The main objective of this thesis was to examine gender differences in co-rumination using observational, experimental, and diary methods. At the start of this project there were no existing studies which had assessed co-rumination in this way and this thesis intended to be an exploratory investigation of co-rumination using these methods. Rose (2002) defined co-rumination as ‘excessively discussing problems within a dyadic relationship’ (p. 1830) and used it to explain why females have closer, more supportive, friendships (Rose & Rudolph, 2006) but are also more susceptible to depression (Weissman & Klerman, 1977). Her findings suggest that co-rumination has maladaptive outcomes for females (increased depression and anxiety) but not for males. The six studies within this thesis aimed to investigate the outcomes of co-rumination using adult (Studies 1- 4), adolescent (Studies 5 and 6) and child samples (Study 6). The first three studies within this thesis assessed co-rumination using dyadic analyses of observational and experimental data. The results of these studies indicated that scores from the co-rumination questionnaire (CRQ) and the co-rumination coding scheme (CRCS) were associated with affect, but that the co-rumination manipulation used in Study 3 had no effect on levels of affect. CRCS was mainly predictive of depressive outcomes whereas CRQ was predictive of both depressive and anxious outcomes. The research indicated that CRQ scores positively correlated across the two dyad members. However, each dyad member’s score showed different associations with affect, depending on whether the dyad member was presenting his or her own problem for discussion. The diary studies indicated that co-rumination was best assessed using daily items which were more predictive of changes in positive and negative affect than the CRQ. It was clear from the studies within this thesis that co-rumination did not only have negative outcomes for females, and that future research should examine the outcomes of co-ruminative discussions for males and females. It was suggested that future researchers should conduct similar experimental research to Study 3 but that they should include multiple co-ruminative interactions and more immediate assessments of co-rumination in the days following a co-ruminative interaction.

Anorexia nervosa (AN) is an eating disorder characterised by severe emaciation due deliberate restriction of food intake and an intense fear of gaining weight. Theoretical accounts of AN have to date focused predominately on cognitive elements of the disorder, yet resulting treatments have been inadequate and outcome for AN remains poor. Understanding the processes that maintain the disorder is an important step in developing effective strategies to augment existing treatments. With this in mind, the question arises: what processes drive AN? Novel frameworks for AN suggest that particular information processing configurations or “modes” may underpin many symptoms of AN, such as preoccupation with control of eating, weight and shape. More specifically, it is proposed that a ruminative mode of processing may function as an avoidance strategy in AN, enabling individuals to neglect salient and rewarding stimuli, such as food, and thus uphold restrictive eating practices. Whilst empirical studies have examined processes such as rumination, avoidance and reward in depression, they have seldom been studied in AN. The aim of this thesis is therefore to understand the role of rumination and reward processes in AN. Chapter 1 reviews the literature on AN, rumination and reward processing. Chapter 2 presents data demonstrating to what extent the content of rumination in AN differs from rumination in depression and the effect that rumination may have on ED symptoms. The study conducted in Chapter 3 examines whether individuals with AN can be switched out of rumination around meal times and what effect this has on AN psychopathology. Chapter 4 presents neuroimaging data which elucidates the brain regions involved in processing rewarding and aversive food stimuli after recovery from AN. The study reported in Chapter 5 teases apart hedonic (liking) versus motivational (wanting) aspects of food reward in AN. The final study (Chapter 6) provides further evidence using neuroimaging that rumination may be an important process in AN which may override appetitive responses to rewarding stimuli, such as food. The studies reported support the notion that rumination and aberrant reward processing may be involved in the maintenance of AN.

