Evidence map›Paper›PMID 41915409›Full record

SynthesisJournal of clinical psychology2026

Cross-Cultural Influences on the Association Between Rumination and Psychopathology: A Systematic Review.

James Haoxiang Li, Julian Madsen, Joshua Wong, Belinda Liddell, Laura Jobson

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of clinical psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

James Haoxiang LiTurner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia.ORCID 0009-0008-3861-8558
Julian MadsenTurner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0001-5611-8217
Joshua WongSchool of Psychology, University of New South Wales, Sydney, New South Wales, Australia.
Belinda LiddellSchool of Psychological Sciences, University of Newcastle, Callaghan, Newcastle, Australia.ORCID 0000-0002-8036-5864
Laura JobsonTurner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0002-1534-897X

Funding

Australian Government Research Training Program (RTP) Scholarship
6 · The paper itself

Abstract

Rumination is a transdiagnostic process associated with psychopathology. While culture shapes cognitive and emotion processing, cultural influences on rumination remain unclear. Therefore, this systematic review aimed to examine cultural differences in the association between rumination and psychopathology. To address this aim, we conducted a literature search (May 2024), which identified 24 eligible studies. We conducted an exploratory meta-analysis examining whether cultural group moderated the association between rumination and psychopathology. First, we found cultural differences in the association between rumination and psychopathology under certain conditions. Second, we identified three culture-specific mechanisms that may shape the relationships between rumination and psychopathology: (1) social support was less eroded by rumination in Japanese versus German participants and correlated with weaker rumination-wellbeing associations; (2) self-doubt attributions mediated the association between rumination and depression symptoms in European Americans but not Asians; and (3) happiness levels moderated the relationship between rumination and depression symptoms in European Americans but not Asian Americans. Third, given the limited studies available, meta-analyses could only be conducted comparing Western and Asian samples for depression symptoms. This exploratory analysis highlighted cultural group did not significantly moderate the relationship between rumination and depression. Finally, the review highlighted the scarcity of sufficient studies to draw definitive conclusions about the role of culture in rumination and psychopathology and the need for research focusing on diverse cultural groups, clinical samples and disorder-specific measures of rumination. Advancing this research is crucial for informing the integration of culture into theories of rumination and enhancing cultural tailoring of interventions.

Indexed as

Cross-Cultural ComparisonDepressionRumination, CognitiveHumansSocial Support

Identifiers

PMID41915409
PMCPMC13242247

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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.