title: A regressional analysis of maladaptive rumination, illness perception and negative emotional outcomes in Asian patients suffering from depressive disorder.
abstract: Although illness perception has been shown to be associated with illness outcomes in various chronic physical diseases, the association of illness perception and rumination are not well elucidated in mental disorders. This study aims to investigate the mediational effects of adaptive and maladaptive rumination in the relationship between illness perception and negative emotions (depression, anxiety and stress) in male and female patients (N=110) suffering from depressive disorders. The results showed that maladaptive rumination mediated the relationship between illness perception and negative emotions in both male and female depressive patients. However, no mediating effects of adaptive rumination were found in the relationship between illness perception and negative emotion. Maladaptive rumination mediated the relationship between perceived identity, chronicity of illness, consequences of illness and emotional representation of illness and negative emotions in males. It also mediated the relationship between perceived identity and emotional representation of illness and negative emotions in females. The results, possible clinical implications and limitations of this study are also discussed.
authors.affiliation: Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
authors.forename: Yanxia
authors.initials: Y
authors.lastname: Lu
authors.affiliation: Department of Psychology, Faculty of Arts and Social Sciences, National University of Singapore, Singapore.
authors.forename: Catherine
authors.initials: C
authors.lastname: Tang
authors.affiliation: Department of Psychology, Faculty of Arts and Social Sciences, National University of Singapore, Singapore.
authors.forename: Chiew Shan
authors.initials: CS
authors.lastname: Liow
authors.affiliation: Ministry of Education, Singapore, Singapore.
authors.forename: Winnie Wei Ni
authors.initials: WW
authors.lastname: Ng
authors.affiliation: Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Electronic address: su_hui_ho@nuhs.edu.sg.
authors.forename: Cyrus Su Hui
authors.initials: CS
authors.lastname: Ho
authors.affiliation: Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
authors.forename: Roger Chun Mun
authors.initials: RC
authors.lastname: Ho
mesh_terms: D000328:Adult; D000368:Aged; D044466:Asian People; D003866:Depressive Disorder / Q000523:psychology*; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D012649:Self Concept; D013850:Thinking; D055815:Young Adult
keywords: Adaptive rumination; Depression; Emotional outcomes; Illness perception; Maladaptive rumination