A Ruminação tem sido um importante campo de investigação para estudar os mecanismos cognitivos e alteração dos estados emocionais associados ao processo do desenvolvimento de condições de saúde mental. A presente dissertação, cujo relatório de pesquisa deriva nessa produção, busca elucidar as relações entre ruminação e disforia de gênero. Dessa forma, a dissertação apresentará dois estudos de delineamento transversal que, no entanto, sofrem adaptações na disposição dos indivíduos da amostra para testar hipóteses específicas. Em ambos os estudos foram recrutadas 39 mulheres transexuais, no período de 2014 a 2015, que atenderam aos critérios do DSM 5 para diagnóstico de Disforia de Gênero (DG). O primeiro estudo teve como objetivo analisar os níveis de ruminação em pacientes com disforia de gênero antes e depois da Cirurgia de Redesignação Sexual (CRS), o que contribui com a literatura que investiga marcadores de desfecho positivo para CRS. O primeiro subgrupo (T0) foi constituído por participantes com diagnósticos confirmados para DG e com, no máximo, um ano de acompanhamento em grupoterapia. O T1, por pacientes que atenderam os pré-requisitos em relação à frequência aos atendimentos dos grupos psicoterapêuticos de, no mínimo, um ano, e no máximo dois anos, sem contra-indicação para realização da CRS. E o T2, constituído por pacientes pós-cirúrgicos em um período superior a seis meses. O segundo estudo teve como objetivo tanto analisar a relação entre abuso emocional na infância e ruminação em mulheres transexuais quanto identificar, entre os indivíduos da amostra, quais ruminam em nível p[baixo] = (33) ≤18 e p[alto] = (67) ≥23. Essa classificação entre dois subtipos do pensamento ruminativo pode elucidar diferenças entre os fatores protetivos e os desfechos nocivos na saúde mental e física dessa população. No primeiro estudo, a ruminação diminuiu entre os pacientes no T2 e os escores em ruminação foram ainda gradualmente menores a cada procedimento realizado nas características sexuais secundárias por pacientes deste grupo. Esse achado contribui para pesquisas do paradigma Research Domain Criteria (RDoC), que almeja demonstrar marcadores psicológicos para condições de saúde mental. Nesse caso, a ruminação parece se mostrar como um marcador importante para o desfecho positivo em pacientes com disforia de gênero pós-CRS. No segundo estudo, nosso principal achado reside na prevalência em até 15 vezes (IC95%: 2,25-99,63) de maior chance para engajamento em ruminação elevada ou comportamento disfórico entre os indivíduos que foram expostos ao abuso emocional, sobretudo, entre aqueles que o vivenciaram no intervalo da tipologia que variou de moderado – grave a grave – extremo se comparado aos indivíduos com gravidade entre mínimo a moderado na escala Childhood Trauma Questionnaire (CTQ). O abuso emocional está relacionado com engajamento em ruminação, sobretudo, ao subtipo elevada, o que contribui para aumento em comportamentos disfóricos, e ao estar associado à desregulação da emoção, que contribui para os desfechos nocivos na saúde física e mental desta população. / The Rumination has recently become an important field of study to better understand cognitive mechanisms and emotional status associated to the development of mental health conditions. The current work aims to shine a light upon the relation between rumination and gender dysphoria (GD). In this sense, this work presents two cross-sectional studies, each testing two specific hypotheses. Therefore, they have suffered adaptations in the disposition of the sample. In both studies, 39 transexual women, who fulfilled the DSM 5 diagnostic criteria for GD, were recruited within the years of 2014 and 2015. The first study aimed to analyse how much GD patients have rumination processes before and after sex reassignment surgery (SRS), which contributes to the body of literature seeking for positive outcome markers for SRS. The first group (T0) was made of participants who had a confirmed DG diagnostic and participated of group therapy for up to one year (between 0 and 12 months). The second group (T1) was composed by participants who had a confirmed DG diagnostic and attended from one up to two years of group therapy and had no contraindications for SRS. The third group (T2) was comprised of patients who have gone through SRS surgery at least six months prior to the data collection. The second study aimed to analyse the relation between emotional abuse during childhood and rumination in transexual women and to identify, amongst sample individuals, those who ruminate at a low or high levels. This classification into two subsets of ruminative thinking might clarify diferences between protective factors and poor mental and physical health outcomes in this specific population. In the first study, patients of the T2 group ruminate significantly less than their counterparts; moreover, scores of the ruminative thinking process seems to fall gradually with each alteration in the secondary sex characteristics. This finding contributes to the researches of the Research Domain Criteria (RDoC) paradigm, which seeks to find physiological markers for mental health conditions. In this case, rumination seems to be an important marker for positive outcomes in post-SRS GD patients. In the second study, the main result is the higher (up to 15 fold) prevalence for likeliness to engane in high level of ruminative thinking or dysphoric behaviour amongst the individuals who were exposed to emotional abuse. Above all, the engagement in ruminative thinking process is even higher amongst those who lived through emotional abuse in the moderated - severe and the severe - extreme categories of the Childhood Trauma Questionnaire (CTQ) scale than those in the light - moderate category. Emotional abuse is related to ruminative engagement, specially to the high level subtype of rumination. This contributes to the increase in dysphoric behaviours and to the bad health and mental outcomes in this population, probably associated with emotional dysregulation.

