2009
DOI: 10.1016/j.brat.2008.12.005
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Rumination, distraction, and mindful self-focus in depressed patients

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Cited by 137 publications
(106 citation statements)
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“…There is evidence for all three routes in the development of depression. Firstly, altered HPA-axis activity and altered cortisol response has been found to be associated with increased risk for developing depression (Burke et al 2005;Cowen 2010;Harkness et al 2011;Luby et al 2004) and altering cognitive processes (El Hage et al 2009;Erickson et al 2003;Huffziger and Kuehner 2009). Furthermore, an interaction between a serotonin transporter promoter polymorphism (5-HTTLPR) and stress in the development of depression has been repeatedly reported with a recent meta-analysis of 54 studies showing strong evidence that 5-HTTLPR moderates the relationship between stress and depression, with the 5-HTTLPR s allele associated with an increased risk of developing depression under stress (P = .00002) (Karg et al 2011).…”
Section: Discussionmentioning
confidence: 99%
“…There is evidence for all three routes in the development of depression. Firstly, altered HPA-axis activity and altered cortisol response has been found to be associated with increased risk for developing depression (Burke et al 2005;Cowen 2010;Harkness et al 2011;Luby et al 2004) and altering cognitive processes (El Hage et al 2009;Erickson et al 2003;Huffziger and Kuehner 2009). Furthermore, an interaction between a serotonin transporter promoter polymorphism (5-HTTLPR) and stress in the development of depression has been repeatedly reported with a recent meta-analysis of 54 studies showing strong evidence that 5-HTTLPR moderates the relationship between stress and depression, with the 5-HTTLPR s allele associated with an increased risk of developing depression under stress (P = .00002) (Karg et al 2011).…”
Section: Discussionmentioning
confidence: 99%
“…The concept of mindful "decentering" describes the degree to which the meditator is able to differentiate the contents of awareness, including negatively valenced thoughts, from awareness itself (i.e., "bare awareness"), not unlike the distinction between figure and ground, respectively, as studied in perceptual psychology (e.g., Lambie and Marcel 2002). In a state of mindful decentering, participants tend to be less subjectively distressed by negative stimuli or experimental mood inductions, especially those prone to anxiety and/or depression (e.g., Craske 2006, 2010;Broderick 2005;Erisman and Roemer 2010;Huffziger and Kuehner 2009;Singer and Dobson 2007;Vujanovic et al 2007). The subjective state of mindful decentering has been measured immediately post-meditation practice in a number of recent studies via the Toronto Mindfulness Scale (TMS; e.g., "I experienced myself as separate from my changing thoughts and feelings," "I was aware of my thoughts and feelings without over-identifying with them"; Lau et al 2006); this approach thus emphasizes measurement of the subjective, experiential aspects of response to meditation.…”
Section: Introductionmentioning
confidence: 98%
“…Instructions to practice mindfulness of thoughts and feelings following negative mood induction have been found to be more effective than rumination, suppression, or no instruction in alleviating subjective distress in healthy university students (Broderick, 2005), previously depressed individuals (Singer & Dobson, 2007), and currently depressed individuals (Huffziger & Kuehner, 2009). Brief mindfulness training has also been shown to be more effective than worry or control inductions (Arch & Craske, 2006; Erisman & Roemer, 2010) in down-regulating negative affect.…”
mentioning
confidence: 99%