuzhaigou earthquake, a questionnaire survey was conducted among 621 middle school students in Jiuzhaigou county. The participants were assessed by using the following systems: Trauma Exposure Questionnaire, Self-Compassion Scale, Event-Related Rumination Inventory, PTSD Checklist for DSM-5, and Posttraumatic Growth Inventory. When we controlled for the gender, age, and trauma exposure in the direct effect model, positive self-compassion (PSC) had a negative effect on PTSD and a positive effect on PTG. Moreover, negative self-compassion (NSC) had a positive effect on PTSD, but the effect on PTG was nonsignificant. In the indirect model, PSC had an indirect and positive effect on PTSD and PTG via deliberate rumination (DR). NSC had an indirect and positive effect on PTSD and PTG via invasive rumination (IR), whereas NSC also had an indirect and negative effect on PTSD and PTG, as well as via an indirect path from IR to DR on PTSD and PTG. Findings indicated that increased PSC may reduce PTSD and be beneficial for PTG. NSC may exacerbate PTSD. Rumination plays a significant mediating role between self-compassion, PTSD, and PTG.
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References
Affleck, G., & Tennen, H. (1996). Construing benefits from adversity: Adaptotional significance and disposltional underpinnings. Journal of Personality, 64(4), 899–922. https://doi.org/10.1111/j.1467-6494.1996.tb00948.x.
Allen, N. B., & Knight, W. (2005). Mindfulness, compassion for self, and compassion for others. In P. Gilbert (Ed.), Compassion: Conceptualizations, research and use in psychotherapy (pp. 239–262). Routledge.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association.
An, Y., Fu, F., Wu, X., Lin, C., & Zhang, Y. (2013a). Longitudinal relationships between neuroticism, avoidant coping, and posttraumatic stress disorder symptoms in adolescents following the 2008 Wenchuan earthquake in China. Journal of Loss and Trauma, 18(6), 556–571. https://doi.org/10.1080/15325024.2012.719351.
An, Y. Y., Wu, X. C., Liu, C. H., & Lin, C. D. (2013b). Neuroticism personality and posttraumatic growth in adolescent: The moderating effect of coping style and mediating effect of social support. Psychological Development and Education, 29(6), 657–663.
An, Y. Y., Yuan, G. Z., Wu, X. C., & Wang, W. C. (2018). The relationship between social support, posttraumatic stress disorder, and posttraumatic growth among adolescents after Wenchuan earthquake: Understanding the role of self-efficacy. Psychological Development and Education, 34(1), 98–104. https://doi.org/10.16187/j.cnki.issn1001-4918.2018.01.12.
Anderson, J. C., & Gerbing, D. W. (1988). Structural equation modeling in practice: A review and recommended two-step approach. Psychological Bulletin, 103(3), 411–423. https://doi.org/10.1037/0033-2909.103.3.411.
Ayub, M., Saeed, K., Kingdon, D., & Naeem, F. (2015). Rate and predictors of psychotic symptoms after Kashmir earthquake. European Archives of Psychiatry and Clinical Neuroscience, 265(6), 471–481. https://doi.org/10.1007/s00406-014-0561-1.
Barnard, L. K., & Curry, J. F. (2011). Self-compassion: Conceptualizations, correlates, and interventions. Review of General Psychology, 15(4), 289–303. https://doi.org/10.1037/a0025754.
Baschnagel, J. S., Gudmundsdottir, B., Hawk, L. W., Jr., & Beck, J. G. (2009). Post-trauma symptoms following indirect exposure to the September 11th terrorist attacks: The predictive role of dispositional coping. Journal of Anxiety Disorders, 23(7), 915–922. https://doi.org/10.1016/j.janxdis.2009.05.005.
Bokszczanin, A. (2007). PTSD symptoms in children and adolescents 28 months after a flood: Age and gender differences. Journal of Traumatic Stress, 20(3), 347–351. https://doi.org/10.1002/jts.20220.
