ArticleClinical psychology & psychotherapy2020
How thinking hurts: Rumination, worry, and avoidance processes in adjustment to bereavement.
Article in Clinical psychology & psychotherapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.
- Measuring Grief in the Context of Traumatic Loss: A Systematic Review of Assessment Instruments.Trauma, violence & abuse · 2023Pooled it
- Dwelling in prolonged grief: Resting state functional connectivity during oxytocin and placebo administration.Human brain mapping · 2023Trial
- Rumination in suicide-loss survivors: Psychometric evaluation of the Persian version of the Utrecht Grief Rumination Scale (UGRS).Journal of education and health promotion · 2026Article
- Effects of avoidance in German military police resilience training.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2026Article
- Mediating effect of fear of happiness between intolerance of uncertainty and anxiety among Lebanese adults.Global mental health (Cambridge, England) · 2026Article
- Reminiscence and grief resolution through online journalling: mixed-methods analysis of the Living Memory Home bereavement cohort.BJPsych open · 2025Article
- Dysfunctional Pandemic Grief Model Among Nursing Professionals Who Experienced Death of Patients.The Psychiatric quarterly · 2025Article
- Trajectories of children's intrusive grief and association with baseline family and child factors and long-term outcomes in young adulthood.Development and psychopathology · 2025Article
- Psychological capital and death anxiety in pancreatic cancer patients: a latent profile analysis.Frontiers in psychiatry · 2025Article
- Individual and systemic variables associated with prolonged grief and other emotional distress in bereaved children.PloS one · 2024Article
- Validation of the Korean version of the Utrecht Grief Rumination Scale and its relationship with COVID-related hypochondriasis among healthcare workers who witnessed patient deaths.Brain and behavior · 2023Article
- Looking back and moving forward: dimensions of coping flexibility divergently predict long-term bereavement outcomes.Anxiety, stress, and coping · 2023Article
- The Brain Overwork Scale: A Population-Based Cross-Sectional Study on the Psychometric Properties of a New 10-Item Scale to Assess Mental Distress in Mongolia.Healthcare (Basel, Switzerland) · 2023Article
- "It was terrible, I didn't sleep for two years": A mixed methods exploration of sleep and its effects among family caregivers of in-home hospice patients at end-of-life.Palliative medicine · 2022Article
- Prolonged Grief Symptoms among Suicide-Loss Survivors: The Contribution of Intrapersonal and Interpersonal Characteristics.International journal of environmental research and public health · 2022Article
- COVID-19 Peritraumatic Distress and Loneliness in Chinese Residents in North America: The Role of Contraction Worry.International journal of environmental research and public health · 2022Article
- Can Cognitive Control and Attentional Biases Explain More of the Variance in Depressive Symptoms Than Behavioral Processes? A Path Analysis Approach.Frontiers in psychology · 2022Article
- Effects of negative life events on depression in middle school students: The chain-mediating roles of rumination and perceived social support.Frontiers in psychology · 2022Article
- How does burnout relate to daily work-related rumination and well-being of psychotherapists? A daily diary study among psychotherapeutic practitioners.Frontiers in psychiatry · 2022Article
- Rumination, worry and negative and positive affect in prolonged grief: A daily diary study.Clinical psychology & psychotherapy · 2022Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
Repetitive negative thought plays an important role in the maintenance of mental health problems following bereavement. To date, bereavement researchers have primarily focused on rumination (i.e., repetitive thought about negative events and/or negative emotions), yet the interest in worry (i.e., repetitive thought about uncertain future events) is increasing. Both cognitive processes potentially lead to poorer adaptation to bereavement by contributing to loss-related avoidance and behavioural avoidance of activities. The current study aims to establish the differential associations of rumination and worry with symptoms of depression and prolonged grief and clarify if avoidance processes mediate the associations of rumination and worry with symptom levels. Four hundred seventy-four recently bereaved adults (82% female) filled out questionnaires assessing rumination, worry, loss-related and behavioural avoidance, and depression and prolonged grief symptoms. Rumination and worry were both uniquely associated with depression and prolonged grief symptoms. Compared with worry, rumination related more strongly to prolonged grief symptoms, whereas correlations of both cognitive styles with depression symptoms did not differ. Loss-related avoidance and behavioural avoidance partially mediated the associations of rumination and worry with prolonged grief symptoms. Behavioural avoidance partially mediated the associations of rumination and worry with depression symptoms. Findings suggest that exposure and behavioural activation may be effective interventions to reduce repetitive thinking and psychopathology after bereavement.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.