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  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

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걱정과 반추가 스트레스 반응에 미치는 영향: 인지적 유연성의 매개효과와 성차

The Mediating Effects of Cognitive Flexibility and Gender Differences: Worry, Rumination and Stress Response

초록

본 연구에서는 357명의 4년제 사립대학교에 재학 중인 대학생을 대상으로 걱정과 반추가 스트레스 반응에 영향을 미치는 과정에서 인지적 유연성이 매개하는지 검증하고자 하였다. 연구결과 첫째, 모든 변인은 서로 유의미한 상관을 나타냈다. 둘째, 구조방정식 모형분석 결과 스트레스 반응에 영향을 미치는 걱정, 반추, 인지적 유연성, 스트레스 반응 간의 구조적 모형은 적합한 것으로 나타났다. 걱정과 스트레스 반응과의 관계에서 인지적 유연성은 완전매개 하였고, 반추와 스트레스 반응과의 관계에서 인지적 유연성은 부분매개 하였다. 걱정과 반추가 인지적 유연성으로 가는 경로 간 계수를 비교하였고 경로 간 유의미한 차이가 없는 것으로 나타났다. 셋째, 성차를 파악하기 위하여 t 검정과 다집단 분석을 실시하였다. t 검정 결과 인지적 유연성과 스트레스 반응에서 유의미한 성차를 보였으나, 다집단 분석 결과 남녀 집단 간에는 유의미한 차이가 없는 것으로 나타났다. 이를 토대로 제한점, 후속연구에 대한 제언 그리고 시사점에 대해 논의하였다.

keywords
걱정, 반추, 인지적 유연성, 스트레스 반응, 성차, worry, rumination, cognitive flexibility, stress response, gender differences

Abstract

This study was conducted to examine whether cognitive flexibility acts as a mediator between worry and rumination in the context of influencing stress response in 357 university students. The structural model of worry, rumination and cognitive flexibility that affects stress response was proved to be appropriate and results showed significant correlations among all variables. Cognitive flexibility fully mediated the relationship between worry and stress response and partially mediated the relationship between rumination and stress response. There were no significant differences in path coefficients between the path from worry to cognitive flexibility and the path from rumination to cognitive flexibility. Independent t-test and multi-groups analysis were performed for cross-gender comparison. Significant gender differences were revealed specific to cognitive flexibility and stress response, but ultimately multi-groups analysis indicated no differences between genders. Limitations, implications and suggestions for future research are discussed.

keywords
걱정, 반추, 인지적 유연성, 스트레스 반응, 성차, worry, rumination, cognitive flexibility, stress response, gender differences

참고문헌

1.

고경봉, 박중규, 김찬형 (2000). 스트레스반응척도의 개발. 신경정신의학, 39(4), 707-719.

2.

김동수, 정연수, 박세권 (2004). 스트레스 호르몬인 타액 코티졸과 자기보고식 스트레스척도 점수 사이의 관계. 한국심리학회지:건강, 9(3), 633-645.

3.

김소정, 김지혜, 윤세창 (2010). 한국판 반추적반응 척도(K-RRS)의 타당화 연구. 한국심리학회지: 임상, 29(1), 1-19.

4.

김완일 (2008). 자기복잡성과 인지적 유연성이심리적 적응에 미치는 영향. 한국심리학회지: 상담 및 심리치료, 20(3), 715-734.

5.

김의철, Tsuda, A., 박영신, 김의연, Horiuchi, S. (2009). 한국과 일본 대학생의 스트레스증상과 관리행동의 비교: 사회적 지원과자기효능감을 중심으로. 인간발달연구, 16(1), 139-164.

6.

김정원, 민병배 (1998). 걱정과 불확실성에 대한인내력 부족 및 문제해결방식과의 관계. 한국심리학회 연차학술발표대회 논문집. 한국심리학회.

7.

김정희 (1995). 스트레스 평가와 대처의 정서적 경험에 대한 관계. 한국심리학회지: 상담 및 심리치료, 7(1), 44-69.

8.

김현정, 손정락 (2007). 평가염려 완벽주의와불안 및 우울간의 관계에서 스트레스와반복사고의 매개효과. 한국심리학회지: 일반, 26(2), 183-205.

