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Distinct and Overlapping Features of Rumination and Worry: The Relationship of Cognitive Production to Negative Affective States
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“Worry and rumination had been theoretically related as they are both linked to the presence of dysphoric repetitive thinking experienced as uncontrollable (Fresco, Frankel, Mennin, Turk, & Heimberg, 2002)”
From The Argentinian version of the cognitive fusion questionnaire: Psychometric properties and the role of cognitive fusion as a predictor of pathological worry (2022) · cites this paper as Fresco, Frankel, Mennin, Turk, & Heimberg, 2002
In the citing paper
“Cognitive avoidance, such as rumination or worry (Fresco, Frankel, Mennin, Turk, & Heimberg, 2002), represents another avoidance strategy emerging from early and ongoing stress of the type disproportionately faced by gay and bisexual men (Hatzenbuehler, McLaughlin, & Nolen-Hoeksema, 2008b)”
From A transdiagnostic minority stress treatment approach for gay and bisexual men's syndemic health conditions (2015) · cites this paper as Fresco et al., 2002
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“However, given the lack of empirical specificity of worry to anxiety and rumination to depression and the relatively high correlation between them (Segerstrom et al., 2000) and among their components (this study), new conceptualizations are called for.”
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Items 201–300 of 455
Ulset, V. S., & von Soest, T. (2022) · Journal of Traumatic Stress · doi:10.1002/jts.22801 · Cited by 32
“, a traumatic event), worry is a type of repetitive thinking about future events or threats (Fresco et al., 2002); for example, adolescents may worry that they or someone close will be infected with the virus.”
BackgroundInfluentialMagson, N. R., Rapee, R. M., Fardouly, J., Forbes, M. K., Richardson, C. E., Johnco, C. J., & Oar, E. L. (2019) · Psychological Assessment · doi:10.1037/pas0000755 · Cited by 32
Baik, S. Y., & Newman, M. G. (2023) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2023.102679 · Cited by 32
Qiu, W.-F., Ma, J.-P., Xie, Z., Xie, X.-T., Wang, C.-X., & Ye, Y. (2022) · Current Psychology · doi:10.1007/s12144-021-02641-3 · Cited by 36
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“…and worry are intrusive forms of thought often focused on negative affect; they are significantly associated with depression and anxiety (Fresco, Frankel, Mennin, Turk, & Heimberg, 2002) and are also highly correlated with each other (Fresco et al., 2002; Watkins, Moulds, & Mackintosh, 2005).”
Pascoal, P. M., Raposo, C. F., & Roberto, M. S. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17217864 · Cited by 37
“Worry and rumination showed strongly significant positive covariation (H1), confirming them to be related, but still independent, constructs [47,48], even using a community sample.”
BackgroundWorry and rumination in older adults: Differentiating the processes
D’Hudson, G., & Saling, L. L. (2010) · Aging & Mental Health · doi:10.1080/13607861003713141 · Cited by 31
“Significant, positive intercorrelations were found between rumination, worry and anxiety which is consistent with previous research (Fresco et al., 2002; Hong, 2007; Muris et al., 2004, 2005; Segerstrom et al., 2000).”
BackgroundResultInfluentialAfter 9/11: Goal Disruption, Emotional Support, and Psychological Health in a Lower Exposure Sample
MacGeorge, E. L., Samter, W., Feng, B., Gillihan, S. J., & Graves, A. R. (2007) · Health Communication · doi:10.1080/10410230701283272 · Cited by 32
Bailey, T., Shahabi, L., Tarvainen, M., Shapiro, D., & Ottaviani, C. (2019) · Anxiety, Stress, & Coping · doi:10.1080/10615806.2019.1570821 · Cited by 29
“…mood disorders, respectively (e.g., Hong, 2007), instead supporting the transdiagnostic role of perseverative cognition and the notion that “worry and rumination represent related but distinct cognitive processes that are similarly related to anxiety and depression” (Fresco et al., 2002, p. 179).”
