Understanding depressive rumination from a cognitive science perspective: The impaired disengagement hypothesis
Open accessAbstract
Persisting negative thoughts are considered a hallmark of depression. Recent information-processing approaches have begun to uncover underlying mechanisms of depressive rumination. Despite marked advances in this area, there is a lack of integration between psychopathology and cognitive (neuro) science research. We propose the 'impaired disengagement' hypothesis as a unifying framework between both approaches. The core tenet of our model is that prolonged processing of self-referent material is due to impaired attentional disengagement from negative self-referent information. We discuss empirical evidence for this framework and outline future ways in which the causal predictions of this model can be tested. The proposed framework can account for effectiveness of various treatments for depression and may aid in devising new interventions to target depressive cognition.
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Written from the paper’s full text.
TL;DR
This theoretical review proposes that depressive rumination persists because attention is not effectively disengaged from negative self-focused material. It integrates cognitive and affective neuroscience evidence to argue that attentional control deficits, especially inhibition and set-shifting problems, contribute to brooding and may be treatment targets.
Key findings
- The model’s central claim is that prolonged processing of self-referent negative information arises from impaired attentional disengagement; normal cued rumination becomes pathological when conflict signaling or attentional control fails.
- Rumination is not unitary: factor analyses of the 22-item Ruminative Response Scale distinguish reflective pondering, a more adaptive problem-solving form, from depressive brooding, a more maladaptive and self-critical form; depression is specifically linked to high brooding.
- Reviewed evidence indicates that higher rumination correlates with poorer attentional control, including more perseverative errors on the Wisconsin Card Sorting Task in ruminators versus nonruminators, brooding-related inhibition deficits in antisaccade and task-switching paradigms, valence-specific biases for negative words, and difficulty removing negative material from working memory; these associations often remain after controlling for depression scores.
- Neuroscience clues include sustained amygdala responses to negative words related to rumination, reduced connectivity between conflict-monitoring and prefrontal control regions, and altered default-mode-network connectivity, suggesting rumination may become habitual and deplete attentional resources rather than reflect top-down sense-making.
Methods
- Theoretical and integrative review, not an empirical study; it proposes the impaired disengagement framework and reviews existing cognitive, psychopathological, and affective neuroscience literature.
- Draws on questionnaire measures such as the 22-item Ruminative Response Scale and its brooding/reflection factors, experimental tasks including the Wisconsin Card Sorting Task, antisaccade, dot probe, negative priming, Sternberg, and task-switching paradigms, and neuroimaging, ERP, and rTMS findings.
- No new sample or primary data are reported; causal claims are framed as hypotheses to be tested prospectively and experimentally.
Limitations
- The paper states that most empirical evidence is correlational, so the causal direction between rumination and information-processing cannot be firmly established; rumination could impair attentional control rather than the reverse.
- The paper states that prospective studies and experimental manipulation of attentional control are needed; many cited studies used undergraduates with elevated depressive symptoms, and some used non-selected samples that may reduce group differences.
- Evident from the text: as a theoretical review, it does not directly test the model’s causal predictions, and some cited findings are mixed, such as no rumination–inhibition association for negative faces in a depressed sample, possibly due to verbal versus pictorial material.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
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Cites
Statistics
Claims the paper makes
0 of 81 cited sources checked · 0 supported · 0 flagged
- Findingown data
A larger switch cost for emotional material was linked to increased depressive brooding in response to stress.
“Interestingly, a larger switch cost when processing emotional material was associated with increased depressive brooding in response to stress.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites De Lissnyder, Koster, Goubert, Onraedt, & De Raedt, submitted
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- Findingcitation
In a prospective study, impaired cognitive control at time one, shown by larger switch costs, moderated the link between stress and increased rumination later.
“Results revealed that impaired cognitive control measured at time one, reflected in larger switch costs, moderated the association between stress and increased rumination during a stressful period later in time.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites De Lissnyder, Koster, Goubert, Onraedt, & De Raedt, submitted
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- Interpretationnone given
Information-processing factors are central to rumination.
“We argue that information-processing factors play a crucial role in rumination.”
Quote in the paperNot a substantial claim - Interpretationreasoning
Rumination is affected by factors beyond information processing.
“Important to note here, rumination is influenced by factors other than informationprocessing.”
Quote in the paperSubstantial claim - Interpretationnone given
In depression, prolonged processing of self-referent material is caused by a reduced ability to disengage attention from negative self-referent information.
“The core tenet of our model is that prolonged processing of self-referent material is due to impaired attentional disengagement from negative self-referent information.”
Quote in the paperNot a substantial claim- The authors state this as an assumption: Internal or external stressors that conflict with a person's goals cue ruminative thoughts.
- Rests on an assumption: In most people, self-critical negative thoughts are not consistent with existing positive self-views.
- Rests on an assumption: In most people, conflict signaling is followed by disengagement of attention from negative thoughts.
- Rests on an assumption: After some time, self-critical thoughts or negative mood cause signaling of cognitive conflict.
- Premisecitation
Inhibition impairments for negative information have been found in dysphoric and clinically depressed people.
“Such inhibition impairments for negative information have been observed in dysphoric (Joormann, 2004) as well as clinically depressed individuals (Goeleven, De Raedt, Baert, & Koster, 2006).”
