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Query: UMLS:C0011570 (depression)
 172,036 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This study explored the role of negative interpretations of grief reactions in emotional problems after bereavement, with 234 individuals who had been confronted with the death of a close relative. It was found that negative interpretations of grief reactions were highly associated with the degree to which these reactions were experienced as distressing, the degree to which mourners engaged in avoidance behaviours and the severity of symptoms of traumatic grief and depression, even when controlling for the frequency of grief reactions and the influence of relevant background variables. Furthermore, behavioural and cognitive avoidance strategies were significantly related to the severity of traumatic grief and depression. Negative interpretations of grief reactions and rumination explained most variance in symptom severity, when controlling for the shared variance between the predictor variables. The results have implications for the treatment of emotional problems after bereavement.
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PMID:The role of negative interpretations of grief reactions in emotional problems after bereavement. 1497 70

This study investigated the affects and behaviors that accompany and follow anger episodes, and examined the relationship among them, in hope of developing self-regulated and effective methods of controlling anger. With an open-ended questionnaire, 42 anger episodes were collected and categorized. Results suggested that typical anger episodes were instigated by selfishness, insult, coercion, and trouble and a close person such as friends was often the cause and target of anger. Surprise and depression frequently accompanied it, and eight forms of response followed: rationalization, cause searching, aggression, social sharing, displacement to object, mood change, forgetfulness, and rumination. Another questionnaire examined the relationship among these variables, as well as trait anger, perception of malice, and sense of injury, with a sample of 118 undergraduates. Results indicated, first, that sense of injury was heightened by trait anger and malice perception. Second, anger and depression were evoked only by a sense of injury. Finally, while anger without depression evoked aggression, anger with depression led to mood change and forgetfulness.
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PMID:[Anger experience and the process of calming down]. 1502 59

This study investigated the illness beliefs of 40 depressed Chinese Americans in a primary care setting using the Exploratory Model Interview Catalogue (EMIC). Twenty-two depressed Chinese Americans (76%) complained of somatic symptoms; 4 (14%) reported psychological symptoms including irritability, rumination, and poor memory. No patients reported depressed mood spontaneously. Yet, 93% endorsed depressed mood when they filled out the CBDI. Twenty-one patients (72%) did not know the name of their illness or did not consider it a diagnosable medical illness, and five patients (17%) attributed their symptoms to pre-existing medical problems. Only three patients (10%) labeled their illness as psychiatric conditions. The patients generally sought help from general hospital (69%), lay help (62%), and alternative treatment (55%) but rarely from mental health professionals (3.5%) for their depressive symptoms. The results suggest that many Chinese Americans do not consider depressed mood a symptom to report to their physicians, and many are unfamiliar with depression as a treatable psychiatric disorder.
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PMID:Illness beliefs of depressed Chinese American patients in primary care. 1506 Apr 8

Ruminative self-focus on mood, problems and other aspects of self-experience can have both mal adaptive consequences, perpetuating depression, and, adaptive consequences, promoting recovery from upsetting events. Increasing evidence suggests that these contrasting effects may be explained by distinct varieties of ruminative self-focus, each with distinct functional properties. This study tested the prediction (Emotional processing, three modes of mind and the prevention of relapse in depression. Behav. Res. Therapy, 37 (1999) S53) that an experiential mode of self-focused attention would facilitate recovery from an upsetting event in comparison to a conceptual-evaluative mode of self-focused attention. To test these contrasting effects experimentally, 69 participants wrote about an induced failure experience in either a conceptual-evaluative condition (e.g. "Why did you feel this way?"), or an experiential condition ("How did you feel moment-by-moment?"). Consistent with the hypothesis, higher levels of trait disposition to ruminate were associated with relatively greater increases in negative mood 12 h after the failure in the conceptual-evaluative condition compared to the experiential condition. Furthermore, the conceptual-evaluative condition resulted in more intrusions about the failure than the experiential condition. These results support the differentiation of rumination into distinct modes of self-focused attention with distinct functional effects; a conceptual-evaluative mode that is maladaptive and an experiential mode that is adaptive.
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PMID:Adaptive and maladaptive ruminative self-focus during emotional processing. 1532

Depression and dysphoric mood states are often accompanied by quantitative or qualitative shifts in performance across a range of retention tasks. This study focuses on the recollection of both autobiographical events and word lists in dysphoric states. Recollection occurs when people are aware of some contextual detail allied to the encoding experience. This study establishes the presence of a recollection deficit in dysphoria in two distinct paradigms. In both autobiographical recall and in recognition memory, recollection in a dysphoric group was at lower levels than recollection in matched controls. The study examines the hypothesis that the extent of recollection is influenced by two factors: (1) the degree of differentiation of schematic mental models; and (2) the executive mode that predominates when memory tasks are carried out, with the latter assumed to be altered by rumination. The relationship between responses based on recollection and alternative mnemonic responses could be predicted by measures of these two factors. The results are discussed in terms of the Interacting Cognitive Subsystems model (Teasdale & Barnard, 1993) and the perspective it offers on the relationship between meaning systems and executive functions (Barnard, 1999).
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PMID:Recollection deficits in dysphoric mood: an effect of schematic models and executive mode? 1561 22

