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Journal of Rational-Emotive & Cognitive-Behavior Therapy

Gepubliceerd in:

08-04-2023

Rumination Mediates the Relationship Between Childhood Traumas with Cognitive Defusion, Acceptance, and Emotion Regulation: A Qualitative and Quantitative Study

Auteurs: Özge Erduran Tekin, Ahmet Şirin

Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy | Uitgave 4/2023

Abstract

This study examines the intermediary role of rumination in the relationship between childhood traumas in young adults and cognitive defusion, psychological acceptance, and suppression which is one of the emotion regulation strategies. In the quantitative stage of the study formed according to the explanatory sequential design, the intermediary role of rumination by using a structural equation model while in the qualitative stage, the intermediary role of rumination was analyzed through interviews using the interpretive phenomenology design. Personal Information Form, Childhood Trauma Scale, Short Form Ruminative Response Scale, Acceptance and Action Form II, Drexel Defusion Scale, and Emotion Regulation Scale were used in the research. At the end of the research, it was determined that childhood traumas have a negative effect on cognitive defusion and acceptance, while they have a positive effect on suppression. It was seen that rumination has a partial intermediary role in the relationship of childhood traumas with cognitive defusion, acceptance, and suppression. As a result of the qualitative analysis, twelve themes such as "Constantly thinking about the past, not being able to move away from childhood traumas, not being able to forgive their parents, inability to get rid of negative thoughts, living in the past, moving away from a value-driven life, false expression of emotion, suppression of emotions, emotions reflected in behavior, coping with negative emotions and desired emotion regulation" emerged concerning participants' experiences of cognitive defusion, acceptance, and suppression. Although one of the purposes of using AAQ-II in the study was to support discussions about the scale via qualitative results, this was a limitation for the study. Therefore, although a high rate was obtained, it is not possible to infer that childhood traumas and rumination can explain acceptance behaviors. For this, much more quantitative and qualitative studies are needed. Other qualitative research findings are thought to support quantitative research findings.

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Aldao, A., Nolen-Hoeksama, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217–237. https://doi.org/10.1016/j.cpr.2009.11.004CrossRefPubMed

Bardeen, J. R., & Fergus, T. A. (2016). The interactive effect of cognitive fusion and experiential avoidance on anxiety, depression, stress and posttraumatic stress symptoms. Journal of Contextual Behavioral Science, 5, 1–6. https://doi.org/10.1016/j.jcbs.2016.02.002CrossRef

Basharpoor, S., Mowlaie, M., & Sarafrazi, L. (2020). The relationships of distress tolerance, self-compassion to posttraumatic growth, the mediating role of cognitive fusion. Journal of Aggression, Maltreatment and Trauma, 30(1), 70–81. https://doi.org/10.1080/10926771.2019.1711279CrossRef

Basharpoor, S., Shafiei, M., & Daneshvar, S. (2015). The comparison of experimental avoidance, mindfulness and rumination in trauma-exposed individuals with and without posttraumatic stress disorder (PTSD) in an Iranian sample. Archives of Psychiatric Nursing, 29(5), 279–283. https://doi.org/10.1016/j.apnu.2015.05.004CrossRefPubMed

Batmaz, S. (2018). Ergen psikopatolojisine transdiyagnostik yaklaşım. In T. Bildik (Ed.), Ergenlik dönemi ve ruhsal bozukluklar (pp. 74–83). Türkiye Clinics.

Benfer, N., Rogers, T. A., & Bardeen, J. R. (2020). Cognitive fusion potentiates the effect of maladaptive posttraumatic cognitions on posttraumatic stress symptoms. Journal of Contextual Behavioral Science, 17, 55–61. https://doi.org/10.1016/j.jcbs.2020.06.003CrossRef

Bernstein, D., Flink, L. A., Handelsman, L., Foote, J., Lovejoy, M., Wenzel, K., Sapareto, E., & Ruggiero, J. (1994). Initial reliability and validity of a new retrospective measure of child abuse and neglect. The American Journal of Psychiatry, 151(8), 1132–1136. https://doi.org/10.1176/ajp.151.8.1132CrossRefPubMed

