Swipe om te navigeren naar een ander artikel
Social anxiety and depression are highly comorbid conditions. Although this has led researchers to suggest that social anxiety may convey risk for depression, few studies have examined mechanisms of comorbidity between these two conditions. The current study tested two mechanisms of comorbidity between symptoms of these disorders: brooding and excessive reassurance seeking. The data were evaluated in an undergraduate sample assessed three times over a 2 month period. Results suggested that brooding mediated the relationship between social anxiety at Time 1 and depression at Time 3, although no evidence was found for excessive reassurance-seeking as a mediator of these two variables. These findings support recent research suggesting that brooding may be a transdiagnostic process. Theoretical and clinical implications are discussed.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Alden, L. E., & Taylor, C. T. (2010). Interpersonal processes in social anxiety disorder. In J. G. Beck (Ed.), Interpersonal processes in the anxiety disorders: Implications for understanding psychopathology and treatment (pp. 125–152). Washington, DC: American Psychological Association.
Arbuckle, J. L. (2010). AMOS 19 [Computer software]. Chicago: SPSS.
Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In: Bollen, K. A. & Long J. S. (Eds.), Testing structural equation models (pp. 136–162). Newbury Park, CA: Sage Publications.
Brown, T. A., & Barlow, D. H. (2005). Dimensional versus categorical classification of mental disorders in the fifth edition of the diagnostic and statistical manual of mental disorders and beyond: comment on the special section. Journal of Abnormal Psychology, 114, 551–556. doi: 10.1037/0021-843X.114.4.551. PubMedCrossRef
Brown, T. A., Chorpita, B. F., & Barlow, D. H. (1998). Structural relationships among dimensions of the DSM-IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal. Journal of Abnormal Psychology, 107, 179–192. doi: 10.1037/0021-843X.107.2.179. PubMedCrossRef
Cougle, J. R., Fitch, K., Fincham, F. D., Riccardi, C. J., Keough, M. E., & Timpano, K. R. (2012). Excessive reassurance seeking and anxiety pathology: tests of incremental associations and directionality. Journal of Anxiety Disorders, 26, 117–125. doi: 10.1016/j.janxdis.2011.10.001. PubMedCrossRef
Dalrymple, K. L., & Zimmerman, M. (2007). Does comorbid Social Anxiety Disorder impact the clinical presentation of principal Major Depressive Disorder? Journal of Affective Disorders, 100, 241–247.
Ehring, T., Zetsche, U., Weidacker, K., Wahl, K., Schönfeld, S., & Ehlers, A. (2011). The Perseverative Thinking Questionnaire (PTQ): validation of a content-independent measure of repetitive negative thinking. Journal of Behavior Therapy and Experimental Psychiatry, 42, 225–232. doi: 10.1016/j.jbtep.2010.12.003. PubMedCentralPubMedCrossRef
Erwin, B. A., Heimberg, R. G., Juster, H., & Mindlin, M. (2002). Comorbid anxiety and mood disorders among persons with social anxiety disorder. Behaviour Research and Therapy, 40, 19–35.
Flynn, M., Kecmanovic, J., & Alloy, L. B. (2010). An examination of integrated cognitive-interpersonal vulnerability to depression: the role of rumination, perceived social support, and interpersonal stress generation. Cognitive Therapy and Research, 34, 456–466. doi: 10.1007/s10608-010-9300-8. CrossRef
Hankin, B. L., Fraley, R. C., Lahey, B. B., & Waldman, I. D. (2005). Is depression best viewed as a continuum or discrete category? A taxometric analysis of childhood and adolescent depression in a population-based sample. Journal of Abnormal Psychology, 114, 96–110. doi: 10.1037/0021-843X.114.1.96. PubMedCrossRef
Hayes, A. F., & Scharkow, M. (2013). The relative trustworthiness of inferential tests of the indirect effect in statistical mediation analysis: Does method really matter? Psychological Science, 24, 1918–1927. doi: 10.1177/0956797613480187.
Heimberg, R. G., & Becker, R. E. (2002). Cognitive-behavioral group therapy for social phobia. New York: Guilford Press.
