Preliminary Evidence for a Nexus between Rumination, Behavioural Avoidance, Motive Satisfaction and Depression.
The present study tested a theoretically derived link between rumination and depressive symptoms through behavioural avoidance and reduced motive satisfaction as a key aspect of positive reinforcement. Rumination, behavioural avoidance, motive satisfaction and levels of depression were assessed via self-report measures in a clinical sample of 160 patients with major depressive disorder. Path analysis-based mediation analysis was used to estimate the direct and indirect effects as proposed by the theoretical model. Operating in serial, behavioural avoidance and motive satisfaction partially mediated the association between rumination and depressive symptoms, irrespective of gender, medication and co-morbid anxiety disorders. This is the first study investigating the associations between behavioural avoidance, rumination and depression in a clinical sample of depressed patients. The findings are in line with an understanding of rumination in depression as also serving an avoidance function.


CONCLUSIONS
Rumination, avoidance, motive satisfaction and levels of depressive symptoms were examined in a clinical sample of 160 outpatients with major depressive disorder. Path analysis-based mediation analysis revealed that, operating in serial, avoidance and motive satisfaction partially mediated the link between rumination and levels of depressive symptoms. Findings support an understanding of rumination in depression as serving an avoidance function.
Department of General Internal Medicine and Psychosomatics, Centre for Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany.|Centre for Psychological Psychotherapy, University of Heidelberg, Heidelberg, Germany.
Timo
T
Brockmeyer
Department of Psychology, University of Zurich, Zürich, Switzerland.|Department of Clinical Psychology and Psychotherapy, University of Bern, Bern, Switzerland.
Martin Grosse
MG
Holtforth
Department of Psychology, University of Zurich, Zürich, Switzerland.
Tobias
T
Krieger
Department of Psychology, University of Zurich, Zürich, Switzerland.
David
D
Altenstein
Department of Psychology, University of Zurich, Zürich, Switzerland.
Nadja
N
Doerig
Department of Psychology, University of Kassel, Kassel, Germany.
Johannes
J
Zimmermann
Institute of Clinical Psychology, Hospital Stuttgart, Stuttgart, Germany.
Matthias
M
Backenstrass
Department of General Internal Medicine and Psychosomatics, Centre for Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Hans-Christoph
HC
Friederich
Centre for Psychological Psychotherapy, University of Heidelberg, Heidelberg, Germany.
Hinrich
H
Bents
D000328:Adult; D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology*; D001288:Attention; D001362:Avoidance Learning; D015897:Comorbidity; D003674:Defense Mechanisms; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D012054:Reinforcement, Psychology; D013223:Statistics as Topic; D013850:Thinking
Avoidance; Depression; Motive Satisfaction; Rumination