Bjornsson, A., Carey, G., Hauser, M., Karris, A., Kaufmann, V., Sheets, E., & Craighead, W. E. (2010). The effects of experiential avoidance and rumination on depression among college students. International Journal of Cognitive Therapy, 3(4), 389–401. https://doi.org/10.1521/ijct.2010.3.4.389CrossRef

Bollen, K. A. (1989). A new incremental fit index for general structural equation models. Sociological Methods & Research, 17(3), 303–316. https://doi.org/10.1177/0049124189017003004CrossRef

Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R. D. (2011). Preliminary psychometric properties of the acceptance and action questionnaire–II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42(4), 676–688. https://doi.org/10.1016/j.beth.2011.03.007CrossRefPubMed

Boykin, D. M., Anyanwu, J., Calvin, K., & Orcutt, H. K. (2020). The moderating effect of psychological flexibility on event centrality in determining trauma outcomes. Psychological Trauma: Theory, Research, Practice, and Policy, 12(2), 193–199. https://doi.org/10.1037/tra0000490CrossRefPubMed

Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. Sociological Methods & Research, 21(2), 230–258. https://doi.org/10.1177/0049124192021002005CrossRef

Burns, E. E., Jackson, J. L., & Harding, H. G. (2010). Child maltreatment, emotion regulation, and posttraumatic stress: The impact of emotional abuse. Journal of Aggression, Maltreatment and Trauma, 19(8), 801–819. https://doi.org/10.1080/10926771.2010.522947CrossRef

Byrne, B. (1989). A Primer of LISREL, basic assumptions and programming for confirmatory factor analysis models. Springer-Verlag Publishing. https://doi.org/10.1007/978-1-4613-8885-2CrossRef

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/10.1080/10615806.2010.529901CrossRefPubMed

Carper, T. L., Mills, M. A., Steenkamp, M. M., Nickerson, A., Salters-Pedneault, K., & Litz, B. T. (2015). Early PTSD symptom sub-clusters predicting chronic posttraumatic stress following sexual assault. Psychological Trauma: Theory, Research, Practice, and Policy, 7(5), 442–447. https://doi.org/10.1037/tra0000060CrossRefPubMed

Cenksever Önder, F., & Utkan, F. (2018). Bilinçli farkındalık ve algılanan stres ilişkisinde ruminasyon ve olumsuz duygu düzenlemenin aracı rolü. Mersin University Faculty of Education Journal, 14(3), 1004–1019. https://doi.org/10.17860/mersinefd.444876CrossRef

Cherry, K. M., Hoeven, E. V., Patterson, T. S., & Lumley, M. N. (2021). Defining and measuring “psychological flexibility”: A narrative scoping review of diverse flexibility and rigidity constructs and perspectives. Clinical Psychology Review, 84, 101973. https://doi.org/10.1016/j.cpr.2021.101973CrossRefPubMed

Ciarrochi, J., Sahdra, B., Marshall, S., Parker, P., & Horwath, C. (2014). Psychological flexibility is not a single dimension: The distinctive flexibility profiles of underweight, overweight, and obese people. Journal of Contextual Behavioral Science, 3(4), 236–247. https://doi.org/10.1016/j.jcbs.2014.07.002CrossRef

Cook, E. C., Chaplin, T. M., Sinha, R., Tebes, J. K., & Mayes, L. C. (2012). The stress response and adolescents’ adjustment: The impact of child maltreatment. Journal of Youth and Adolescence, 41(8), 1067–1077. https://doi.org/10.1007/s10964-012-9746-yCrossRefPubMedPubMedCentral

Copeland, W. E., Shanahan, L., Hinesley, J., Chan, R. F., Aberg, K. A., Fairbank, J. A., van den Oord, E. J. C. G., & Costello, E. J. (2018). Association of childhood trauma exposure with adult psychiatric disorders and functional outcomes. JAMA Network Open, 1(7), e184493. https://doi.org/10.1001/jamanetworkopen.2018.4493CrossRefPubMedPubMedCentral

Costa, J. A., Maroco, J., & Pinto-Gouveia, J. (2017). Validation of the psychometric properties of cognitive fusion questionnaire. A study of the factorial validity and factorial invariance of the measure among osteoarticular disease, diabetes mellitus, obesity, depressive disorder, and general population. Clinical Psychology and Psychotherapy, 24, 1121–1129. https://doi.org/10.1002/cpp.2077CrossRefPubMed

Çokluk, O., Şekercioğlu, G., & Büyüköztürk, Ş. (2010). Sosyal bilimler için çok değişkenli SPSS ve LISREL uygulamaları. Pegem Akademi Publishing.

