ArticleFrontiers in psychology2026
The effects of negative life events on depression in middle-aged women: the mediating role of rumination and coping styles.
Article in Frontiers in 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.
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Abstract
Background: The mental health of middle-aged women is a significant public health issue. Based on Response Styles Theory (RST), this study aims to investigate the associations between negative life events (NLEs), rumination, coping styles, and depression among middle-aged Chinese women, and to explore the chain mediation mechanism of rumination and positive coping styles. Methods: A cross-sectional survey was conducted among 327 middle-aged women aged 35-55 (case group: Results: (1) The case group scored significantly higher than the control group on depression and sleep disturbance. (2) Correlation analysis showed that NLEs, rumination, and positive coping styles (negatively) were all significantly associated with depression and sleep quality ( Conclusion: Negative life events are closely associated with decreased sleep quality and exacerbated depressive symptoms in middle-aged women. This relationship is mediated by the chain effect of "Rumination → Decreased Positive Coping Style," suggesting that rumination may interfere with the adoption of positive coping mechanisms. Interventions should prioritize reducing rumination and enhancing positive coping strategies to alleviate depression and improve sleep quality.
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