9.

문수백 (2009). 구조방정식 모델링의 이해와 적용. 서울: 학지사.

10.

박준호, 서영석 (2010). 대학생을 대상으로 한한국판 지각된 스트레스 척도 타당화 연구. 한국심리학회지: 일반, 29(3), 611-629.

11.

배병렬 (2013). Amos 19.0 구조방정식모델링. 서울: 청람.

12.

서영석 (2010). 상담심리 연구에서 매개효과와조절효과 검증: 개념적 구분 및 자료 분석 시 고려 사항. 한국심리학회지: 상담 및 심리치료, 22(4), 1147-1168.

13.

설승원, 오경자 (2008). 불확실성에 대한 인내력 부족과 정서 통제감이 걱정에 영향을미치는 기제: 문제 해결 지향의 매개효과를 중심으로. 한국심리학회지: 임상, 27(1), 209-235.

14.

송보라, 이기학 (2009a). 사적 자의식이 자기개념 명확성에 미치는 영향: 성별, 인지적유연성의 상호작용 효과. 한국심리학회지:사회 및 성격, 23(1), 195-205.

15.

송보라, 이기학 (2009b). 자기개념 복잡성과 심리적 적응 관계에서의 인지적 유연성 및 자기개념 명확성의 매개효과 모형 검증. 한국심리학회지: 사회 및 성격, 23(3), 73-88.

16.

신여운, 현명호 (2004). 병리적 걱정을 하는 사람의 걱정에 대한 신념과 대처방략. 한국심리학회지: 일반, 23(2), 45-63.

17.

심태경, 이민규 (2013). 수면과 정서조절은 스트레스와 걱정이 안녕에 미치는 효과를매개하는가?. 한국심리학회지: 건강, 18(4), 783-806.

18.

오영아, 정남운 (2011). 불확실성에 대한 인내력 부족과 걱정의 관계: 경험적 회피의매개효과 검증. 한국심리학회지: 상담 및 심리치료, 23(3), 671-691.

19.

우종필 (2012). 구조방정식모델 개념과 이해. 서울: 한나래출판사.

20.

이수연 (2015). 취업준비생의 완벽주의가 취업스트레스에 미치는 영향: 인지적 유연성의 매개효과를 중심으로. 명지대학교 대학원 석사학위 논문.

21.

이정임, 권정혜 (2008). 걱정과 정서조절이 수면 및 피로에 미치는 영향. 한국심리학회지: 임상, 27(1), 1-14.

22.

이현예, 조현주 (2016). 대학생의 탄력성이 지각된 스트레스에 미치는 영향-긍정정서와인지 유연성의 매개효과. 한국심리학회지:상담 및 심리치료, 28(1), 147-168.

23.

임선영, 권석만 (2012). 대학생의 관계상실을통한 성장에 관한 연구. 한국심리학회지:일반, 31(2), 261-281.

24.

임인재, 김신영, 박현정 (2003). 교육, 심리, 사회연구를 위한 통계방법. 서울: 학연사.

25.

전겸구, 김교헌, 이준석 (2000). 개정판 대학생용 생활 스트레스 척도 개발 연구. 한국심리학회지: 건강, 5(2), 316-335.

26.

전선영, 김은정 (2013). 대학생의 반추 하위유형들(몰두와 반성)과 우울 증상 간의 관계: 회피의 매개 효과. 인지행동치료, 13(2), 285-306.

27.

조미영 (2015). 청소년의 긍정정서가 우울 및 학교생활적응에 미치는 영향: 인지적 유연성의 매개효과 검증. 가톨릭대학교 교육대학원 석사학위 논문.

28.

조선화, 강영신 (2015). 애도 회피에 따른 침투반추가 심리 성장에 이르는 과정에서 의도 반추 자기노출의 역할. 한국심리학회지: 상담 및 심리치료, 27(3), 641-663.

29.

조은영, 임성문 (2012). 자아해석과 주관적 안녕감 및 우울간의 관계. 한국심리학회지:일반, 31(2), 493-519.

30.

조은영, 임정하 (2014). 대학생의 긍정정서 및 부정정서가 심리적 안녕감에 미치는 영향. 한국청소년연구, 25(4), 185-210.

