Rumination as a transdiagnostic factor underlying transitions between internalizing symptoms and aggressive behavior in early adolescents.
Open accessAbstract
The high degree of comorbidity among mental disorders has generated interest in identifying transdiagnostic processes associated with multiple types of psychopathology. Susan Nolen-Hoeksema conceptualized rumination as one such transdiagnostic process associated with depression, anxiety, substance abuse, binge eating, and self-injurious behavior. The degree to which rumination accounts for the co-occurrence of internalizing and externalizing psychopathology, however, has never been tested. We used a sample of early adolescents (N = 1,065) assessed at 3 time points spanning 7 months to examine (a) the reciprocal prospective associations between rumination and aggressive behavior in adolescents, (b) whether rumination explained the longitudinal associations of aggressive behavior with depression and anxiety symptoms, and (c) gender differences in these associations. Rumination predicted increases over time in aggressive behavior, and aggression was associated with increases in rumination over time only for boys. Rumination fully mediated the longitudinal association of aggression with subsequent anxiety symptoms and of both depression and anxiety symptoms with subsequent aggression in boys but not girls. Rumination did not explain the association between aggression and subsequent depressive symptoms for either boys or girls. These findings provide novel evidence for the role of rumination as a transdiagnostic factor underlying transitions between internalizing and externalizing symptoms among males during early adolescence. Interventions aimed at reducing rumination may have beneficial influences on multiple forms of psychopathology and on the development of comorbidity. (PsycINFO Database Record (c) 2014 APA, all rights reserved).
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At-risk environments can be conducive to maltreated children adopting ruminative coping strategies and/or the modeling of ineffective emotional responses by caregivers, leading to depression, externalizing behaviors, substance use, eating disorders, conduct problems, and anxiety disorders.
“Moreover, at-risk environments can be conducive to maltreated children adopting ruminative coping strategies and/or the modeling of ineffective emotional responses by caregivers (e.g., impulsiveness), leading to depression, externalizing behaviors, substance use, eating disorders, conduct problems, and anxiety disorders (e.g., McLaughlin et al. 2014).”
From Child Sexual Abuse as a Unique Risk Factor for the Development of Psychopathology: The Compounded Convergence of Mechanisms (2021) · cites this paper as McLaughlin et al. 2014
The paper’s introductory passages report that stressful events and social rejection predict increased rumination in adolescents, and that rumination is associated with depression, anxiety, eating-disorder symptoms, substance abuse, and aggressive behavior (page numbers unavailable). They do not establish the claim’s specific pathway from maltreatment or caregiver modeling to those outcomes. The Discussion also notes that this study used a normative sample and did not test rumination in response to specific stressful events. (LLM, conf=0.87)
Experimental — accuracy not yet measuredThe relationship between anxiety and depressive disorders is based on the common presence of internalizing factors such as neuroticism and rumination.
“Studies indicated that the relationship between the two disorders is based on the common presence of internalizing factors (i.e. neuroticism, rumination).47,62”
From Factors associated with gender and sex differences in anxiety prevalence and comorbidity: A systematic review (2022) · cites this paper as [47]
The Abstract (page unavailable) describes rumination as a transdiagnostic process associated with both depression and anxiety, supporting that part of the claim. Our copy does not identify neuroticism as a common factor explaining their relationship; it appears only in a reference title. The study also assessed symptoms in adolescents, not diagnosed anxiety and depressive disorders. (LLM, conf=0.87)
Experimental — accuracy not yet measuredThe most common comorbid anxiety disorders and/or symptoms in men are substance abuse, ADHD, and intermittent explosive disorder.
“the most common comorbid anxiety disorders and/or symptoms in men are substance abuse, attention deficit hyperactivity disorder (ADHD), and intermittent explosive disorder.35,43,47”
From Factors associated with gender and sex differences in anxiety prevalence and comorbidity: A systematic review (2022) · cites this paper as [47]
The Discussion reports an association between anxiety symptoms and aggressive behavior in adolescent boys, but does not identify the most common conditions co-occurring with anxiety in men. Searches for ADHD, intermittent explosive disorder, and the claimed list of comorbid conditions found no passage addressing that ranking. (LLM, conf=0.75)
Experimental — accuracy not yet measured
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- Authors
- McLaughlin, K. A., Aldao, A., Wisco, B. E., & Hilt, L. M.
- Affiliations
- University of Washington (US)
- The Ohio State University (US)
- University of North Carolina at Greensboro (US)
- Lawrence University (US)
- Venue
- Journal of Abnormal Psychology
- Published
- 2014-02
- Volume
- 123
- Issue
- 1
- Pages
- 13-23
- ISSN
- 0021-843X (ISSN-L)
- 1939-1846
- PMC
- PMC4222508
- OpenAlex
- W2042306906
- Cited by
- 136
- References
- 86
- Citations by year
- 2026: 6 · 2025: 16 · 2024: 14 · 2023: 8 · 2022: 15 · 2021: 16 · 2020: 18 · 2019: 7 · 2018: 10 · 2017: 10 · 2016: 5 · 2015: 10 · 2014: 1
- FWCI
- 12.06
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Abnormal Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (K01-MH092526, T32MH019836-15A2)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- rumination, transdiagnostic mechanisms, aggression, internalizing problems, depression, anxiety, early adolescence, gender differences, comorbidities, bidirectional relationship, mediation
- MeSH terms
- Adolescent, Adolescent Behavior, Aggression, Anxiety, Attention, Child, Depression, Female, Humans, Male, Thinking
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