Cited by 182Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Research TopicsPersonality Disorders and Psychopathology

Depressive Rumination and Co-Morbidity: Evidence for Brooding as a Transdiagnostic Process

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Watkins, Edward R.·2009·Journal of Rational-Emotive & Cognitive-Behavior Therapy

Abstract

A sample of 116 patients with unipolar mood disorders referred to a specialist research clinic were assessed to investigate (a) whether rumination is a transdiagnostic process that is related to co-morbid Axis I and II symptoms and diagnosis in depressed patients; (b) whether common findings in the depressive rumination literature could be replicated in a recurrent depressed sample. Consistent with the transdiagnostic hypothesis, rumination was positively associated with both depression and anxiety, brooding was related to co-morbid obsessive-compulsive disorder and generalized anxiety disorder, and rumination was associated with traits associated with borderline personality disorder, most notably self-report of unstable relationships and inconsistent sense of self. As predicted, rumination was equivalent in currently depressed and formerly depressed patients, suggesting that rumination is not simply dependent on mood state or clinical status. As predicted, the brooding subtype most strongly correlated with depressed and anxious symptoms, consistent with previous observations that brooding is the more maladaptive form of rumination. As predicted, rumination was associated with reports of sexual abuse. Inconsistent with previous findings, there was no gender difference in rumination.

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  • NSRP occurs in high-functioning individuals ('worried well') and across many disorders ('transdiagnostically').

    “Even in its dysfunctional forms, NSRP is seen in people with relatively high functioning (i.e., “the worried well”) as well as in many disorders (i.e., “transdiagnostically”).”

    From What, me worry and ruminate about dsm-5 and rdoc? The importance of targeting negative self-referential processing (2013) · cites this paper as Watkins, 2009

    The Discussion (page unavailable) supports a transdiagnostic role for rumination: it reports associations with anxiety and depression, and links brooding to co-morbid OCD and GAD. The Introduction mentions studies using non-clinical samples, but the paper does not establish that dysfunctional rumination occurs in relatively high-functioning people or the “worried well.” Its findings concern rumination rather than NSRP as a whole. (LLM, conf=0.85)

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Research works printed but not linked: 1

  1. Martin LL Tesser A Wyer RS Some ruminative thoughts Ruminative thoughts. Advances in social cognition 1996 Hillsdale, NJ Lawrence Erlbaum Associates 1 47 Martin, L. L., & Tesser, A. (1996). Some ruminative thoughts. In R. S. Wyer (Ed.), Ruminative thoughts. Advances in social cognition (Vol. 9, pp. 1–47). Hillsdale, NJ: Lawrence Erlbaum Associates.

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Authors
Watkins, E. R.
Affiliations
University of Exeter (GB)
Corresponding author
Watkins, Edward R.
Venue
Journal of Rational-Emotive & Cognitive-Behavior Therapy
Published
2009-08-07
Volume
27
Issue
3
Pages
160-175
ISSN
  • 0894-9085 (ISSN-L)
  • 1573-6563
OpenAlex
W2136574827
Cited by
182
References
53
Citations by year
2026: 9 · 2025: 10 · 2024: 16 · 2023: 11 · 2022: 12 · 2021: 11 · 2020: 15 · 2019: 19 · 2018: 7 · 2017: 9 · 2016: 10 · 2015: 7 · 2014: 15 · 2013: 12 · 2012: 5
FWCI
7.62
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • Journal of Rational-Emotive & Cognitive-Behavior Therapy (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Figshare (submittedVersion)
  • Open Research Exeter (University of Exeter) (submittedVersion)
Funders
Wellcome Trust (08099/Z/06/Z)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords
depressive rumination, brooding, transdiagnostic mechanisms, depression, anxiety, obsessive-compulsive disorder, generalized anxiety disorder, borderline personality disorder, comorbidities, recurrent depression, sexual abuse, gender differences

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