BackgroundEffects of alcohol, rumination, and gender on the time course of negative affect
Simons, J. S., Emery, N. N., Simons, R. M., Wills, T. A., & Webb, M. K. (2016) · Cognition & Emotion · doi:10.1080/02699931.2016.1226162 · Cited by 29
“For example, the tendency to ruminate is related to symptoms of generalized anxiety (Fresco, Frankel, Mennin, Turk, & Heimberg, 2002; McEvoy, Watson, Watkins, & Nathan, 2013), posttraumatic stress (Ehring, Frank, & Ehlers, 2008; Mayou, Ehlers, & Bryant, 2002), and social anxiety (Brozovich &…”
Brown, H. M., Meiser‐Stedman, R., Woods, H., & Lester, K. J. (2014) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465814000472 · Cited by 29
“, 2011), whilst others find similar associations with anxiety and depression (Fresco et al., 2002).”
Miró, M. T., Perestelo‐Pérez, L., Ramos, J. P., Rivero, A., González‐Lorenzo, M., Fuente, J. A. D. L., & Serrano, P. (2011) · Revista de Psicopatología y Psicología Clínica · doi:10.5944/rppc.vol.16.num.1.2011.10347 · Cited by 32
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Chronic worry and the temporal dynamics of emotional processing
Oathes, D. J., Siegle, G. J., & Ray, W. J. (2011) · Emotion · doi:10.1037/a0021781 · Cited by 27
Zvolensky, M. J., Kauffman, B. Y., Bogiaizian, D., Viana, A. G., Bakhshaie, J., & Peraza, N. (2019) · Journal of American College Health · doi:10.1080/07448481.2019.1686004 · Cited by 26
“is distinguishable from other negative affect states and constructs, such as rumination.(22,23) Research largely focused on”
BackgroundPerseverative Thinking in Depression and Anxiety
Sorg, S., Vögele, C., Furka, N., & Meyer, A. H. (2012) · Frontiers in Psychology · doi:10.3389/fpsyg.2012.00020 · Cited by 27
“Far fewer studies have investigated the contribution of both forms of perseverative thinking to both syndromes (NolenHoeksema, 2000; Fresco et al., 2002; Garnefski et al., 2002; Sarin et al., 2005).”
BackgroundRowa, K., Waechter, S., Hood, H. K., & Antony, M. M. (2017) · Psychopathology · doi:10.1002/9781394258949.ch4 · Cited by 33
Malik, A., Goodwin, G. M., Hoppitt, L., & Holmes, E. A. (2014) · Clinical Psychological Science · doi:10.1177/2167702614527433 · Cited by 26
Wisco, B. E., Gilbert, K., & Marroquín, B. M. (2014) · Journal of Experimental Psychopathology · doi:10.5127/jep.038213 · Cited by 26
“Although worry is also characteristic of depression (Fresco et al., 2002; Hughes et al., 2008; Muris et al., 2005; Segerstrom et al., 2000), the past-focused quality of memory may be less likely to activate worry about the future.”
BackgroundAssessing Whether Trust in God Offsets the Effects of Financial Strain on Health and Well-Being
KRAUSE, N. M., & Hayward, R. D. (2014) · International Journal for the Psychology of Religion · doi:10.1080/10508619.2014.952588 · Cited by 25
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Vulnerability to posttraumatic stress disorder
Lommen, M. J. J. (2008) · Utrecht University Repository (Utrecht University) · Cited by 24
Transdiagnostic View on Worrying and Other Negative Mental Content
Ehring, T., & Behar, E. (2020) · Wiley eBooks · doi:10.1002/9781119189909.ch4 · Cited by 23
Simulating thoughts to measure and study internal attention in mental health
Amir, I., Ruimi, L., & Bernstein, A. (2021) · Scientific Reports · doi:10.1038/s41598-021-81756-w · Cited by 22
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Measurement Invariance of the Ruminative Responses Scale Across Gender
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Self-citationMindfulness-Based Interventions for Adolescent Social Anxiety: A Unique Convergence of Factors
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What predicts the trajectory of rumination?: A prospective evaluation
Grant, D. M., & Beck, J. G. (2010) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2010.03.004 · Cited by 24
Kocsel, N., Köteles, F. G., Szemenyei, E., Szabó, E., Galambos, A., & Kökönyei, G. (2019) · Biological Psychology · doi:10.1016/j.biopsycho.2019.04.004 · Cited by 22
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Relationship between trait repetitive negative thinking styles and symptoms of psychopathology
Mills, A. C., Grant, D. M., Lechner, W. V., & Judah, M. R. (2014) · Personality and Individual Differences · doi:10.1016/j.paid.2014.07.022 · Cited by 21
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“However, recent studies have increasingly noted that worry is equally related to both anxiety and depression [17,18,46], and our results are in line with such findings.”
