The overarching aim of this research was to understand factors implicated in the maintenance of rumination and worry, conceptualised as a transdiagnostic process of repetitive negative thought (RNT), through the use of cross-sectional, prospective, and experimental research designs. Rumination and worry have been repeatedly implicated in the development and maintenance of various forms of psychopathology, in particular, depression and anxiety disorders. Given the negative outcomes for mood and psychopathology, there is a need for a better understanding of vulnerability factors that maintain this unconstructive thinking. Based on a review of the literature, an integrative theoretical model was developed and tested using structural equation modelling. Using cross-sectional data, the model was tested in a large sample of adults (n = 506). Of the broad range of proximal and distal vulnerability factors examined, only neuroticism and beliefs about the function of repetitive thought remained significantly associated with RNT once current symptoms were statistically controlled. Emotional abuse and abstract processing were indirectly associated with RNT. Following on from this, a prospective study examined which of these vulnerability factors prospectively predicted change in RNT over six to eight weeks. Only neuroticism and the specific belief that repetitive thought aids instrumental understanding predicted change in RNT, after controlling for depression and anxiety symptoms. Next, two experimental studies were conducted to explore the causal relationship between RNT and the belief that RNT aids insight and understanding, by experimentally manipulating this appraisal and measuring the impact on state RNT. Whilst methodological issues with the first experimental study precluded clear conclusions being drawn about the nature of the relationship, the second experimental study demonstrated that participants manipulated to believe that RNT is helpful for increasing insight and understanding had greater levels of state RNT after exposure to a stressor, relative to participants manipulated to believe that RNT is unhelpful. Finally, in order to see whether rumination has any consequences that may potentially reinforce its further use, an experimental study was conducted to manipulate processing mode (abstract rumination versus concrete thinking) and examine the effect on a range of outcomes relating to insightfulness and avoidance. Whilst rumination did not lead to increased insight, it did afford more justification for avoidance, relative to concrete thinking. The clinical and theoretical implications of these findings are discussed with respect to existing theories of repetitive negative thought.

Literature Review: Anhedonia, the loss of interest or pleasure in usually pleasurable activities, is a core symptom of depression and is associated with a reduction in positive affect (PA). Repetitive negative thought (RNT) is implicated in the development and maintenance of psychiatric disorders. It has been hypothesised that RNT causally contributes to anhedonia. The aim of this review was to explore this relationship to answer two questions: Is there a relationship between RNT and anhedonia? Does RNT causally contribute to anhedonia? Review inclusion criteria were: studies using standardised measures to report a relationship between RNT and anhedonia or reduced PA. Results suggest that cross-sectional and longitudinal studies identify a relationship between RNT and anhedonia. Preliminary evidence from experimental studies shows that RNT causally contributes to anhedonia. Limitations within the field are that anhedonia is rarely measured directly or behaviourally. Future research is warranted to explore the relationship between RNT and anhedonia with a particular focus on direct and behavioural measures of anhedonia. Empirical Paper: It is hypothesised that repetitive negative thought (RNT) causally contributes to anhedonia. There is cross-sectional and longitudinal evidence of this relationship, but it has not previously been investigated directly using experimental methods. In the present study, student participants were randomly assigned to an unresolved goal (RNT) manipulation (n = 43) or resolved goal (control) manipulation (n =41) prior to completing a reward sensitivity task. This task has been reliably found to train a response bias towards the stimuli that is differentially positively reinforced, with both depression and self-reported anhedonia associated with a reduced response bias. The unresolved goal versus resolved goal manipulation was effective, with the unresolved condition producing significantly higher levels of RNT during the reward sensitivity task relative to the resolved condition. Inconsistent with study predictions, there was no significant difference between the conditions on response bias, although there were trend findings, which tentatively suggest that RNT may influence anhedonia. Potential accounts for the null findings and future research are discussed.

No description available.