Rumination mediates the relationship between personality organization and symptoms of borderline personality disorder and depression

Kovács, Lilla Nóra; Schmelowszky, Ágoston; Galambos, Attila; Kökönyei, Gyöngyi

doi:10.1016/j.paid.2020.110339

Cited by 15 publications

(16 citation statements)

References 65 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This is mostly in line with previous empirical studies showing a link between lower PO or more severe personality pathology ( i.e. , suggestive of BPO) and various forms of mental health issues, such as dysphoria, depression, neuroticism, maladaptive rumination, insecure attachment, health anxiety, and even suicidal tendencies (Berghuis et al, 2009; Igarashi et al, 2009; Kovács et al, 2021; Skjernov et al, 2020).…”

Section: Discussionsupporting

confidence: 91%

“…This corresponds to Kernberg's theoretical model (1984), where PD and ID are strongly intertwined psychological constructs and both represent the BPO spectrum, whereas RT is indicative of the psychotic level of functioning. The following items belong to the PD and ID subscales, respectively: “I think people are basically either good or bad; there are few who are really in between” and “My goals keep changing.” Because we wanted to examine personality structure impairments associated with PD symptoms and we did not include patients with psychotic disorders in our study, only the PD and ID subscales were used in our model, combined as a single variable, as has been done previously (Kovács et al, 2021). Both subscales have shown adequate psychometric properties in a number of international studies ( e.g.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Personality Organization and Depressive Symptoms Among Psychiatric Outpatients

et al. 2022

View full text Add to dashboard Cite

Previous research has demonstrated relations between lower level of personality organization (PO) and multiple indices of mental health disturbances. The goal of this research was to examine whether experience of shame would mediate the relationship between PO and depressive symptoms in a sample of 321 Croatian psychiatric outpatients (64% female; mean age, 38.67 years). The total PO level exhibited positive associations with depressive symptoms and with all three subscales of shame (p < 0.01). Characterological, behavioral, and bodily shame showed significant mediating effects in the PO-depression relationship, while controlling for the influence of age and sex. PO level seems to be strongly related to depressive disturbances, with the experience of shame representing one of the underlying mechanisms of this relationship. Given that patients with personality disorders (i.e., low PO level) suffer from poorer treatment outcomes for major mental disorders, more emphasis should be placed on psychotherapeutic management of shame-proneness.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Methodsmentioning

confidence: 99%

Personality Organization and Depressive Symptoms Among Psychiatric Outpatients

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Depressive rumination can be categorized as brooding and reflection, where brooding is considered a maladaptive, self-criticizing aspect of recurrent thinking about emotionally relevant life events, while reflection is a more constructive thinking style that may foster problem solving [17]. Brooding has been repeatedly associated with depressive symptoms [18,19], anxiety [20] and prolonged stress reaction [16]. Additionally, the current situation can be considered a serious stressor that may evoke ruminative thoughts regarding the pandemic and its possible consequences such as people's health, occupation, personal relationships etc.…”

Section: Introductionmentioning

confidence: 99%

Perceived stress in the time of COVID-19: the association with brooding and COVID-related rumination in adults with and without migraine

et al. 2021

Self Cite

View full text Add to dashboard Cite

Background The main goal of this research was to explore whether migraineurs had a higher level of perceived stress than healthy controls during the times of the coronavirus and related restrictive measures, and to examine the relationship between different subtypes of rumination and perceived stress in these groups. We measured two facets of depressive rumination, brooding and reflection, along with rumination about the current COVID-19 situation to see whether these different subtypes of rumination explained perceived stress among migraineurs and healthy controls. Methods Healthy adults (n = 64) and migraine patients (n = 73) filled out self-report questionnaires online. A multiple linear regression model was used to test whether depressive rumination (i.e. brooding and reflection) and COVID-related rumination explained perceived stress among adults with and without migraine during the times of COVID-19, after controlling for gender, age, migraine/control group status and migraine disability. Results Although we did not find any difference in the level of perceived stress among migraineurs and the control group, perceived stress was more strongly associated with brooding as well as COVID-related rumination among migraineurs than healthy controls. COVID-related rumination and brooding (but not reflection) explained the level of perceived stress after controlling for gender, age, migraine/control group status and migraine disability. Conclusions The similar degree of perceived stress among migraineurs and the control group may imply that there is great variation in the personal experience of people regarding the pandemic, that may be determined by numerous other factors. Our results demonstrate that ruminating about the pandemic and related difficulties, as well as brooding (but not reflection) appear to be associated with higher level of perceived stress during the times of the coronavirus. This association was slightly stronger among migraineurs, hinting at the increased vulnerability of this patient group in stressful situations like the COVID-19 pandemic. Our results also suggest that ruminating about the pandemic and its consequences is weakly associated with trait-level depressive rumination, thus may be more contingent on specific factors.

show abstract

“…The RTSQ total score has shown excellent internal consistency (Cronbach α = .89 -.92) and high test-retest reliability after two weeks (r = .80, p < .01) [7], as well as its subscales suggested by Tanner et al [24] (Cronbach α = .71-.89). The Hungarian RTSQ also demonstrated high internal consistency in two independent studies (Cronbach α = .88; Cronbach α = .91) [45,46].…”

Section: Plos Onementioning

confidence: 87%

Validating the bifactor structure of the Ruminative Thought Style Questionnaire—A psychometric study

et al. 2021

Self Cite

View full text Add to dashboard Cite

The Ruminative Thought Style Questionnaire (RTSQ) is a self-report measure that aims to capture rumination globally, unbiased by depressive symptoms. We explored its psychometric properties among university students (N = 1123), as the existing models about the factor structure of the RTSQ have been inconclusive. In a second study (N = 320) we tested its convergent validity compared to the Ruminative Response Scale (RRS) and its construct validity compared to the Zung Self-rating Depression Scale (ZSDS). The results of Study 1 suggest that the factor structure of the RTSQ is best described with a 19-item bifactor Exploratory Structural Equation Modelling (ESEM), where most of the variance is explained by the general factor. The model was found to be invariant across genders. The correlations in Study 2 demonstrated that the RTSQ is congruent with the RRS, and that rumination captured by the RTSQ is rather maladaptive, as it was more strongly associated with the brooding subscale of the RRS than with reflective pondering. Significant positive associations were found with depressive symptoms, reaffirming the validity of the RTSQ due to the well-known association between rumination and depressive symptoms. Our results support that RTSQ assesses rumination globally, and it is a valid measure of ruminative thinking style that is rather negatively valenced but does not solely focus on depressive mood and symptoms.

show abstract

Rumination mediates the relationship between personality organization and symptoms of borderline personality disorder and depression

Cited by 15 publications

References 65 publications

Personality Organization and Depressive Symptoms Among Psychiatric Outpatients

Personality Organization and Depressive Symptoms Among Psychiatric Outpatients

Perceived stress in the time of COVID-19: the association with brooding and COVID-related rumination in adults with and without migraine

Validating the bifactor structure of the Ruminative Thought Style Questionnaire—A psychometric study

Contact Info

Product

Resources

About