TY - JOUR PY - 2014// TI - The role of rumination in elevating perceived stress in posttraumatic stress disorder JO - Journal of interpersonal violence A1 - Hu, Emily A1 - Koucky, Ellen M. A1 - Brown, Wilson J. A1 - Bruce, Steven E. A1 - Sheline, Yvette I. SP - 1953 EP - 1962 VL - 29 IS - 10 N2 - Rumination has been shown to be important in both the maintenance and severity of posttraumatic stress disorder (PTSD) and major depressive disorder (MDD). Increased rumination has also been linked to perceptions of increased stress, which in turn are significantly associated with increased PTSD severity. The present study sought to examine this relationship in more detail by means of a mediation analysis. Forty-nine female survivors of interpersonal violence who met Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; DSM-IV-TR) criteria for PTSD were administered the Clinician-Administered PTSD Scale (CAPS), the Ruminative Thought Style Questionnaire (RTS), the Perceived Stress Scale (PSS), and the Beck Depression Inventory-II (BDI-II). Results indicated that perceived stress mediates the relationship between rumination and PTSD, but did not do so after controlling for depression. Such results provide further evidence for the overlap between PTSD and MDD, and, in broader clinical practice, translate to a sharper focus on rumination and perceived stress as maintenance factors in both disorders.

Language: en

LA - en SN - 0886-2605 UR - http://dx.doi.org/10.1177/0886260513511697 ID - ref1 ER -