Depression is common in people with coronary heart disease (CHD) and is associated with worse physical outcomes. The nature of the causal association between CHD and depression, and the mechanism underpinning the association of depression with worse physical outcomes, remains unclear. Perseverative negative thinking may contribute to the development of depression in people with CHD. The aim of this thesis was to investigate the prospective association of perseverative negative thinking with depression, anxiety and worse physical outcomes in people with CHD, and to explore factors that may mediate this association. First, a systematic review identified 30 studies, of which the majority found an association between measures of perseverative negative thinking and subsequent depression, anxiety or emotional distress in people with long term conditions. Studies that controlled for covariates showed more mixed results, though the majority (15 / 25) still supported a significant association, with effects being small in magnitude. Findings were limited mainly to the association of rumination and/or catastrophizing with subsequent depression, and study quality was limited. Next, in an observational prospective cohort study 169 inpatients and outpatients with recent acute coronary syndrome (ACS) completed self-report assessments of rumination (Ruminative Responses Scale brooding subscale), worry (Penn State Worry Questionnaire), depression (Patient Health Questionnaire-8), anxiety (Beck Anxiety Inventory), and health-related quality of life (EuroQol-5D health-related quality of life, Seattle Angina Questionnaire) after hospitalisation, and at 2 month and 6 month follow-up. Additionally, assessments of potential mechanistic factors (social support, problem solving, instrumental behaviours and negative cognitive biases) were made. Baseline brooding was a significant independent predictor of depression at 6 months after controlling for the effects of important confounding variables, accounting for 2% of the variance. Findings suggested that the association of brooding with depression may be explained by deficits in problem solving ability. Rumination and problem solving may provide useful targets for the development of evidence-based interventions to improve depression among people with CHD, although the findings presented here fall short of proving a causal relationship. Future trials could be used to investigate the causal nature of the association of rumination and problem solving with depression in people with ACS.

Submitted by (edna.saturno@ufrpe.br) on 2017-03-22T12:02:49Z No. of bitstreams: 1 Ana Maria Duarte Cabral.pdf: 232492 bytes, checksum: 2a9409f2cd6b33b847456136ef998cdb (MD5) / Made available in DSpace on 2017-03-22T12:02:49Z (GMT). No. of bitstreams: 1 Ana Maria Duarte Cabral.pdf: 232492 bytes, checksum: 2a9409f2cd6b33b847456136ef998cdb (MD5) Previous issue date: 2008-02-18 / Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq / It was evaluated the intake and digestibility of nutrients, milk yield and composition, and ingestive behavior of five lactating goats used in a 5x5 Latin square experiment, fed sugarcane and urea in replacement tifton hay, according with levels 0, 25, 50, 75 and 100%. The diets with higher levels of sugarcane had greater lignin concentration, resulting linear decrease in apparent digestibility of DM and consequent increase of rumination, adversely affecting the intake and the milk yield. However, due to the significant amount of soluble carbohydrates in the diet, feed efficiency increased linearly. The use of sugarcane for goats average of the high of milk yield can compromise the performance of these animals, but is an alternative food for strategic critical periods / Avaliou-se o consumo e digestibilidade de nutrientes, a produção e composição de leite e o comportamento ingestivo de cinco cabras Saanen em quadrado latino 5x5, alimentadas com cana-de-açúcar e uréia em substituição ao feno de tifton, de acordo com os níveis 0, 25, 50, 75 e 100%. As dietas com maiores níveis de cana-deaçúcar apresentaram maior concentração de lignina, provocando diminuição linear na digestibilidade aparente da MS e conseqüente aumento de ruminação, afetando negativamente o consumo e a produção de leite. Entretanto, devido à expressiva quantidade de carboidratos solúveis na dieta, a eficiência alimentar aumentou linearmente. A utilização de cana-de-açúcar para cabras de média a alta produção de leite pode comprometer o desempenho desses animais, porém é uma alternativa alimentar e estratégica para períodos críticos.

