Curtin University Homepage
  • Library
  • Help
    • Admin

    espace - Curtin’s institutional repository

    JavaScript is disabled for your browser. Some features of this site may not work without it.
    View Item 
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item

    The relationship between worry, rumination, and comorbidity: Evidence for repetitive negative thinking as a transdiagnostic construct

    195731_195731.pdf (379.0Kb)
    Access Status
    Open access
    Authors
    McEvoy, Peter
    Watson, Hunna
    Watkins, E.
    Nathan, P.
    Date
    2013
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    McEvoy, Peter M. and Watson, Hunna and Watkins, Edward R. and Nathan, Paula. 2013. The relationship between worry, rumination, and comorbidity: Evidence for repetitive negative thinking as a transdiagnostic construct. Journal of Affective Disorders. 151 (1): pp. 313-320.
    Source Title
    Journal of Affective Disorders
    DOI
    10.1016/j.jad.2013.06.014
    ISSN
    0165-0327
    Remarks

    NOTICE: This is the author’s version of a work that was accepted for publication in Journal of Affective Disorders. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Affective Disorders, Vol. 151, Issue 1. (2013). doi: 10.1016/j.jad.2013.06.014

    URI
    http://hdl.handle.net/20.500.11937/27060
    Collection
    • Curtin Research Publications
    Abstract

    Background: Repetitive negative thinking (RNT) increases vulnerability to multiple anxiety and depressive disorders and, as a common risk factor, elevated RNT may account for the high levels of comorbidity observed between emotional disorders. The aims of this study were to (a) compare two common forms of RNT (worry and rumination) across individuals with non-comorbid anxiety or depressive disorders, and (b) to examine the relationship between RNT and comorbidity.Methods: A structured diagnostic interview and measures of rumination, worry, anxiety, and depression were completed by a large clinical sample with an anxiety disorder or depression (N=513) presenting at a community mental health clinic.Results: Patients without (n=212) and with (n=301) comorbid diagnoses did not generally differ across the principal diagnosis groups (depression, generalised anxiety disorder, social anxiety disorder, panic disorder) on worry or rumination. As predicted, comorbidity was associated with a higher level of RNT.Limitations: Cross-sectional design precluded causal conclusions and findings may not generalize to excluded anxiety disorders.Conclusions: Consistent with the transdiagnostic hypothesis, RNT was associated with a range of anxiety disorders and depression and with comorbidity for those with a principal depressive disorder, supporting recent evidence that RNT is a transdiagnostic process. The presence of RNT, specifically worry and rumination, should be assessed and treated regardless of diagnostic profile. Future research may show that both pure and comorbid depressed or anxious patients receive incremental benefit from transdiagnostic protocols developed to treat core pathological processes of RNT traditionally associated with separate disorders.

    Related items

    Showing items related by title, author, creator and subject.

    • Trait Repetitive Negative Thinking: A Brief Transdiagnostic Assessment
      McEvoy, Peter; Tribodeau, M.; Asmundson, G. (2014)
      Repetitive negative thinking (RNT) is an established transdiagnostic process associated with multiple emotional disorders. Brief transdiagnostic measures of RNT uncontaminated with diagnosis-specific symptoms, terminology, ...
    • A test of the core process account of psychopathology in a heterogenous clinical sample of anxiety and depression: A case of the blind men and the elephant?
      Mansell, W.; McEvoy, Peter (2016)
      Many cognitive and behavioral processes, such as selective attention to threat, self-focused attention, safety-seeking behaviors, worry and thought suppression, have their foundations in research on anxiety disorders. ...
    • Are worry, rumination, and post-event processing one and the same? Development of the repetitive thinking questionnaire
      McEvoy, Peter; Mahoney, A.; Moulds, M. (2010)
      Accumulating evidence suggests that repetitive negative thinking (RNT) is a transdiagnostic phenomenon. However, various forms of RNT such as worry, rumination, and post-event processing havebeen assessed using separate ...
    Advanced search

    Browse

    Communities & CollectionsIssue DateAuthorTitleSubjectDocument TypeThis CollectionIssue DateAuthorTitleSubjectDocument Type

    My Account

    Admin

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Follow Curtin

    • 
    • 
    • 
    • 
    • 

    CRICOS Provider Code: 00301JABN: 99 143 842 569TEQSA: PRV12158

    Copyright | Disclaimer | Privacy statement | Accessibility

    Curtin would like to pay respect to the Aboriginal and Torres Strait Islander members of our community by acknowledging the traditional owners of the land on which the Perth campus is located, the Whadjuk people of the Nyungar Nation; and on our Kalgoorlie campus, the Wongutha people of the North-Eastern Goldfields.