The structure and health correlates of trait repetitive thought in older adults
Open accessAbstract
Repetitive thought (RT) involves frequent or prolonged thoughts about oneself and one's world, encompassing discrete forms such as trait worry, rumination, processing, and reminiscing. These forms of RT can be described using 3 basic, underlying qualities: total propensity for RT of all types, valence (positive vs. negative content), and purpose (searching or uncertainty vs. solving or certainty). The adaptiveness of discrete forms with regard to health is likely to be related to these qualities, particularly valence and total propensity. The present study confirmed the model and identified the relationship of these qualities of RT to subjective psychological, physical, and cognitive health in older adults aged 60-94 (N = 179). As predicted, more negatively valenced trait RT was associated with worse psychological, physical, and cognitive health. More total propensity for RT was associated only with worse psychological health. Searching purpose was associated only with worse cognitive health. In turn, negatively valenced RT was predicted by poorer executive functions, suggesting that such functions may be important for directing this quality of RT. The valence of older adults' RT is important insofar as it may contribute to their sense of good or ill health. However, the propensity for all kinds of RT to associate with poorer psychological health may reflect the co-occurrence of negative and positive RT, such as rumination and emotional processing. Although RT has not been extensively investigated in older adults, it appears to play an important role in their subjective health.
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The RRQ has demonstrated excellent internal consistency and construct validity for assessing repetitive self-focused thought.
“The RRQ has been used in both nonclinical and caregiving contexts (Segerstrom et al., 2010; Waldman-Levi et al., 2020), demonstrating excellent internal consistency and construct validity for assessing repetitive self-focused thought.”
From Mindfulness and rumination: stress pathways for caregivers of persons living with dementia. (2026) · cites this paper as Segerstrom et al., 2010
The Method (Measures; page not available) uses the RRQ’s rumination and reflection subscales to assess repetitive thought about the self, and describes participants from caregiver and community studies. The cited paper does not report excellent internal consistency or establish construct validity for the RRQ specifically; the reliability figures shown in the supplied passages concern a different coding system. (LLM, conf=0.84)
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- Evans DR Segerstrom SC Mindfulness, repetitive thought, and self-regulation 2009 Manuscript under review
- Segerstrom SC Kemeny ME Plotnikoff N Faith RE Murgo AJ Worried to death? Stress, worry, and immune dysregulation in health and HIV Cytokines, Stress, and Immunity 2006 17 28 CRC Press Boca Raton, FL 2nd Ed
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BackgroundResultInfluentialKroemeke, A. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.00059 · Cited by 12 · see citing works
“, 2005), is associated with a decrease in the quality of life for older adults and a worsening of their psychological, physical, and cognitive health (Thomsen et al., 2004; Segerstrom et al., 2010; Gan et al., 2015).”
BackgroundTighe, C. A., Dautovich, N. D., Hilgeman, M. M., & Allen, R. S. (2021) · Clinical Gerontologist · doi:10.1080/07317115.2021.1878404 · Cited by 11 · see citing works
Rumination in dementia and its relationship with depression, anxiety, and attentional biases
Greenaway, A.-M., Hwang, F., Nasuto, S. J., & Ho, A. K. (2024) · Aging Neuropsychology and Cognition · doi:10.1080/13825585.2024.2327679 · Cited by 8 · see citing works
“…can vary by valence (positivity/negativity), its volitional basis (intrusive vs. directed), focus and purpose amongst many other qualities which correlate with different physical and psychological outcomes (Ehring & Watkins, 2008; Segerstrom et al., 2010; Smith & Alloy, 2009; E. R. Watkins, 2008).”
Segerstrom, S. C. (2019) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000701 · Cited by 9 · see citing works
Exposure and Reactivity to Repetitive Thought in the Neuroticism–Distress Relationship
Segerstrom, S. C., Gloger, E. M., Hardy, J. K., & Crofford, L. J. (2020) · Cognitive Therapy and Research · doi:10.1007/s10608-020-10078-4 · Cited by 8 · see citing works
“With regard to distress, the valence dimension appears to have the greatest influence, with more negative RT correlating with higher distress (Segerstrom 2003, 2010, 2012, 2016; Watkins, 2008).”
BackgroundGumus, I. G. (2020) · Dusunen Adam The Journal of Psychiatry and Neurological Sciences · doi:10.14744/dajpns.2019.00033 · Cited by 8 · see citing works
“It has been indicated that growing negative thought content increases psychological symptoms while positive thought content contributes to psychological and physical health (24).”