Quote in the paperSubstantial claim0 of 2 sources checked - Interpretationreasoning
Negative affect, impaired problem solving, and task impairments can become cues that trigger more negative cognitions and rumination.
“That is, negative affect, impaired problem solving and task impairments can become important cues that trigger further negative cognitions and rumination.”
Quote in the paperSubstantial claim - Interpretationreasoning
Successful disengagement from negative thoughts enables reappraisal or distraction.
“The successful disengagement of attention from negative thoughts then allows to reappraise the situation or distract from the situation altogether by focusing attention on other (task-relevant) stimuli or more positive distracters.”
Quote in the paperSubstantial claim- Rests on an assumption: In most people, conflict signaling is followed by disengagement of attention from negative thoughts.
- Premisecitation
Conflict signaling is reduced for negative material when people are in a negative mood.
“Indeed, there is emerging evidence that conflict signaling is reduced for negative material when individuals are in a negative mood state (Foti & Hajcak, 2010).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Foti & Hajcak, 2010
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- Premisecitation
Attention and executive-function factors largely determine what is held in working memory.
“Given that information-processing factors related to attention and executive function determine to a large extent the contents of working memory (Hasher & Zacks, 1988), these factors may play an important role.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Hasher & Zacks, 1988
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- Premisecitation
This attentional bias in depression is mainly found when self-relevant negative information is shown for longer durations.
“This effect is mainly observed when self-relevant negative information is presented for longer durations (see De Raedt & Koster, 2010, for a review).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites De Raedt & Koster, 2010 source
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- Interpretationreasoning
If people become trapped in this vicious cycle, rumination becomes a habitual thinking mode.
“A final but crucial proposal is that if individuals become trapped in this vicious cycle, rumination becomes a habitual mode of thinking.”
Quote in the paperSubstantial claim - Interpretationreasoning
Attentional control is much lower when self-relevant negative information is present.
“Attentional control is markedly lower in the presence of selfrelevant negative information.”
Quote in the paperSubstantial claim - Premisecitation
Negative mood narrows attention, producing an attentional funneling effect.
“It is thought that negative mood narrows the attentional focus, which may cause an attentional funneling effect (see Clore & Gasper, 2000).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Clore & Gasper, 2000
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- Interpretationreasoning
These three factors explain why enhanced self-focused attention is linked to impaired problem solving and executive functioning.
“These three factors nicely explain why enhanced self-focused attention is associated with impaired problem solving and executive functioning.”
Quote in the paperSubstantial claim - Premisecitation
Depressive episodes involve a general reduction in attentional control.
“First, depressive episodes are characterized by a general reduction in attentional control.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Merriam, Thase, Haas, Keshavan, & Sweeney, 1999 source
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- Premisecitation
No rumination effects were found on shifting capacity.
“No effects of rumination were observed on shifting capacity.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites De Lissnyder, Derakshan, De Raedt, & Koster, submitted
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- Premisecitation
Conflict monitoring decreases as the number of depressive episodes increases.
“Interestingly, recent neurophysiological data show that conflict monitoring reduces with increasing number of depressive episodes (Vanderhasselt & De Raedt, 2010).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Vanderhasselt & De Raedt, 2010
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- Interpretationreasoning
Rumination, attentional control, and depression have reciprocal relationships.
“At this point there are important reciprocal relations between rumination, attentional control, and depression.”
Quote in the paperSubstantial claim - Premisecitation
Clinical and subclinical depression involve an attentional bias toward negative material.
“There now is converging evidence to show that clinical as well as sub-clinical depression is characterized by an attentional bias in favor of negative material.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites De Raedt & Koster, 2010 source
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- Premisecitation
In depressed patients, trait rumination was linked to an attentional bias for negative words even after controlling depressive symptoms.
“The results showed that trait rumination was associated with an attentional bias for negative words, even when depressive symptoms were statistically controlled for (Donaldson et al., 2007).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Donaldson et al., 2007 source
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- Premisecitation
Ruminators made more perseverative errors than non-ruminators on the Wisconsin Card Sorting Task.
“An early study by Davis and Nolen-Hoeksema (2000) showed that ruminators versus non-ruminators committed more perserverative errors on the Wisconsin Card Sorting Task.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Davis & Nolen-Hoeksema, 2000 source
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- Premisecitation
Higher rumination is negatively correlated with attentional control.
“There is converging evidence showing that higher levels of rumination are negatively correlated with attentional control.”
Quote in the paperSubstantial claim - Premisecitation
Brooding was specifically linked to impaired inhibition.
“Brooding was specifically associated with impaired inhibition.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Whitmer & Banich, 2007
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- Interpretationreasoning
The affective and cognitive consequences of rumination have a reciprocal relationship.
“There is an important reciprocal relation between the affective and cognitive consequences of rumination.”
Quote in the paperSubstantial claim - Interpretationreasoning
Sustained attention to self-referring negative information can result from impaired attentional control.
“In the second option, sustained attention for self-referring negative information is observed due to impaired attentional control.”
Quote in the paperSubstantial claim - Interpretationreasoning
Such non-information-processing factors cannot explain why rumination continues when there are no highly stressful events or unmet goals.