31.

채은옥, 이영호 (2008). 위협상황에서 걱정 많은 사람들의 대처 과정 특성. 한국심리학회지: 임상, 27(2), 411-427.

32.

천숙희 (2012). 성별에 따른 대학생의 일상적스트레스, 사회적 지지, 속박감 및 정신건강의 관계. 여성건강간호학회지, 18(3), 223-235.

33.

최승미, 강태영, 우종민 (2006). 스트레스 반응척도의 수정판 개발 및 타당화 연구: 근로자 대상. 한국신경정신의학회지, 45(6), 541-553.

34.

최은혜 (2011). 자기조절과 인지적 유연성이 특성분노 및 분노표현에 미치는 영향. 대구가톨릭대학교 대학원 석사학위논문.

35.

통계청 (2014). 2014년 사회조사 결과-가족․교육․보건․안전․환경.

36.

한정숙, 최윤경 (2014). 이혼경험자의 인지적유연성이 역경 후 성장에 미치는 영향:시간관의 매개효과. 인지행동치료, 14(2), 217-237.

37.

허심양 (2011). 완벽주의와 심리적 부적응의 관계에서 인지적 유연성의 역할. 서울대학교대학원 석사학위논문.

38.

Afifi, M. (2007). Gender differences in mental health. Singapore Medical Journal, 48(5), 385-391.

39.

Al-Bahrani, M., Aldhafri, S., Alkharusi, H., Kazem, A., & Alzubiadi, A. (2013). Age and gender differences in coping style across various problems: Omani adolescents' perspective. Journal of Adolescence, 36(2), 303-309.

40.

Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217-237.

41.

Altemus, M. (2006). Sex differences in depression and anxiety disorders: Potential biological determinants. Hormones and Behavior, 50(4), 534-538.

42.

American Psychological Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, D. C.:American Psychological Association.

43.

Asberg, K. K., Bowers, C., Renk, K., & McKinney, C. (2008). A structural equation modeling approach to the study of stress and psychological adjustment in emerging adults. Child Psychiatry and Human Development, 39(4), 481-501.

44.

Berenbaum, H. (2010). An initiation-termination two-phase model of worrying. Clinical Psychology Review, 30(8), 962-975.

45.

Borkovec, T. D., & Newman, M. G. (1998). Worry and generalized anxiety disorder. In P. Salkovskis (Ed.), Comprehensive Clinical Psychology: Vol. 6. Adults: Clinical formulation and treatment (pp. 439-459). Oxford, England:Pergamon Press.

46.

Borkovec, T. D., Robinson, E., Pruzinsky, T., & DePree, J. A. (1983a). Preliminary exploration of worry: Some characteristics and process. Behaviour Research and Therapy, 21(1), 9-16.

47.

Brosschot, J. F., Gerin, W., & Thayer, J. F. (2006). The perseverative cognition hypothesis:A review of worry, prolonged stress-related physiological activation, and health. Journal of Psychosomatic Research, 60(2), 113-124.

48.

Brosschot, J. F., Pieper, S., & Thayer, J. F. (2005). Expanding stress theory: Prolonged activation and perseverative cognition. Psychoneuroendocrinology, 30(10), 1043-1049.

49.

Burwell, R. A., & Shirk, S. R. (2007). Subtypes of rumination in adolescence: Associations between brooding, reflection, depressive symptoms, and coping. Journal of Clinical Child and Adolescent Psychology, 36(1), 56-65.

50.

Chapman, L. K., Kertz, S. J., & Woodruff-Borden, J. (2009). A structural equation model analysis of perceived control and psychological distress on worry among African American and European American young adults. Journal of Anxiety Disorders, 23(1), 69-76.

51.

Ciarrochi, J. Bilich, L., & Godsel, C. (2010). Psychological flexibility as a mechanism of change in acceptance and commitment therapy. In Ruth Baer’s (Ed.), Assessing mindfulness and acceptance: Illuminating the processes of change. (pp. 51-76). Oakland, CA:New Harbinger Publications, Inc.

52.