過去文獻顯示憂鬱反芻與憂鬱有緊密關連，憂鬱反芻的概念又可區分為不具適應性與較具適應性的部分（Treynor, Gonzalez, & Nolen-Hoeksema, 2003），但這兩者與憂鬱情緒的關係至今尚未有定論。在非臨床樣本中，高自我聚焦並非都是缺乏適應性的，高自我聚焦程度加上情緒一致的回憶特質，容易維持憂鬱情緒，反之加上情緒不一致性的回憶特質，則較能回憶正向記憶，具有較佳的情緒調節能力。為探討情緒、反芻與記憶特性的關係，本研究採用Trapnell和Campbell（1999）架構將自我聚焦分為自我反思與自我反芻兩個次分類，探討不同自我反思反芻與憂鬱情緒在自傳式記憶的特性表現上有何差異。其中以簡短指導語版的自傳式記憶測驗工具（MI-AMT）做為測量工具，增加在非臨床樣本中測驗自傳式記憶的敏感度。 本研究第一階段以545位大學、研究所學生為樣本，發展本地適用的中文版反思反芻量表，第二階段則從階段一的反思反芻程度、憂鬱程度高低中篩選出117位受試者，檢驗不同自我反思反芻與憂鬱情緒之自傳式記憶特性差異。 研究結果顯示（1）中文版自我反思反芻量表與簡短指導語版自傳式記憶測驗工具具有足夠心理計量特性，可用以測量相關概念與量化記憶特性。（2）憂鬱情緒程度高者具有自傳式記憶特定性低、過度概化記憶程度高的特性，與過去文獻符合。另外，反芻與反思在自傳式記憶的表現則相似性高，在同處於高憂鬱情緒類別，高反芻者並無顯著回憶出較少特定記憶、較多過度概化記憶，高反思者亦無顯著回憶出較多正向特定記憶、較少正向過度概化記憶；這些結果與Svaldi（2008）無法驗證研究假設的結果相同。 / Literature review shows that depressive rumination sustains depressed mood. Depressive rumination could separate into maladaptive and adaptive subcomponents (Treynor, Gonzalez, & Nolen-Hoeksema, 2003), but the relationship of them and depressive mood is unstable. In non-clinical sample, high self-focus is not always relates to maladaptive. When it combines with mood-congruent autobiographical memory sustain negative mood easily. People with mood-incongruent effect will recall more positive autobiographical memory, has better emotional regulation. The present study tried to examine the relationship between emotion, rumination and autobiographical memory. Divided self-focus into self-reflection and self-rumination (Trapnell & Campbell, 1999), investigated the differential characteristic of autobiographical memory in different self-focus (ruminative and reflective) and depressive mood (high and low). In addition, we used Minimal Instructions Autobiographical Memory Test to measure memory specificity in non-clinical populations. Study one aimed to validate the Chinese version of Rumination-Reflection Questionnaire, recruit 545 graduate and undergraduate students as sample. Study two investigated the differential characteristic of autobiographical memory in self-focus and depressive mood with 117 students chosen from study one. The results revealed that: 1) the Chinese version of RRQ showed satisfactory psychometric properties. 2) High depressive mood is significantly associated with reduced AM specificity and induced overgeneral memory, this result supported pass researches. Otherwise, autobiographical memory’s characteristic in self-rumination and self-reflection are quite the same. In high depressive mood, high self-ruminator did not have lower autobiographical memory specificity, and more overgeneral memory. High self-reflector did not have more positive specific autobiographical memory, and less positive overgeneral memory. These two result didn’t support assumption, but matched to Svaldi’s (2008) result.

Purpose of the study is to examine the relationship of ruminative tendency, internal working models of attachment (Self-Model and Other-Model) and help seeking attitudes (Positive Beliefs and Negative Beliefs) with psychological symptoms among the university students. In scope of the current research, the mediation role of rumination in the relationship between internal model of self and psychological symptoms was examined. By applying convenient sampling procedure, six hundred and ten university students were included into the current study from 9 different state universities in Ankara and Istanbul. Turkish version of Relationship Questionnaire (Bartholomew &amp / Horowitz, 1991), Relationship Scale Questionnaire (Griffin &amp / Bartholomew, 1994), Brief Symptom Inventory (Derogatis, 1992), Ruminative Response Scale (Nolen-Hoeksema &amp / Marrow, 1991) and Attitudes toward Seeking Psychological Help - Shortened (T&uuml / rk&uuml / m, 2001) were delivered to the university students at university campuses. Multiple regression analyses were implemented to evaluate the research hypotheses. The results revealed that rumination, internal model of others, and negative beliefs about psychological help significantly predicted the increase in psychological symptoms of Turkish university students. Positive beliefs about psychological help did not relate to psychological symptoms of university students for the current set of data. In addition to this, rumination mediated the relationship between internal model of self and psychological symptoms of university students. The research findings were discussed by relying on the previous research premises.

