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Associations Among Early Life Stress, Rumination, Symptoms of Psychopathology, and Sex in Youth in the Early Stages of Puberty: a Moderated Mediation Analysis

  • Joelle LeMoult
  • Kathryn L. Humphreys
  • Lucy S. King
  • Natalie L. Colich
  • Alexandria N. Price
  • Sarah J. Ordaz
  • Ian H. Gotlib
Article

Abstract

Despite the high prevalence and substantial costs of early life stress (ELS), the mechanisms through which ELS confers risk for psychopathology are poorly understood, particularly among youth who are in an earlier stage of the transition through puberty. We sought to advance our understanding of the link between ELS and psychopathology by testing whether rumination mediates the relation between ELS and symptoms of psychopathology in youth in the early stages of puberty, and whether sex moderates this mediation. We assessed levels of ELS, both brooding and reflection subtypes of rumination, and internalizing and externalizing symptoms in 170 youth in the early stages of puberty (56% girls) ages 9–13 years. Brooding, but not reflection, mediated the relation between ELS and both internalizing and externalizing symptoms. Importantly, however, sex moderated the relation among ELS, brooding, and symptoms. Specifically, brooding mediated the relation between ELS and both internalizing and externalizing symptoms for girls, but not for boys. Findings support the formulation that brooding is a mechanism linking ELS to multiple forms of behavioral and emotional problems exclusively in girls in the early stages of puberty.