Cohen, S., & Janicki-Deverts, D. (2012). Who's stressed? Distributions of psychological stress in the United States in probability samples from 1983, 2006, and 2009. Journal of Applied Social Psychology, 42(6), 1320-1334.

53.

Cohen, S., Kessler, R. C., & Underwood, L. G. (1995). Strategies for measuring stress in studies of psychiatric and physical disorders. In S. Cohen, R. C. Kessler, & L. G. Underwood (Eds.), Measuring stress: A guide for health and social scientists (pp. 3–28). New York: Oxford University Press.

54.

Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310-357.

55.

Cropley, M., Zijlstra, F. R., Querstret, D., & Beck, S. (2016). Is work-related rumination associated with deficits in executive functioning?. Frontiers in Psychology, 7(1), 1-8.

56.

Davis, R. N., & Nolen-Hoeksema, S. (2000). Cognitive inflexibility among ruminators and nonruminators. Cognitive Therapy and Research, 24(6), 699-711.

57.

Dennis, J. P., & Vander Wal, J. S. (2010). The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cognitive Therapy and Research, 34(3), 241-253.

58.

D’Zurilla, T. J., & Goldfried, M. R. (1971). Problem solving and behavior modification. Journal of Abnormal Psychology, 78(1), 107-126.

59.

Ehring, T., & Watkins, E. R. (2008). Repetitive negative thinking as a transdiagnostic process. International Journal of Cognitive Therapy, 1(3), 192-205.

60.

Francazio, S. K., & Flessner, C. A. (2015). Cognitive flexibility differentiates young adults exhibiting obsessive-compulsive behaviors from controls. Psychiatry Research, 228(2), 185-190.

61.

Fresco, D. M., Frankel, A. N., Mennin, D. S., Turk, C. L., & Heimberg, R. G. (2002). Distinct and overlapping features of rumination and worry: The relationship of cognitive production to negative affective states. Cognitive Therapy and Research, 26(2), 179-188.

62.

Fresco, D. M., Williams, N. L., & Nugent, N. R. (2006). Flexibility and negative affect:Examining the associations of explanatory flexibility and coping flexibility to each other and to depression and anxiety. Cognitive Therapy and Research, 30(2), 201-210.

63.

Galatzer-Levy, I. R., Burton, C. L., & Bonanno, G. A. (2012). Coping flexibility, potentially traumatic life events, and resilience: A prospective study of college student adjustment. Journal of Social and Clinical Psychology, 31(6), 542-567.

64.

Goring, H. J., & Papageorgiou, C. (2008). Rumination and worry: Factor analysis of self-report measures in depressed participants. Cognitive Therapy and Research, 32(4), 554-566.

65.

Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders:A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64(6), 1152-1168.

66.

Hildebrandt, L. K., McCall, C., Engen, H. G., & Singer, T. (2016). Cognitive flexibility, heart rate variability, and resilience predict finegrained regulation of arousal during prolonged threat. Psychophysiology, 53(6), 880- 890.

67.

Hong, R. Y. (2007). Worry and rumination:Differential associations with anxious and depressive symptoms and coping behavior. Behaviour Research and Therapy, 45(2), 277-290.

68.

Hvenegaard, M., Watkins, E. R., Poulsen, S., Rosenberg, N. K., Gondan, M., Grafton, B., Austin, S. F., Howard H., & Moeller, S. B. (2015). Rumination-focused cognitive behaviour therapy vs. cognitive behaviour therapy for depression: Study protocol for a randomised controlled superiority trial. Trials, 16(1), 1-6.

69.

Johnco, C., Wuthrich, V. M., & Rapee, R. M. (2013). The role of cognitive flexibility in cognitive restructuring skill acquisition among older adults. Journal of Anxiety Disorders, 27(6), 576-584.

70.

Johnco, C., Wuthrich, V. M., & Rapee, R. M. (2014a). The influence of cognitive flexibility on treatment outcome and cognitive restructuring skill acquisition during cognitive behavioural treatment for anxiety and depression in older adults: Results of a pilot study. Behaviour Research and Therapy, 57(1), 55-64.

71.

Johnco, C., Wuthrich, V. M., & Rapee, R. M. (2014b). Reliability and validity of two self-report measures of cognitive flexibility. Psychological Assessment, 26(4), 1381-1387.