“However, these factors cannot explain why rumination persists despite the absence of highly stressful events or other unmet goals.”
Quote in the paperSubstantial claim - Premisecitation
Avoidance of negative information is often seen in nondepressed control participants.
“Note that avoidance of negative information is quite frequently observed in nondepressed, control participants (see De Raedt & Koster, 2010, for a review).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites De Raedt & Koster, 2010 source
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- Premisecitation
Depressed individuals had more difficulty removing negative words from working memory.
“Depressed individuals had more difficulty removing negative words from working memory.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Joormann & Gotlib, 2008 source
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- Premisecitation
A greater tendency to depressively ruminate was linked to impaired inhibition of negative words.
“Joormann (2006) found that an increased tendency to depressively ruminate was associated with impaired inhibition of negative words.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Joormann, 2006
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- Interpretationreasoning
A lack of conflict signaling is linked to sustained attention to self-referring negative information.
“The absence of conflict signaling will be associated with a sustained attentional focus on self-referring negative information.”
Quote in the paperSubstantial claim- Rests on an assumption: After some time, self-critical thoughts or negative mood cause signaling of cognitive conflict.
- Premisecitation
Ruminators kept using the old sorting rule despite feedback that their matches were wrong, suggesting reduced cognitive flexibility.
“Ruminators persisted in performing the task according to the old rule despite receiving feedback that their matches were incorrect, suggesting a lack of cognitive flexibility.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Davis & Nolen-Hoeksema, 2000 source
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- Interpretationreasoning
Habitual rumination involves a large decrease in deliberate allocation of attentional resources.
“As this becomes an habitual form of thinking, we propose that this type of rumination is associated with a large reduction in deliberate allocation of attentional resources.”
Quote in the paperSubstantial claim - Premisecitation
Impaired inhibition of negative information was best predicted by depressive rumination.
“The study by De Lissnyder et al. ( 2010) confirmed this hypothesis as impaired inhibition of negative information was best predicted by depressive rumination.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites De Lissnyder et al., 2010 source
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- Interpretationreasoning
Depression involves valence-specific impairment of attentional control.
“However, depression is characterized by valence-specific impaired attentional control.”
Quote in the paperSubstantial claim - Interpretationreasoning
The initial stage of conflict signaling and attentional allocation can be disrupted in several ways.
“There are multiple ways in which this initial stage of conflict signaling and attentional allocation can be disrupted.”
Quote in the paperSubstantial claim - Premisecitation
Ruminators had more difficulty inhibiting orienting to an abrupt cue than non-ruminators, shown by longer antisaccade latencies.
“Ruminators compared with nonruminators found it difficult to inhibit orienting towards the abrupt cue as indicated by their longer antisaccade latencies.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites De Lissnyder, Derakshan, De Raedt, & Koster, submitted
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- Premisecitation
There is reduced functional connectivity between neural structures for conflict signaling and those for implementing attentional control.
“Finally, there is evidence suggesting reduced functional connectivity between neural structures involved in conflict signaling and the implementation of attentional control (Holmes & Pizzagalli, 2008).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Holmes & Pizzagalli, 2008 source
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- Premisecitation
These inhibition impairments were specifically linked to depressive brooding.
“Interestingly, these inhibition impairments were specifically related to depressive brooding.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites De Lissnyder, Derakshan, De Raedt, & Koster, submitted
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- Premisecitation
In that study, ruminators did not differ from non-ruminators on other working memory or task-switching measures.
“In this study, ruminators did not differ from nonruminators on other measures of working memory or task switching, such as a backward digit span.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Davis & Nolen-Hoeksema, 2000 source
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- Premisecitation
Difficulty inhibiting negative words was linked to depressive rumination even after controlling depression scores.
“Interestingly, a regression analysis showed that the difficulty in inhibiting negative words was associated with depressive rumination even when depression scores were controlled for.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Joormann & Gotlib, 2008 source
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- Premisecitation
Habitual thinking styles like rumination may have neural correlates in the default-mode network (DMN), a collection of brain regions that consistently show reduced activity during goal-directed tasks.
“The neural underpinnings of specific habitual thinking styles such as rumination can also be linked to the broader default-mode-network (DMN), a set of brain regions with consistently decreased neural activity during goal-oriented tasks (Shulman et al., 1997).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Shulman et al., 1997 source
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- Premisecitation
The therapeutic benefits of antidepressant medication are linked to changes in how emotional information is cognitively processed.
“Importantly, several studies have shown that therapeutic effects of antidepressant medication are related to changes in cognitive processing of emotional information, with some of these studies showing that changes in cognitive processing of emotional information precede and predict the affective effects of antidepressant medication (see Browning, Holmes, & Harmer, 2010).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Browning et al., 2010 source
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- Premisecitation
In depressed individuals, although error detection tasks show cognitive control signaling, error adjustment is compromised due to weaker connectivity between the ACC and prefrontal cortex.
“Previous research in depression has found despite signaling of cognitive control in an error detection paradigm, the adjustment to errors was impaired in depressed individuals because of reduced connectivity between the ACC and the prefrontal cortex (Holmes & Pizzagalli, 2007).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Holmes & Pizzagalli, 2007
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- Premisecitation
In depressed patients, the ventral subgenual ACC makes an unusually large contribution to DMN connectivity.