Brown, S. L., Hughes, M., Campbell, S., & Cherry, M. G. (2019). Could worry and rumination mediate relationships between self-compassion and psychological distress in breast cancer survivors? Clinical Psychology and Psychotherapy, 27, 1–10. https://doi.org/10.1002/cpp.2399.
Calhoun, L. G., & Tedeschi, R. G. (1999). Facilitating posttraumatic growth: A clinician’s guide. Mahwah, NJ: Erlbaum.
Calhoun, L. G., & Tedeschi, R. G. (2004). The foundations of posttraumatic growth: New considerations. Psychological Inquiry, 15(1), 93–102. https://doi.org/10.2307/20447209.
Calhoun, L. G., Cann, A., Tedeschi, R. G., & McMillan, J. (2000). A correlational test of the relationship between posttraumatic growth, religion, and cognitive processing. Journal of Traumatic Stress, 13(3), 521–527. https://doi.org/10.1023/a:1007745627077.
Cann, A., Calhoun, L. G., Tedeschi, R. G., & Solomon, D. T. (2010). Posttraumatic growth and depreciation as independent experiences and predictors of well-being. Journal of Loss and Trauma, 15(3), 151–166. https://doi.org/10.1080/15325020903375826.
Cann, A., Calhoun, L. G., Tedeschi, R. G., Triplett, K. N., Vishnevsky, T., & Lindstrom, C. M. (2011). Assessing posttraumatic cognitive processes: The event related rumination inventory. Anxiety, Stress, and Coping, 24(2), 137–156. https://doi.org/10.1080/10615806.2010.529901.
Caspi, Y., Saroff, O., Suleimani, N., & Klein, E. (2008). Trauma exposure and posttraumatic reactions in a community sample of Bedouin members of the Israel defense forces. Depression and Anxiety, 25(8), 700–707. https://doi.org/10.1002/da.20449.
Cordova, M. J., Giese-Davis, J., Golant, M., Kronenwetter, C., Chang, V., & Spiegel, D. (2007). Breast cancer as trauma: Posttraumatic stress and posttraumatic growth. Journal of Clinical Psychology in Medical Settings, 14, 308–319. https://doi.org/10.1007/s10880-007-9083-6.
Dekel, S., Peleg, T., & Solomon, Z. (2013). The relationship of PTSD to negative cognitions: A 17-year longitudinal study. Psychiatry: Interpersonal and Biological Processes, 76(3), 241–255. https://doi.org/10.1521/psyc.2013.76.3.241.
Dunkley, D. M., Sanislow, C. A., Grilo, C. M., & McGlashan, T. H. (2009). Self-criticism versus neuroticism in predicting depression and psychosocial impairment for 4 years in a clinical sample. Comprehensive Psychiatry, 50(4), 335–346. https://doi.org/10.1016/j.comppsych.2008.09.004.
Dunmore, E., Clark, D. M., & Ehlers, A. (2001). A prospective investigation of the role of cognitive factors in persistent posttraumatic stress disorder (PTSD) after physical or sexual assault. Behaviour Research and Therapy, 39(9), 1063–1084. https://doi.org/10.1016/S0005-7967(00)00088-7.
Dunn, J., Occhipinti, S., Campbell, A., Ferguson, M., & Chambers, S. K. (2011). Benefit finding after cancer: The role of optimism, intrusive thinking and social environment. Journal of Health Psychology, 16(1), 169–177. https://doi.org/10.1177/1359105310371555.
Egan, S. J., Hattaway, M., & Kane, R. T. (2014). The relationship between perfectionism and rumination in posttraumatic stress disorder. Behavioural and Cognitive Psychotherapy, 42, 211–223. https://doi.org/10.1017/S1352465812001129.
Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38(4), 319–345. https://doi.org/10.1016/S0005-7967(99)00123-0.
Falconer, C. J., Rovira, A., King, J. A., Gilbert, P., Antley, A., & Fearon, P. (2016). Embodying self-compassion within virtual reality and its effects on patients with depression. British Journal of Psychiatry Open, 2(1), 74–80. https://doi.org/10.1192/bjpo.bp.115.002147.