BackgroundResultVisual and Verbal Depressive Cognition: Implications for the Rumination–Depression Relationship
Lawrence, H. R., Haigh, E. A. P., Siegle, G. J., & Schwartz‐Mette, R. A. (2018) · Cognitive Therapy and Research · doi:10.1007/s10608-018-9890-0 · Cited by 21
“To date, researchers have nearly exclusively conceptualized rumination as a verbal process (Fresco et al. 2002), with individuals dwelling on negative affect in the form of verbal depressive cognitions.”
BackgroundUmegaki, Y., Nakagawa, A., Watkins, E. R., & Mullan, E. (2021) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2021.01.003 · Cited by 20
McNeill, I. M., & Dunlop, P. D. (2015) · Psychological Assessment · doi:10.1037/pas0000266 · Cited by 20
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Repetitive Negative Thought and Executive Dysfunction: An Interactive Pathway to Emotional Distress
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SAS4: Validation of a Four-Item Measure of Worry and Rumination
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“This does not support the CBPM, based on Grabovac et al. (2011), or the empirical study of Coffey et al. (2010), which found that acceptance of emotional experiences, was related to improved depression and wellbeing.”
ResultInfluentialParsons, E. M., Dreyer-Oren, S. E., Magee, J. C., & Clerkin, E. M. (2019) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0000000000000993 · Cited by 19
“Finally, rumination is thought to increase anxious arousal (Fresco et al., 2002), with evidence supporting such a link in school-aged children (Lopez et al., 2012), adolescents (Stone et al., 2016), and adults (Fernández-Mendoza et al., 2010).”
BackgroundCavalcanti, L. G., Steindl, S. R., Matos, M., & Boschen, M. J. (2021) · Current Psychology · doi:10.1007/s12144-021-01510-3 · Cited by 22
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Ruminative Variability Predicts Increases in Depression and Social Anxiety
Bean, C. A. L., & Ciesla, J. A. (2023) · Cognitive Therapy and Research · doi:10.1007/s10608-023-10451-z · Cited by 20
“Cross-sectionally, rumination is associated with symptoms of both depression and anxiety (Fresco et al., 2002).”
Dickson, K. S., & Ciesla, J. A. (2018) · International Journal of Cognitive Therapy · doi:10.1007/s41811-018-0029-6 · Cited by 21
“…whereas rumination and worry are related to both symptoms of anxiety and depression, worry has been found to be more broadly predictive of affective symptoms among adults, more so than rumination (Hong 2007;Muris et al. 2004; Segerstrom et al. 2000; though see Fresco et al. 2002 for an exception).”
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Repeated Activation of a CS-US-Contingency Memory Results in Sustained Conditioned Responding
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Self-citationRumination, Suicidal Ideation, and the Mediating Effect of Self-Defeating Humor
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Worry and rumination have distinct associations with nighttime versus daytime sleep symptomology
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The Clinically Modified Buddhist Psychological Model for Social Work Practice and Self-care
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“The two most common forms of RNT are rumination and worry (Fresco et al., 2002).”