“Following analysis of resting state fMRI data, the ventral subgenual ACC was found to contribute disproportionally to the connectivity of the DMN in this patient group, with increases in connectivity associated with the length of the current depressive episode (Greicius et al., 2007).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Greicius et al., 2007 source
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- Premisenone given
In most studies, the link between rumination and attentional control remained significant after controlling depression scores.
“It is interesting to note that, in most of the studies discussed below, the association between rumination and attentional control remained significant even when depression scores were controlled for.”
Quote in the paperSubstantial claim - Premisecitation
Depressed participants exhibited prolonged amygdala reactions to negative words that continued into a subsequent task requiring non-emotional processing.
“In a study by Siegle and colleagues (Siegle, Steinhauer, Thase, Stenger, & Carter, 2002) depressed individuals showed sustained amygdala responses to negative words that lasted during a following task that involved non-emotional processing.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Siegle et al., 2002 source
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- Premisecitation
The magnitude of prolonged amygdala activity for negative compared with positive words correlated with rumination.
“The difference in sustained amygdala activity to negative versus positive words was related to rumination.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Siegle et al., 2002 source
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- Interpretationreasoning
This pattern supports the idea that information-processing impairments make it hard for ruminators to disengage from negative content.
“This finding is in line with the idea that information-processing impairments make it difficult for ruminators to disengage from negative content.”
Quote in the paperSubstantial claim - Premisecitation
The default-mode network has been connected to multiple forms of psychopathology, including depression.
“In recent years, the DMN has been linked to several forms of psychopathology, including depression.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Greicius et al., 2007 source
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- Interpretationreasoning
These results conflict with the view that depressive rumination is driven by top-down attempts to understand negative events and mood.
“These findings are not in line with the idea that depressive rumination is driven by top-down processes, related to attempts to make sense of negative events and mood.”
Quote in the paperSubstantial claim - Study design and conductreasoning
Because the empirical data are correlational, no firm causal conclusion about rumination and information processing can be drawn.
“Obviously, given the correlational nature of the empirical data we cannot draw any firm conclusions about the causal relationship between rumination and information-processing.”
Quote in the paperNot a substantial claim - Premisecitation
Depression involves a failure to regulate activity in DMN-associated neural structures such as the amygdala, parahippocampus, and hippocampus.
“In a recent study examining the default mode network in depression comparing resting conditions (looking at negative and positive pictures) with an active reappraisal condition has shown that depression is characterized by a failure to regulate activity in neural structures (amygdala, parahippocampus, hippocampus), associated with the DMN (Sheline, Barch, Price, Rundle, Vaishnavi, Snyder, et al. 2”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Sheline et al., 2009 source
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- Premisecitation
When connectivity is normal, the DLPFC can engage emotion regulation and inhibit the amygdala through links with other frontal areas, including the orbitofrontal cortex.
“In the case of normal connectivity, the DLPFC can initiate emotion regulation, inhibiting the amygdala (Davidson et al., 2002) via connections with other frontal regions such as the orbitofrontal (OFC) cortex (Taylor & Fragopaganos, 2005).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Davidson et al., 2002 source
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- cites Taylor & Fragopaganos, 2005
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- Premisecitation
The ACC projects to the dorsolateral prefrontal cortex (DLPFC) to enhance attentional control and alter how processing resources are allocated.
“The ACC in turn sends signals to the DLPFC to increase attentional control and modify the distribution of processing resources (Hopfinger, Buonocore & Mangun, 2000;Macdonald et al., 2000).”
Quote in the paperSubstantial claim0 of 2 sources checked - Premisecitation
Comparable results-changes in cognitive processing tied to therapeutic effects-have been observed for repetitive transcranial magnetic stimulation applied over the DLPFC.
“Similar findings have been found in relation to repetitive Transcranial Magnetic Stimulation over the DLPFC, which is a relatively new intervention (Avery, Holtzheimer, Fawaz, Russo, Neumaier, Dunner, et al. 2006;Bortolomasi, Minelli, Fuggetta, Perini, Comencini, Fiaschi, et al. 2007).”
Quote in the paperNot a substantial claim0 of 2 sources checked - Interpretationreasoning
The prospective design supports interpreting the rumination-information-processing link as not merely due to rumination depleting cognitive resources.
“The prospective nature of the design also allows the interpretation that the association between rumination and information-processing is not simply due to rumination depleting cognitive resources.”
Quote in the paperSubstantial claim - Premisecitation
Before multi-session rTMS reduces depressive symptoms, attentional control increases.
“Research indicates that the effectiveness of multi-session rTMS in reducing depressive symptoms is preceded by increased attentional control (Vanderhasselt et al., 2009).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Vanderhasselt et al., 2009
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- Premisecitation
Some biological treatments routinely used for depression may work partly by affecting attentional control.
“Interestingly, there is also emerging research suggesting that several biological interventions that are commonly used to treat depression may operate in part through influences on attentional control.”
Quote in the paperNot a substantial claim0 of 3 sources checked - Premisecitation
The DMN has been associated with introspective and self-referential mental activity.
“The DMN has in several studies been linked to psychological functions of introspective and selfreferential thought (Gusnard, Akbudak, Shulman, & Raichle, 2001;Mason, Norton, Van Horn, Wegner, Grafton, & Macrae, 2007).”