Keywords

Early life stress Rumination Sex differences Psychopathology 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. Achenbach, T. (1991). Manual for the youth self-report and 1991 profile.Google Scholar
  2. Aldao, A., & Nolen-Hoeksema, S. (2010). Specificity of cognitive emotion regulation strategies: A transdiagnostic examination. Behaviour Research and Therapy, 48(10), 974–983.  https://doi.org/10.1016/j.brat.2010.06.002.CrossRefPubMedGoogle Scholar
  3. Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30, 217–237.  https://doi.org/10.1016/j.cpr.2009.11.004.CrossRefPubMedGoogle Scholar
  4. Angold, A., Costello, E. J., & Worthman, C. M. (1998). Puberty and depression: The roles of age, pubertal status and pubertal timing. Psychological Medicine, 28(28), 51–61.  https://doi.org/10.1017/S003329179700593X.CrossRefPubMedGoogle Scholar
  5. Armey, M. F., Fresco, D. M., Moore, M. T., Mennin, D. S., Turk, C. L., Heimberg, R. G., … Alloy, L. B. (2009). Brooding and pondering: Isolating the active ingredients of depressive rumination with exploratory factor analysis and structural equation modeling. Assessment, 16(4), 315–327. doi: https://doi.org/10.1177/1073191109340388.
  6. Barlow, D. H., Allen, L. B., & Choate, M. L. (2004). Toward a unified treatment for emotional disorders. Behavior Therapy, 35(2), 205–230.  https://doi.org/10.1016/S0005-7894(04)80036-4.CrossRefGoogle Scholar
  7. Baumeister, R. F., Gailliot, M., DeWall, C. N., & Oaten, M. (2006). Self-regulation and personality: How interventions increase regulatory success, and how depletion moderates the effects of traits on behavior. Journal of Personality, 74(6), 1773–1802.  https://doi.org/10.1111/j.1467-6494.2006.00428.x.CrossRefPubMedGoogle Scholar
  8. Broderick, P. C. (2004). A prospective study of rumination and depression in early adolescence. Clinical Child Psychology and Psychiatry, 9(3), 383–394.  https://doi.org/10.1177/1359104504043920.CrossRefGoogle Scholar
  9. Burwell, R. A., & Shirk, S. R. (2007). Subtypes of rumination in adolescence: Associations between brooding, reflection, depressive symptoms, and coping. Journal of Clinical Child & Adolescent Psychology, 36(1), 56–65.  https://doi.org/10.1080/15374410709336568.CrossRefGoogle Scholar
  10. Cohen, R. A., Paul, R. H., Stroud, L., Gunstad, J., Hitsman, B. L., McCaffery, J., et al. (2006). Early life stress and adult emotional experience: An international perspective. International Journal of Psychiatry in Medicine, 36(1), 35–52.  https://doi.org/10.2190/5R62-9PQY-0NEL-TLPA.CrossRefPubMedGoogle Scholar
  11. Eaton, W. W., Badawi, M., & Melton, B. (1995). Prodromes and precursors : Epidemiologic data for primary prevention of disor. American Journal of Psychiatry, 152(152), 967–972.PubMedGoogle Scholar
  12. Ehring, T., & Watkins, E. R. (2008). Repetitive negative thinking as a transdiagnostic process. International journal of cognitive therapy. Retrieved from http://guilfordjournals.com/doi/abs/10.1521/ijct.2008.1.3.192, 1, 192–205.
  13. Evans, E. A., Grella, C. E., & Upchurch, D. M. (2017). Gender differences in the effects of childhood adversity on alcohol, drug, and polysubstance-related disorders. Social Psychiatry and Psychiatric Epidemiology, 1–12. Springer Berlin Heidelberg. doi: https://doi.org/10.1007/s00127-017-1355-3.
  14. ​Fareri, D. S., & Tottenham, N. (2016). Effects of early life stress on amygdala and striatal development. Developmental Cognitive Neuroscience, 19, 233–247.Google Scholar
  15. Felton, J. W., Cole, D. A., & Martin, N. C. (2013). Effects of rumination on child and adolescent depressive reactions to a natural disaster: The 2010 Nashville flood. Journal of Abnormal Psychology, 122(1), 64–73.  https://doi.org/10.1037/a0029303.CrossRefPubMedGoogle Scholar
  16. Furr, J. M., Comer, J. S., Edmunds, J. M., & Kendall, P. C. (2010). Disasters and youth: A meta-analytic examination of posttraumatic stress. Journal of Consulting and Clinical Psychology, 78(6), 765–780.  https://doi.org/10.1037/a0021482.CrossRefPubMedGoogle Scholar
  17. Ge, X., Conger, R. D., & Elder, G. H. (2001). Pubertal transition, stressful life events, and the emergence of gender differences in adolescent depressive symptoms. Developmental Psychology, 37(3), 404–417.  https://doi.org/10.1037/0012-1649.37.3.404.CrossRefPubMedGoogle Scholar
  18. Hammen, C. L. (2016). Depression and stressful environments: Identifying gaps in conceptualization and measurement. Anxiety, Stress, and Coping, 29(4), 335–351.  https://doi.org/10.1080/10615806.2015.1134788.CrossRefPubMedGoogle Scholar
  19. Hammen, C. L., & Rudolph, K. (1999). UCLA life stress interview for children: Chronic stress and episodic life events. Manual. University of Illinois. Retrieved from https://scholar.google.ca/scholar?q=Rudolph+%26+Hammen+life+stress+interview&btnG=&hl=en&as_sdt=0%2C5.
  20. Hayes, A. F. (2013). Introduction to meditaion, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.  https://doi.org/10.5539/ass.v11n9p207.Google Scholar
  21. Hayward, C. (2003). Gender Differences at Puberty. New York: Cambridge University Press.CrossRefGoogle Scholar