Creswell, W. J. (2013). Nitel araştırma yöntemleri (M. Bütün & S. B. Demir, Trans. Ed.). Siyasal Publisher (Original work published 1997).

Cresswell, J. W., & Clark, V. L. P. (2015). Karma yöntem araştırmaları: Tasarımı ve yürütülmesi (Y. Dede & S. B. Demir, Trans. Ed.). Anı Publishing (Original work published 2007).

Dereboy, Ç. G., Demirkapı, E. Ş, Şakiroğlu, M., & Öztürk, C. Ş. (2018). Çocukluk çağı travmalarının, kimlik gelişimi, duygu düzenleme güçlüğü ve psikopatoloji ile ilişkisi. Türk Psikiyatri Dergisi, 29(4), 269–278. https://doi.org/10.5080/u20463CrossRefPubMed

Doorley, J. D., Goodman, F. R., Kelso, K. C., & Kashdan, T. B. (2020). Psychological flexibility: What we know, what we do not know, and what we think we know. Social and Personality Psychology Compass. https://doi.org/10.1111/spc3.12566CrossRef

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)00123-0CrossRefPubMed

Eifert, G. H., & Forsyth, J. P. (2005). Acceptance and commitment therapy for anxiety disorders: A practitioner's treatment guide to using mindfulness, acceptance, and values-based behavior change strategies. New Harbinger Publications.

Eldeleklioğlu, J., & Eroğlu, Y. (2015). A Turkish adaptation of the emotion regulation questionnaire. International Journal of Human Sciences, 12(1), 1157–1168.CrossRef

Erdur-Baker, O., & Bugay, A. (2012). The Turkish version of the ruminative response scale: An examination of its reliability and validity. The International Journal of Educational and Psychological Assessment, 10(2), 1–16.

Fink, L. A., Bernstein, D., Handelsman, L., Foote, J., & Lovejoy, M. (1995). Initial reliability and validity of the childhood trauma interview: A New multidimensional measure of childhood interpersonal trauma. The American Journal of Psychiatry, 152(9), 1329–1335. https://doi.org/10.1176/ajp.152.9.1329CrossRefPubMed

Fischer, C. T. (2009). Bracketing in qualitative research: Conceptual and practical matters. Psychotherapy Research, 19(4–5), 583–590. https://doi.org/10.1080/10503300902798375CrossRefPubMed

Forman, E. M., Herbert, J. D., Juarascio, A. S., Yeomans, P. D., Zebell, J. A., Goetter, E. M., & Moitra, E. (2012). The drexel defusion scale: A new measure of experiential distancing. Journal of Contextual Behavioral Science, 1(1–2), 55–65. https://doi.org/10.1016/j.jcbs.2012.09.001CrossRef

Freud, S. (1961). The interpretation of dreams: The complete and definitive text (J. Strachey, Trans.). Science Editions (Original work published 1900).

