Transdiagnostic View on Worrying and Other Negative Mental Content

Ehring, Thomas; Behar, Evelyn

doi:10.1002/9781119189909.ch4

Cited by 14 publications

(7 citation statements)

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“…There is considerable evidence from prospective studies showing that rumination on negative content predicts the development and/or maintenance of emotional disorders, including depression, anxiety disorders, posttraumatic stress disorders, and eating disorders (Ehring & Behar, in press; Ehring et al, 2008). In addition, there is experimental evidence showing that interventions targeting rumination reduce symptomatology (Ehring & Behar, in press) and that induced rumination leads to the maintenance of negative mood as well as to other psychopathology-related cognitive, interpersonal, and physiological changes (Ehring & Behar, in press; Watkins, 2008).…”

Section: Examining Emotion Regulation As a Transdiagnostic Processmentioning

confidence: 99%

Emotion regulation as a transdiagnostic process.

Cludius

Mennin

Ehring

2020

Emotion

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213

126

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The current article addresses the consequences of emotion regulation (ER) for mental health. A large body of research has shown that alterations in ER are related to psychological disorders across different diagnostic categories. Because of the apparent ubiquity of ER difficulties in psychopathology, several authors have proposed that ER should be regarded as a transdiagnostic process. This article critically examines evidence regarding alterations in the use of cognitive ER strategies as a transdiagnostic process. Cognitive ER strategies are examined as 1 example of several possible ER-related processes that could be involved in psychopathology. There is consistent evidence showing that a reduced use of cognitive reappraisal and an increased use of negative rumination are present across a number of disorders, whereas increased levels of positive rumination appear to be confined to bipolar disorder. However, there is only preliminary evidence from prospective and/or experimental studies on the causal nature of altered ER strategy use in the development or maintenance of psychopathology. The article concludes by discussing future directions, including methodological and design issues, as well as implications for assessment and treatment when studying alterations in ER from a transdiagnostic perspective.

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Section: Examining Emotion Regulation As a Transdiagnostic Processmentioning

confidence: 99%

Emotion regulation as a transdiagnostic process.

Cludius

Mennin

Ehring

2020

Emotion

Self Cite

213

126

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“…( Papageorgiou, 2006 ). Initially, it was associated exclusively with generalized anxiety ( Newman et al, 2013 ), but over time, evidence of its action as a transdiagnostic process for other anxiety disorders, depression, pain disorder, eating disorders, and psychosis was gathered ( Ehring and Behar, 2020 ). In Chile, a one-month follow-up study of RNT did not establish the influence of worry on the development of anxious symptoms in university students but of brooding ( Pimentel and Cova, 2011 ).…”

Section: Introductionmentioning

confidence: 99%

Stress, repetitive negative thinking, and mental health in Chilean university students: an ecological momentary assessment study

Inostroza,

Bustos,

Bühring

et al. 2024

Front. Psychol.

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BackgroundMental disorders in university students are a growing attention problem in the international community due to their high prevalence and serious consequences. One possible reason is university students’ difficulties in coping with stress. Repetitive negative thinking (RNT) is a transdiagnostic process that, when combined with stress, can lead to the development of various disorders. We aim to determine the effect of stress and RNT on predicting various mental health syndromes in university students across 7 days.MethodProspective observational study using Momentary Ecological Assessment (EMA) with the OURMIND Mobile App. On day one, 238 university students responded to the SCL-90R questionnaire for symptoms of depression, anxiety, hostility, obsession, psychoticism, paranoia, somatization, and interpersonal sensitivity; RNT styles questionnaires, RRS for rumination and negative reflection, PSWQ for worry; SISCO-II for term academic stress, and sociodemographic. EMA consisted of five assessments a day for 6 days; each time, the students answered items about academic and non-academic stress (EMA-stress), reactive RNT duration and intrusiveness (EMA-RNT process), and reactive RNT rumination, reflection, and worry (EMA-RNT content). On day eight, symptoms were re-assessed. Seven hierarchical stepwise linear regression models were used to test the predictive power of the study variables in the development of SCL-90R symptoms.ResultsWhen comparing models, adding baseline symptoms increased the models’ predictive power in all symptom groups. In most cases, including EMA-stress generated greater predictive power, except for paranoia and interpersonal sensitivity. Adding the EMA-RNT process increased the prediction of paranoia and obsessive symptoms; for hostility symptoms, RNT styles increased predictive power. For the final regression models, considering the initial symptoms, the EMA-RNT process predicted the progression of symptoms in six out of eight groups, while EMA-non-academic stress predicted the remaining two. Additionally, living with other relatives or friends was a predictor of depressive symptoms.DiscussionThe stress of university life impacts the development of psychiatric symptoms in university students. These results provide evidence of RNT as a transdiagnostic process in several syndromic groups. Universal preventive programs should consider the impact of academic and non-academic stress on university students’ mental health. Targeting RNT would also benefit selective preventive interventions.