BackgroundCross-lagged analysis of rumination and social anxiety among Chinese college students
Wu, P., Cao, K., Feng, W., & Lv, S. (2024) · BMC Psychology · doi:10.1186/s40359-023-01515-6 · Cited by 18
“The academic community has demonstrated the close relationship between rumination and social anxiety [22, 25, 26].”
BackgroundScience Perspectives on Psychological
Nolen–Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2014) · Cited by 17
Distinguishing worry from rumination in older people: A preliminary investigation
Rewston, C., Clarke, C., Moniz-Cook, E. D., & Waddington, R. (2007) · Aging & Mental Health · doi:10.1080/13607860701529619 · Cited by 17
“Whilst worry and rumination have shared features (e.g. Fresco et al., 2002), previous research has not explored relationships between worry and different components of rumination such as brooding and reflection.”
BackgroundMethodInfluentialFridh, M., Lindström, M., & Rosvall, M. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-29 · Cited by 17
“There might be some connection between the concurrent high prevalence of worrying about violence and the high prevalence of poor psychological health among young women in Sweden, as worrying is negatively related to psychological health [43].”
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Adaptive modes of rumination: the role of subjective anger
Pfeiler, T. M., Wenzel, M., Weber, H., & Kubiak, T. (2015) · Cognition & Emotion · doi:10.1080/02699931.2015.1117961 · Cited by 16
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“Further, rumination is more related with depressive states whilst worry is more associated with anxiety states [13].”
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Gender Differences in Post-traumatic Stress Disorder
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“However, although most previous studies have focused on the relationship between rumination and depression, some researchers also found the link between rumination and anxiety (Fresco et al., 2002; Harwell et al., 2011; Smith & Alloy, 2009).”
BackgroundFunk, J., Takano, K., Schumm, H., & Ehring, T. W. (2022) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2022.101781 · Cited by 14
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The dual roles of trait rumination in problem solving
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Worry and Generalized Anxiety Disorder: A Review
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“Factor analytic evidence indicated that worry and rumination formulated different symptom constructs not only at a trait level but also at a state level (Aldao et al., 2013; Fresco et al., 2002; Goring and Papageorgiou, 2008; Muris et al., 2004).”
BackgroundZawadzki, M. J., Sliwinski, M. J., & Smyth, J. M. (2018) · Annals of Behavioral Medicine · doi:10.1093/abm/kay009 · Cited by 14
“For example, although both rumination and worry predict depressed and anxious symptoms [56, 57], some work suggests that rumination is more closely tied to depression [39], whereas worry is to anxiety [21, 40].”
BackgroundMediational role of rumination and reflection on irrational beliefs and distress
Artiran, M. K., Şimşek, Ö. F., & Turner, M. J. (2019) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465819000031 · Cited by 14
“In other research a paradoxical positive relationship with depression and suicidal ideation has emerged (Fresco et al., 2002; Rude et al., 2007; Surrence et al., 2009; Treynor et al., 2003; Verhaeghen et al., 2005).”
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Hummel, K. V., Trautmann, S., Venz, J., Thomas, S., & Schäfer, J. (2021) · BMC Psychology · doi:10.1186/s40359-021-00696-2 · Cited by 12
“This view is empirically supported by factor analytic studies pointing towards great overlap of disorder-specific RNT variants [26, 27] and even a resulting one factor solution when disorder-specific content in items is removed [28].”
ResultBaik, S. Y., & Newman, M. G. (2025) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2025.102982 · Cited by 14
Seeley, S. H., Mennin, D. S., Aldao, A., McLaughlin, K. A., Rottenberg, J. A., & Fresco, D. M. (2015) · Cognitive Therapy and Research · doi:10.1007/s10608-015-9744-y · Cited by 14
“Much distress in UDD as well as in GAD stems from internally-mediated attempts to manage emotions (e.g., Borkovec et al. 2004; Fresco et al. 2002; Kertz et al. 2012; Mennin and Fresco 2013; Nolen-Hoeksema et al. 2008).”
