Rumination Mediates the Effects of Childhood Maltreatment and Trait Anxiety on Depression in Non-Clinical Adult Volunteers

Ayaka Deguchi,1– 3 Jiro Masuya,1 Mayu Naruse,4 Chihiro Morishita,1 Motoki Higashiyama,1 Hajime Tanabe,5 Takeshi Inoue,1 Masahiko Ichiki1 1Department of Psychiatry, Tokyo Medical University, Shinjuku-ku, Tokyo, 160-0023, Japan; 2Department of Psychiatry, Maruyamasou Hospital, Ishioka, Ibaraki, 315-01...

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Autores principales:	Deguchi A, Masuya J, Naruse M, Morishita C, Higashiyama M, Tanabe H, Inoue T, Ichiki M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	rumination trait anxiety childhood maltreatment depression path analysis Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/4600186d9fd94648b559263be899b8bc
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spelling	oai:doaj.org-article:4600186d9fd94648b559263be899b8bc2021-11-23T18:43:01ZRumination Mediates the Effects of Childhood Maltreatment and Trait Anxiety on Depression in Non-Clinical Adult Volunteers1178-2021https://doaj.org/article/4600186d9fd94648b559263be899b8bc2021-11-01T00:00:00Zhttps://www.dovepress.com/rumination-mediates-the-effects-of-childhood-maltreatment-and-trait-an-peer-reviewed-fulltext-article-NDThttps://doaj.org/toc/1178-2021Ayaka Deguchi,1– 3 Jiro Masuya,1 Mayu Naruse,4 Chihiro Morishita,1 Motoki Higashiyama,1 Hajime Tanabe,5 Takeshi Inoue,1 Masahiko Ichiki1 1Department of Psychiatry, Tokyo Medical University, Shinjuku-ku, Tokyo, 160-0023, Japan; 2Department of Psychiatry, Maruyamasou Hospital, Ishioka, Ibaraki, 315-0116, Japan; 3Department of Psychiatry, Deguchi Hospital, Nagasaki, Nagasaki, 851-1134, Japan; 4Department of Welfare Psychology, Tokyo International University, Kawagoe, Saitama, 350-1198, Japan; 5Faculty of Humanities and Social Sciences, Shizuoka University, Suruga-ku, Shizuoka, 422-8529, JapanCorrespondence: Takeshi InoueDepartment of Psychiatry, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023, JapanTel +81 3 3342 6111Fax +81 3 3340 4499Email tinoue@Tokyo-med.ac.jpBackground: Several psychological studies have shown that depressive rumination is associated with the onset and severity of depression. However, it is unclear how rumination interacts with other predisposing factors to cause depression. In this study, we hypothesized that rumination mediates the association between depression and two predisposing factors of depression, ie, childhood maltreatment and trait anxiety.Subjects and Methods: Between 2017 and 2018, 473 adult volunteers were surveyed using self-report questionnaires regarding the following: demographic information, rumination (Ruminative Responses Scale), trait anxiety (State-Trait Anxiety Inventory-Y), and the experience of childhood maltreatment (Child Abuse and Trauma Scale). The effects of these factors on depression (Patient Health Questionnaire-9) were analyzed by multiple regression and path analysis to analyze the mediating effects of rumination. This study was conducted with approval from the relevant ethics committee.Results: Multiple regression analysis using depression as a dependent variable demonstrated that trait anxiety, rumination, childhood maltreatment, and living alone were significantly associated with depression. Path analysis showed that childhood maltreatment had a positive effect on trait anxiety, rumination, and depression; trait anxiety had a positive effect on rumination and depression; and rumination had a positive effect on depression. Regarding indirect effects, the experience of childhood maltreatment increased rumination and depression indirectly via trait anxiety. Furthermore, the experience of childhood maltreatment increased depression indirectly via rumination, and trait anxiety significantly increased depression via rumination. In other words, rumination mediated the indirect effects of abusive experiences and trait anxiety on depression. This model accounted for 50% of the variance in depression in adult volunteers.Conclusion: Our results suggest that rumination mediates the association between childhood maltreatment, trait anxiety, and depression in adulthood.Keywords: rumination, trait anxiety, childhood maltreatment, depression, path analysisDeguchi AMasuya JNaruse MMorishita CHigashiyama MTanabe HInoue TIchiki MDove Medical Pressarticleruminationtrait anxietychildhood maltreatmentdepressionpath analysisNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 17, Pp 3439-3445 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	rumination trait anxiety childhood maltreatment depression path analysis Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	rumination trait anxiety childhood maltreatment depression path analysis Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Deguchi A Masuya J Naruse M Morishita C Higashiyama M Tanabe H Inoue T Ichiki M Rumination Mediates the Effects of Childhood Maltreatment and Trait Anxiety on Depression in Non-Clinical Adult Volunteers