  22. Heleniak, C., Jenness, J. L., Vander Stoep, A., McCauley, E., & McLaughlin, K. A. (2016). Childhood maltreatment exposure and disruptions in emotion regulation : A Transdiagnostic pathway to adolescent internalizing and externalizing psychopathology. Cognitive Therapy and Research, 40(3), 394–415.  https://doi.org/10.1007/s10608-015-9735-z.CrossRefPubMedGoogle Scholar
  23. Herman-Giddens, M. E. (2006). Recent data on pubertal milestones in United States children: The secular trend toward earlier development. International Journal of Andrology, 29, 241–246.  https://doi.org/10.1111/j.1365-2605.2005.00575.x.CrossRefPubMedGoogle Scholar
  24. Hopfinger, L., Berking, M., Bockting, C. L. H., & Ebert, D. D. (2016). Emotion regulation mediates the effect of childhood trauma on depression. Journal of Affective Disorders, 198, 189–197.  https://doi.org/10.1016/j.jad.2016.03.050.CrossRefPubMedGoogle Scholar
  25. Horswell, B. B., & Istfan, S. (2006). Preventing child maltreatment: A guide to taking action and generating evidence. World Health Organization, 24, 1–89.  https://doi.org/10.1016/j.coms.2012.04.002.Google Scholar
  26. Jenness, J. L., Jager-Hyman, S., Heleniak, C., Beck, A. T., Sheridan, M. A., & McLaughlin, K. A. (2016). Catastrophizing, rumination, and reappraisal prospectively predict adolescent PTSD symptom onset following a terrorist attack. Depression and Anxiety, 33(11), 1039–1047.  https://doi.org/10.1002/da.22548.CrossRefGoogle Scholar
  27. Joormann, J., Dkane, M., & Gotlib, I. H. (2006). Adaptive and maladaptive components of rumination? Diagnostic specificity and relation to depressive biases. Behavior Therapy, 37(3), 269–280.  https://doi.org/10.1016/j.beth.2006.01.002.CrossRefPubMedGoogle Scholar
  28. Kessler, R. C., Chiu, W. T., Demler, O., Merikangas, K. R., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 617–627.  https://doi.org/10.1001/archpsyc.62.6.617.CrossRefPubMedPubMedCentralGoogle Scholar
  29. King, L. S., Colich, N. L., LeMoult, J., Humphreys, K. L., Ordaz, S. J., Price, A. N., & Gotlib, I. H. (2016). The impact of the severity of early life stress on diurnal cortisol: The role of puberty. Psychoneuroendocrinology, 77(November), 68–74.  https://doi.org/10.1016/j.psyneuen.2016.11.024.PubMedPubMedCentralGoogle Scholar
  30. Marshall, W. A., & Tanner, J. M. (1970a). Variations in pattern of pubertal changes in girls. Archives of Disease in Childhood, 44, 291–303.  https://doi.org/10.1136/adc.45.239.13.CrossRefGoogle Scholar
  31. Marshall, W. A., & Tanner, J. M. (1970b). Variations in the pattern of pubertal changes in boys. Archives of Disease in Childhood, 45(239), 13–23.  https://doi.org/10.1136/adc.45.239.13.CrossRefPubMedPubMedCentralGoogle Scholar
  32. McCartney, C.R., Blank, S.K., Prendergast, K.A., Chhabra, S., Eagleson, C.A., Helm, K.D., Yoo, R., Chang, R.J., Foster, C.M., Caprio, S., Marshall, J.C. (2007). Obesity and sex steroid changes across puberty: Evidence for marked hyperandrogenemia in pre- and early pubertal obese girls. Journal of Clinical Endocrinology and Metabolism, 92(2), 430–436.  https://doi.org/10.1210/jc.2006-2002.
  33. McKay, H.A., MacLean, L., Petit, M., MacKelvie-O’Brien, K., Janssen, P., Beck, T., & Khan, K. M. (2005). “Bounce at the Bell”: A novel program of short bouts of exercise improves proximal femur bone mass in early pubertal children. British Journal of Sports Medicine, 39(8), 521–526.Google Scholar
  34. Mendle, J. (2014). Why puberty matters for psychopathology. Child Development Perspectives, 8(4), 218–222.  https://doi.org/10.1111/cdep.12092.CrossRefGoogle Scholar
  35. 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.  https://doi.org/10.1037/a0031994.CrossRefPubMedPubMedCentralGoogle Scholar
  36. Morris, N. M., & Udry, J. R. (1980). Validation of a self-administered instrument to assess stage of adolescent development. Journal of Youth and Adolescence, 9(3), 271–280.  https://doi.org/10.1007/BF02088471.CrossRefPubMedGoogle Scholar
  37. Muthén, L., & Muthén, B. (2014). Mplus user’s guide (7th ed.). Los Angeles.Google Scholar
  38. Nolen-Hoeksema, S., & Watkins, E. R. (2011). A heuristic for developing Transdiagnostic models of psychopathology: Explaining multifinality and divergent trajectories. Perspectives on Psychological Science, 6(6), 589–609.  https://doi.org/10.1177/1745691611419672.CrossRefPubMedGoogle Scholar
  39. Nolen-Hoeksema, S., Larson, J., & Grayson, C. (1999). Explaining the gender difference in depressive symptoms. Journal of Personality and Social Psychology, 77(5), 1061–1072.  https://doi.org/10.1037/0022-3514.77.5.1061.CrossRefPubMedGoogle Scholar
  40. Nolen-Hoeksema, S., Stice, E., Wade, E., & Bohon, C. (2007). Reciprocal relations between rumination and bulimic, substance abuse, and depressive symptoms in female adolescents. Journal of Abnormal Psychology, 116(1), 198–207.  https://doi.org/10.1037/0021-843X.116.1.198.CrossRefPubMedGoogle Scholar
  41. Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3(5), 400–424.  https://doi.org/10.1111/j.1745-6924.2008.00088.x.CrossRefPubMedGoogle Scholar
