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01.06.2013 | Original Article

Rumination Mediates the Relationship Between Distress Tolerance and Depressive Symptoms Among Substance Users

verfasst von: Jessica F. Magidson, Alyson R. Listhaus, C. J. Seitz-Brown, Katelyn E. Anderson, Briana Lindberg, Alexis Wilson, Stacey B. Daughters

Erschienen in: Cognitive Therapy and Research | Ausgabe 3/2013

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Abstract

Distress tolerance has been implicated in the emergence of internalizing symptomatology, notably depressive symptoms. However, few studies have tested potential mechanisms underlying the relationship between distress tolerance and depressive symptoms, and further, this has not been tested among substance users, who commonly experience both low distress tolerance and elevated depressive symptoms. The current study focused on the construct of rumination, which has been suggested to be a coping response to stress associated with substance use and depression. Two forms of rumination, brooding and reflection, were tested as potential mediators of the relationship between distress tolerance and self-reported depressive symptoms among 128 individuals entering substance abuse treatment. Brooding (i.e., to overly focus on symptoms of distress) mediated the relationship between distress tolerance and depressive symptoms. However, reflection (i.e., to attempt to gain insight into problems) was unrelated to distress tolerance. Findings suggest the important role of brooding as a mechanism underlying the relationship between distress tolerance and depressive symptomatology.

BDI scores were slightly positively skewed (skewness = 1.02, SE = 0.21). As such, we log transformed BDI scores, which improved skewness (skewness = −0.62, SE = 0.21). Transforming scores did not affect results across all analyses. To preserve the clinical significance of depression scores, the non-transformed data are reported here.

We conducted the same analyses with a contrast between the two indirect effects of brooding and reflection. In these analyses, there remained a significant indirect effect of brooding, but the indirect effect of reflection was non-significant (using both bias-corrected and percentile-based 95 % CIs).

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Titel: Rumination Mediates the Relationship Between Distress Tolerance and Depressive Symptoms Among Substance Users
verfasst von: Jessica F. Magidson
Alyson R. Listhaus
C. J. Seitz-Brown
Katelyn E. Anderson
Briana Lindberg
Alexis Wilson
Stacey B. Daughters
Publikationsdatum: 01.06.2013
Verlag: Springer US
Erschienen in: Cognitive Therapy and Research / Ausgabe 3/2013
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-012-9488-x

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