Freedy, J. R., Resnick, H. S., Kilpatrick, D. G., Dansky, B. S., & Tidwell, R. P. (1994). The psychological adjustment of recent crime victims in the criminal justice system. Journal of Interpersonal Violence, 9(4), 450–468. https://doi.org/10.1177/088626094009004002.
Germer, C. K., & Neff, K. D. (2015). Cultivating self-compassion in trauma survivors. In V. M. Follette, J. Briere, D. Rozelle, J. W. Hopper, D. I. Rome, V. M. Follette, et al. (Eds.), Mindfulness oriented interventions to trauma: Integrating contemplative practices (pp. 43–58). Guilford Press.
Gilbert, P., McEwan, K., Matos, M., & Rivis, A. (2011). Fears of compassion: Development of three self-report measures. Psychology and Psychotherapy: Theory, Research, and Practice, 84(3), 239–255. https://doi.org/10.1348/147608310x526511.
Good, M., & Willoughby, T. (2008). Adolescence as a sensitive period for spiritual development. Child Development Perspectives, 2(1), 32–37. https://doi.org/10.1111/j.1750-8606.2008.00038.x.
Gruber, J., Eidelman, P., Johnson, S. L., Smith, B., & Harvey, A. G. (2011). Hooked on a feeling: Rumination about positive and negative emotion in inter-episode bipolar disorder. Journal of Abnormal Psychology, 120(4), 956–961. https://doi.org/10.1037/a0023667.
Hanley, A. W., Garland, E. L., & Tedeschi, R. G. (2017). Relating dispositional mindfulness, contemplative practice, and positive reappraisal with posttraumatic cognitive coping, stress, and growth. Psychological Trauma: Theory, Research, Practice, and Policy, 9(5), 526–536. https://doi.org/10.1007/s00127-014-0951-8.
Heffernan, M., Quinn Griffin, M. T., McNulty, S. R., & Fitzpatrick, J. J. (2010). Self-compassion and emotional intelligence in nurses. International Journal of Nursing Practice, 16(4), 366–373. https://doi.org/10.1111/j.1440-172X.2010.01853.x.
Hiraoka, R., Meyer, E. C., Kimbrel, N. A., DeBeer, B. B., Gulliver, S. B., & Morissette, S. B. (2015). Self-compassion as a prospective predictor of PTSD symptom severity among trauma-exposed US Iraq and Afghanistan war veterans. Journal of Traumatic Stress, 28(2), 127–133. https://doi.org/10.1002/jts.21995.
Hoffart, A., Øktedalen, T., & Langkaas, T. F. (2015). Self-compassion influences PTSD symptoms in the process of change in trauma-focused cognitive-behavioral therapies: A study of within-person processes. Frontiers in Psychology, 6, 1273. https://doi.org/10.3389/fpsyg.2015.01273.
James, K., Verplanken, B., & Rimes, K. A. (2015). Self-criticism as a mediator in the relationship between unhealthy perfectionism and distress. Personality and Individual Differences, 79, 123–128. https://doi.org/10.1016/j.paid.2015.01.030.
Janoff-Bulman, R. (2004). Posttraumatic growth: Three explanatory models. Psychological Inquiry, 15(1), 30–34. https://doi.org/10.2307/20447198.
Jia, X., Ying, L., Zhou, X., Wu, X., & Lin, C. (2015). The effects of extraversion, social support on the posttraumatic stress disorder and posttraumatic growth of adolescent survivors of the Wenchuan earthquake. PLoS ONE, 10(3), e0121480. https://doi.org/10.1371/journal.pone.0121480.
Jin, Y., Xu, J., & Liu, D. (2014). The relationship between post-traumatic stress disorder and post traumatic growth: Gender differences in PTG and PTSD subgroups. Social Psychiatry and Psychiatric Epidemiology, 49(12), 1903–1910. https://doi.org/10.1007/s00127-014-0865-5.
Jin, Y., Sun, C., Wang, F., An, J., & Xu, J. (2018). The relationship between PTSD, depression and negative life events: Ya’an earthquake three years later. Psychiatry Research, 259, 358–363. https://doi.org/10.1016/j.psychres.2017.09.017.
