Ofelia Castro Schepers
Exploring the demographics of teachers who experience secondary traumatic stress
BMC psychology
repetitive negative thinking rnt increases vulnerability multiple anxiety depressive disorders common risk factor elevated rnt may account high levels comorbidity observed emotional disorders aims study compare two common forms rnt worry rumination across individuals noncomorbid anxiety depressive disorders b examine relationship rnt comorbiditya structured diagnostic interview measures rumination worry anxiety depression completed large clinical sample anxiety disorder depression n513 presenting community mental health clinicpatients without n212 n301 comorbid diagnoses generally differ across principal diagnosis groups depression generalised anxiety disorder social anxiety disorder panic disorder worry rumination predicted comorbidity associated higher level rntcrosssectional design precluded causal conclusions findings may generalize excluded anxiety disordersconsistent transdiagnostic hypothesis rnt associated range anxiety disorders depression comorbidity principal depressive disorder supporting recent evidence rnt transdiagnostic process presence rnt specifically worry rumination assessed treated regardless diagnostic profile future research may show pure comorbid depressed anxious patients receive incremental benefit transdiagnostic protocols developed treat core pathological processes rnt traditionally associated separate disorders