Mastitis is one of the most common and expensive dairy cattle diseases. Mastitis prevention and management are key factors in herd health and improved milk quality. One objective of this research was to evaluate management solutions to maintain a low somatic cell count, based on survey responses from Kentucky dairy producers. Because hyperkeratosis may increase mastitis incidence, another objective of this research was to examine changes in teat end hyperkeratosis in a herd transitioning from a standard pulsation milking system to an individual quarter pulsation milking system. The last objective of this research was to evaluate technologies that monitored rumination time, neck activity, reticulorumen temperature, and milk yield as potential mastitis detection devices.

Högkänslighet, eller så kallad sensory-processing sensitivity (SPS), har beskrivits som ett personlighetsdrag där individen bearbetar sensorisk information på ett djupare och starkare sätt än personer som inte är högkänsliga. Syftet med den aktuella studien var att, med hjälp av självskattningsformuläret ”the Highly Sensitive Person Scale” (HSP), undersöka högkänslighet mot skattningar av naturen (NR, NR-Self, NR-Perspective, NR-Experience), grubbleri (RRQ-Rumination) och självreflektion (RRQ-Reflection), subjektivt välbefinnande (WHO) och upplevelser av mindfulness (MAAS). Undersökningen skedde via en webb-baserad enkät och omfattade 213 deltagare. Resultatet visade att individer som är mer högkänsliga värderar naturen högre, samt grubblar och reflekterar mer kring sig själva, än mindre högkänsliga personer. Inga signifikanta skillnader förelåg mellan grupperna vad gäller mindfulness eller välbefinnande. Resultatet tyder på att både en interaktion med naturen och mindfulness kan vara gynnsamt för högkänsliga individer. Denna studie kan utgöra en startpunkt för framtida forskning, där experimentella studier med upprepad mätning kan genomföras för att undersöka naturens roll för högkänsliga personer. / Sensory-processing sensitivity (SPS) has been described as a personality trait where the individual process sensory information in a deeper and stronger way than people who are not highly sensitive. The aim of the present study was to, with the self-assessment form ”the Highly Sensitive Person Scale” (HSP), examine sensory-processing sensitivity against evaluations of nature (NR, NR-Self, NR-Perspective, NR-Experience), rumination (RRQ-Rumination) and self-reflection (RRQ-Reflection), subjective well-being (WHO) and experiences of mindfulness (MAAS). The survey was done through a web-based questionnaire and included 213 participants. The results showed that individuals who are more highly sensitive value nature higher, and also ruminate and reflect more on themselves, than people who are less highly sensitive. No significant differences existed between the groups concerning mindfulness or subjective well-being. The results suggest that both an interaction with nature and mindfulness can be favourable for highly sensitive persons. This study can serve as a starting point for future research, where experimental studies with repeated measures can be conducted to investigate the role of nature for highly sensitive persons.

