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01-10-2013

Rumination and Impaired Cortisol Recovery Following a Social Stressor in Adolescent Depression

Auteurs: Jeremy G. Stewart, Raegan Mazurka, Lea Bond, Katherine E. Wynne-Edwards, Kate L. Harkness

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 7/2013

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Abstract

Response styles theory promotes rumination as a central cognitive construct driving negative mood and depression, and past research suggests that at least part of the mechanism driving rumination’s depressogenic effect is through inhibiting the individual’s ability to shift attentional focus away from negative environmental stimuli. In the current study, we hypothesized that high trait rumination would be associated with impaired recovery of the body’s biological response to psychological stress. In a community sample of depressed (n = 31) and non-depressed (n = 33) adolescents we assessed rumination and the more adaptive trait of distraction and problem-solving with the Children’s Response Styles Questionnaire (CRSQ; Abela 2000), and diagnostic status was confirmed using the Child and Adolescent Schedule of Affective Disorders and Schizophrenia (K-SADS; Kaufman et al. Journal of the American Academy of Child and Adolescent Psychiatry 36:980–988, 1997). Participants completed the Trier Social Stress Test (TSST; Kirschbaum et al. Neuropsychobiology 28:76–81, 1993), and the focus of our analyses was the change in salivary cortisol concentration between peak cortisol output (25 min post-stressor) and a sample taken during the “Recovery” period 65 minutes post-stressor. Consistent with the predictions of response style theory, among the depressed adolescents only, high trait rumination was associated with delayed post-stressor cortisol recovery, whereas high trait distraction and problem-solving was associated with more rapid recovery. In contrast, response styles were not associated with cortisol recovery in the non-depressed group. These findings implicate impaired post-stress cortisol recovery as a potential mechanism underlying the pathological effect of rumination on the development and maintenance of Major Depressive Disorder (MDD).
Voetnoten
1
We re-ran our primary analyses using only adolescents who met criteria for MDD and excluding those who met criteria for other depressive disorders. The results of these analyses did not differ from those using the full sample. Results of these analyses are available upon request.
 
2
As indicated in Table 1, nine adolescents were taking psychotropic medication(s) at the time of the study. Given the documented effects of certain medications on cortisol function (Holsboer 2001), we re-ran all analyses below excluding adolescents who were currently taking medication. The pattern of our results remained unchanged. Results are available upon request.
 
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Metagegevens
Titel
Rumination and Impaired Cortisol Recovery Following a Social Stressor in Adolescent Depression
Auteurs
Jeremy G. Stewart
Raegan Mazurka
Lea Bond
Katherine E. Wynne-Edwards
Kate L. Harkness
Publicatiedatum
01-10-2013
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 7/2013
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-013-9740-1

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