72.

Johnson, D. P., & Whisman, M. A. (2013). Gender differences in rumination: A metaanalysis. Personality and Individual Differences, 55(4), 367-374.

73.

Kashdan, T. B., & Rottenberg, J. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review, 30(7), 865-878.

74.

Kato, T. (2012). Development of the coping flexibility scale: Evidence for the coping flexibility hypothesis. Journal of Counseling Psychology, 59(2), 262-273.

75.

Kertz, S. J., Bigda-Peyton, J. S., Rosmarin, D. H., & Björgvinsson, T. (2012). The importance of worry across diagnostic presentations:Prevalence, severity and associated symptoms in a partial hospital setting. Journal of Anxiety Disorders, 26(1), 126-133.

76.

Kim, B. S., & Omizo, M. M. (2005). Asian and european american cultural values, collective self-esteem, acculturative stress, cognitive flexibility, and general self-efficacy among asian american college students. Journal of Counseling Psychology, 52(3), 412-419.

77.

Kline, R. B. (2010). Principles and practice of structural equation modeling (3rd ed.). New York: The Guildford Press.

78.

Kusec, A., & Koerner, N. (2014). Cognitive flexibility in generalized anxiety disorder and its impact on interpretation biases. Psychology, 59(3), 411-425.

79.

Mackinnon, D. P., Krull, J. L., & Lockwood, C. M. (2000). Equivalence of the mediation, confounding and suppression effect. Prevention Science, 1(4), 173-181.

80.

Martin, M. M., & Rubin, R. B. (1995). A new measure of cognitive flexibility. Psychological Reports, 76(2), 623-626.

81.

Mathews, A. (1990). Why worry? The cognitive function of anxiety. Behaviour Research and Therapy, 28(6), 455-468.

82.

Matud, M. P. (2004). Gender differences in stress and coping styles. Personality and Individual Differences, 37(7), 1401-1415.

83.

McEvoy, P. M., Watson, H., Watkins, E. R., & Nathan, P. (2013). The relationship between worry, rumination, and comorbidity: Evidence for repetitive negative thinking as a transdiagnostic construct. Journal of Affective Disorders, 151(1), 313-320.

84.

Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State worry questionnaire. Behaviour Research and Therapy, 28(6), 487-495.

85.

Michl, L. C., McLaughlin, K. A., Shepherd, K., & Nolen-Hoeksema, S. (2013). Rumination as a mechanism linking stressful life events to symptoms of depression and anxiety:Longitudinal evidence in early adolescents and adults. Journal of Abnormal Psychology, 122(2), 339-352.

86.

Moore, B. A. (2013). Propensity for experiencing flow: The roles of cognitive flexibility and mindfulness. The Humanistic Psychologist, 41(4), 319-332.

87.

Muris, P., Roelofs, J., Rassin, E., Franken, I., & Mayer, B. (2005). Mediating effects of rumination and worry on the links between neuroticism, anxiety and depression. Personality and Individual Differences, 39(6), 1105-1111.

88.

Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100(4), 569-582.

89.

Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta Earthquake. Journal of Personality and Social Psychology, 61(1), 115-121.

90.

Nolen-Hoeksema, S., Parker, L. E., & Larson, J. (1994). Ruminative coping with depressed mood following loss. Journal of Personality and Social Psychology, 67(1), 92-104.

91.

Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3(5), 400-424.

92.

Ottaviani, C., Medea, B., Lonigro, A., Tarvainen, M., & Couyoumdjian, A. (2015). Cognitive rigidity is mirrored by autonomic inflexibility in daily life perseverative cognition. Biological Psychology, 107(1), 24-30.

93.

Palm, K. M., & Follette, V. M. (2010). The roles of cognitive flexibility and experiential avoidance in explaining psychological distress in survivors of interpersonal victimization. Journal of Psychopathology and Behavior Assessment, 33(1), 79-86.

94.

Payne, L. A., Ellard, K. K., Farchione, T. J., Fairholme, C. P., & Barlow, D. H. (2014). Emotional disorders: A unified transdiagnostic protocol. In D. H. Barlow (Eds.), Clinical handbook of psychological disorders: A step-by-step treatment manual (pp. 237-274). New York:The Guilford Press.

