title: The mediator role of ruminative thinking style in the relationship between dysfunctional attitudes and depression.
abstract: BACKGROUND
  The main aim of the present study was to examine whether ruminative thinking styles (brooding and reflection) mediate the effects of dysfunctional attitudes on depressive symptoms.
  
  
  METHODS
  120 psychotropic drug-naive first episode depression patients recruited from Bulent Ecevit University School of Medicine psychiatry department and Zonguldak State Hospital psychiatry department outpatient clinics were involved in the study. Participants completed the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Beck Depression Inventory (BDI), Dysfunctional Attitude Scale (DAS) and Ruminative Responses Scale (RRS-short version). Regression analyses together with the Sobel tests were performed for testing the mediator hypothesis.
  
  
  RESULTS
  According to the path model, the level of brooding fully mediated the relationship between dysfunctional attitudes and depressive symptomatology but reflection did not play a mediator role in the relationship between dysfunctional attitudes and depressive symptoms.
  
  
  CONCLUSIONS
  Assessment of brooding with both mental status examination and specific measurements and focusing on brooding as an intervention strategy would be beneficial components for an effective treatment of depression.
authors.affiliation: Bülent Ecevit University School of Medicine, Psychiatry, Zonguldak, Turkey. Electronic address: senorman_7@hotmail.com.
authors.forename: Ömer
authors.initials: Ö
authors.lastname: Şenormancı
authors.affiliation: Dokuz Eylul University, Faculty of Letters Department of Psychology, İzmir, Turkey.
authors.forename: Adviye Esin
authors.initials: AE
authors.lastname: Yılmaz
authors.affiliation: Bülent Ecevit University School of Medicine, Psychiatry, Zonguldak, Turkey.
authors.forename: Özge
authors.initials: Ö
authors.lastname: Saraçlı
authors.affiliation: Bülent Ecevit University School of Medicine, Psychiatry, Zonguldak, Turkey.
authors.forename: Nuray
authors.initials: N
authors.lastname: Atasoy
authors.affiliation: Zonguldak Atatürk State Hospital, Zonguldak, Turkey.
authors.forename: Güliz
authors.initials: G
authors.lastname: Şenormancı
authors.affiliation: Bülent Ecevit University School of Medicine, Psychiatry, Zonguldak, Turkey.
authors.forename: Levent
authors.initials: L
authors.lastname: Atik
mesh_terms: D000293:Adolescent; D000328:Adult; D001290:Attitude; D003863:Depression / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D012044:Regression Analysis; D013850:Thinking; D055815:Young Adult