Quote in the paperSubstantial claim0 of 2 sources checked - Premisecitation
Greater DMN connectivity is linked to a longer current depressive episode.
“with increases in connectivity associated with the length of the current depressive episode (Greicius et al., 2007).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Greicius et al., 2007 source
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- Premisecitation
Depressed patients also show heightened resting-state functional connectivity in the thalamus.
“There was also increased functional connectivity in the thalamus during rest.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Greicius et al., 2007 source
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- Interpretationown data
The results support the idea that impaired cognitive control contributes to rumination.
“Instead, our results are in line with the idea that impaired cognitive control contributes to rumination.”
Quote in the paperSubstantial claim - Interpretationcitation
Computerized training designed to enhance attentional control might protect individuals at risk.
“Computerized programs to improve attentional control are relatively easy to disseminate and may have protective effects in at-risk individuals (see Baert, De Raedt, & Koster, 2001;Siegle et al., 2007).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Baert et al., 2001
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- cites Siegle et al., 2007 source
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- Rests on an assumption: Computerized attentional-control training programs can be distributed with relative ease.
- Interpretationreasoning
Attentional control is an important factor in explaining depressive rumination.
“In sum, we have argued that attentional control plays an important role in explaining depressive rumination.”
Quote in the paperSubstantial claim- Rests on an assumption: Substantial correlational evidence supports an association between attentional control and rumination.
- Interpretationcitation
Current treatments for depression and depressive cognition may act in part by influencing attentional control.
“Thus, there is increasing evidence suggesting that existing treatments for depression and depressive cognition may operate through influences on attentional control.”
Quote in the paperSubstantial claim
- Classified as probably not a substantial claim. 13
- May combine two claims. 26
Probably not a substantial claim: may not pass S4 (based).
InterpretationreasoningPeople who have trouble exerting attentional control when faced with negative thoughts are likely to ruminate persistently.
“That is, individuals who are characterized by a difficulty to exercise attentional control in response to negative thoughts are likely to experience persistent rumination.”
Quote in the paperNot a substantial claim- The authors state this as an assumption: Internal or external stressors that conflict with a person's goals cue ruminative thoughts.
May combine two claims.
PremisecitationMore negative affect and more frequent stressful events are linked to greater attempts to understand those feelings and events.
“Clearly, heightened levels of negative affect and/or the frequent encounter of stressful events are associated with enhanced attempts to understand these feelings and events (see also Martin & Tesser, 1996).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Martin & Tesser, 1996
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Interpretationnone givenDifficulty disengaging attention is the main mechanism increasing risk for high rumination, especially brooding.
“We postulate difficulty to disengage attention as the central engine that puts individuals at risk for heightened levels of rumination and brooding in particular.”
Quote in the paperNot a substantial claim- The authors state this as an assumption: Internal or external stressors that conflict with a person's goals cue ruminative thoughts.
May combine two claims.
InterpretationreasoningNarrowed attention raises the importance of emotional information in focus, intensifies the emotional state, and further reduces goal space.
“That is, the narrowing of attention is associated with heightened importance of the emotional information that is within the focus of attention, which in turns intensifies the emotional state causing a further reduction of goal space.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
InterpretationreasoningImpaired inhibition of negative information may increase how much negative information enters working memory.
“Thus, it could be that the impaired inhibition of negative information enhances the amount of negative information that enters working memory.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationConflict signaling can happen automatically or strategically.
“In line with emerging literature on emotion regulation, this signaling of conflict can occur at the automatic as well as at the strategic level (see Mauss, Bunge, & Gross, 2007).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Mauss, Bunge, & Gross, 2007 source
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May combine two claims.
PremisecitationInitially rumination may be goal-directed and use attentional resources, but persistent rumination involves poorer thinking quality and less constructive attention to negative thoughts.
“Where initially rumination may be goaldirected and engage attentional resources, persistent rumination is characterized by reduced quality of thinking with attention being deployed to negative thoughts in a less constructive way (Nolen-Hoeksema et al., 2008).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Nolen-Hoeksema et al., 2008 source
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Classified as probably not a substantial claim.
InterpretationreasoningPersistent rumination corresponds to depressive rumination or brooding.
“This persistent rumination is related to depressive rumination or brooding.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningDisruption can arise from impaired conflict signaling or from intact conflict signaling with reduced attentional control.
“This may be due to either impaired conflict signaling or intact conflict signaling but reduced attentional control.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationThis general attentional-control reduction in depression is not very large and is mostly seen in severely depressed people.
“It is noteworthy though that this reduced attentional control is not of very large magnitude and mostly found in severely depressed individuals (see for a review, Joormann et al., 2007).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Joormann et al., 2007
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Classified as probably not a substantial claim.
PremisecitationRumination in response to major life events, negative mood, or minor stressors is a normal, non-pathological process.
“Engaging in rumination, be it pondering or brooding, in response to major life events, negative mood states, or relatively minor stressors (such as an awkward social encounter) is considered a normal, non-pathological process.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Carver & Scheier, 1998
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May combine two claims.
PremisecitationPersistent rumination is linked to poorer problem solving, worse performance on other tasks, and negative affect.
