Higher Rumination Tendency Is Associated with Reduced Positive Effects of Daily Activity Participation in People with Depressive Disorder.
Lin-Jye Huang, Chinyu Wu, Hsin-Hsiu Essential Yeh and 4 others
PMID 35359430WHAT IT FOUND
People with depression who reported more self-critical rumination spent more hours in meaningful daily activities but felt less involved, and their participation was more often driven by meeting others' expectations than by enjoying being with people.
Key findings
01Those with higher brooding spent more hours in meaningful daily activities but reported a lower sense of involvement than those with lower brooding.
02Those with higher brooding more often participated to meet others' expectations, while those with lower brooding more often participated because they liked being with people.
03Higher brooding was associated with more vocational activity restriction and attributing restriction to lack of family support, while lower brooding attributed restriction more often to poor health status.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
This study compared people at the same time, so it cannot show that brooding caused the participation differences. The higher-rumination and lower-rumination groups differed in gender, age, depression severity, diagnosis, marriage status, religious beliefs, and support systems, so those differences may explain the participation findings. The sample was relatively small and came from Taiwan clinics and day treatment programs, so it may not apply to other settings or countries. The sample included bipolar disorder and dysthymic disorder, so the findings may not represent people with major depression alone. The analysis excluded second and third activity profiles because of missing data, so it may not reflect each person's full activity participation. All measures were self-administered questionnaires, so responses may have been influenced by current mood or interpretation.
The easy way to misread this
Do not conclude that spending more time in daily activities causes worse depression or that activity participation is ineffective. This study compared groups at the same time, and the higher-brooding group also had more severe depressive symptoms and different demographic and support characteristics.