Heimberg, R. G., Mueller, G. P., Holt, C. S., & Hope, D. A. (1992). Assessment of anxiety in social interaction and being observed by others: the social interaction anxiety scale and the social phobia scale. Behavior Therapy, 23, 53–73. CrossRef
Joiner, T. E., Katz, J., & Lew, A. (1999). Harbingers of depressotypic reassurance seeking: negative life events, increased anxiety, and decreased self-esteem. Personality and Social Psychology Bulletin, 25, 632–639.
Joiner, T. E., & Metalsky, G. I. (2001). Excessive reassurance seeking: delineating a risk factor involved in the development of depressive symptoms. Psychological Science, 12, 371–378.
Jöreskog, K. G. (1993). Testing structural equation models. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 294–316). Newbury Park: Sage.
Kim-Cohen, J., Caspi, A., Moffitt, T. E., Harrington, H., Milne, B. J., & Poulton, R. (2003). Prior juvenile diagnoses in adults with mental disorder: developmental follow-back of a prospective-longitudinal cohort. Archives of General Psychiatry, 60, 709–717. doi: 10.1001/archpsyc.60.7.709. PubMedCrossRef
Klein, D. N., & Riso, L. P. (1993). Psychiatric disorders. Problems of boundaries and comorbidity. In C. G. Costello (Ed.), Basic issues in psychopathology (pp. 19–66). New York: Guilford Press.
Kline, R. B. (2011). Principles and practice of structural equation modeling. New York: Guilford Press.
Mazure, C. M., Bruce, M. L., Maciejewski, P. K., & Jacobs, S. C. (2000). Adverse life events and cognitive-personality characteristics in the prediction of major depression and antidepressant response. American Journal of Psychiatry, 157, 896–903. doi: 10.1176/appi.ajp.157.6.896. PubMedCrossRef
Metalsky, G. I., Joiner, T. E., Jr., Potthoff, J., Pacha, L., Alfano, M. S., & Hardin, T. (1991). The depressive interpersonal relationships inventory. Unpublished manuscript.
Nolen-Hoeksema, S., & Davis, C. G. (1999). “Thanks for sharing that”: Ruminators and their social support networks. Journal of Personality and Social Psychology, 77, 801–814.
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.
Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401. CrossRef
Regier, D. A., Rae, D. S., Narrow, W. E., Kaelber, C. T., & Schatzberg, A. F. (1998). Prevalence of anxiety disorders and their comorbidity with mood and addictive disorders. The British Journal of Psychiatry, 34(Suppl), 24–28. doi: 10.1017/S1121189X00008575.
Rhee, S. H., Hewitt, J. K., Corley, R. P., Willcutt, E. G., & Pennington, B. F. (2005). Testing hypotheses regarding the causes of comorbidity: examining the underlying deficits of comorbid disorders. Journal of Abnormal Psychology, 114, 346–362. doi: 10.1037/0021-843X.114.3.346. PubMedCrossRef
Rose, A. J., Carlson, W., & Waller, E. M. (2007). Prospective associations of co-rumination with friendship and emotional adjustment: considering the socioemotional trade-offs of co-rumination. Developmental Psychology, 43, 1019–1031. doi: 10.1037/0012-16188.8.131.529. PubMedCentralPubMedCrossRef
Schoofs, H., Hermans, D., & Raes, F. (2010). Brooding and reflection as subtypes of rumination: evidence from confirmatory factor analysis in nonclinical samples using the Dutch Ruminative Response Scale. Journal of Psychopathology and Behavioral Assessment, 32, 609–617. doi: 10.1007/s10862-010-9182-9. CrossRef
Starr, L. R., & Davila, J. (2013). Responding to anxiety with rumination and hopelessness: mechanism of anxiety-depressive symptom co-occurrence? Cognitive Therapy and Research. doi: 10.1007/s10608-011-9363-1.
Trew, J. L., & Alden, L. E. (2009). Cognitive specificity and affective confounding in social anxiety: does depression exacerbate judgmental biases? Cognitive Therapy and Research, 23, 231–246. doi: 10.1007/s10608-008-9196-8.
- Rumination and Excessive Reassurance Seeking: Mediators of the Relationship Between Social Anxiety and Depression?
DeMond M. Grant
Matt R. Judah
Adam C. Mills
William V. Lechner
Collin L. Davidson
LaRicka R. Wingate
- Springer US
Journal of Psychopathology and Behavioral Assessment
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505