BackgroundSelf-citationMikkelsen, M. B., Elkjær, E., Mennin, D. S., Fresco, D. M., Zachariae, R. H., Applebaum, A. J., & O’Toole, M. S. (2021) · Anxiety Stress & Coping · doi:10.1080/10615806.2021.1929934 · Cited by 13
“While perseverative negative thinking may provide perceived control over intense, negative emotions in the short term, it can lead to increased distress long-term because the information provided by the avoided emotions is not accessed and acted upon (Fresco et al., 2002).”
BackgroundSelf-citationNikčević, A. V., Caselli, G., Green, D., & Spada, M. M. (2014) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-014-0192-5 · Cited by 13
“However, research has illustrated that both rumination and worry correlate significantly with depression (Calmes and Roberts 2007; Fresco et al. 2002; Hong 2007), leading some researchers to propose that the constructs share fundamental processes of dysfunctional and rigid ‘‘repetitive thought’’, defined as ‘‘thinking…”
BackgroundRojas‐Méndez, J. I. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.737917 · Cited by 12
Cognitive processes in hoarding: The role of rumination
Portero, A. K., Durmaz, D. A., Raines, A. M., Short, N. A., & Schmidt, N. B. (2015) · Personality and Individual Differences · doi:10.1016/j.paid.2015.06.024 · Cited by 12
Cognitive Vulnerability to Emotional Symptoms: Reconsidering the Role of Worry and Rumination
Merino, H., Ferreiro, F., & Senra, C. (2013) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-013-9374-1 · Cited by 2
Chan, J. C. S., Davey, G. C. L., & Brewin, C. R. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.02.007 · Cited by 12
Children's Response Styles and Risk for Depression and Anxiety: Developmental and Sex Differences
Driscoll, K. A. (2005) · Cited by 12
The Pain Distress Inventory: Development and initial psychometric properties
Osman, A., Barrios, F. X., Gutierrez, P. M., Kopper, B. A., Butler, A., & Bagge, C. L. (2003) · Journal of Clinical Psychology · doi:10.1002/jclp.10173 · Cited by 13
Escuela de posgrados, F. D. P., LANCHEROS, J. E. T., Vargas-Nieto, J. C., Escuela de posgrados, F. D. P., Ibarra, S. A., & Escuela de posgrados, F. D. P. (2023) · Journal of Evidence-Based Psychotherapies · doi:10.24193/jebp.2023.2.8 · Cited by 14
Repetitive Negative Thinking in Social Anxiety Disorder 1: Anticipatory Processing
Sluis, R. A., Boschen, M. J., Neumann, D. L., & Murphy, K. A. (2017) · Psychopathology Review · doi:10.5127/pr.045516 · Cited by 13
The autonomic correlates of dysphoric rumination and post-rumination savoring
Stone, L. B., Lewis, G., & Bylsma, L. M. (2020) · Physiology and Behavior · doi:10.1016/j.physbeh.2020.113027 · Cited by 11
Metadata
- Authors
- Fresco, D. M., Frankel, A. N., Mennin, D. S., Turk, C. L., & Heimberg, R. G.
- Affiliations
- Adult Anxiety Clinic of Temple (US)
- Corresponding author
- Heimberg, Richard G.
- Venue
- Cognitive Therapy and Research
- Published
- 2002-04
- Volume
- 26
- Issue
- 2
- Pages
- 179-188
- ISSN
- 0147-5916 (ISSN-L)
- 1573-2819
- OpenAlex
- W1503044810
- Cited by
- 456
- References
- 23
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 21 · 2023: 22 · 2022: 15 · 2021: 30 · 2020: 17 · 2019: 21 · 2018: 25 · 2017: 15 · 2016: 19 · 2015: 28 · 2014: 31 · 2013: 26 · 2012: 21
- FWCI
- 11.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Cognitive Therapy and Research (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Mind wandering and attention
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- rumination, worry, anxiety, depression, negative emotions, cognitive processes, factor structure, comorbid depression and anxiety, university students
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