Gamez, W., Chmielewski, M., Kotov, R., Ruggero, C., & Watson, C. (2011). Development of a measure of experiential avoidance: The multidimensional experiential avoidance questionnaire. Psychological Assessment, 23, 692–713. https://doi.org/10.1037/a0023242CrossRefPubMed

García-Gómez, M., Guerra, J., López-Ramos, V. M., & Mestre, J. M. (2019). Cognitive fusion mediates the relationship between dispositional mindfulness and negative affects: A study in a sample of Spanish children and adolescent school students. International Journal of Environmental Research and Public Health, 16(23), 4687. https://doi.org/10.3390/ijerph16234687CrossRefPubMedPubMedCentral

Garnefski, N., Kraaij, V., & Spinhoven, P. (2001). Negative life events, cognitive emotion regulation and emotional problems. Personality and Individual Differences, 30(8), 1311–1327. https://doi.org/10.1016/S0191-8869(00)00113-6CrossRef

Gillanders, D. T., Bolderston, H., Bond, F., Dempster, M., Flaxman, P. E., Campbell, L., et al. (2014). The development and initial validation of the cognitive fusion questionnaire. Behavior Therapy, 45(1), 83–101. https://doi.org/10.1016/j.beth.2013.09.001CrossRefPubMed

Gold, D. B., & Wegner, D. M. (1995). Origins of ruminative thought: Trauma, incompleteness, nondisclosure, and suppression. Journal of Applied Social Psychology, 25(14), 1245–1261. https://doi.org/10.1111/j.1559-1816.1995.tb02617.xCrossRef

Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2(3), 271–299. https://doi.org/10.1037/1089-2680.2.3.271CrossRef

Gross, J. J. (1999). Emotion regulation: Past, present, future. Cognition and Emotion, 13(5), 551–573. https://doi.org/10.1080/026999399379186CrossRef

Gross, J. J., & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 3–24). Guilford Press.

Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348–362. https://doi.org/10.1037/0022-3514.85.2.348CrossRefPubMed

Hair, J. F., Hult, G. T. M., Ringle, C. M., & Sarstedt, M. (2014). A Primer on partial least squares structural equation modeling. Sage.

Hansen, M., Armour, C., Wittmann, L., Elklit, A., & Shevlin, M. (2014). Is there a common pathway to developing ASD and PTSD symptoms? Journal of Anxiety Disorders, 28(8), 865–872. https://doi.org/10.1016/j.janxdis.2014.09.019CrossRefPubMed

Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. Guilford Press.

Harris, R. (2016). Act’i kolay öğrenmek (H. T. Karatepe, Trans.). Litera Publishing (Original work published 2009).

Hayes, S. C., Strosahl, K. D., Wilson, K. G., Bisset, R. T., Pistorello, J., Toarmino, D., Polusny, M. A., Dykstra, T. A., Batten, S. V., Bergan, J., Stewart, S. H., Zvolensky, M. J., Eifert, G. H., Bond, F. W., Forsyth, J. P., Karekla, M., & McCurry, S. M. (2004). Measuring experiential avoidance: A preliminary test of a working model. The Psychological Record, 54, 553–578. https://doi.org/10.1007/BF03395492CrossRef

Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25. https://doi.org/10.1016/j.brat.2005.06.006CrossRefPubMed

Hayes, S. C., Pistorello, J., & Levin, M. E. (2012). Acceptance and commitment therapy as a unified model of behavior change. The Counseling Psychologist, 40(7), 976–1002. https://doi.org/10.1177/001100012460836CrossRef

Herman, J. L. (2007). Travma ve iyileşme: Şiddetin sonuçları ev içi istismardan siyasi teröre (T. Tosun, Trans.) (5th ed.), Literatür Publishing (Original work published 1992).

Howe, D. (2005). Child abuse and neglect: Attachment, development and ıntervention. Macmillan International Higher Education. https://doi.org/10.1007/978-0-230-80239-1CrossRef

Hovens, J. G., Giltay, E. J., van Hemert, A. M., & Penninx, B. W. (2016). Childhood maltreatment and the course of depressive and anxiety disorders: The contribution of personality characteristics. Depression and Anxiety, 33(1), 27–34. https://doi.org/10.1002/da.22429CrossRefPubMed

Hu, L. T., & Bentler, P. M. (1998). Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification. Psychological Methods, 3(4), 424–453. https://doi.org/10.1037/1082-989X.3.4.424CrossRef

Jaeger, J., Lindblom, K. M., Parker-Guilbert, K., & Zoellner, L. A. (2014). Trauma narratives: It’s what you say, not how you say it. Psychological Trauma: Theory, Research, Practice, and Policy, 6(5), 473–481. https://doi.org/10.1037/a0035239CrossRefPubMed

