Effect of rejection sensitivity on the development of anxious-depressive attack in Japanese outpatients: The mediating roles of rumination, social anxiety, and depressive symptoms
ObjectiveAnxious-depressive attack (ADA) is a cluster of symptoms, including sudden and intense anxiety or depression, intrusive rumination about negative memories or future worries, prominent agitation, impatient behavior, and/or loneliness; in some cases, symptoms include a wide range of violent c...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.1016879/full |
| _version_ | 1828098070416457728 |
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| author | Shota Noda Shota Noda Mina Masaki Tomokazu Kishimoto Hisanobu Kaiya Hisanobu Kaiya Hisanobu Kaiya Hisanobu Kaiya |
| author_facet | Shota Noda Shota Noda Mina Masaki Tomokazu Kishimoto Hisanobu Kaiya Hisanobu Kaiya Hisanobu Kaiya Hisanobu Kaiya |
| author_sort | Shota Noda |
| collection | DOAJ |
| description | ObjectiveAnxious-depressive attack (ADA) is a cluster of symptoms, including sudden and intense anxiety or depression, intrusive rumination about negative memories or future worries, prominent agitation, impatient behavior, and/or loneliness; in some cases, symptoms include a wide range of violent coping behaviors to manage emotional distress. Four characteristics—rejection sensitivity, rumination, social anxiety symptoms, and depressive symptoms—are thought to be associated with the development of ADA. However, the complex relationships among these factors have not been clarified. In this study, we aimed to examine the mechanism by which these four characteristics influence the development of ADA.MethodsWe conducted a structured interview about ADA with 332 outpatients, who completed several self-report measures, to assess rejection sensitivity, rumination, social anxiety symptoms, and depressive symptoms.ResultsA structural equation model showed goodness-of-fit with the data. These findings suggest that rejection sensitivity may demonstrate a direct effect on the occurrence of ADA. Furthermore, rejection sensitivity might affect depressive symptoms through rumination and social anxiety symptoms and consequently contribute to the development of ADA.ConclusionThese results provide preliminary evidence that rejection sensitivity contributes to the development of ADA. |
| first_indexed | 2024-04-11T07:57:03Z |
| format | Article |
| id | doaj.art-60f71863e34f43278b342a82a48269fb |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-04-11T07:57:03Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-60f71863e34f43278b342a82a48269fb2022-12-22T04:35:54ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-11-011310.3389/fpsyg.2022.10168791016879Effect of rejection sensitivity on the development of anxious-depressive attack in Japanese outpatients: The mediating roles of rumination, social anxiety, and depressive symptomsShota Noda0Shota Noda1Mina Masaki2Tomokazu Kishimoto3Hisanobu Kaiya4Hisanobu Kaiya5Hisanobu Kaiya6Hisanobu Kaiya7Panic Disorder Research Center, Warakukai Medical Corporation, Tokyo, JapanTokyo Mindfulness Center, Tokyo, JapanNagoya Mental Clinic, Warakukai Medical Corporation, Aichi, JapanNagoya Mental Clinic, Warakukai Medical Corporation, Aichi, JapanPanic Disorder Research Center, Warakukai Medical Corporation, Tokyo, JapanTokyo Mindfulness Center, Tokyo, JapanNagoya Mental Clinic, Warakukai Medical Corporation, Aichi, JapanDepartment of Psychiatry, Kyoto Prefectural University of Medicine, Kyoto, JapanObjectiveAnxious-depressive attack (ADA) is a cluster of symptoms, including sudden and intense anxiety or depression, intrusive rumination about negative memories or future worries, prominent agitation, impatient behavior, and/or loneliness; in some cases, symptoms include a wide range of violent coping behaviors to manage emotional distress. Four characteristics—rejection sensitivity, rumination, social anxiety symptoms, and depressive symptoms—are thought to be associated with the development of ADA. However, the complex relationships among these factors have not been clarified. In this study, we aimed to examine the mechanism by which these four characteristics influence the development of ADA.MethodsWe conducted a structured interview about ADA with 332 outpatients, who completed several self-report measures, to assess rejection sensitivity, rumination, social anxiety symptoms, and depressive symptoms.ResultsA structural equation model showed goodness-of-fit with the data. These findings suggest that rejection sensitivity may demonstrate a direct effect on the occurrence of ADA. Furthermore, rejection sensitivity might affect depressive symptoms through rumination and social anxiety symptoms and consequently contribute to the development of ADA.ConclusionThese results provide preliminary evidence that rejection sensitivity contributes to the development of ADA.https://www.frontiersin.org/articles/10.3389/fpsyg.2022.1016879/fullanxious-depressive attackrejection sensitivityruminationsocial anxiety symptomsdepressive symptoms |
| spellingShingle | Shota Noda Shota Noda Mina Masaki Tomokazu Kishimoto Hisanobu Kaiya Hisanobu Kaiya Hisanobu Kaiya Hisanobu Kaiya Effect of rejection sensitivity on the development of anxious-depressive attack in Japanese outpatients: The mediating roles of rumination, social anxiety, and depressive symptoms Frontiers in Psychology anxious-depressive attack rejection sensitivity rumination social anxiety symptoms depressive symptoms |
| title | Effect of rejection sensitivity on the development of anxious-depressive attack in Japanese outpatients: The mediating roles of rumination, social anxiety, and depressive symptoms |
| title_full | Effect of rejection sensitivity on the development of anxious-depressive attack in Japanese outpatients: The mediating roles of rumination, social anxiety, and depressive symptoms |
| title_fullStr | Effect of rejection sensitivity on the development of anxious-depressive attack in Japanese outpatients: The mediating roles of rumination, social anxiety, and depressive symptoms |
| title_full_unstemmed | Effect of rejection sensitivity on the development of anxious-depressive attack in Japanese outpatients: The mediating roles of rumination, social anxiety, and depressive symptoms |
| title_short | Effect of rejection sensitivity on the development of anxious-depressive attack in Japanese outpatients: The mediating roles of rumination, social anxiety, and depressive symptoms |
| title_sort | effect of rejection sensitivity on the development of anxious depressive attack in japanese outpatients the mediating roles of rumination social anxiety and depressive symptoms |
| topic | anxious-depressive attack rejection sensitivity rumination social anxiety symptoms depressive symptoms |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.1016879/full |
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