The Influence of Alcohol on Rumination and Metacognitions in Major Depressive Disorder
[Background and Objectives] Comorbidity between major depressive disorder (MDD) and alcohol use disorder (AUD) is highly prevalent but reasons for this association are unclear. Rumination may activate metacognitive beliefs that contribute to the development and maintenance of rumination and depressi...
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| Format: | Article |
| Language: | English |
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PsychOpen GOLD/ Leibniz Institute for Psychology
2022-12-01
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| Series: | Clinical Psychology in Europe |
| Subjects: | |
| Online Access: | https://cpe.psychopen.eu/index.php/cpe/article/view/5615 |
| _version_ | 1797970393378586624 |
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| author | Lana Gawron Anna Pohl Alexander L. Gerlach |
| author_facet | Lana Gawron Anna Pohl Alexander L. Gerlach |
| author_sort | Lana Gawron |
| collection | DOAJ |
| description | [Background and Objectives] Comorbidity between major depressive disorder (MDD) and alcohol use disorder (AUD) is highly prevalent but reasons for this association are unclear. Rumination may activate metacognitive beliefs that contribute to the development and maintenance of rumination and depression. Negative metacognitions can further lead to other dysfunctional coping strategies (i.e., consumption of alcohol). We examined whether alcohol reduces (state) metacognitions, rumination and other disorder-specific processes in a group of individuals suffering from MDD. [Method] In an experiment with three randomized conditions we investigated whether the consumption of alcohol, placebo or no alcohol (orange juice) affects (meta-)cognitions, depressive symptoms and / or psychophysiological variables while participants ruminate. [Results] Voluntary rumination increased self-reported sadness, tension and rumination, tensed facial muscles and increased heart rate, but did not affect (state) metacognitions and heart rate variability. The consumption of alcohol did not influence rumination, metacognitions, depressive or psychophysiological measures. [Limitations] We recruited a depressed population but excluded pathological alcohol use due to ethical considerations. [Conclusions] We found no evidence that alcohol consumption affects rumination, metacognitions and other disorder-specific processes in MDD. However, rumination had a negative effect on various depression-specific processes, although it did not activate (negative state) metacognitions. |
| first_indexed | 2024-04-11T03:16:05Z |
| format | Article |
| id | doaj.art-79255413d85b4e73929f01b34e6ff2ab |
| institution | Directory Open Access Journal |
| issn | 2625-3410 |
| language | English |
| last_indexed | 2024-04-11T03:16:05Z |
| publishDate | 2022-12-01 |
| publisher | PsychOpen GOLD/ Leibniz Institute for Psychology |
| record_format | Article |
| series | Clinical Psychology in Europe |
| spelling | doaj.art-79255413d85b4e73929f01b34e6ff2ab2023-01-02T10:17:14ZengPsychOpen GOLD/ Leibniz Institute for PsychologyClinical Psychology in Europe2625-34102022-12-014410.32872/cpe.5615cpe.5615The Influence of Alcohol on Rumination and Metacognitions in Major Depressive DisorderLana Gawron0https://orcid.org/0000-0003-2664-5280Anna Pohl1https://orcid.org/0000-0002-3761-5768Alexander L. Gerlach2https://orcid.org/0000-0001-6794-5349Institute of Clinical Psychology and Psychotherapy, University of Cologne, Cologne, GermanyInstitute of Clinical Psychology and Psychotherapy, University of Cologne, Cologne, GermanyInstitute of Clinical Psychology and Psychotherapy, University of Cologne, Cologne, Germany[Background and Objectives] Comorbidity between major depressive disorder (MDD) and alcohol use disorder (AUD) is highly prevalent but reasons for this association are unclear. Rumination may activate metacognitive beliefs that contribute to the development and maintenance of rumination and depression. Negative metacognitions can further lead to other dysfunctional coping strategies (i.e., consumption of alcohol). We examined whether alcohol reduces (state) metacognitions, rumination and other disorder-specific processes in a group of individuals suffering from MDD. [Method] In an experiment with three randomized conditions we investigated whether the consumption of alcohol, placebo or no alcohol (orange juice) affects (meta-)cognitions, depressive symptoms and / or psychophysiological variables while participants ruminate. [Results] Voluntary rumination increased self-reported sadness, tension and rumination, tensed facial muscles and increased heart rate, but did not affect (state) metacognitions and heart rate variability. The consumption of alcohol did not influence rumination, metacognitions, depressive or psychophysiological measures. [Limitations] We recruited a depressed population but excluded pathological alcohol use due to ethical considerations. [Conclusions] We found no evidence that alcohol consumption affects rumination, metacognitions and other disorder-specific processes in MDD. However, rumination had a negative effect on various depression-specific processes, although it did not activate (negative state) metacognitions.https://cpe.psychopen.eu/index.php/cpe/article/view/5615major depressive disorderruminationmetacognitionsalcohol consumptionself-medicationalcohol use disorder |
| spellingShingle | Lana Gawron Anna Pohl Alexander L. Gerlach The Influence of Alcohol on Rumination and Metacognitions in Major Depressive Disorder Clinical Psychology in Europe major depressive disorder rumination metacognitions alcohol consumption self-medication alcohol use disorder |
| title | The Influence of Alcohol on Rumination and Metacognitions in Major Depressive Disorder |
| title_full | The Influence of Alcohol on Rumination and Metacognitions in Major Depressive Disorder |
| title_fullStr | The Influence of Alcohol on Rumination and Metacognitions in Major Depressive Disorder |
| title_full_unstemmed | The Influence of Alcohol on Rumination and Metacognitions in Major Depressive Disorder |
| title_short | The Influence of Alcohol on Rumination and Metacognitions in Major Depressive Disorder |
| title_sort | influence of alcohol on rumination and metacognitions in major depressive disorder |
| topic | major depressive disorder rumination metacognitions alcohol consumption self-medication alcohol use disorder |
| url | https://cpe.psychopen.eu/index.php/cpe/article/view/5615 |
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