The dangers of dwelling: An examination of the relationship between rumination and consumptive coping in survivors of childhood sexual abuse
Abstract
Childhood sexual abuse (CSA) is a non-specific risk factor for various maladaptive consummatory behaviours, such as binge eating and substance use. However, the mechanism by which CSA confers vulnerability to such behaviours remains unclear. CSA may lead to distress and then rumination, which in turn increases risk for engaging in consumption to cope. To test this theory, 603 community participants completed interview and self-report measures of sexual abuse, distress, rumination, and consumptive coping at three time points, one year apart. CSA survivors reported greater levels of distress, rumination and consumption (e.g., of food, alcohol, caffeine, nicotine, prescription and recreational drugs) to cope with distress than non-CSA survivors. In addition, results from structural equation modelling indicated that distress and rumination partially mediated the relationship between CSA and consumptive coping. These results suggest that CSA survivors may engage in maladaptive consummatory behaviours to manage distress and the psychological effects of rumination.
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Adolescents and adults with childhood abuse histories are more likely to ruminate.
“Research indicating that adolescents and adults abused as children are more likely to engage in rumination lends credence to this idea (Conway et al. 2004; Sarin and Nolen-Hoeksema 2010; Watkins 2009).”
From Childhood maltreatment exposure and disruptions in emotion regulation: A transdiagnostic pathway to adolescent internalizing and externalizing psychopathology (2016) · cites this paper as Sarin and Nolen-Hoeksema 2010
Maltreated adolescents engaged in higher levels of rumination.
“Our finding that maltreated adolescents engaged in higher levels of rumination is consistent with prior evidence suggesting that child abuse influences reliance on passive cognitive response styles rather than a more active problem-solving response style focused on remedying the cause of distress”
From Childhood maltreatment exposure and disruptions in emotion regulation: A transdiagnostic pathway to adolescent internalizing and externalizing psychopathology (2016) · cites this paper as Sarin and Nolen-Hoeksema 2010
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“…observed in adolescents and adults who were abused as children (Conway, Mendelson, Giannopoulos, Csank, & Holm, 2005; Heleniak et al., in press; Sarin & Nolen-Hoeksema, 2010), adolescents who experienced victimization by peers (McLaughlin, Hatzenbuehler, & Hilt, 2009), and both adolescents and…”
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- Authors
- Sarin, S., & Nolen-Hoeksema, S.
- Affiliations
- Yale University (US)
- Corresponding author
- Sarin, Sabina
- Venue
- Cognition & Emotion
- Publisher
- Informa UK Limited
- Published
- 2010-01
- Volume
- 24
- Issue
- 1
- Pages
- 71-85
- ISSN
- 0269-9931 (ISSN-L)
- 1464-0600
- OpenAlex
- W2004163933
- Cited by
- 70
- References
- 63
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 6 · 2023: 6 · 2021: 5 · 2020: 5 · 2019: 4 · 2018: 2 · 2017: 2 · 2016: 6 · 2015: 6 · 2014: 5 · 2013: 3 · 2012: 3
- FWCI
- 2.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cognition & Emotion (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- child sexual abuse, rumination, binge eating, substance use, distress, maladaptive coping, mediation, abuse survivors
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