Jin, X., Liu, X., & Li, D. (2020). Self-compassion: Its mechanisms and related interventions. Advances in Psychological Science, 28(5), 824–832. https://doi.org/10.3724/SP.J.1042.2020.00824.
Kaplan, A. (1986). The" self-in-relation": Implications for depression in women. Psychotherapy: Theory, Research, Practice, Training, 23(2), 234–242. https://doi.org/10.1037/h0085603.
Kross, E., & Ayduk, O. (2011). Making meaning out of negative experiences by self-distancing. Current Directions in Psychological Science, 20(3), 187–191. https://doi.org/10.1177/0963721411408883.
Kuehner, C., & Weber, I. (1999). Responses to depression in unipolar depressed patients: An investigation of Nolen-Hoeksema’s response styles theory. Psychological Medicine, 29, 1323–1333. https://doi.org/10.1017/s0033291799001282.
Joseph, S., & Linley, P. A. (2006). Growth following adversity: Theoretical perspectives and implications for clinical practice. Clinical Psychology Review, 26(8), 1041–1053. https://doi.org/10.1016/j.cpr.2005.12.006.
Leary, M. R., Tate, E. B., Adams, C. E., Batts Allen, A., & Hancock, J. (2007). Self-compassion and reactions to unpleasant self-relevant events: The implications of treating oneself kindly. Journal of Personality and Social Psychology, 92(5), 887–904. https://doi.org/10.1037/0022-3514.92.5.887.
Little, T. D. (2013). Longitudinal structural equation modeling. New York: Guilford.
Liu, A., Wang, W., & Wu, X. (2020). Understanding the relation between self-compassion and suicide risk among adolescents in a post-disaster context: Mediating roles of gratitude and posttraumatic stress disorder. Frontiers in Psychology, 11, 1541. https://doi.org/10.3389/fpsyg.2020.01541.
Longe, O., Maratos, F. A., Gilbert, P., Evans, G., Volker, F., Rockliff, H., & Rippon, G. (2010). Having a word with yourself: Neural correlates of self-criticism and self-reassurance. NeuroImage, 49(2), 1849–1856. https://doi.org/10.1016/j.neuroimage.2009.09.019.
López, A., Sanderman, R., Smink, A., Zhang, Y., van Sonderen, E., Ranchor, A., & Schroevers, M. J. (2015). A reconsideration of the self-compassion Scale’s total score: Self-compassion versus self-criticism. PLoS One, 10(7), e0132940. https://doi.org/10.1371/journal.pone.0132940.
Luxton, D. D., Skopp, N. A., & Maguen, S. (2010). Gender differences in depression and PTSD symptoms following combat exposure. Depression and Anxiety, 27(11), 1027–1033. https://doi.org/10.1002/da.20730.
Maheux, A., & Price, M. (2015). Investigation of the relation between PTSD symptoms and self-compassion: Comparison across DSM IV and DSM 5 PTSD symptom clusters. Self and Identity, 14(6), 627–637. https://doi.org/10.1080/15298868.2015.1037791.
Mayou, R. A., Ehlers, A., & Bryant, B. (2002). Posttraumatic stress disorder after motor vehicle accidents: 3-year follow-up of a prospective longitudinal study. Behaviour Research and Therapy, 40(6), 665–675. https://doi.org/10.1016/s0005-7967(01)00069-9.
Michael, T., Halligan, S. L., Clark, D. M., & Ehlers, A. (2007). Rumination in posttraumatic stress disorder. Depression and Anxiety, 24(5), 307–317. https://doi.org/10.1002/da.20228.
Moberly, N. J., & Watkins, E. R. (2008). Ruminative self-focus, negative life events, and negative affect. Behaviour Research and Therapy, 46(9), 1034–1039. https://doi.org/10.1016/j.brat.2008.06.004.
