바로가기메뉴

본문 바로가기 주메뉴 바로가기

logo

메뉴

The Relationship between Rejection Sensitivity and Depression: Dual Mediating Effects of Negative Interpretation Bias and Negative Memory Bias

Abstract

Rejection sensitivity and negative cognitive bias are risk factors for depression. Rejection sensitivity is a concept that explains individual differences in the perception of and reactions to rejection. Individuals with high rejection sensitivity anxiously expect, readily perceive, and overreact to rejection. Cognitive bias is a pattern of deviation that occurs when people interpret and remember given information or situations. Depressed people have negative cognitive bias. This study aimed to investigate the dual mediating effect of negative interpretation bias and negative memory bias in the relationship between rejection sensitivity and depression among undergraduate and graduate students. A total of 159 undergraduate and graduate students completed the Rejection Sensitivity Questionnaire, Center for Epidemiological Studies-Depression, and Similarity Rating Task using E-prime Software. The research model was constructed based on previous research in this field. To compare the research model and the two alternative models, structural equation modeling was conducted. The complete dual mediation model attained the best fit for present study. The finding suggests that high rejection sensitivity may contribute to depression through the increase of negative interpretation bias and negative memory bias. Our findings support the combined cognitive bias hypothesis proposed by Hirsch and colleagues in the relationship between rejection sensitivity and depression. Finally, the therapeutic implications and limitation of the study were discussed.

keywords
우울증, 거부민감성, 인지편향, 해석편향, 기억편향, depression, rejection sensitivity, cognitive bias, interpretation bias, memory bias

Reference

1.

Ayduk, O., Downey, G., & Kim, M. (2001). Rejection sensitivity and depressive symptoms in women. Personality and Social Psychology Bulletin, 27, 868-877.

2.

Baumeister, R. F., & Leary, M. R. (1995). The need to belong: desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin, 117, 497-529.

3.

Beck, A. T. (2008). The evolution of the cognitive model of depression and its neurobiological correlates. American Journal of Psychiatry, 165, 969-977.

4.

Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88, 588-606.

5.

Bergevin, T. A. (2003). Approaching rejection sensitivity from a multidimensional perspective: predicting romantic maladjustment, targets of romantic attraction and depression in middle adolescence (Unpublished doctoral dissertation). Concordia University, Quebec, Canada.

6.

Berna, C., Lang, T. J., Goodwin, G. M., & Holmes, E. A. (2011). Developing a measure of interpretation bias for depressed mood:An ambiguous scenarios test. Personality and Individual Differences, 51, 349-354.

7.

Chango, J. M., McElhaney, K. B., Allen, J. P., Schad, M. M., & Marston, E. (2012). Relational stressors and depressive symptoms in late adolescence: Rejection sensitivity as a vulnerability. Journal of Abnormal Child Psychology, 40, 369-379.

8.

Cho, M. J., & Kim, K. H. (1993). Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. Journal of Korean Neuropsychiatric Association, 32, 381-399.

9.

Chon, K. K., Choi, S. C., & Yang, B. C. (2001). Integrated adaptation of CES-D in Korea. Korean Journal of Health Psychology, 6, 59-76.

10.

Disner, S. G., Beevers, C. G., Haigh, E. A., & Beck, A. T. (2011). Neural mechanisms of the cognitive model of depression. Nature Reviews Neuroscience, 12, 467-477.

11.

Downey, G., & Feldman, S. I. (1996). Implications of rejection sensitivity for intimate relationships. Journal of Personality and Social Psychology, 70, 1327-1343.

12.

Ellsworth, P. C., & Scherer, K. R. (2003). Appraisal processes in emotion. In R.J. Davidson, K. R. Scherer, & H. Goldsmith (Eds), Handbook of affective sciences (pp. 572-595). New York: Oxford University Press.

13.

Everaert, J., Koster, E. H., & Derakshan, N. (2012). The combined cognitive bias hypothesis in depression. Clinical Psychology Review, 32, 413-424.

14.

Everaert, J., Tierens, M., Uzieblo, K., & Koster, E. H. (2013). The indirect effect of attention bias on memory via interpretation bias: Evidence for the combined cognitive bias hypothesis in subclinical depression. Cognition and Emotion, 27, 1450-1459.

15.

Finch, J. F., & West, S. G. (1997). The investigation of personality structure: Statistical models. Journal of Research in Personality, 31, 439-485.

16.

Gotlib, I. H., & Joormann, J. (2010). Cognition and depression: current status and future directions. Annual Review of Clinical Psychology, 6, 285-312.

17.