Johnson, J., & Wood, A. M. (2017). Integrating positive and clinical psychology: Viewing human functioning as continua from positive to negative can benefit clinical assessment, interventions and understandings of resilience. Cognitive Therapy and Research, 41(3), 335–349. https://doi.org/10.1007/s10608-015-9728-yCrossRef

Joormann, J., & D’Avanzato, C. (2010). Emotion regulation in depression: Examining the role of cognitive processes: Cognition and emotion lecture at the 2009 ISRE Meeting. Cognition and Emotion, 24(6), 913–939. https://doi.org/10.1080/02699930903407948CrossRef

Jöreskog, K. G., & Sörbom, D. (1993). LISREL 8: Structural equation modeling with the simplis command language. Scientific Software International, Inc.

Joseph, S., Murphy, D., & Regel, S. (2012). An affective–cognitive processing model of post-traumatic growth. Clinical Psychology & Psychotherapy, 19(4), 316–325. https://doi.org/10.1002/cpp.1798CrossRef

Kashdan, T. B., Disabato, D. J., Goodman, F. R., Doorley, J. D., & McKnight, P. E. (2020). Understanding psychological flexibility: A multimethod exploration of pursuing valued goals despite the presence of distress. Psychological Assessment, 32(9), 829–850. https://doi.org/10.1037/pas0000834CrossRefPubMed

Kashdan, T. B., Ferssizidis, P., Collins, R. L., & Muraven, M. (2010). Emotion differentiation as resilience against excessive alcohol use. Psychological Science, 21(9), 1341–1347. https://doi.org/10.1177/0956797610379863CrossRefPubMed

Kashdan, T. B., & Rottenberg, J. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review, 30(7), 865–878. https://doi.org/10.1016/j.cpr.2010.03.001CrossRefPubMedPubMedCentral

Kim, J. S., Jin, M. J., Jung, W., Hahn, S. W., & Lee, S.-H. (2017). Rumination as a mediator between childhood trauma and adulthood depression/anxiety in non-clinical participants. Frontiers in Psychology, 8, 1597. https://doi.org/10.3389/fpsyg.2017.01597CrossRefPubMedPubMedCentral

Kline, R. B. (2011). Principles and practice of structural equation modeling. The Guildford Press.

Koole, T. (2010). Displays of epistemic access: Student responses to teacher explanations. Research on Language and Social Interaction, 43(2), 183–209. https://doi.org/10.1080/08351811003737846CrossRef

Langdridge, D. (2007). Phenomenological psychology: Theory, research and method. Pearson Prentice Hall.

Larkin, M., Watts, S., & Clifton, E. (2006). Giving voice and making sense in interpretative phenomenological analysis. Qualitative Research in Psychology, 3(2), 120. https://doi.org/10.1191/1478088706qp062oaCrossRef

Lee, M. A., & Song, R. (2017). Childhood Abuse, Personality Traits, And Depressive Symptoms İn Adulthood. Child Abuse and Neglect, 65, 194–203. https://doi.org/10.1016/j.chiabu.2017.02.009CrossRefPubMed

Leonidou, C., Panayiotou, G., Bati, A., & Karekla, M. (2016). Coping with psychosomatic symptoms: The buffering role of psychological flexibility and impact on quality of life. Journal of Health Psychology, 24(2), 175–187. https://doi.org/10.1177/1359105316666657CrossRefPubMed

LoSavio, S. T., Dillon, K. H., & Resick, P. A. (2017). Cognitive factors in the development, maintenance, and treatment of post-traumatic stress disorder. Current Opinion in Psychology, 14, 18–22. https://doi.org/10.1016/j.copsyc.2016.09.006CrossRefPubMed

Makriyianis, H. M., Adams, E. A., Lozano, L. L., Mooney, T. A., Morton, C., & Liss, M. (2019). Psychological inflexibility mediates the relationship between adverse childhood experiences and mental health outcomes. Journal of Contextual Behavioral Science, 14, 82–89. https://doi.org/10.1016/j.jcbs.2019.09.007CrossRef