Montero-Marín, J., Gaete, J., Demarzo, M., Rodero, B., Lopez, L. C. S., & García-Campayo, J. (2016). Self-criticism: A measure of uncompassionate behaviors toward the self, based on the negative components of the self-compassion scale. Frontiers in Psychology, 7, 1281. https://doi.org/10.3389/fpsyg.2016.01281.
Morris, B. A., & Shakespeare‐Finch, J. (2011). Rumination, post‐traumatic growth, and distress: Structural equation modelling with cancer survivors. Psycho‐Oncology, 20(11), 1176–1183. https://doi.org/10.1002/pon.1827.
Muris, P., & Petrocchi, N. (2017). Protection or vulnerability? A meta-analysis of the relations between the positive and negative components of self-compassion and psychopathology. Clinical Psychology and Psychotherapy, 24(2), 373–383. https://doi.org/10.1002/cpp.2005.
Neff, K. D. (2003a). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85–101. https://doi.org/10.1002/cpp.2005.
Neff, K. D. (2003b). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250. https://doi.org/10.1080/15298860309027.
Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self-compassion program. Journal of Clinical Psychology, 69(1), 28–44. https://doi.org/10.1002/jclp.21923.
Neff, K. D., Kirkpatrick, K. L., & Rude, S. S. (2007). Self-compassion and adaptive psychological functioning. Journal of Research in Personality, 41(1), 139–154. https://doi.org/10.1016/j.jrp.2006.03.004.
Neff, K. D., & Vonk, R. (2009). Self-compassion versus global self-esteem: Two different ways of relating to oneself. Journal of Personality, 77(1), 23–50. https://doi.org/10.1111/j.1467-6494.2008.00537.x.
Neff, K. D., Pisitsungkagarn, K., & Hsieh, Y. P. (2008). Self-compassion and self-construal in the United States, Thailand, and Taiwan. Journal of Cross-Cultural Psychology, 39(3), 267–285. https://doi.org/10.1177/0022022108314544.
Nightingale, V. R., Sher, T. G., & Hansen, N. B. (2010). The impact of receiving an HIV diagnosis and cognitive processing on psychological distress and posttraumatic growth. Journal of Traumatic Stress, 23(4), 452–460. https://doi.org/10.1002/jts.20554.
Nolen-Hoeksema, S., & Davis, C. G. (2004). Theoretical and methodological issues in the assessment and interpretation of posttraumatic growth. Psychological Inquiry, 15(1), 60–64. https://doi.org/10.1207/s15327965pli1501_01.
Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3, 400–424. https://doi.org/10.1207/s15327965pli1501_01.
O’Connor, R. C., & Noyce, R. (2008). Personality and cognitive processes: Self-criticism and different types of rumination as predictors of suicidal ideation. Behaviour Research and Therapy, 46(3), 392–401. https://doi.org/10.1016/j.brat.2008.01.007.
Park, C. L., & Fenster, J. R. (2004). Stress-related growth: Predictors of occurrence and correlates with psychological adjustment. Journal of Social and Clinical Psychology, 23(2), 195–215. https://doi.org/10.1521/jscp.23.2.195.31019.
Pedro, L., Branquinho, M., Canavarro, M. C., & Fonseca, A. (2019). Self-criticism, negative automatic thoughts and postpartum depressive symptoms: The buffering effect of self-compassion. Journal of Reproductive and Infant Psychology, 37, 1–15. https://doi.org/10.1080/02646838.2019.1597969.
Qi, J., Yang, X., Tan, R., Wu, X., & Zhou, X. (2020). Prevalence and predictors of posttraumatic stress disorder and depression among adolescents over 1 year after the Jiuzhaigou earthquake. Journal of Affective Disorders, 261, 1–8. https://doi.org/10.1016/j.jad.2019.09.071.
Raes, F. (2010). Rumination and worry as mediators of the relationship between self-compassion and depression and anxiety. Personality and Individual Differences, 48(6), 757–761. https://doi.org/10.1016/j.paid.2010.01.023.
Schafer, J. L., & Graham, J. W. (2002). Missing data: Our view of the state of the art. Psychological Methods, 7(2), 147–177. https://doi.org/10.1037/1082-989X.7.2.147.