“Importantly, previous research has shown that such persistent rumination is associated with impaired problem solving (Watkins & Moulds, 2005), reduced performance on other tasks (e.g., Lyubomirsky, Kasri, & Zehm, 2003), and with negative affect (Thomsen, Jorgensen, Mehlsen, & Zachariae, 2004).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Watkins & Moulds, 2005
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- cites Lyubomirsky, Kasri, & Zehm, 2003
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- cites Thomsen, Jorgensen, Mehlsen, & Zachariae, 2004
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May combine two claims.
InterpretationcitationIn people with negative self-schemas, negative self-thoughts produce less cognitive conflict, so attentional resources are not reallocated.
“In the first option (i.e., impaired conflict signaling), in individuals with negative self schemas (cf.Clark et al., 1999), negative thoughts about oneself will elicit less cognitive conflict and therefore attentional resources will not be reallocated.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Clark et al., 1999
Not checked in the free run.
- Rests on an assumption: In most people, self-critical negative thoughts are not consistent with existing positive self-views.
- Rests on an assumption: After some time, self-critical thoughts or negative mood cause signaling of cognitive conflict.
May combine two claims.
PremisecitationSad mood, compared with positive mood, is linked to more focused attention and less creative thinking.
“Indeed, there is evidence that sad compared with positive mood is associated with a more focused attention and less creative thinking (Rowe, Hirsh, & Anderson, 2007).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Rowe, Hirsh, & Anderson, 2007 source
Not checked in the free run.
May combine two claims.
PremisecitationBrooding was linked to valence-specific inhibitory problems and set-shifting impairments.
“it was shown that brooding was related to valence-specific inhibitory problems as well as set-shifting impairments”
Quote in the paperSubstantial claim0 of 1 sources checked- cites De Lissnyder, Koster, Derakhshan, & De Raedt, 2010
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThis critical contextual and self-evaluation helps people make sense of events in their social environment or personal history.
“This process of critical contextual and selfevaluation helps us make sense of events in our social environment or personal history (see Carver & Scheier, 1998).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Carver & Scheier, 1998
Not checked in the free run.
May combine two claims.
PremisecitationRecent methodological advances in cognitive science make it possible to improve either attentional control or valence-specific processing biases.
“Recently, important advances have been made in the area of cognitive methodology that allows to improve either attentional control functioning (see Siegle, Ghinassi, & Thase, 2007) or valence-specific processing biases (see MacLeod, Koster, & Fox, 2009).”
Quote in the paperSubstantial claim0 of 2 sources checkedMay combine two claims.
PremisecitationThe ACC serves as a link between subcortical emotion processing and cognitive control, combining inputs from its ventral and dorsal parts.
“The ACC can be seen as a bridge between subcortical emotion processing and cognitive control, integrating signals from the ventral ACC and the dorsal ACC (Bush, Luu & Posner, 2000)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Bush et al., 2000 source
Not checked in the free run.
May combine two claims.
PremisecitationThe amygdala is activated by emotional stimuli and then sends signals to the anterior cingulate cortex (ACC).
“First, emotional stimuli activate the amygdala (Zald, 2003), which in turn signals to the Anterior Cingulate Cortex (ACC).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Zald, 2003 source
Not checked in the free run.
May combine two claims.
InterpretationreasoningAffective neuroscience evidence suggests a strong link between rumination and attentional control impairments, and that depressive rumination is tied to depleted attentional resources rather than top-down attempts to understand negative events and mood.
“Moreover, there are also clues from affective neuroscience pointing towards a strong association between rumination and attentional control impairments, and that depressive rumination is not linked to top-down attempts to understand negative life events and mood but to the depletion of attentional resources.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationcitationOverall, the evidence indicates that rumination, and brooding especially, is linked to impairments and valence-specific biases in attentional control.
“Taken together, the evidence discussed above (see also Burwell & Shirk, 2007;Joormann, 2006) indicates that rumination and brooding in particular are associated with impairments and valence-specific biases in attentional control functions.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Burwell & Shirk, 2007
Not checked in the free run.
- cites Joormann, 2006
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationBecause depressed patients tend to focus on ruminative, self-referential material, researchers have predicted that their DMN connectivity differs from that of controls.
“The ruminative, self-referential focus of depressed patients has led to predictions of differences between this clinical group and controls in terms of DMN connectivity (Greicius, Flores, Menon, Glover, Solvason, Kenna, et al., 2007).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Greicius et al., 2007 source
Not checked in the free run.
May combine two claims.
PremisecitationMany studies indicate that depressed individuals show heightened amygdala responses to stress, and the amygdala is chiefly involved in processing negative emotions.
“There is a wealth of research showing an enhanced amygdala activity upon the encounter of stress in depression, with the amygdala being primarily implicated in processing of negative emotions.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Siegle et al., 2002 source
Not checked in the free run.
May combine two claims.
PremisecitationDepression involves reduced activation in cortical areas that support attentional control, and this reduction may relate to impaired emotion regulation.
“Depression is associated with hypoactivation in cortical structures involved in attentional control which can be related to impaired emotion regulation.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Davidson et al., 2002 source
Not checked in the free run.
May combine two claims.