Harper, M. S., Dickson, J. W., & Welsh, D. P. (2006). Self-silencing and rejection sensitivity in adolescent romantic relationships. Journal of Youth and Adolescence, 35, 435-443.

18.

Hertel, P. T., & Brozovich, F. (2010). Cognitive habits and memory distortions in anxiety and depression. Current Directions in Psychological Science, 19, 155-160.

19.

Hertel, P. T., Brozovich, F., Joormann, J., & Gotlib, I. H. (2008). Biases in interpretation and memory in generalized social phobia. Journal of Abnormal Psychology, 117, 278-288.

20.

Hertel, P., Mor, N., Ferrari, C., Hunt, O., & Agrawal, N. (2014). Looking on the dark side rumination and cognitive-bias modification. Clinical Psychological Science, 2, 714-726.

21.

Hindash, A. H. C., & Amir, N. (2012). Negative interpretation bias in individuals with depressive symptoms. Cognitive Therapy and Research, 36, 502-511.

22.

Hirsch, C. R., Clark, D. M., & Mathews, A. (2006). Imagery and interpretations in social phobia: Support for the combined cognitive biases hypothesis. Behavior Therapy, 37, 223-236.

23.

Hong, S. (2000). The criteria for selecting appropriate fit indices in structural equation modeling and their rationales. Korean Journal of Clinical Psychology, 19, 161-177.

24.

Hoyle, R. H. (1995). Structural equation modeling: Concepts, issues, and applications. Thousand Oaks, CA: Sage.

25.

Jang, S. Y., Do, K. S. (2014). The Effect of induced Anxiety and Depression on Attention and Information Integration (Unpublished master’s thesis). Sungkyunkwan University, Seoul, Korea.

26.

Johnson, S. L., Joormann, J., & Gotlib, I. H. (2007). Does processing of emotional stimuli predict symptomatic improvement and diagnostic recovery from major depression? Emotion, 7, 201-206.

27.

Joiner, T., Coyne, J. C., & Blalock, J. (1999). On the interpersonal nature of depression: Overview and synthesis. In T. Joiner & J. Coynne (Eds.), The interactional nature of depression: Advances in interpersonal approaches (pp. 3-20). Washington, DC: American Psychological Association.

28.

Joormann, J., & Quinn, M. E. (2014). Cognitive processes and emotion regulation in depression. Depression and Anxiety, 31, 308-315.

29.

Joormann, J., Siemer, M., & Gotlib, I. H. (2007). Mood regulation in depression: Differential effects of distraction and recall of happy memories on sad mood. Journal of Abnormal Psychology, 116, 484-490.

30.

Joormann, J., & Siemer, M. (2011). Affective processing and emotion regulation in dysphoria and depression: Cognitive biases and deficits in cognitive control. Social and Personality Psychology Compass, 5, 13-28.

31.

Joormann, J., Waugh, C. E., & Gotlib, I. H. (2015). Cognitive bias modification for interpretation in major depression effects on memory and stress reactivity. Clinical Psychological Science, 3, 126-139.

32.

Josephson, B. R., Singer, J. A., & Salovey, P. (1996). Mood regulation and memory: Repairing sad moods with happy memories. Cognition and Emotion, 10, 437-444.

33.

Kraines, M. A., & Wells, T. T. (2017). Rejection Sensitivity and Depression:Indirect Effects Through Problem Solving. Psychiatry, 80, 55-63.

34.

Kwak, N. E. (2016). The Relationship Between Maladaptive Self-Focused Attention and Adolescents’ Depression: Mediating Effect of Emotional Regulation and Rejection Sensitivity (Unpublished master’s thesis). Incheon National University, Incheon, Korea.

35.

Lawson, C., MacLeod, C., & Hammond, G. (2002). Interpretation revealed in the blink of an eye: Depressive bias in the resolution of ambiguity. Journal of Abnormal Psychology, 111, 321-328.

36.

Lee, B. D. (2000). The relationship between adult attachment and satisfaction of dating relationship-focusing on the mediating effect of rejection sensitivity and attribution style (Unpublished master’s thesis). Korea University, Seoul. Korea.

37.

Lee, H. K., Kim, K. H., & Lee, H. K. (2014) Influence of rejection sensitivity on the aggression: The mediated moderating effect. The Korean Journal of Counseling and Psychotherapy, 26, 97-121.

38.

Lee, J. S., Mathews, A., Shergill, S., & Yiend, J. (2016). Magnitude of negative interpretation bias depends on severity of depression. Behaviour Research and Therapy, 83, 26-34.

39.

Leung, K. K., Lee, T. M., Yip, P., Li, L. S., & Wong, M. M. (2009). Selective attention biases of people with depression: Positive and negative priming of depression-related information. Psychiatry Research, 165, 241-251.