Schmaling, K. B., Dimidjian, S., Katon, W., & Sullivan, M. (2002). Response styles among patients with minor depression and dysthymia in primary care. Journal of Abnormal Psychology, 111, 350–356. https://doi.org/10.1037/0021-843x.111.2.350.
Selby, E. A., Franklin, J., Carson-Wong, A., & Rizvi, S. L. (2013). Emotional cascades and self-injury: Investigating instability of rumination and negative emotion. Journal of Clinical Psychology, 69(12), 1213–1227. https://doi.org/10.1002/jclp.21966.
Seligowski, A. V., Miron, L. R., & Orcutt, H. K. (2015). Relations among self-compassion, PTSD symptoms, and psychological health in a trauma-exposed sample. Mindfulness, 6(5), 1033–1041. https://doi.org/10.1007/s12671-014-0351-x.
Shevlin, M., McElroy, E., & Murphy, J. (2015). Loneliness mediates the relationship between childhood trauma and adult psychopathology: Evidence from the adult psychiatric morbidity survey. Social Psychiatry and Psychiatric Epidemiology, 50(4), 591–601. https://doi.org/10.1007/s00127-014-0951-8.
Spasojević, J., & Alloy, L. B. (2001). Rumination as a common mechanism relating depressive risk factors to depression. Emotion, 1(1), 123–128. https://doi.org/10.1037//1528-3542.1.1.25.
Taku, K., Calhoun, L. G., Cann, A., & Tedeschi, R. G. (2008a). The role of rumination in the coexistence of distress and posttraumatic growth among bereaved Japanese university students. Death Studies, 32, 428–444. https://doi.org/10.1080/07481180801974745.
Taku, K., Cann, A., Calhoun, L. G., & Tedeschi, R. G. (2008b). The factor structure of the posttraumatic growth inventory: A comparison of five models using confirmatory factor analysis. Journal of Traumatic Stress, 21(2), 158–164. https://doi.org/10.1002/jts.20305.
Taku, K., Cann, A., Tedeschi, R. G., & Calhoun, L. G. (2009). Intrusive versus deliberate rumination in posttraumatic growth across US and Japanese samples. Anxiety, Stress, & Coping, 22(2), 129–136. https://doi.org/10.1080/10615800802317841.
Taku, K., Kilmer, R. P., Cann, A., Tedeschi, R. G., & Calhoun, L. G. (2012). Exploring posttraumatic growth in Japanese youth. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 411–419. https://doi.org/10.1037/a0024363.
Tedeschi, R. G., & Calhoun, L. G. (1996). The posttraumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9(3), 455–471. https://doi.org/10.1007/bf02103658.
Tedeschi, R. G., & Calhoun, L. (2004). Posttraumatic growth: A new perspective on psychotraumatology. Psychiatric Times, 21(4), 58–60. https://doi.org/10.1037/a0024363.
Thomsen, D. K., Mehlsen, M. Y., Christensen, S., & Zachariae, R. (2003). Rumination—relationship with negative mood and sleep quality. Personality and Individual Differences, 34(7), 1293–1301. https://doi.org/10.1016/S0191-8869(02)00120-4.
Turner, B. J., Dixon-Gordon, K. L., Austin, S. B., Rodriguez, M. A., Rosenthal, M. Z., & Chapman, A. L. (2015). Non-suicidal self-injury with and without borderline personality disorder: Differences in self-injury and diagnostic comorbidity. Psychiatry Research, 230(1), 28–35. https://doi.org/10.1016/j.psychres.2015.07.058.
Vanhalst, J., Luyckx, K., Raes, F., & Goossens, L. (2012). Loneliness and depressive symptoms: The mediating and moderating role of uncontrollable ruminative thoughts. The Journal of Psychology, 146(1–2), 259–276.