PremisecitationHeightened amygdala activity has been associated with deficient prefrontal cognitive control over limbic emotion processing, evidenced by diminished frontal regulatory activity and weaker amygdala-frontal connectivity during emotion processing in depression.
“This increased amygdala activity has been linked to impaired cognitive control exerted by specific regions of the prefrontal cortex (Davidson, Pizzagalli, Nitschke, Putnam, 2002;Holmes & Pizzagalli, 2008) onto limbic emotion processing”
- Also stated in: § 3. Rumination and Attentional Control: Clues from Affective Neuroscience · plain
“as reflected by lower regulatory activity in the frontal cortices as well as a reduced connectivity between the amygdala and these frontal cortex regions during emotion processing in depression.”
Quote in the paperSubstantial claim0 of 2 sources checked- Also stated in: § 3. Rumination and Attentional Control: Clues from Affective Neuroscience · plain
May combine two claims.
InterpretationreasoningThese data suggest that effortful control over depressive cognition is absent or impaired because rumination drains attentional resources.
“Instead these data provide some indication for the inability to or absence of effortful control over depressive cognition as rumination depletes attentional resources.”
Quote in the paperSubstantial claim- Rests on an assumption: Rumination drains attentional resources.
May combine two claims.
InterpretationreasoningThese factors may leave attention focused inward, accompanied by persistent rumination.
“Due to these reasons there may remain an inward focused attention, with persistent rumination.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisecitationThe DMN comprises the precuneus/posterior cingulate cortex, medial prefrontal cortex, and medial, lateral, and inferior parietal cortex.
“The brain structures involved in the default mode network (DMN) include precuneus/posterior cingulate cortex, medial prefrontal cortex and medial, lateral and inferior parietal cortex (Raichle, 2001).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Raichle, 2001 source
Not checked in the free run.
Classified as probably not a substantial claim.
InterpretationreasoningCognitive control deficits may be causally related to the persistence of depressive cognition.
“This could mean that such cognitive control deficits may be causally related to the persistence of depressive cognition.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationThe dorsal portion of the ACC participates in monitoring conflict and helping select responses suited to the task.
“the latter being involved in conflict monitoring and the facilitation of task-appropriate response selection (Macdonald, Cohen, Stenger & Carter, 2000).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Macdonald et al., 2000 source
Not checked in the free run.
May combine two claims.
PremisecitationShifts in cognitive processing of emotional information occur before and predict the mood-related effects of antidepressant medication.
“with some of these studies showing that changes in cognitive processing of emotional information precede and predict the affective effects of antidepressant medication (see Browning, Holmes, & Harmer, 2010).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Browning et al., 2010 source
Not checked in the free run.
May combine two claims.
InterpretationreasoningRumination in depressed individuals may be a habitual thinking pattern in which they repeatedly revisit past negative events, with little difficulty controlling this thinking or engaging in active reappraisal of those events.
“Taken together, the finding that self-reflective thoughts are associated with the DMN which is anti-correlated with areas involved in attentional control suggests that ruminative thought may be a habitual mode of thinking in depressed individuals, going over negative events past repeatedly, without marked difficulties to control this type of thinking, or to engage in the active reappraisal of”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningA habitual thinking style is unlikely to change easily unless attentional control is improved first, which may explain the significant problem of relapse.
“can readily change a habitual thinking style if attentional control is not improved first, and this could be the reason for the important problem of relapse.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationThe DMN is suppressed during tasks but remains active at rest, with strong functional connectivity among its regions.
“Although deactivated during task performance, this network is active in the resting brain with a high degree of functional connectivity between regions.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Raichle et al., 2001 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationTraditional cognitive therapy is regarded as one of the most effective treatments for depression.
“With regard to psychological treatments, traditional cognitive therapy for depression which is considered one of the most efficacious treatments for depression(Hollon & Dimidjian, 2009) would use verbal interventions that target negative thinking through challenging some of the core beliefs that are reported by the depressed individual.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Hollon & Dimidjian, 2009
Not checked in the free run.
May combine two claims.
PremisecitationA greater number of prior depressive episodes is linked to reduced stress reactivity and a higher likelihood of future episodes.
“As an increasing number of depressive episodes is associated with lower stress reactivity (Monroe & Hakness, 2005) and increasing risk of developing new depressive episodes (Keller, 2003), it could be useful to target attentional control as a proximal risk factors for the development of first or recurrent depressive episodes.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Monroe & Hakness, 2005
Not checked in the free run.
- cites Keller, 2003 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationSleep problems are a well-established risk factor for depression, occurring both during and before depressive episodes.
“For instance, sleep disturbances are a well-established risk factor for depression, that are not only present during depressive episodes but also precede these episodes (Fichter, Kohlboeck, Quadflieg, Wyschkon, & Esser, 2009).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Fichter et al., 2009 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationNew cognitive and biological findings highlight the importance of attentional factors in depression.
“At a broader level there is emerging cognitive as well as biological research pointing to the relevance of attentional factors in depression (De Raedt & Koster, 2010).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites De Raedt & Koster, 2010 source
Not checked in the free run.
The authors state this as an assumption.
Internal or external stressors that conflict with a person's goals cue ruminative thoughts.
“We assume that certain internal (e.g., negative affect or memories) or external stressors that conflict with an individuals”
The paper relies on this without support.