A Ruminação tem sido um importante campo de investigação para estudar os mecanismos cognitivos e alteração dos estados emocionais associados ao processo do desenvolvimento de condições de saúde mental. A presente dissertação, cujo relatório de pesquisa deriva nessa produção, busca elucidar as relações entre ruminação e disforia de gênero. Dessa forma, a dissertação apresentará dois estudos de delineamento transversal que, no entanto, sofrem adaptações na disposição dos indivíduos da amostra para testar hipóteses específicas. Em ambos os estudos foram recrutadas 39 mulheres transexuais, no período de 2014 a 2015, que atenderam aos critérios do DSM 5 para diagnóstico de Disforia de Gênero (DG). O primeiro estudo teve como objetivo analisar os níveis de ruminação em pacientes com disforia de gênero antes e depois da Cirurgia de Redesignação Sexual (CRS), o que contribui com a literatura que investiga marcadores de desfecho positivo para CRS. O primeiro subgrupo (T0) foi constituído por participantes com diagnósticos confirmados para DG e com, no máximo, um ano de acompanhamento em grupoterapia. O T1, por pacientes que atenderam os pré-requisitos em relação à frequência aos atendimentos dos grupos psicoterapêuticos de, no mínimo, um ano, e no máximo dois anos, sem contra-indicação para realização da CRS. E o T2, constituído por pacientes pós-cirúrgicos em um período superior a seis meses. O segundo estudo teve como objetivo tanto analisar a relação entre abuso emocional na infância e ruminação em mulheres transexuais quanto identificar, entre os indivíduos da amostra, quais ruminam em nível p[baixo] = (33) ≤18 e p[alto] = (67) ≥23. Essa classificação entre dois subtipos do pensamento ruminativo pode elucidar diferenças entre os fatores protetivos e os desfechos nocivos na saúde mental e física dessa população. No primeiro estudo, a ruminação diminuiu entre os pacientes no T2 e os escores em ruminação foram ainda gradualmente menores a cada procedimento realizado nas características sexuais secundárias por pacientes deste grupo. Esse achado contribui para pesquisas do paradigma Research Domain Criteria (RDoC), que almeja demonstrar marcadores psicológicos para condições de saúde mental. Nesse caso, a ruminação parece se mostrar como um marcador importante para o desfecho positivo em pacientes com disforia de gênero pós-CRS. No segundo estudo, nosso principal achado reside na prevalência em até 15 vezes (IC95%: 2,25-99,63) de maior chance para engajamento em ruminação elevada ou comportamento disfórico entre os indivíduos que foram expostos ao abuso emocional, sobretudo, entre aqueles que o vivenciaram no intervalo da tipologia que variou de moderado – grave a grave – extremo se comparado aos indivíduos com gravidade entre mínimo a moderado na escala Childhood Trauma Questionnaire (CTQ). O abuso emocional está relacionado com engajamento em ruminação, sobretudo, ao subtipo elevada, o que contribui para aumento em comportamentos disfóricos, e ao estar associado à desregulação da emoção, que contribui para os desfechos nocivos na saúde física e mental desta população. / The Rumination has recently become an important field of study to better understand cognitive mechanisms and emotional status associated to the development of mental health conditions. The current work aims to shine a light upon the relation between rumination and gender dysphoria (GD). In this sense, this work presents two cross-sectional studies, each testing two specific hypotheses. Therefore, they have suffered adaptations in the disposition of the sample. In both studies, 39 transexual women, who fulfilled the DSM 5 diagnostic criteria for GD, were recruited within the years of 2014 and 2015. The first study aimed to analyse how much GD patients have rumination processes before and after sex reassignment surgery (SRS), which contributes to the body of literature seeking for positive outcome markers for SRS. The first group (T0) was made of participants who had a confirmed DG diagnostic and participated of group therapy for up to one year (between 0 and 12 months). The second group (T1) was composed by participants who had a confirmed DG diagnostic and attended from one up to two years of group therapy and had no contraindications for SRS. The third group (T2) was comprised of patients who have gone through SRS surgery at least six months prior to the data collection. The second study aimed to analyse the relation between emotional abuse during childhood and rumination in transexual women and to identify, amongst sample individuals, those who ruminate at a low or high levels. This classification into two subsets of ruminative thinking might clarify diferences between protective factors and poor mental and physical health outcomes in this specific population. In the first study, patients of the T2 group ruminate significantly less than their counterparts; moreover, scores of the ruminative thinking process seems to fall gradually with each alteration in the secondary sex characteristics. This finding contributes to the researches of the Research Domain Criteria (RDoC) paradigm, which seeks to find physiological markers for mental health conditions. In this case, rumination seems to be an important marker for positive outcomes in post-SRS GD patients. In the second study, the main result is the higher (up to 15 fold) prevalence for likeliness to engane in high level of ruminative thinking or dysphoric behaviour amongst the individuals who were exposed to emotional abuse. Above all, the engagement in ruminative thinking process is even higher amongst those who lived through emotional abuse in the moderated - severe and the severe - extreme categories of the Childhood Trauma Questionnaire (CTQ) scale than those in the light - moderate category. Emotional abuse is related to ruminative engagement, specially to the high level subtype of rumination. This contributes to the increase in dysphoric behaviours and to the bad health and mental outcomes in this population, probably associated with emotional dysregulation.