Wang, L., Zhang, L., Armour, C., Cao, C., Qing, Y., Zhang, J., & Fan, G. (2015). Assessing the underlying dimensionality of DSM-5 PTSD symptoms in Chinese adolescents surviving the 2008 Wenchuan earthquake. Journal of Anxiety Disorders, 31, 90–97. https://doi.org/10.1016/j.janxdis.2015.02.006.
Wang, W., Wu, X., & Lan, X. (2020). Rumination mediates the relationships of fear and guilt to posttraumatic stress disorder and posttraumatic growth among adolescents after the Ya’an earthquake. European Journal of Psychotraumatology, 11, 1704993. https://doi.org/10.1080/20008198.2019.1704993.
Watkins, E. (2008). Constructive and unconstructive repetitive thought. Psychological Bulletin, 134, 163–206. https://doi.org/10.1037/0033-2909.134.2.163.
Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD. Retrieved, from http://www.ptsd.va.gov.
Winders, S. J., Murphy, O., Looney, K., & O'Reilly, G. (2020). Self‐compassion, trauma, and posttraumatic stress disorder: A systematic review. Clinical Psychology and Psychotherapy, 27(3), 300–329. https://doi.org/10.1002/cpp.2429.
Wong, C. C. Y., & Yeung, N. C. (2017). Self-compassion and posttraumatic growth: Cognitive processes as mediators. Mindfulness, 8(4), 1078–1087. https://doi.org/10.1007/s12671-017-0683-4.
Wu, X., Zhou, X., Lin, C., & Chen, J. (2015a). Adolescents’ psychological reactions following traumatic events: Influencing mechanism and intervention. Psychological Development and Education, 31(1), 117–127. https://doi.org/10.16187/j.cnki.issn1001-4918.2015.01.16.
Wu, X., Zhou, X., Wu, Y., & An, Y. (2015b). The role of rumination in posttraumatic stress disorder and posttraumatic growth among adolescents after the Wenchuan earthquake. Frontiers in Psychology, 6, 1335. https://doi.org/10.3389/fpsyg.2015.01335.
Ying, L., Wu, X., Lin, C., & Jiang, L. (2014). Traumatic severity and trait resilience as predictors of posttraumatic stress disorder and depressive symptoms among adolescent survivors of the Wenchuan earthquake. PLoS One, 9(2), e89401. https://doi.org/10.1371/journal.pone.0089401.
Zhang, H., Liu, M., & Long, H. (2020). Child maltreatment and suicide ideation in rural China: The roles of self-compassion and school belonging. Child and Adolescent Social Work Journal, 1–11. https://doi.org/10.1007/s10560-020-00679-z.
Zhou, X., Wu, X. C., An, Y. Y., & Chen, J. L. (2014). The roles of rumination and social support in the associations between core belief challenge and post-traumatic growth among adolescent survivors after the Wenchuan earthquake. Acta Psychologica Sinica, 46(10), 1509–1520. https://doi.org/10.3724/SP.J.1041.2014.01509.
Zhou, X., Wu, X., Fu, F., & An, Y. (2015). Core belief challenge and rumination as predictors of PTSD and PTG among adolescent survivors of the Wenchuan earthquake. Psychological Trauma: Theory, Research, Practice, and Policy, 7(4), 391–397. https://doi.org/10.1037/tra0000031.
Zhou, X., Wu, X., & Zhen, R. (2018). Self-esteem and hope mediate the relations between social support and post-traumatic stress disorder and growth in adolescents following the Ya’an earthquake. Anxiety, Stress, and Coping, 31(1), 32–45. https://doi.org/10.1080/10615806.2017.1374376.
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The current study was supported by “The National Natural Science Foundation of China” (Project No. 32071085) and “The Fundamental Research Funds for the Central Universities of China” (Project No. 2020NTSS02).
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Liu, A., Wang, W. & Wu, X. The mediating role of rumination in the relation between self-compassion, posttraumatic stress disorder, and posttraumatic growth among adolescents after the Jiuzhaigou earthquake. Curr Psychol 42, 3846–3859 (2023). https://doi.org/10.1007/s12144-021-01643-5
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DOI: https://doi.org/10.1007/s12144-021-01643-5