McCracken, L. M., Barker, E., & Chilcot, J. (2014). Decentering, rumination, cognitive defusion, and psychological flexibility in people with chronic pain. Journal of Behavioral Medicine, 37(6), 1215–1225. https://doi.org/10.1007/s10865-014-9570-9CrossRefPubMed

McDonald, R. P., & Marsh, H. W. (1990). Choosing a multivariate model: Noncentrality and goodness of fit. Psychological Bulletin, 107(2), 247–255. https://doi.org/10.1037/0033-2909.107.2.247CrossRef

Meşe, H. R. (2021). Çocukluk çağı travmaları, psikolojik katılık ve psikolojik esneklik ile depresyon, anksiyete ve stres arasındaki ilişkilerin incelenmesi (Publication No.680658) [Master Thesis, Istanbul Sabahattin Zaim University]. Ulusal Tez Merkezi. https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp.

Meydan, C. H., & Şeşen, H. (2011). Yapısal eşitlik modellemesi AMOS uygulamaları. Detay Publishing.

Morris, L., & Mansell, W. (2018). A systematic review of the relationship between rigidity/flexibility and transdiagnostic cognitive and behavioral processes that maintain psychopathology. Journal of Experimental Psychopathology. https://doi.org/10.1177/2043808718779431CrossRef

Morrow, S. L. (2005). Quality and trustworthiness in qualitative research in counseling psychology. Journal of Counseling Psychology, 52(2), 250–260. https://doi.org/10.1037/0022-0167.52.2.250CrossRef

Moser, J. S., Hajcak, G., Simons, R. F., & Foa, E. B. (2007). Posttraumatic stress disorder symptoms in trauma-exposed college students: The role of trauma-related cognitions, gender, and negative affect. Journal of Anxiety Disorders, 21, 1039–1049. https://doi.org/10.1016/j.janxdis.2006.10.009CrossRefPubMedPubMedCentral

Nolen-Hoeksema, S., & Aldao, A. (2011). Gender and age differences in emotion regulation strategies and their relationship to depressive symptoms. Personality and Individual Differences, 51(6), 704–708. https://doi.org/10.1016/j.paid.2011.06.012CrossRef

Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3(5), 400–424. https://doi.org/10.1111/j.1745-6924.2008.00088.xCrossRefPubMed

Ogińska-Bulik, N., & Juczyński, Z. (2016). Ruminations as predictors of negative and positive effects of experienced traumatic events in medical rescue workers. Medycyna Pracy, 67(2), 201–211. https://doi.org/10.13075/mp.5893.00321CrossRefPubMed

Pardo, A., & Roman, M. (2013). Reflections on the Baron and Kenny model of statistical mediation. Anales De Psicologia, 29(2), 614–623. https://doi.org/10.6018/analesps.29.2.139241CrossRef

Parfait, B., Sease, T. B., & Sandoz, E. K. (2022). Psychological inflexibility as a mediator of the relationship between adverse childhood experiences and dissociation. Journal of Contextual Behavioral Science, 23, 92–97. https://doi.org/10.1016/j.jcbs.2021.12.005CrossRef

Raes, F., & Hermans, D. (2008). On the mediating role of subtypes of rumination in the relationship between childhood emotional abuse and depressed mood: Brooding versus reflection. Depression and Anxiety, 25(12), 1067–1070. https://doi.org/10.1002/da.20447CrossRefPubMed

Roley, M. E., Claycomb, M. A., Contractor, A. A., Dranger, P., Armour, C., & Elhai, J. D. (2015). The relationship between rumination, PTSD, and depression symptoms. Journal of Affective Disorders, 180(116–121), 25. https://doi.org/10.1016/j.jad.2015.04.00CrossRef

Rolffs, J. L., Rogge, R. D., & Wilson, K. G. (2018). Disentangling components of flexibility via the hexaflex model: Development and validation of the multidimensional psychological flexibility inventory (MPFI). Assessment, 25(4), 458–482. https://doi.org/10.1177/1073191116645905CrossRefPubMed