Trait forgivingness is the disposition to forgive interpersonal transgressions over time and across situations. We define forgiveness as the replacement of negative unforgiving emotions with positive, other-oriented emotions. Rumination has been suggested as a mediator between forgivingness and emotional outcomes; however, we suggest that different content of rumination leads to different outcomes after transgressions. In four studies of 179, 233, 80, and 66 undergraduate students, trait forgivingness was negatively correlated with trait anger, hostility, neuroticism, fear, and vengeful rumination and was positively correlated with agreeableness, extraversion, and trait empathy. The disposition to ruminate vengefully mediated the relationship between trait forgivingness and (1) anger-related traits and (2) both revenge motivations and state anger following a specific recent transgression, but it did not mediate between forgivingness and (1) fearfulness and (2) avoidance motivations following a specific transgression. Self-hate statements, a proxy for depressive rumination, mediated the relationship between forgivingness and both depression and fearfulness but not the relationship between forgivingness and trait anger. Future research should distinguish the contents of mental rumination following interpersonal transgressions.
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PMID:Forgivingness, vengeful rumination, and affective traits. 1566 Jun 77

Six studies regarding forgiveness are presented. The Heartland Forgiveness Scale (HFS), a self-report measure of dispositional forgiveness (with subscales to assess forgiveness of self, others, and situations) was developed and demonstrated good psychometric properties. Forgiveness correlated positively with cognitive flexibility, positive affect, and distraction; it correlated negatively with rumination, vengeance, and hostility. Forgiveness predicted four components of psychological well-being (anger, anxiety, depression, and satisfaction with life); forgiveness of situations accounted for unique variance in these components of psychological well-being. Forgiveness and hostility demonstrated equivalent, inverse associations with relationship duration, and forgiveness accounted for unique variance in relationship satisfaction, even when controlling for trust. Forgiveness level correlated positively with decreased negativity in statements written about transgressions in the present versus the past tense.
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PMID:Dispositional forgiveness of self, others, and situations. 1574 33

Rumination is a rare and complex disorder to treat. It involves repeated regurgitation, rechewing and reswallowing of food and occurs mainly among infants and mentally retarded children. Among adolescents and adults it is rather rare, but still might cause significant sequelae (depression, other eating disorders and social problems). We provide a detailed psychodynamic formulation in a non-retarded adolescent with rumination (over a four year period). A multidisciplinary approach involving individual insight-oriented psychotherapy, group therapy, pharmacological therapy and a nutritional intervention has proved successful in abating the patient's symptoms. We propose that among adolescents and adults, childhood issues of neglect and feeding problems may be reactivated through the rumination symptom. The focus of this report is to address the importance of rumination, as well as the role of a multidisciplinary approach to such cases.
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PMID:Successful multidisciplinary treatment in an adolescent case of rumination. 1575 27

The authors examined the stability and dynamic structure of negative cognitions made to naturalistic stressors and the prediction of depressive symptoms in a daily diary study. Young adults reported on dispositional depression vulnerabilities at baseline, including a depressogenic cognitive style, dysfunctional attitudes, rumination, neuroticism, and initial depression, and then completed short diaries recording the inferences they made to the most negative event of the day along with their experience of depressive symptoms every day for 35 consecutive days. Daily cognitions about stressors exhibited moderate stability across time. A traitlike model, rather than a contextual one, explained this pattern of stability best. Hierarchical linear modeling analyses showed that individuals' dispositional depressogenic cognitive style, neuroticism, and their daily negative cognitions about stressors predicted fluctuations in daily depressive symptoms. Dispositional neuroticism and negative cognitive style interacted with daily negative cognitions in different ways to predict daily depressive symptoms.
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PMID:Daily depression and cognitions about stress: evidence for a traitlike depressogenic cognitive style and the prediction of depressive symptoms in a prospective daily diary study. 1579 67

In order to react adequately to any new challenge, it is necessary to stop all ongoing activity. The first phase in the orienting response to a novel stimulus is an arrest of all ongoing activity. Inhibition is also necessary to switch from one behaviour to another, and from one cognitive activity to another. Inhibition was a difficult phenomenon to handle until the role of inhibitory synapses was demonstrated, and that many brain areas have an inhibitory function for overt behaviour and for establishing new responses in learning experiments. The role of these areas for learning and for plasticity of the brain has been well established. Recently, the role of inhibition, or lack of inhibition, for cognitive activities has been discussed for the understanding of somatization and sensitization to afferent somatic impulses. It has been postulated that muscle pain is maintained by positive feed back loops between muscles, the spinal cord, and the brain areas for pain and interpretation of pain. Activity in these loops may lead to sensitisation of the neural circuits, leading to chronic pain states. Similar models have been presented for non-specific gastric and intestinal complaints, and for fatigue and depression. Rumination and perseveration of negative thoughts may maintain the activity in these loops.
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PMID:Press stop to start: the role of inhibition for choice and health. 1596 45


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