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“…A noção de que o PRN parte de um recurso subjacente comum, que engloba a ruminação e a preocupação, foi proposta inicialmente por Harvey et al (2004) como um processo transdiagnóstico, ou seja, o PRN atua em diferentes transtornos de saúde mental, contribuindo para o aparecimento e manutenção do sofrimento psíquico (Rosenkranz et al, 2020). Entretanto, salienta-se que alguns autores têm argumentado que essa distinção entre preocupação e ruminação é considerada um equívoco, pois ambos os fenômenos são característicos do PRN (Ehring & Behar, 2020;McEvoy et al, 2010), pressupondo-se que a ruminação e a preocupação se referem a um mesmo construto, podendo ser classificadas como um processo geral denominado "PRN" (Ehring et al, 2011).…”

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“…Ademais, a caracterização transdiagnóstica do PRN pressupõe sua relação com múltiplas condições clínicas (Funk et al, 2022). Isso porque considerar os modelos transdiagnósticos pode ser mais eficaz no tratamento e redução das perturbações afetivas e suas comorbidades, em comparação às abordagens pautadas em diagnósticos tradicionais, focadas em transtornos específicos (Mohammadkhani et al, 2023), que muitas vezes desconsideram a natureza onipresente das possíveis comorbidades e, assim, aumentam a lacuna entre a pesquisa e a prática profissional (Ehring & Behar, 2020).…”

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Rebellious yet apathetic: System justification and learned helplessness in collective action

Bezerra de Medeiros,

de Araújo,

de Carvalho Sousa

et al. 2024

Sumapsi

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Introdução: o pensamento repetitivo negativo (PRN) pode ser caracterizado como pensamentos intrusivos sobre preocupações (atuais, passadas ou futuras), experiências negativas e autocríticas, manifestando-se de forma excessiva e persistente. Em um processo transdiagnóstico, identifica-se que o PRN contribui para o aparecimento e manutenção de transtornos múltiplos. O presente estudo objetivou adaptar a Persistent and Intrusive Negative Thoughts Scale (PINTS) para o contexto brasileiro, averiguando as qualidades psicométricas do instrumento. Método: procedeu-se a dois estudos com participantes de diferentes estados brasileiros. No estudo 1 (n = 258), foi realizada a adaptação da PINTS e uma análise fatorial exploratória. No estudo 2, (n = 270), foi realizada uma análise fatorial confirmatória além de reunidas evidências de validade convergente. Resultados: primeiramente, o estudo 1 apontou uma estrutura unifatorial da medida. A partir do estudo 2, foram corroboradas a estrutura unifatorial e a adequada consistência interna (precisão), o que demonstrou que a PINTS se relacionou positivamente com a afetividade negativa (estresse, ansiedade e depressão) e com a ansiedade cognitiva de provas. Conclusão: conclui-se que a PINTS apresentou qualidades métricas satisfatórias, sendo uma medida curta e de fácil aplicação, podendo ser uma ferramenta útil para pesquisadores que buscam investigar o PRN desadaptativo e os seus correlatos.

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Transdiagnostic View on Worrying and Other Negative Mental Content

Cited by 14 publications

References 153 publications

Emotion regulation as a transdiagnostic process.

Emotion regulation as a transdiagnostic process.

Stress, repetitive negative thinking, and mental health in Chilean university students: an ecological momentary assessment study

Rebellious yet apathetic: System justification and learned helplessness in collective action

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