Sarin, S., & Nolen-Hoeksema, S. (2010). The dangers of dwelling: An examination of the relationship between rumination and consumptive coping in survivors of childhood sexual abuse. Cognition and Emotion, 24(1), 71–85. https://doi.org/10.1080/02699930802563668CrossRef

Seligman, M. E. P., & Csikszentmihalyi, M. (2000). Positive psychology: An introduction. American Psychologist, 55(1), 5–14. https://doi.org/10.1037/0003-066X.55.1.5CrossRefPubMed

Shipman, K. L., Schneider, R., Fitzgerald, M. M., Sims, C., Swisher, L., & Edwards, E. (2007). Maternal emotion socialization in maltreating and non-maltreating families: Implications for children’s emotion regulation. Social Development, 16(2), 268–285. https://doi.org/10.1111/j.1467-9507.2007.00384.xCrossRef

Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7(4), 422–445. https://doi.org/10.1037/1082-989X.7.4.422CrossRefPubMed

Spann, M. N., Mayes, L. C., Kalmar, J. H., Guiney, J., Womer, F. Y., Pittman, B., Mazure, C. M., Sinha, R., Hilary, P. B., & Blumberg, H. P. (2012). Childhood abuse and neglect and cognitive flexibility in adolescents. Child Neuropsychology, 18(2), 182–189. https://doi.org/10.1080/09297049.2011.595400CrossRefPubMed

Spasojević, J., & Alloy, L. B. (2002). Who becomes a depressive ruminator? Developmental antecedents of ruminative response style. Journal of Cognitive Psychotherapy, 16(4), 405–419. https://doi.org/10.1891/088983902780935713CrossRef

Szabo, Y. Z., Nelson, S. M., & Lantrip, C. (2020). Nöropsikolojik olarak normal yetişkinlerde bilişsel şikayetler: Çocuklukta istismar ve ruminasyonun rolleri hakkında kısa bir rapor. Travmatoloji, 26(1), 29–34. https://doi.org/10.1037/trm0000209CrossRef

Şar, V., Öztürk, E., & İkikardeş, E. (2012). Çocukluk çağı ruhsal travma ölçeğinin Türkçe uyarlamasının geçerlik ve güvenirliği. Türkiye Klinikleri, 32(4), 1054–1063. https://doi.org/10.5336/medsci.2011-26947CrossRef

Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics. Allyn and Bacon/Pearson Education.

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 and Coping, 22(2), 129–136. https://doi.org/10.1080/10615800802317841CrossRefPubMed

Tanaka, J. S., & Huba, G. J. (1985). A fit index for covariance structure models under arbitrary GLS estimation. British Journal of Mathematical and Statistical Psychology, 38(2), 197–201. https://doi.org/10.1111/j.2044-8317.1985.tb00834.xCrossRef

Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empiricalevidence. Psychologica lInquiry, 15(1), 1–18. https://doi.org/10.1207/s15327965pli1501_01CrossRef

Thompson, R. A. (1994). Emotion regulation: A theme in search of definition. Monographs of the Society for Research in Child Development, 59(2–3), 250–283. https://doi.org/10.2307/1166137CrossRef

Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27(3), 247–259. https://doi.org/10.1023/A:1023910315561CrossRef

Tyndall, I., Waldeck, D., Riva, P., Wesselmann, E. D., & Pancani, L. (2018). Psychological flexibility and ostracism: Experiential avoidance rather than cognitive fusion moderates distress from perceived ostracism over time. Journal of Contextual Behavioral Science, 7, 72–80. https://doi.org/10.1016/j.jcbs.2018.02.001CrossRef

Valdez, C. E., & Lilly, M. M. (2017). Posttraumatic rumination: Content, correlates, and processes. Journal of Clinical Psychology, 73(6), 707–721. https://doi.org/10.1002/jclp.22371CrossRefPubMed

Watkins, R. E. (2008). Constructive and unconstructive repetitive thought. Psychological Bulletin, 134(2), 163–206. https://doi.org/10.1037/0033-2909.134.2.163CrossRefPubMedPubMedCentral

