Emotion regulation and the Transdiagnostic role of repetitive negative thinking in adolescents with social anxiety and depression
Open accessAbstract
Social anxiety and depression are common mental health problems among adolescents and are frequently comorbid. Primary aims of this study were to (1) elucidate the nature of individual differences in specific emotion regulation deficits among adolescents with symptoms of social anxiety and depression, and (2) determine whether repetitive negative thinking (RNT) functions as a transdiagnostic factor. A diverse sample of adolescents (N = 1065) completed measures assessing emotion regulation and symptoms of social anxiety and depression. Results indicated that adolescents with high levels of social anxiety and depression symptoms reported decreased emotional awareness, dysregulated emotion expression, and reduced use of emotion management strategies. The hypothesized structural model in which RNT functions as a transdiagnostic factor exhibited a better fit than an alternative model in which worry and rumination function as separate predictors of symptomatology. Findings implicate emotion regulation deficits and RNT in the developmental psychopathology of youth anxiety and mood disorders.
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Mindfulness is thought to target negative ruminative thought processes within SAD that, over time, may lead to behavioral avoidance of social situations.
“Mindfulness is thought to target negative ruminative thought processes within SAD that, over time, may lead to behavioral avoidance of social situations. In turn, these can unlink the experience of social interaction from its typically reinforcing outcomes (Klemanski et al., 2017; Richey et al., 2019).”
From Can dialectical behavior therapy skills group treat social anxiety disorder? A brief integrative review (2024) · cites this paper as Klemanski et al., 2017
The Introduction says that rumination and worry in social anxiety are thought to exacerbate avoidance of upcoming social interactions. The Discussion proposes targeting repetitive negative thinking in treatment. Neither passage identifies mindfulness as that treatment or says avoidance unlinks social interaction from its reinforcing outcomes; page numbers are not available in our copy. (LLM, conf=0.86)
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References 113 · Cited by 150
- Authors
- Klemanski, D. H., Curtiss, J., McLaughlin, K. A., & Nolen-Hoeksema, S.
- Affiliations
- Yale University (US)
- Boston University (US)
- University of Washington (US)
- Corresponding author
- Klemanski, David H.
- Venue
- Cognitive Therapy and Research
- Published
- 2016-10-25
- Volume
- 41
- Issue
- 2
- Pages
- 206-219
- ISSN
- 0147-5916 (ISSN-L)
- 1573-2819
- PMC
- PMC5455341
- OpenAlex
- W2533964163
- Cited by
- 150
- References
- 113
- Citations by year
- 2026: 8 · 2025: 13 · 2024: 13 · 2023: 19 · 2022: 17 · 2021: 17 · 2020: 24 · 2019: 28 · 2018: 8 · 2017: 3
- FWCI
- 18.44
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Cognitive Therapy and Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Yale University
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- emotion regulation, repetitive negative thinking, social anxiety, depression, adolescents, transdiagnostic factors, rumination, worry, emotional awareness, emotional expression, comorbidities, developmental psychopathology
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