BackgroundResultIntelligence and Interleukin-6 in Older Adults: The Role of Repetitive Thought
Segerstrom, S. C., Reed, R. G., & Scott, A. B. (2017) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000479 · Cited by 8 · see citing works
“An exploratory model added depressive symptoms from the Geriatric Depression Scale (GDS (29)) due to known relationships between RT and depressive symptoms (13) and between depressive symptoms and inflammation (30–32).”
BackgroundMethodInfluentialMa, X., Xiao, Z., Chen, W., & Zhao, S. (2025) · BMC Public Health · doi:10.1186/s12889-024-21205-1 · Cited by 7 · see citing works
“…not only corroborates the detrimental impact of ES as an emotion regulation strategy in negative events [29, 40] but also supports the established understanding of rumination and its link to negative affect [52], while deepening our comprehension of NA’s role in individual adaptive coping.”
Religious Doubt, Depressive Symptoms, and Rumination at an Advanced Age
Thauvoye, E., Nijsten, E., & Dezutter, J. (2018) · Archive for the Psychology of Religion · doi:10.1163/15736121-12341355 · Cited by 6 · see citing works
“Furthermore, the study investigated whether rumination mediates the relationship between the two variables, as it negatively affects self-rated health and increases the risk for depression (Garnefski et al., 2002; Segerstrom et al., 2010).”
BackgroundZawadzki, M. J., Boals, A., Mathews, N., Schuler, K. L., Southard-Dobbs, S., & Smyth, J. M. (2018) · Cogent Psychology · doi:10.1080/23311908.2018.1475878 · Cited by 7 · see citing works
Eisenlohr-Moul, T. A., Barone, J., Pinna, G., Wagner-Schuman, M. L., Almeida, F. B., Santovito, L. S., Nagpal, A., Walsh, E. C., Divine, M., Ross, J. M., et al. (2023) · doi:10.31219/osf.io/m9sx2 · Cited by 5 · see citing works
Liu, J., Chen, T., Cui, J., Lai, W., Zhang, Q., Ye, J., Yang, T., Wang, Y., & Chan, R. C. K. (2024) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2024.104083 · Cited by 3 · see citing works
Self-Regulation: An Individual Difference PerspectivePreprint
Hoyle, R. H., & Moshontz, H. (2018) · doi:10.31234/osf.io/g25hx · Cited by 3 · see citing works
Beliefs, traits, and motivations underlying rumination
Borders, A. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-812545-8.00008-5 · Cited by 2 · see citing works
Repetitive thought, cognition, and systemic inflammation in the midlife in the United States study
Gloger, E. M., & Segerstrom, S. C. (2022) · Psychology and Health · doi:10.1080/08870446.2022.2092104 · Cited by 1 · see citing works
“More fluid EF has been previously related to the valence, rather than the amount, of RT (Blair & Spreen, 1989; Segerstrom et al., 2010).”
BackgroundMethodResultInfluentialSELF-REGULATION IN OLDER ADULTS: THE PRIORITIZATION OF EMOTION REGULATION
Evans, D. R. (2014) · Cited by 1 · see citing works
Tang, S. (2021) · Springer eBooks · doi:10.1007/978-3-030-22009-9_1027 · Cited by 1 · see citing works
Mindfulness and rumination: stress pathways for caregivers of persons living with dementia.
Savla, J., Mansoor, M., Kim, N., Hagemann, L., Luci, K., & Sapra, M. (2026) · The Gerontologist · doi:10.1093/geront/gnag103
“The RRQ has been used in both nonclinical and caregiving contexts (Segerstrom et al., 2010; Waldman-Levi et al., 2020), demonstrating excellent internal consistency and construct validity for assessing repetitive self-focused thought.”
Immune-spectrum disease among female veterans
Mullen-Houser, E. (2013) · doi:10.17077/etd.9wam6b4r
Self-Assessed Health in the Context of Daily Life
Graf, A. S. (2015) · doi:10.33915/etd.5701
“SAH in Daily Life 194 Episodic Rumination & Savoring (adapted from Segerstrom et al., 2010) Has there been any pleasant event(s) that has remained on your mind since the last time you responded?”
