Effects of rumination and initial severity on remission to cognitive therapy for depression
Open accessAbstract
Trait rumination, a tendency to focus on depressive symptoms and negative information, is associated with longer and more severe episodes of depression. This study examined whether trait rumination was also associated with initial remission from unipolar depression in Cognitive Therapy, which we hypothesized would target this coping style. Eighty one patients completed measures of depressive severity and rumination before and after 16–20 sessions of procedurally determined Cognitive Therapy. Pre-treatment rumination and severity were generally associated with later initial remission and lower odds of achieving remission. Limited evidence also suggested that for the most severe patients, rumination was associated with earlier initial remission and greater odds of achieving initial remission. Cognitive Therapy was associated with significant reductions in both rumination and severity. Results suggest that (1) pre-treatment assessment of rumination and severity could help to plan treatment course and (2) Cognitive Therapy is associated with changes in cognitive coping styles.
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Elevated NSRP is linked to poorer cognitive and behavioral performance, worse treatment response, and more relapse.
“High levels of NSRP are associated with considerable deficits in cognitive and behavioral responding (e.g., Lissek, 2012; Whitmer, Frank, & Gotlib, 2012) as well as an inferior treatment response and greater relapse (e.g., Jones, Siegle, & Thase, 2008).”
From What, me worry and ruminate about dsm-5 and rdoc? The importance of targeting negative self-referential processing (2013) · cites this paper as Jones et al., 2008
The Results (Rumination Predicting Treatment Outcome; page unavailable) link higher initial rumination to lower odds of initial remission during cognitive therapy, although that relationship varies with initial depression severity. The paper examines initial remission, not relapse, so it does not support the claim of greater relapse. The cognitive and behavioral deficits in the citing sentence are attached to other citations, not Jones et al. (LLM, conf=0.88)
Experimental — accuracy not yet measuredHigher rumination before treatment predicts worse acute response in MDD, dysthymia, and panic disorder.
“pretreatment levels of rumination predict an inferior acute treatment response in MDD and dysthymic disorder (e.g., Ciesla & Roberts, 2002; Jones et al., 2008; Schmaling, Dimidjian, Katon, & Sullivan, 2002) as well as panic disorder (Papageorgiou & Wells, 2003; Wells, 1990).”
From What, me worry and ruminate about dsm-5 and rdoc? The importance of targeting negative self-referential processing (2013) · cites this paper as Jones et al., 2008
The Results (Rumination Predicting Treatment Outcome) link higher pretreatment rumination to lower odds of remission with cognitive therapy, although the effect varies with initial depression severity. The Methods (Participants) specify that all participants had recurrent major depressive disorder; this study does not establish the prediction for dysthymia. In the citing sentence, separate citations accompany the panic-disorder claim, so that claim is not attributed to Jones et al. (LLM, conf=0.89)
Experimental — accuracy not yet measuredWorry and rumination are associated with considerable deficits in cognitive and behavioral responding as well as an inferior treatment response and greater relapse.
“As a result, worry and rumination are associated with considerable deficits in cognitive and behavioral responding (e.g., Lissek, 2012; Whitmer and Gotlib, 2012) as well as an inferior treatment response and greater relapse (e.g., Jones et al., 2008).”
From Distinct functional connectivities predict clinical response with emotion regulation therapy (2017) · cites this paper as Jones et al., 2008
The Results (page unavailable) associate higher initial rumination with lower odds of initial remission from cognitive therapy, supporting the inferior-treatment-response portion in this setting. The paper examines initial remission, not relapse, and does not establish this treatment finding for worry. The cognitive and behavioral deficits in the citing sentence are attached to other citations, not Jones et al. (LLM, conf=0.88)
Experimental — accuracy not yet measuredPre-treatment levels of rumination predict an inferior acute treatment response in MDD and dysthymic disorder.
“Specifically, pre-treatment levels of rumination predict an inferior acute treatment response in MDD and dysthymic disorder (e.g., Ciesla and Roberts, 2002; Schmaling et al., 2002; Jones et al., 2008).”
From Emotion Regulation Therapy: A Mechanism-Targeted Treatment for Disorders of Distress (2017) · cites this paper as Jones et al., 2008
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“Specifically, pretreatment levels of rumination predict an inferior acute treatment response in MDD and dysthymic disorder (e.g., Ciesla & Roberts, 2002; Jones et al., 2008; Schmaling, Dimidjian, Katon, & Sullivan, 2002) as well as panic disorder (Papageorgiou & Wells, 2003; Wells, 1990).”
BackgroundEmotion Regulation Therapy: A Mechanism-Targeted Treatment for Disorders of Distress
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“As a result, worry and rumination are associated with considerable deficits in cognitive and behavioral responding (e.g., Lissek, 2012; Whitmer and Gotlib, 2012) as well as an inferior treatment response and greater relapse (e.g., Jones et al., 2008).”
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- Authors
- Jones, N. P., Siegle, G. J., & Thase, M. E.
- Affiliations
- University of Pittsburgh Medical Center (US)
- Corresponding author
- Jones, Neil P.
- Venue
- Cognitive Therapy and Research
- Published
- 2008-04-24
- Volume
- 32
- Issue
- 4
- Pages
- 591-604
- ISSN
- 0147-5916 (ISSN-L)
- 1573-2819
- PMC
- PMC3864875
- OpenAlex
- W2092968073
- Semantic Scholar
- 0467e429d75f53c23635e5bd77d223b900c86c42
- Cited by
- 106
- References
- 67
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 9 · 2023: 10 · 2022: 15 · 2021: 15 · 2020: 5 · 2019: 2 · 2018: 8 · 2017: 5 · 2016: 3 · 2015: 3 · 2014: 6 · 2013: 7 · 2012: 1
- FWCI
- 3.63
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Cognitive Therapy and Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Medical Center, University of Pittsburgh
- National Institute of Mental Health (R01MH069618, K01MH064159, R01MH058397, R01MH074807, R01MH058356, T32MH016804)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- trait rumination, cognitive therapy, depression, remission, depression severity, major depressive disorder, treatment planning, pre-treatment assessment
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