In most people, self-critical negative thoughts are not consistent with existing positive self-views.
“In most individuals self-critical negative thoughts typically are not in line with existing positive self views.”
The paper relies on this without support.
In most people, conflict signaling is followed by disengagement of attention from negative thoughts.
“In most individuals this conflict signaling is followed by the disengagement of attention from negative thoughts.”
The paper relies on this without support.
Critical thinking ends when a solution is found or, without a solution, when the person uses automatic or deliberate emotion regulation.
“This critical thinking is terminated when a solution to the problem is reached or, in the absence of a solution, when the individual engages in either automatic or deliberate emotion regulation.”
The paper relies on this without support.
After some time, self-critical thoughts or negative mood cause signaling of cognitive conflict.
“Therefore after some time these thoughts (or the affiliated negative mood) will cause the signaling of cognitive conflict.”
The paper relies on this without support.
Rumination is a verbal process with a stronger link to verbal than pictorial material.
“this may be explained by the fact that rumination is a verbal processes with a stronger linkage to verbal compared with pictorial material.”
The paper relies on this without support.
Substantial correlational evidence supports an association between attentional control and rumination.
“Despite the wealth of correlational data indicating the link between attentional control and rumination, an important area of investigation will be to test the directional hypothesis that attentional factors contribute to the persistence of rumination.”
The paper relies on this without support.
Interpersonal therapy, like other well-studied psychotherapies, mainly employs verbal methods to improve depressive cognition.
“Other well-investigated forms of psychotherapy, such as interpersonal therapy also mainly use verbal techniques to improve depressive cognition.”
The paper relies on this without support.
Rumination drains attentional resources.
“Instead these data provide some indication for the inability to or absence of effortful control over depressive cognition as rumination depletes attentional resources.”
The paper relies on this without support.
Computerized attentional-control training programs can be distributed with relative ease.
“Computerized programs to improve attentional control are relatively easy to disseminate and may have protective effects in at-risk individuals (see Baert, De Raedt, & Koster, 2001;Siegle et al., 2007).”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Attentional difficulties are vulnerability factors for maintaining maladaptive cognitive processes involved in internalizing psychopathologies, thereby increasing symptom severity and functional impairment.
“Attentional difficulties, or deficits in the capacity to regulate attention and inhibit task-irrelevant information (Eysenck et al., 2007), are considered vulnerability factors for maintaining maladaptive cognitive processes (e.g., rumination, threat-related attentional biases) involved in internalizing psychopathologies, thereby increasing symptom severity and functional impairment (Derryberry &”
From Disentangling the effects of attentional difficulties on fears of social evaluation and social anxiety symptoms: Unique interactions with sluggish cognitive tempo (2020) · cites this paper as Koster et al., 2011
Attentional difficulties are linked to greater threat-related attentional biases, fears, and internalizing symptoms.
“Although prior research had shown that attentional difficulties are associated with increased threat-related attentional biases, fears, and internalizing symptoms (Hsu et al., 2015; Koster et al., 2011; Van Bockstaele et al., 2014)”
From Disentangling the effects of attentional difficulties on fears of social evaluation and social anxiety symptoms: Unique interactions with sluggish cognitive tempo (2020) · cites this paper as Koster et al., 2011
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Conclusion reverses the paper's claim about control of rumination
MinorThe conclusion says depressed individuals have no marked difficulty controlling repetitive negative thoughts. The next sentence instead describes an inability to exert control over depressive cognition, consistent with the paper's central hypothesis.
“without marked difficulties to control this type of thinking, or to engage in the active reappraisal of events past.”
“Instead these data provide some indication for the inability to or absence of effortful control over depressive cognition as rumination depletes attentional resources.”
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- Authors
- Koster, E. H. W., De Lissnyder, E., Derakshan, N., & De Raedt, R.
- Affiliations
- Ghent University (BE)
- Birkbeck, University of London (GB)
- Corresponding author
- Koster, Ernst H.W.
- ORCID
- Koster, Ernst H.W.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2011-02
- Volume
- 31
- Issue
- 1
- Pages
- 138-145
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W2004506384
- Semantic Scholar
- 7ce6513d4b864a431a865140a494be9a6c95cef2
- Cited by
- 916
- References
- 106
- Citations by year
- 2026: 76 · 2025: 75 · 2024: 74 · 2023: 63 · 2022: 71 · 2021: 76 · 2020: 74 · 2019: 71 · 2018: 71 · 2017: 45 · 2016: 47 · 2015: 47 · 2014: 46 · 2013: 38 · 2012: 23
- FWCI
- 3.11
- Type
- journal article
- Language
- en
- Open access
- green
- biblio.ugent.be
- Licence
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
- BIROn (Birkbeck, University of London) (submittedVersion)
- Funders
- Fonds Wetenschappelijk Onderzoek (BOF10/GOA/014)
- Universiteit Gent (BOF10/GOA/014)
- Vlaamse regering
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Developmental and Educational Psychology › Identity, Memory, and Therapy
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- depressive rumination, attentional disengagement, depression, cognitive models of depression, depression treatment, cognitive intervention
- MeSH terms
- Attention, Cognition, Depression, Emotions, Humans
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-07.
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