BackgroundDeep Brain Stimulation for Parkinson's Disease
Combs, H. L. (2016) · UKnowledge (University of Kentucky) · doi:10.13023/etd.2016.400
An Examination of the Role of Reflection in Depression
Heath, J. H. (2012) · OhioLink ETD Center (Ohio Library and Information Network)
Maintenance of Positive Affect Following Pain in Younger and Older Adults
Boggero, I. A. (2017) · UKnowledge (University of Kentucky) · doi:10.13023/etd.2017.196
Cognition, Repetitive Thought, and Systemic Inflammation in the Midlife in the United States Study
Gloger, E. M. (2019) · UKnowledge (University of Kentucky) · doi:10.13023/etd.2019.180
“suggests that fluid intelligence is closely related to EF and that poorer EF may be related to any individual’s propensity to engage in more negative RT (Blair & Spreen, 1989; Segerstrom et al., 2010).”
BackgroundRumination and physical functioning
Borders, A. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-812545-8.00005-x
Tang, S. (2020) · Springer eBooks · doi:10.1007/978-3-319-69892-2_1027-1
Rangarajan, A., Karim, H. T., Tudorascu, D., Walker, S. E., Aizensteina, H., & Andreescu, C. (2019) · doi:10.31234/osf.io/6c8gz
Nes, L. S. (2020) · Springer eBooks · doi:10.1007/978-3-319-24612-3_341
Nes, L. S. (2016) · Springer eBooks · doi:10.1007/978-3-319-28099-8_341-1
Martino, M. U. D. (2025) · L Endocrinologo · doi:10.1007/s40619-025-01592-2
“…a pensieri e ricordi negativi, rafforzando così le emozioni negative ad essi collegate e inducendo un grave scadimen-to del tono dell’umore, fino a uno stato di depressione e di stress cronico di tipo melanconico, strettamente correlati con l’insorgenza di malattie cronico-degenerative [4, 5].”
Ruminative Thought Content Changes by Year: A Computational Linguistic Analysis
Strege, M. V., Krawczak, R. A., Kim, Y., Semerod, J., Brush, L., & Siegle, G. J. (2025) · Cognitive Therapy and Research · doi:10.1007/s10608-025-10666-2
Age differences in neural discriminability of rumination and worry
Misaki, M., Tsuchiyagaito, A., Guinjoan, S. M., & Paulus, M. P. (2026) · Communications Biology · doi:10.1038/s42003-025-09498-3 · Cited by 4 · see citing works
Repetitive Thought, Cognition, and Systemic Inflammation in the Midlife in the United States StudyPreprint
Segerstrom, S. C., & Gloger, E. M. (2025) · OSF Preprints (OSF Preprints)
Rumination and depressive symptoms among aging Veterans: The moderating role of social support
Morsello, J., Marini, C., & Fiori, K. L. (2026) · Journal of Military Veteran and Family Health · doi:10.3138/jmvfh-2025-0047
Rumination: relationships with physical health.
(2012) · Europe PMC (PubMed Central) · Cited by 73 · see citing works
- Authors
- Segerstrom, S. C., Roach, A. R., Evans, D. R., Schipper, L. J., & Darville, A. K.
- Affiliations
- University of Kentucky (US)
- Venue
- Psychology and Aging
- Published
- 2010-09
- Volume
- 25
- Issue
- 3
- Pages
- 505-515
- ISSN
- 0882-7974 (ISSN-L)
- 1939-1498
- PMC
- PMC2944001
- OpenAlex
- W1972771461
- Cited by
- 68
- References
- 63
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 3 · 2023: 2 · 2022: 1 · 2021: 5 · 2020: 10 · 2019: 5 · 2018: 5 · 2017: 6 · 2016: 6 · 2015: 8 · 2014: 2 · 2013: 1 · 2012: 4
- FWCI
- 3.33
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychology and Aging (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Dana Foundation
- National Institute on Aging (R01-AG026307; P50-AG05144)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Mind wandering and attention
- Keywords
- repetitive thinking, older adults, trait worry, rumination, reminiscence, emotional processing, valence, mental health, physical health, cognitive health, executive function, subjective well-being
- MeSH terms
- Affect, Aged, Aged, 80 and over, Aging, Analysis of Variance, Anxiety, Female, Health Status, Humans, Longitudinal Studies, Male, Middle Aged, Models, Theoretical, Neuropsychological Tests, Self Concept, Thinking, Reproducibility of Results, Executive Function
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