description	Ayaka Deguchi,1– 3 Jiro Masuya,1 Mayu Naruse,4 Chihiro Morishita,1 Motoki Higashiyama,1 Hajime Tanabe,5 Takeshi Inoue,1 Masahiko Ichiki1 1Department of Psychiatry, Tokyo Medical University, Shinjuku-ku, Tokyo, 160-0023, Japan; 2Department of Psychiatry, Maruyamasou Hospital, Ishioka, Ibaraki, 315-0116, Japan; 3Department of Psychiatry, Deguchi Hospital, Nagasaki, Nagasaki, 851-1134, Japan; 4Department of Welfare Psychology, Tokyo International University, Kawagoe, Saitama, 350-1198, Japan; 5Faculty of Humanities and Social Sciences, Shizuoka University, Suruga-ku, Shizuoka, 422-8529, JapanCorrespondence: Takeshi InoueDepartment of Psychiatry, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023, JapanTel +81 3 3342 6111Fax +81 3 3340 4499Email tinoue@Tokyo-med.ac.jpBackground: Several psychological studies have shown that depressive rumination is associated with the onset and severity of depression. However, it is unclear how rumination interacts with other predisposing factors to cause depression. In this study, we hypothesized that rumination mediates the association between depression and two predisposing factors of depression, ie, childhood maltreatment and trait anxiety.Subjects and Methods: Between 2017 and 2018, 473 adult volunteers were surveyed using self-report questionnaires regarding the following: demographic information, rumination (Ruminative Responses Scale), trait anxiety (State-Trait Anxiety Inventory-Y), and the experience of childhood maltreatment (Child Abuse and Trauma Scale). The effects of these factors on depression (Patient Health Questionnaire-9) were analyzed by multiple regression and path analysis to analyze the mediating effects of rumination. This study was conducted with approval from the relevant ethics committee.Results: Multiple regression analysis using depression as a dependent variable demonstrated that trait anxiety, rumination, childhood maltreatment, and living alone were significantly associated with depression. Path analysis showed that childhood maltreatment had a positive effect on trait anxiety, rumination, and depression; trait anxiety had a positive effect on rumination and depression; and rumination had a positive effect on depression. Regarding indirect effects, the experience of childhood maltreatment increased rumination and depression indirectly via trait anxiety. Furthermore, the experience of childhood maltreatment increased depression indirectly via rumination, and trait anxiety significantly increased depression via rumination. In other words, rumination mediated the indirect effects of abusive experiences and trait anxiety on depression. This model accounted for 50% of the variance in depression in adult volunteers.Conclusion: Our results suggest that rumination mediates the association between childhood maltreatment, trait anxiety, and depression in adulthood.Keywords: rumination, trait anxiety, childhood maltreatment, depression, path analysis
format	article
author	Deguchi A Masuya J Naruse M Morishita C Higashiyama M Tanabe H Inoue T Ichiki M
author_facet	Deguchi A Masuya J Naruse M Morishita C Higashiyama M Tanabe H Inoue T Ichiki M
author_sort	Deguchi A
title	Rumination Mediates the Effects of Childhood Maltreatment and Trait Anxiety on Depression in Non-Clinical Adult Volunteers
title_short	Rumination Mediates the Effects of Childhood Maltreatment and Trait Anxiety on Depression in Non-Clinical Adult Volunteers
title_full	Rumination Mediates the Effects of Childhood Maltreatment and Trait Anxiety on Depression in Non-Clinical Adult Volunteers
title_fullStr	Rumination Mediates the Effects of Childhood Maltreatment and Trait Anxiety on Depression in Non-Clinical Adult Volunteers
title_full_unstemmed	Rumination Mediates the Effects of Childhood Maltreatment and Trait Anxiety on Depression in Non-Clinical Adult Volunteers
title_sort	rumination mediates the effects of childhood maltreatment and trait anxiety on depression in non-clinical adult volunteers
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/4600186d9fd94648b559263be899b8bc
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Rumination Mediates the Effects of Childhood Maltreatment and Trait Anxiety on Depression in Non-Clinical Adult Volunteers

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