95.

Regehr, C., Glancy, D., & Pitts, A. (2013). Interventions to reduce stress in university students: A review and meta-analysis. Journal of Affective Disorders, 148(1), 1-11.

96.

Roberts, J. E., Gilboa, E., & Gotlib, I. H. (1998). Ruminative response style and vulnerability to episodes of dysphoria: Gender, neuroticism, and episode duration. Cognitive Therapy and Research, 22(4), 401-423.

97.

Robichaud, M., Dugas, M. J., & Conway, M. (2003). Gender differences in worry and associated cognitive-behavioral variables. Anxiety Disorders, 17(5), 501-516.

98.

Sakamoto, S., Kambara, M., & Tanno, Y. (2001). Response styles and cognitive and affective symptoms of depression. Personality and Individual Differences, 31(7), 1053-1065.

99.

Schermelleh-Engel, K., Moosbrugger, H., & Müller, H. (2003). Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of Psychological Research Online, 8(2), 23-74.

100.

Schmaus, B. J., Laubmeier, K. K., Boquiren, V. M., Herzer, M., & Zakowski, S. G. (2008). Gender and stress: Differential psychophysiological reactivity to stress reexposure in the laboratory. International Journal of Psychophysiology, 69(2), 101-106.

101.

Segerstrom, S. C., Tsao, J. C., Alden, L. E., & Craske, M. G. (2000). Worry and rumination:Repetitive thought as a concomitant and predictor of negative mood. Cognitive Therapy and Research, 24(6), 671-688.

102.

Stöber, J., & Borkovec, T. D. (2002). Reduced concreteness of worry in generalized anxiety disorder: Findings from a therapy study. Cognitive Therapy and Research, 26(1), 89-96.

103.

Stoyanova, M., & Hope, D. A. (2012). Gender, gender roles, and anxiety: Perceived confirmability of self report, behavioral avoidance, and physiological reactivity. Journal of Anxiety Disorders, 26(1), 206-214.

104.

Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27(3), 247-259.

105.

Turan, N., Hoyt, W. T., & Erdur-Baker, Ö. (2016). Gender, attachment orientations, rumination, and symptomatic distress: Test of a moderated mediation model. Personality and Individual Differences, 102(1), 234-239.

106.

Verkuil, B., Brosschot, J. F., Meerman, E. E., & Thayer, J. F. (2012). Effects of momentary assessed stressful events and worry episodes on somatic health complaints. Psychology & Health, 27(2), 141-158.

107.

Verkuil, B., Brosschot, J. F., & Thayer, J. F. (2007). Capturing worry in daily life: Are trait questionnaires sufficient?. Behaviour Research and Therapy, 45(8), 1835-1844.

108.

Versluis, A., Verkuil, B., & Brosschot, J. F. (2015). Reducing worry and subjective health complaints: A randomized trial of an internet-delivered worry postponement intervention. British Journal of Health Psychology, 21(2), 1-18.

109.

Watkins, E., Moulds, M., & Mackintosh, B. (2005). Comparisons between rumination and worry in a non-clinical population. Behaviour Research and Therapy, 43(12), 1577-1585.

110.

Watkins, E. R., Mullan, E., Wingrove, J., Rimes, K., Steiner, H., Bathurst, N., Bathurst, N., Eastman, R., & Scott, J. (2011). Rumination-focused cognitive-behavioural therapy for residual depression: Phase II randomised controlled trial. The British Journal of Psychiatry, 199(4), 317-322.

111.

Watkins, E. R., & Nolen-Hoeksema, S. (2014). A habit-goal framework of depressive rumination. Journal of Abnormal Psychology, 123(1), 24-34.

112.

Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS Scales. Journal of Personality and Social Psychology, 54(6), 1063-1070.

113.

Weyandt, L. L. (2005). Executive function in children, adolescents, and adults with attention deficit hyperactivity disorder: Introduction to the special issue. Developmental Neuropsychology, 27(1), 1-10.

114.

Wilson, G. S., Pritchard, M. E., & Revalee, B. (2005). Individual differences in adolescent health symptoms: The effects of gender and coping. Journal of Adolescence, 28(3), 369-379.

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