Watts, J., Leeman, M., O’Sullivan, D., Castleberry, J., & Baniya, G. (2020). Childhood emotional maltreatment and post-traumatic stress disorder in the context of centrality of the event and ıntrusive rumination. Rehabilitation Counseling Bulletin, 64(2), 1–10. https://doi.org/10.1177/0034355220925889CrossRef

Wegner, D. M., Schneider, D. J., Carter, S. R., & White, T. L. (1987). Paradoxical effects of thought suppression. Journal of Personality and Social Psychology, 53(1), 5–13. https://doi.org/10.1037/0022-3514.53.1.5CrossRefPubMed

Wegner, D. M., Schneider, D. J., Knutson, B., & McMahon, S. R. (1991). Polluting the stream of consciousness: The effect of thought suppression on the mind’s environment. Cognitive Therapy and Research, 15(2), 141–152. https://doi.org/10.1007/BF01173204CrossRef

Wolfe, D. A., Scott, K., Wekerle, C., & Pittman, A. L. (2001). Child maltreatment: Risk of adjustment problems and dating violence in adolescence. Journal of the American Academy of Child and Adolescent Psychiatry, 40(3), 282–289. https://doi.org/10.1097/00004583-200103000-00007CrossRefPubMed

Wood, A. M., & Tarrier, N. (2010). Positive clinical psychology: A new vision and strategy for integrated research and practice. Clinical Psychology Review, 30(7), 819–829. https://doi.org/10.1016/j.cpr.2010.06.003CrossRefPubMed

Yasinski, C., Hayes, A. M., Ready, C. B., Abel, A., Görg, N., & Kuyken, W. (2019). Processes of change in cognitive behavioral therapy for treatment-resistant depression: Psychological flexibility, rumination, avoidance, and emotional processing. Psychotherapy Research, 30(8), 983–997. https://doi.org/10.1080/10503307.2019.1699972CrossRefPubMed

Yavuz, K. F. (2015). Kabul ve Kararlılık Terapisi (ACT): Genel bir bakış. Türkiye Klinikleri, 8(2), 21–27.

Yavuz, F., Ulusoy, S., Iskin, M., Esen, F. B., Burhan, H. S., Karadere, M. E., & Yavuz, N. (2016). Turkish version of Acceptance and Action Questionnaire-II (AAQ-II): A reliability and validity analysis in clinical and non-clinical samples. Bulletin of Clinical Psychopharmacology, 26(4), 397–408. https://doi.org/10.5455/bcp.20160223124107CrossRef

Yerin-Güneri, O., & Aydın, G. (2021). The drexel defusion scale: Reliability and validity of the Turkish version. Sakarya University Journal of Education, 11(1), 67–82. https://doi.org/10.19126/suje.770582CrossRef

Yektaş, Ç. (2020). Çocuk ve ergen psikiyatrisi güncel yaklaşımlar ve temel kavramlar (1–2 Volumes). In E. S. Ercan, Ö. Bilaç, İ. Perçinal Yazıcı, M. Ö. Kütük, Ü. Işık, A. G. Kılıçoğlu, F. S. Durak, H. Kandemir, K. U. Yazıcı, Ü. Bolat, C. Kavurma, F. Kılıçaslan (Eds.), Kabul ve Kararlılık Terapisi (ACT) (pp. 1231–1240). https://doi.org/10.37609/akya.45.

Yılmaz, G., İşiten, N., Ertan, Ü., & Öner, A. (2003). Bir çocuk istismarı vakası. Çocuk Sağlığı Ve Hastalıkları Dergisi, 46(4), 295–298.

Titel: Rumination Mediates the Relationship Between Childhood Traumas with Cognitive Defusion, Acceptance, and Emotion Regulation: A Qualitative and Quantitative Study
Auteurs: Özge Erduran Tekin
Ahmet Şirin
Publicatiedatum: 08-04-2023
Uitgeverij: Springer US
Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy / Uitgave 4/2023
Print ISSN: 0894-9085
Elektronisch ISSN: 1573-6563
DOI: https://doi.org/10.1007/s10942-023-00503-4

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