40.

Levy, S. R., Ayduk, O., & Downey, G. (2001). The role of rejection sensitivity in people’s relationships with significant others and valued social groups. In M. R. Leary (Ed.), Interpersonal rejection (pp. 251-289). NewYork: Oxford University Press.

41.

Liu, R. T., Kraines, M. A., Massing-Schaffer, M., & Alloy, L. B. (2014). Rejection sensitivity and depression: Mediation by stress generation. Psychiatry: Interpersonal and Biological Processes, 77, 86-97.

42.

Luterek, J. A., Harb, G. C., Heimberg, R. G., & Marx, B. P. (2004). Interpersonal rejection sensitivity in childhood sexual abuse survivors mediator of depressive symptoms and anger suppression. Journal of Interpersonal Violence, 19, 90-107.

43.

MacLeod, C., Mathews, A., & Tata, P. (1986). Attentional bias in emotional disorders. Journal of Abnormal Psychology, 95, 15-20.

44.

Matt, G. E., Vázquez, C., & Campbell, W. K. (1992). Mood-congruent recall of affectively toned stimuli: A meta-analytic review. Clinical Psychology Review, 12, 227-255.

45.

Mellin, E. A. (2008). Rejection sensitivity and college student depression:Findings and implications for counseling. Journal of College Counseling, 11, 32-41.

46.

Normansell, K. M., & Wisco, B. E. (2016). Negative interpretation bias as a mechanism of the relationship between rejection sensitivity and depressive symptoms. Cognition and Emotion, 31, 950-962.

47.

Radloff, L. S. (1977). The CES-D scale a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401.

48.

Romero, N., Sanchez, A., & Vazquez, C. (2014). Memory biases in remitted depression: The role of negative cognitions at explicit and automatic processing levels. Journal of Behavior Therapy and Experimental Psychiatry, 45, 128-135.

49.

Rude, S. S., Valdez, C. R., Odom, S., & Ebrahimi, A. (2003). Negative cognitive biases predict subsequent depression. Cognitive Therapy and Research, 27, 415-429.

50.

Rude, S. S., Wenzlaff, R. M., Gibbs, B., Vane, J., & Whitney, T. (2002). Negative processing biases predict subsequent depressive symptoms. Cognition and Emotion, 16, 423-440.

51.

Sander, A. J. B. (2001). Toward an integration of Beck's cognitive theory and Bowlby's attachment theory: self-schema and adult attachment classification in relation to depressive symptoms (Unpublished doctoral dissertation), University of Texas, Austin, U.S.A.

52.

Schumacker, R. E., & Lomax, R. G. (2004). A beginner’s guide to structural equation modeling (2nd ed.). London: Routledge.

53.

Siemer, M., Mauss, I., & Gross, J. J. (2007). Same situation--different emotions: How appraisals shape our emotions. Emotion, 7, 592-600.

54.

Tops, M., Riese, H., Oldehinkel, A. J., Rijsdijk, F. V., & Ormel, J. (2008). Rejection sensitivity relates to hypocortisolism and depressed mood state in young women. Psychoneuroendocrinology, 33, 551-559.

55.

Tran, T. B., Hertel, P. T., & Joormann, J. (2011). Cognitive bias modification:Induced interpretive biases affect memory. Emotion, 11, 145-152.

56.

Watkins, E. R., Baeyens, C. B., & Read, R. (2009). Concreteness training reduces dysphoria: Proof-of-principle for repeated cognitive bias modification in depression. Journal of Abnormal Psychology, 118, 55-64.

57.

Watkins, P. C., Vache, K., Verney, S. P., & Mathews, A. (1996). Unconscious mood-congruent memory bias in depression. Journal of Abnormal Psychology, 105, 34-41.

58.

Wechsler, D. (2014). Wechsler Adult Intelligence Scale–Fourth Edition (WAIS-IV). San Antonio, Texas: Psychological Corporation.

59.

Williams, J. M. G., Barnhofer, T., Crane, C., Herman, D., Raes, F., Watkins, E., & Dalgleish, T. (2007). Autobiographical memory specificity and emotional disorder. Psychological Bulletin, 133, 122-148.

60.

Woo, J. P. (2012). The concept and understanding of structural equation model. Seoul: Hannarae Academy.

61.

Yiend, J., Lee, J. S., Tekes, S., Atkins, L., Mathews, A., Vrinten, M., ... & Shergill, S. (2014). Modifying interpretation in a clinically depressed sample using ‘cognitive bias modification-errors’: A double blind randomised controlled trial. Cognitive Therapy and Research, 38, 146-159.

logo