  42. Ordaz, S. J., LeMoult, J., Colich, N. L., Prasad, G., Pollak, M., Popolizio, M., Price, A., Greicius, M., Gotlib, I. H. (2017). Ruminative brooding is associated with salience network coherence in early pubertal girls. Social Cognitive Affective & Behavioral Neuroscience, 12(2), 298–310.  https://doi.org/10.1093/scan/nsw133.
  43. O’Mahen, H. A., Karl, A., Moberly, N., & Fedock, G. (2015). The association between childhood maltreatment and emotion regulation: Two different mechanisms contributing to depression? Journal of Affective Disorders, 174, 287–295.  https://doi.org/10.1016/j.jad.2014.11.028.CrossRefPubMedGoogle Scholar
  44. Papageorgiou, C., & Wells, A. (2003). An empirical test of a clinical metacognitive model of rumination and depression. Cognitive Therapy and Research, 27(3), 261–273.  https://doi.org/10.1023/A:1023962332399.CrossRefGoogle Scholar
  45. Paus, T., Keshavan, M., & Giedd, J. N. (2008). Why do many psychiatric disorders emerge during adolescence? Nature Reviews Neuroscience, 9, 947–957.  https://doi.org/10.1038/nrn2513.CrossRefPubMedPubMedCentralGoogle Scholar
  46. Pine, D. S., Cohen, E., Cohen, P., & Brook, J. (1999). Adolescent depressive symptoms as predictors of adult depression: Moodiness or mood disorder? American Journal of Psychiatry, 156(1), 133–135.  https://doi.org/10.1176/ajp.156.1.133.CrossRefPubMedGoogle Scholar
  47. Raes, F., & Hermans, D. (2008). On the mediating role of subtypes of rumination in the relationship between childhood emotional abuse and depressed mood: Brooding versus reflection. Depression and Anxiety, 25(12), 1067–1070.  https://doi.org/10.1002/da.20447.CrossRefPubMedGoogle Scholar
  48. Ribbe, D. (1996). Psychometric review of traumatic event screening instrument for children (TESI-C). In B. H. Stamm (Ed.), Measurement of stress, trauma, and adaptation (pp. 386-387). Lutherville: Sidran Press.Google Scholar
  49. Rood, L., Roelofs, J., Bögels, S. M., Nolen-Hoeksema, S., & Schouten, E. (2009). The influence of emotion-focused rumination and distraction on depressive symptoms in non-clinical youth: A meta-analytic review. Clinical Psychology Review, 29(7), 607–616.  https://doi.org/10.1016/j.cpr.2009.07.001.CrossRefPubMedGoogle Scholar
  50. Rudolph, K. D., Hammen, C., Burge, D., Lindberg, N., Herzberg, D., & Daley, S. E. (2000). Toward an interpersonal life-stress model of depression: The developmental context of stress generation. Development and Psychopathology, 12, 215–234.  https://doi.org/10.1017/S0954579400002066.CrossRefPubMedGoogle Scholar
  51. Sisk, C. L., & Zehr, J. L. (2005). Pubertal hormones organize the adolescent brain and behavior. Frontiers in Neuroendocrinology, 26, 163–174.  https://doi.org/10.1016/j.yfrne.2005.10.003.CrossRefPubMedGoogle Scholar
  52. Susman, E. J., & Dorn, L. D. (2006). Puberty: Its role in development. In L. M. Lermer & L. D. Steinberg (Eds.), Handbook of adolescent psychology (pp. 115–150). Hoboken, NJ: Wiley.  https://doi.org/10.1002/9780470479193.adlpsy001006.Google Scholar
  53. Tamres, L. K., Janicki, D., & Helgeson, V. S. (2002). Sex differences in coping behavior: A meta-analytic review and an examination of relative coping. Personality and Social Psychology Review, 6(1), 2–30.  https://doi.org/10.1207/S15327957PSPR0601_1.CrossRefGoogle Scholar
  54. Travers, S.H., Jeffers, B.W., Bloch, C.A., Hill, J.O., & Eckel, R.H. (1995). Gender and Tanner stage differences in body composition and insulin sensitivity in early pubertal children. Journal of Clinical Endocrinology and Metabolism, 80(1), 172–178.Google Scholar
  55. Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27(3), 247–259.  https://doi.org/10.1023/A:1023910315561.CrossRefGoogle Scholar
  56. Watkins, E. R. (2009). Depressive rumination and co-morbidity: Evidence for brooding as a transdiagnostic process. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 27(3), 160–175.  https://doi.org/10.1007/s10942-009-0098-9.CrossRefGoogle Scholar
  57. Watkins, E. R., & Teasdale, J. D. (2004). Adaptive and maladaptive self-focus in depression. Journal of Affective Disorders, 82(1), 1–8.  https://doi.org/10.1016/j.jad.2003.10.006.CrossRefPubMedGoogle Scholar
  58. Wu, K., Zhang, Y., Liu, Z., Zhou, P., & Wei, C. (2015). Coexistence and different determinants of posttraumatic stress disorder and posttraumatic growth among Chinese survivors after earthquake: role of resilience and rumination. Frontiers in Psychology, 6, 1–9.  https://doi.org/10.3389/fpsyg.2015.01043.Google Scholar
  59. Zahn-Waxler, C., Shirtcliff, E. a., & Marceau, K. (2008). Disorders of childhood and adolescence: gender and psychopathology. Annual Review of Clinical Psychology, 4, 275–303.  https://doi.org/10.1146/annurev.clinpsy.3.022806.091358.CrossRefPubMedGoogle Scholar

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© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.University of British ColumbiaVancouverCanada
  2. 2.Stanford UniversityStanfordUSA

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